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Low Tension GlaucomaNTG-X-PERTNCT01209624

Observational Study of the Long-term Effect of Latanoprost in Normal Tension Glaucoma

An observational study of Low Tension Glaucoma, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc..

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess the long-term efficacy and safety of latanoprost monotherapy in patients with normal tension glaucoma (NTG) using a prospective, observational design. Visits were scheduled at 6-month intervals for 24 months. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Low Tension Glaucoma
How many people
902 participants
Where
No sites listed yet
Study dates
Aug 2006to Sep 2009
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Glaucoma subjects

Who may be able to join

  • patients with normal-tension glaucoma

Who cannot join

  • none

About this study

Official title: Prospective, Observational Study to Investigate the Long-term Effect of Xalatan® on Intraocular Pressure (IOP) and on Maintenance of Visual Field in Patients With Normal Tension Glaucoma (NTG)

The purpose of this study is to assess the long-term efficacy and safety of latanoprost monotherapy in patients with normal tension glaucoma (NTG) using a prospective, observational design. Visits were scheduled at 6-month intervals for 24 months. Intraocular pressure (IOP), optic nerve head findings, visual field status, and adverse events were recorded.

Keywords
prospective, non-interventional, observational, multi-center, long-term
Medical subject headings
Low Tension Glaucoma

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Raw Intraocular Pressure (IOP) by Visit

    Mean IOP values measured by applanation tonometry or noncontact method; valid range: 8-40 millimeters of mercury (mmHg). Only the IOP reading for the eye treated with Xalatan® was used; if both eyes were treated, the value of the right eye was analyzed. Last visit = last post-baseline visit at which participant provides a value of IOP.

    Measured: Baseline, Month 6, Month 12, Month 18, Month 24, Last Visit

  2. Number of Participants With a 24-Hour Intraocular Pressure (IOP) Profile: Month 12

    Response: Yes = had an IOP 24-hour profile; No = did not have an IOP 24-hour profile.

    Measured: Month 12

  3. Number of Participants With a 24-Hour Intraocular Pressure (IOP) Profile: Month 24

    Response: Yes = had an IOP 24-hour profile; No = did not have an IOP 24-hour profile.

    Measured: Month 24

  4. Number of Participants Per Visit With Intraocular Pressure (IOP) 24-Hour Pressure Peaks: Month 12

    Response: Yes = had IOP 24-hour pressure peak; No = did not have IOP 24-hour pressure peak.

    Measured: Month 12

  5. Number of Participants Per Visit With Intraocular Pressure (IOP) 24-Hour Pressure Peaks: Month 24

    Response: Yes = had IOP 24-hour pressure peak; No = did not have IOP 24-hour pressure peak.

    Measured: Month 24

  6. Percentage of Participants Who Achieved Intraocular Pressure (IOP) Target at Last Visit

    Percentage of participants who achieved their IOP target set at baseline. Response: Yes = achieved IOP target at last vist; No = did not achieve IOP target at last visit.

    Measured: Month 24, (or last visit)

  7. Change From Baseline by Visit in Optic Disc Excavation: Horizontal Cup to Disc Ratio

    Mean horizontal cup to disc (cup/disc or C/D) ratio measured by slit lamp examination to assess progression of glaucoma; calculated as the ratio of the diameter of the depression (cup) to that of the optical nerve head (disc). Valid range: 0.1-1.0. Only data for the eye treated with Xalatan® was used; if both eyes were treated, the value of the right eye was analyzed.

    Measured: Baseline, Month 6, Month 12, Month 18, Month 24, Last Visit

  8. Change From Baseline by Visit in Optic Disc Excavation: Vertical Cup to Disc Ratio

    Mean vertical cup to disc (cup/disc or C/D) ratio measured by slit lamp examination to assess progression of glaucoma; calculated as the ratio of the diameter of the depression (cup) to that of the optical nerve head (disc). Valid range: 0.1-1.0; a high cup/disc ratio may imply glaucoma. Only data for the eye treated with Xalatan® was used; if both eyes were treated, the value of the right eye was analyzed.

    Measured: Baseline, Month 6, Month 12, Month 18, Month 24, Last Visit

  9. Number of Participants With Optic Disc Hemorrhage by Visit: Month 6

    Presence of optic disc hemorrhages assessed by slip lamp examination. Only data for eye were treated with Xalatan® was used; if both eyes were treated, the value of the right eye was analyzed.

    Measured: Month 6

  10. Number of Participants With Optic Disc Hemorrhage by Visit: Month 12

    Presence of optic disc hemorrhages assessed by slip lamp examination. Only data for eye were treated with Xalatan® was used; if both eyes were treated, the value of the right eye was analyzed.

    Measured: Month 12

  11. Number of Participants With Optic Disc Hemorrhage by Visit: Month 18

    Presence of optic disc hemorrhages assessed by slip lamp examination. Only data for eye were treated with Xalatan® was used; if both eyes were treated, the value of the right eye was analyzed.

    Measured: Month 18

  12. Number of Participants With Optic Disc Hemorrhage by Visit: Month 24

    Presence of optic disc hemorrhages assessed by slip lamp examination. Only data for eye were treated with Xalatan® was used; if both eyes were treated, the value of the right eye was analyzed.

    Measured: Month 24

  13. Change From Baseline in Heidelberg Retina Tomograph (HRT) Parameters: Rim Area

    Rim area (millimeter [mm]2) right and left eye assessed by HRT imaging. Valid range: 0.500 to 1.900 mm2. Only the rim area for the eye treated with Xalatan® was used; if both eyes were treated, the value of the right eye was analyzed.

    Measured: Baseline, Month 6, Month 12, Month 18, Month 24, Last Visit

  14. Change From Baseline in Heidelberg Retina Tomograph (HRT) Parameters: Rim Volume

    Rim volume (mm3) right and left eye assessed by HRT imaging. Valid range: 0.080 to 0.700 mm3. Only the rim volume for the eye treated with Xalatan® was used; if both eyes were treated, the value of the right eye was analyzed.

    Measured: Baseline, Month 6, Month 12, Month 18, Month 24, Last Visit

  15. Change From Baseline in Heidelberg Retina Tomograph Parameters: Cup Shape Measure

    Cup shape measure right and left eye assessed by HRT imaging . Valid range: -0.400 to -0.010. Only the cup shape measure for the eye treated with Xalatan® was used; if both eyes were treated, the value of the right eye was analyzed.

    Measured: Baseline, Month 6, Month 12, Month 18, Month 24, Last Visit

  16. Change From Baseline in Heidelberg Retina Tomograph (HRT) Parameters: Mean RNFL Thickness

    Mean retinal nerve fiber layer (RNFL) thickness in millimeters (mm) right and left eye assessed by HRT imaging. Valid range: 0.100 to 0.400 mm. Only the RNFL for the eye treated with Xalatan® was used; if both eyes were treated, the value of the right eye was analyzed.

    Measured: Baseline, Month 6, Month 12, Month 18, Month 24, Last Visit

  17. Number of Participants With Change From Baseline to Month 24 in Aulhorn Stages

    Values of change in Aulhorn Stage measured by Humphrey Visual Field Analyzer. Aulhorn stages: no scotoma, Stage I (relative scotomas only), Stage II (absolute scotomas without connection to blind spot), Stage III (absolute scotomas with connection to blind spot), Stage IV (absolute scotomas more than 1 quadrant affected), and Stage V (temporal residual visual field only). If both eyes were treated with Xalantan® the value of right eye was analyzed; otherwise, only the assessment for the eye treated with study medication was used.

    Measured: Baseline, Month 24

  18. Number of Participants With Change From Baseline to Month 24 in Visual Field Defect

    Change in mean defect right and left eye; valid range: -30 - + 30 decibels (dB). Visual field defect categories: preperimetric glaucoma: ≥ -2 dB; mild damage: < -2 dB and ≥ -3.3 dB; moderate damage: < -3.3 dB and ≥ -4.6 dB; and severe damage: < -4.6 dB. If both eyes were treated with Xalatan® , the value for the right eye was used; otherwise, only the mean defect value for the eye treated with study medication was used.

    Measured: Baseline, Month 24

  19. Number of Participants With Investigator Assessments of Efficacy at Month 24

    Number of participants with Investigator assessments of the efficacy of Xalatan® treatment rated as: 1=very good, 2=good, 3=moderate, 4=insufficient. If study medication was stopped before 24 months, assessment was performed at the time of early termination.

    Measured: Month 24

  20. Number of Participants With Individual Progression of Glaucoma Damage: Horizontal Cup to Disc Ratio and/or Vertical Cup to Disc Ratio

    Increase in Horizontal Cup to Disc Ratio and/or Vertical Cup to Disc Ratio by at least 0.2 (Last Visit minus Baseline).

    Measured: Month 24 (or last visit)

  21. Number of Participants With Individual Progression of Glaucoma Damage: Optic Disc Hemorrhage

    Participants with at least one post-baseline optic disc hemorrhage.

    Measured: Month 24 (or last visit)

  22. Number of Participants With Individual Progression of Glaucoma Damage: Rim Area, Rim Volume, or Mean Retinal Nerve Fiber Layer (RNFL) Thickness

    Decrease in at least one Heidelberg Retina Tomograph (HRT) parameter by: Rim Area 0.2 millimeter (mm)2, Rim Volume 0.1 mm3, or mean retinal nerve fiber layer (RNFL) Thickness 0.1 mm, (Last Visit minus Baseline).

    Measured: Month 24 (or last visit)

  23. Number of Participants With Individual Progression of Glaucoma Damage: Visual Field Defect-Deterioration

    Visual Field Deterioration rated as progressive by physician on at least one post-baseline visit; range: 1= improved 2= stable 3= progressive. If both eyes were treated with Xalatan® the value for the right eye was used; otherwise, only the assessment for the eye treated with study medication was used.

    Measured: Month 24 (or last visit)

  24. Number of Participants With Individual Progression of Glaucoma Damage: Aulhorn Stage

    Increase in Aulhorn Stage by at least one stage (last visit minus baseline). Three different visual field defect categories defined using Aulhorn stage values 1-5: Aulhorn stage 1 = mild damage, Aulhorn stages 2, 3 = moderate damage, Aulhorn stages 4, 5 =severe damage.

    Measured: Month 24 (or last visit)

  25. Number of Participants With Individual Progression of Glaucoma Damage: Mean Defect

    Decrease in mean defect by at least 2.5 decibels (dB) (Last Visit minus Baseline).

    Measured: Month 24 (or last visit)

  26. Percentage of Participants With Overall Progression of Glaucoma Damage

    Overall progression defined as at least 1 of the 6 individual progression of glaucoma damage measures met: increase in horizontal cup to disc ratio and/or vertical cup to disc ratio by at least 0.2; at least 1 post Baseline (BL) optic-disc hemorrhage; decreased rim area (0.2 mm2), rim volume (0.1 mm3), mean retinal nerve fiber layer (RNFL)(0.1 mm), progressive visual field deterioration, increase in Aulhorn stage (by at least 1 stage), and/or decrease in mean defect by at least 2.5 decibels [dB])

    Measured: Month 24 (or last visit)

  27. Percentage of Participants With Progression of Optic Disc Excavation

    Progression (Last Visit minus Baseline) defined as increase in horizontal cup to disc ratio and/or vertical cup to disc ratio by at least 0.2, and/or decrease in at least 1 of Heidelberg Retina Tomograph (HRT) parameters (deterioration of rim area 0.2 mm2; deterioration of rim volume 0.1 mm3 deterioration or mean retinal nerve fiber layer (RNFL) thickness 0.1 mm).

    Measured: Month 24 (or last visit)

  28. Percentage of Participants With Progression of Visual Field

    Progression defined as visual field deterioration rated progressive by physician on at least 1 post-baseline visit, and increase in Aulhorn stage (by at least 1 stage) and/or decrease in mean defect by at least 2.5 dB (Last Visit minus Baseline).

    Measured: Month 24 (or last visit)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Sep 2010 (estimated)
  2. Study startAug 2006
  3. Primary completionSep 2009
  4. Study completionSep 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
902 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01209624
Sponsor's protocol ID
A6111135
Other IDs
A6111135
Acronym
NTG-X-PERT
Status last verified
Jun 2011
First submitted
23 Sep 2010
Last updated
26 Feb 2021
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Low Tension Glaucoma, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc..

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Oct 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Raw Intraocular Pressure (IOP) by Visit (time frame: Baseline, Month 6, Month 12, Month 18, Month 24, Last Visit). The study lists 28 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Feb 2021; AzTrials last refreshed its copy on 7 Nov 2026.

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