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The Effects of Preservative-free Prostaglandin Eye Drops in Sign and Symptoms on the Eyes of Patients With Glaucoma

Primary Purpose

Ocular Hypertension, Open-Angle Glaucoma

Status
Completed
Phase
Phase 4
Locations
Finland
Study Type
Interventional
Intervention
Tafluprost 0.0015%
Sponsored by
FinnMedi Oy
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ocular Hypertension focused on measuring Confocal microscopic findings, Ocular Hypertension, Open-Angle Glaucoma, Preservative-free eye drops

Eligibility Criteria

18 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Have provided a written informed consent
  • Aged 18 years or more
  • A diagnosis of ocular hypertension or open-angle glaucoma (either POAG or capsular glaucoma) in one or both eyes, for which the patient has been regularly using latanoprost 0.005% (Xalatan®) for at least six months before Screening (confirmed in anamnesis)
  • In the Screening visit evaluation, the presence of:

At least two ocular symptoms considered for the two eyes together (irritation/burning/stinging, foreign body sensation, tearing, itching or dry eye sensation) of at least mild severity (grade ≥ 2) upon non-instillation OR One ocular symptom of at least mild severity (grade ≥ 2) upon non-instillation AND

At least one of the following ocular signs in either eye with prior treatment:

Fluorescein tear break-up time (fBUT): less than 10 seconds

Corneal and conjunctival fluorescein staining:

Corneal fluorescein staining score of at least grade I OR Combined nasal and temporal staining scores of at least grade II Blepharitis: of at least mild severity (grade ≥ 1) Conjunctival redness/hyperemia: of at least mild severity (grade 1) Tear production: 10 mm or less on Schirmer test

  • A best corrected ETDRS visual acuity score of +0.6 logMAR or better in both eyes
  • Negative pregnancy test result at the screening visit, or, consistently and correctly used reliable method of contraception during the study
  • Are willing to follow instructions

Exclusion Criteria:

  • Females who are pregnant, nursing or planning a pregnancy, or females of childbearing potential who are not using a reliable method of contraception
  • Anterior chamber angle in either eye to be treated less than grade 2 according to Schaffer classification as measured by gonioscopy
  • Any corneal abnormality or other condition preventing reliable applanation tonometry, including prior refractive eye surgery
  • IOP greater than 22 mmHg at 15:00 IOP measurement in either eye at Screening/Baseline visit
  • Use of preserved eye drops (other than latanoprost) including artificial tears at screening or within two weeks prior to screening visit
  • Diagnosis of angle-closure glaucoma or secondary glaucoma other than capsular glaucoma in either eye
  • Suspected contraindication to tafluprost therapy (hypersensitivity to tafluprost or any of the excipients)
  • Glaucoma filtration surgery or any other ocular surgery (including ocular laser procedures) within 6 months prior to Screening in eye(s) to be treated with study medication
  • Use of contact lenses at Screening or during the study
  • Any ocular (e.g. aphakia, pseudophakia with torn posterior lens capsule2 or anterior chamber lenses,known risk factors for cystoid macular oedema or iritis/uveitis), systemic or psychiatric disease/condition (e.g.uncontrolled arterial hypertension, diabetes) that may put the patient at a significant risk or may confound the study results or may interfere significantly with the patient's participation in the study as judged by the investigator
  • Current alcohol or drug abuse
  • Current participation in another clinical trial involving an investigational drug/device, or participation in such a trial within the last 30 days

Sites / Locations

  • FinnMedi Oy, Clinical Trial Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Tafluprost 0.0015%

Arm Description

Open, one arm study. Patients who have been using latanoprost 0.005% eye drops (Xalatan®) as their prior medication (at least 6 months) and who fulfil all the inclusion criteria including the specified ocular symptoms and signs, will switch from latanoprost to the assigned preservative-free tafluprost 0.0015% (Taflotan®)eye drops for twelve (12) months.

Outcomes

Primary Outcome Measures

Change from screening in corneal confocal microscopic findings at month 12

Secondary Outcome Measures

Change from screening in ocular symptoms and signs upon non-instillation

Full Information

First Posted
July 5, 2010
Last Updated
October 27, 2014
Sponsor
FinnMedi Oy
Collaborators
Tampere University, The Laboratory and Pharmacy Public Utility of the Pirkanmaa Hospital District
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1. Study Identification

Unique Protocol Identification Number
NCT01369771
Brief Title
The Effects of Preservative-free Prostaglandin Eye Drops in Sign and Symptoms on the Eyes of Patients With Glaucoma
Official Title
An Open-label, Phase IV, Pilot Study, to Evaluate Confocal Microscopic Findings of Cornea, Ocular Signs and Symptoms in Patients With OH or OAG Switching From Latanoprost 0.005% to Preservative Free Tafluprost 0.0015% Eye Drops
Study Type
Interventional

2. Study Status

Record Verification Date
October 2014
Overall Recruitment Status
Completed
Study Start Date
August 2010 (undefined)
Primary Completion Date
June 2012 (Actual)
Study Completion Date
June 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
FinnMedi Oy
Collaborators
Tampere University, The Laboratory and Pharmacy Public Utility of the Pirkanmaa Hospital District

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of this study is to investigate corneal confocal microscopic findings, ocular signs and symptoms in patients on treatment with the preserved prostaglandin analogue latanoprost 0.005% eye drops (Xalatan®) and after the switch to preservative-free prostaglandin analog tafluprost 0.0015% eye drops (Taflotan®). Patients who have been using latanoprost as their prior medication (at least 6 months) and who fulfil all the inclusion criteria including the specified ocular symptoms and signs, will switch from latanoprost 0.005% eye drops to the assigned preservative-free tafluprost 0.0015% eye drops for twelve (12) months.
Detailed Description
Primary outcome measures: Change from screening in corneal confocal microscopic findings at month 12 Change from screening in ocular symptoms upon non-instillation at month 12 Change from screening in ocular signs at month 12 Safety and QoL variables: Descriptive statistics, identification of change(s) from screening

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ocular Hypertension, Open-Angle Glaucoma
Keywords
Confocal microscopic findings, Ocular Hypertension, Open-Angle Glaucoma, Preservative-free eye drops

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Tafluprost 0.0015%
Arm Type
Experimental
Arm Description
Open, one arm study. Patients who have been using latanoprost 0.005% eye drops (Xalatan®) as their prior medication (at least 6 months) and who fulfil all the inclusion criteria including the specified ocular symptoms and signs, will switch from latanoprost to the assigned preservative-free tafluprost 0.0015% (Taflotan®)eye drops for twelve (12) months.
Intervention Type
Drug
Intervention Name(s)
Tafluprost 0.0015%
Other Intervention Name(s)
Taflotan®, Taflotan sine®, Saflutan®, Saflutan Conserveermiddelvrij®
Intervention Description
Eye Drops, Solution. Topical Use. One single-unit dose pipet of 0.3 ml solution including 0.0015 mg/ ml of Tafluprost once daily in the affected eye(s)for 12 months.
Primary Outcome Measure Information:
Title
Change from screening in corneal confocal microscopic findings at month 12
Time Frame
Baseline and Month 12
Secondary Outcome Measure Information:
Title
Change from screening in ocular symptoms and signs upon non-instillation
Time Frame
Baseline and Month 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have provided a written informed consent Aged 18 years or more A diagnosis of ocular hypertension or open-angle glaucoma (either POAG or capsular glaucoma) in one or both eyes, for which the patient has been regularly using latanoprost 0.005% (Xalatan®) for at least six months before Screening (confirmed in anamnesis) In the Screening visit evaluation, the presence of: At least two ocular symptoms considered for the two eyes together (irritation/burning/stinging, foreign body sensation, tearing, itching or dry eye sensation) of at least mild severity (grade ≥ 2) upon non-instillation OR One ocular symptom of at least mild severity (grade ≥ 2) upon non-instillation AND At least one of the following ocular signs in either eye with prior treatment: Fluorescein tear break-up time (fBUT): less than 10 seconds Corneal and conjunctival fluorescein staining: Corneal fluorescein staining score of at least grade I OR Combined nasal and temporal staining scores of at least grade II Blepharitis: of at least mild severity (grade ≥ 1) Conjunctival redness/hyperemia: of at least mild severity (grade 1) Tear production: 10 mm or less on Schirmer test A best corrected ETDRS visual acuity score of +0.6 logMAR or better in both eyes Negative pregnancy test result at the screening visit, or, consistently and correctly used reliable method of contraception during the study Are willing to follow instructions Exclusion Criteria: Females who are pregnant, nursing or planning a pregnancy, or females of childbearing potential who are not using a reliable method of contraception Anterior chamber angle in either eye to be treated less than grade 2 according to Schaffer classification as measured by gonioscopy Any corneal abnormality or other condition preventing reliable applanation tonometry, including prior refractive eye surgery IOP greater than 22 mmHg at 15:00 IOP measurement in either eye at Screening/Baseline visit Use of preserved eye drops (other than latanoprost) including artificial tears at screening or within two weeks prior to screening visit Diagnosis of angle-closure glaucoma or secondary glaucoma other than capsular glaucoma in either eye Suspected contraindication to tafluprost therapy (hypersensitivity to tafluprost or any of the excipients) Glaucoma filtration surgery or any other ocular surgery (including ocular laser procedures) within 6 months prior to Screening in eye(s) to be treated with study medication Use of contact lenses at Screening or during the study Any ocular (e.g. aphakia, pseudophakia with torn posterior lens capsule2 or anterior chamber lenses,known risk factors for cystoid macular oedema or iritis/uveitis), systemic or psychiatric disease/condition (e.g.uncontrolled arterial hypertension, diabetes) that may put the patient at a significant risk or may confound the study results or may interfere significantly with the patient's participation in the study as judged by the investigator Current alcohol or drug abuse Current participation in another clinical trial involving an investigational drug/device, or participation in such a trial within the last 30 days
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hannu Uusitalo, MD, PhD
Organizational Affiliation
Clinical Trial Center, FinnMedi Oy
Official's Role
Principal Investigator
Facility Information:
Facility Name
FinnMedi Oy, Clinical Trial Center
City
Tampere
State/Province
Pirkanmaa district
ZIP/Postal Code
33520
Country
Finland

12. IPD Sharing Statement

Learn more about this trial

The Effects of Preservative-free Prostaglandin Eye Drops in Sign and Symptoms on the Eyes of Patients With Glaucoma

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