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Primary Open-Angle GlaucomaPhase 2NCT02358369

Dose-Ranging Study of the Bimatoprost Ocular Insert

A Phase 2 study testing Bimatoprost and Timolol 0.5% in people with Primary Open-Angle Glaucoma and Ocular Hypertension, run by ForSight Vision5, Inc. at 10 sites in United States.

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 Bimatoprost Ocular Insert is intended to provide sustained delivery of bimatoprost to the ocular surface to lower the intraocular pressure (IOP) in patients with Open-Angle Glaucoma or Ocular Hypertension. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Bimatoprost and Timolol 0.5%
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
156 participants
Where
10 sitesUnited States
Study dates
19 Jan 2015to 7 Oct 2015
Phase
Phase 2
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

Who may be able to join

  • Written informed consent
  • At least 18 years of age
  • Diagnosis in both eyes of either primary open-angle glaucoma (POAG) or ocular hypertension
  • Best corrected-distance visual acuity score equivalent to 20/80 or better
  • Stable visual field
  • Central corneal thickness between 490 - 620 micrometers
Show all 10Show fewer
  • ("T" is defined as time and "hr" is defined as hour[s])
  • IOP for each eye is ≥ 23 mm Hg at T=0 hr, ≥ 20 mm Hg at T=2 hr and T=8 hr.
  • Inter-eye IOP difference of ≤ 5.0 mm Hg at T=0 hr, T=2 hr and T=8 hr.
  • IOP for each eye is ≤ 30 mm Hg at T=0 hr, T=2 hr and T=8 hr.

Who cannot join

  • Any known contraindication to prostaglandin analog (latanoprost, travoprost, bimatoprost, tafluprost) or timolol
  • A cardiac or pulmonary condition that in the opinion of the Investigator would contraindicate the use of beta-blocker drops
  • Cup-to-disc ratio of greater than 0.8
  • Significant risk of angle closure due to pupil dilation, defined as a Shaffer classification of less than Grade 2 based on gonioscopy
  • Ocular, orbital, and/or eyelid surgery of any type within the past six (6) months from screening date
  • Laser surgery for glaucoma / ocular hypertension on one (1) or both eyes within the last six (6) months
Show all 14Show fewer
  • Past history of any incisional surgery for glaucoma at any time
  • Past history of corneal refractive surgery
  • Corneal abnormalities that would interfere with accurate IOP readings with an applanation tonometer
  • Current participation in an investigational drug or device study or participation in such a study within 30 days of Screening
  • Inability to adequately evaluate the retina
  • Participants who will require contact lens use during the study period.
  • Participants who currently have punctal occlusion
  • Pregnant, lactating or of child-bearing potential and not using a medically acceptable form of birth control

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

United States10 sites
  • Sall Medical Research Center

    Artesia, California, 90701

  • Mundorf Eye Center

    Charlotte, North Carolina, 28204

  • Vold Vision

    Fayetteville, Arkansas, 72704

  • Cornerstone Health Care

    High Point, North Carolina, 27262

  • Apex Eye

    Madeira, Ohio, 45243

  • University of Eye Specialists

    Maryville, Tennessee, 37803

  • Total Eye Care

    Memphis, Tennessee, 38119

  • Clayton Eye Center

    Morrow, Georgia, 30260

  • Eye Research Foundation

    Newport Beach, California, 92663

  • R&R Eye Research, LLC

    San Antonio, Texas, 78229

Other trials in United States

About this study

Official title: A Phase 2 Prospective, Multicenter, Randomized, Double-masked, Controlled Study to Evaluate the Efficacy and Safety and Dose-response of the Bimatoprost Ocular Insert (2.2 mg, 13 mg) With and Without Concomitant Artificial Tears Compared to a Placebo Ocular Insert With and Without Concomitant Timolol (0.5%) Ophthalmic Solution in Patients With Open-angle Glaucoma or Ocular Hypertension

The Bimatoprost Ocular Insert is intended to provide sustained delivery of bimatoprost to the ocular surface to lower the intraocular pressure (IOP) in patients with Open-Angle Glaucoma or Ocular Hypertension.

This study evaluated the safety and efficacy of two different doses of the Bimatoprost Ocular Insert, compared to an active control arm with timolol ophthalmic solution (0.5%).

Being tested
Bimatoprost, Timolol 0.5%, Placebo Ocular Insert, Placebo Eye Drops
Medical subject headings
Glaucoma, Open-Angle, Ocular Hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BimatoprostDrug

    Bimatoprost sustained release Ocular Insert

  • Timolol 0.5%Drug

    BID drops OU, 0.5% ophthalmic solution

  • Placebo Ocular InsertDevice

    Placebo ocular insert OU.

  • Placebo Eye DropsDrug

    Placebo eye drops BID OU.

Study groups in NCT02358369
Study groupRoleWhat they receive
13 mg Bimatoprost Ocular InsertExperimentalWashout + Placebo Ocular Insert in each eye for 4 to 6 weeks, followed by 13 mg Bimatoprost Ocular Insert in each eye (OU) for 12 weeks. Note: participants also self-administered placebo ophthalmic eye drops to each eye twice a day (BID) for the first 6 weeks. After 12 weeks, 13 mg Bimatoprost Ocular Insert in each eye for an additional 12 weeks.
Receives: Drug: Bimatoprost; Device: Placebo Ocular Insert; Drug: Placebo Eye Drops
2.2 mg Bimatoprost Ocular InsertExperimentalWashout + Placebo Ocular Insert in each eye for 4 to 6 weeks, followed by 2.2 mg Bimatoprost Ocular Insert in each eye for 12 weeks. Note: participants also self-administered placebo ophthalmic eye drops in each eye twice a day for the first 6 weeks. After 12 weeks, 13 mg Bimatoprost Ocular Insert in each eye for an additional 12 weeks.
Receives: Drug: Bimatoprost; Device: Placebo Ocular Insert; Drug: Placebo Eye Drops
Timolol 0.5%Active comparatorWashout + Placebo Ocular Insert in each eye for 4 to 6 weeks, followed by 0.5% timolol ophthalmic solution in each eye for 6 weeks. Note: participants simultaneously wore placebo ocular inserts for 12 weeks. After 12 weeks, 13 mg Bimatoprost Ocular Insert in each eye for an additional 12 weeks.
Receives: Drug: Bimatoprost; Drug: Timolol 0.5%; Device: Placebo Ocular Insert

What is being measured

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

  1. Change From Baseline in Intraocular Pressure (IOP) at Week 8

    IOP is a measurement of the fluid pressure inside the eye. Diurnal IOP measurements were taken at 8 am (T=0 hour), 10 am (T=2 hour), and 4 pm (T=8 hour) at Week 8. IOP readings from both eyes were averaged to compute a single IOP value for each diurnal timepoint. A negative change from Baseline indicated an improvement.

    Measured: Baseline (Day 0) to Week 8

  2. Change From Baseline in IOP at Week 12

    IOP is a measurement of the fluid pressure inside the eye. Diurnal IOP measurements were taken at 8 am (T=0 hour), 10 am (T=2 hour), and 4 pm (T=8 hour) at Week 12. IOP readings from both eyes were averaged to compute a single IOP value for each diurnal timepoint. A negative change from Baseline indicated an improvement.

    Measured: Baseline (Day 0) to Week 12

  3. Percentage of Participants by Change From Baseline in Best-corrected Visual Acuity (BCVA) Categories at Week 8

    BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.

    Measured: Baseline (Day 0) to Week 8

  4. Percentage of Participants by Change From Baseline in Best-corrected Visual Acuity (BCVA) Categories at Week 12

    BCVA is measured using an eye chart and is reported as the number of letters read correctly (ranging from 0 to 100 letters). The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.

    Measured: Baseline (Day 0) to Week 12

  5. Percentage of Participants With Clinically Significant Change From Baseline in Slit-Lamp Examination Findings at Week 12

    The clinician examined and graded the eyelids, conjunctiva, cornea and anterior chamber of the eye with the aid of a slit-lamp, (conjunctival erythema was assessed as part of the examination). Fluorescein dye was instilled into the ocular cul-de-sac to facilitate this examination.

    Measured: Baseline (Day 0) to Week 12

  6. Change From Baseline in Automated Visual Field at Week 12

    Automated Visual Field was examined used the Humphrey Visual Field Analyzer, a test that measures the entire area of peripheral vision that can be seen while the eye is focused on a central point. A positive change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 12

  7. Dilated Fundus Exam: Cup-to-Disc-Ratio

    The cup-to-disk-ratio is an eye test to assess the progression of glaucoma. The diameter of the cup is compared to the diameter of the disk and a ratio is determined. The normal cup-disk ratio is 0.3. An increase in the cup-to-disc-ratio is a possible indication of glaucoma.

    Measured: Week 12

  8. Percentage of Participants by Dilated Fundus Exam Pathology Grade at Week 12

    Dilated fundus examination pathology findings were noted, described and graded on a scale of None (0), Mild (+1), Moderate (+2) and Severe (+3). The percentage of participants in each grade is reported.

    Measured: Week 12

  9. Percentage of Participants With Ocular and Non-ocular Adverse Events (AE) by Severity in Period A/B

    An AE was defined as any untoward medical occurrence (eg, sign, symptom, disease, syndrome, intercurrent illness) that occurred in a study participant, regardless of the suspected cause during the study. An ocular AE is an AE that occurred in the eye and non-ocular is an AE that occurred not in the eye. Th investigator assessed the worst severity of each AE as: Mild=aware of sign or symptom, but readily tolerated, Moderate=discomfort enough to cause interference with usual activity or Severe=incapacitating with inability to work or do usual activity.

    Measured: Baseline (Day 0) to Week 12

  10. Percentage of Participants With Ocular and Non-ocular Adverse Events (AE) by Severity in Period C

    An AE was defined as any untoward medical occurrence (eg, sign, symptom, disease, syndrome, intercurrent illness) that occurred in a study participant, regardless of the suspected cause during the study. An ocular AE is an AE that occurred in the eye and non-ocular is an AE that occurred not in the eye. The investigator assessed the worst severity of each AE as: Mild=aware of sign or symptom, but readily tolerated, Moderate=discomfort enough to cause interference with usual activity or Severe=incapacitating with inability to work or do usual activity.

    Measured: Week 12 to Week 24

Secondary outcomes (3)
  1. Change From Baseline in IOP at Week 2

    IOP is a measurement of the fluid pressure inside the eye. Diurnal IOP measurements were taken at 8 am (T=0 hour), 10 am (T=2 hour), and 4 pm (T=8 hour) at Week 2. IOP readings from both eyes were averaged to compute a single IOP value for each diurnal timepoint. A negative change from Baseline indicated an improvement.

    Measured: Baseline (Day 0) to Week 2

  2. Change From Baseline in IOP at Week 6

    IOP is a measurement of the fluid pressure inside the eye. Diurnal IOP measurements were taken at 8 am (T=0 hour), 10 am (T=2 hour), and 4 pm (T=8 hour) at Week 6. IOP readings from both eyes were averaged to compute a single IOP value for each diurnal timepoint. A negative change from Baseline indicated an improvement.

    Measured: Baseline (Day 0) to Week 6

  3. Change From Baseline in IOP in Period C

    IOP is a measurement of the fluid pressure inside the eye. Diurnal IOP measurements were taken at 8 am (T=0 hour), 10 am (T=2 hour), and 4 pm (T=8 hour) at Weeks 14, 18 and 24. IOP readings from both eyes were averaged to compute a single IOP value for each diurnal timepoint. A negative change from Baseline indicated an improvement.

    Measured: Baseline (Day 0) to Weeks 14, 18 and 24

Timeline

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

  1. First posted9 Feb 2015 (estimated)
  2. Study start19 Jan 2015
  3. Primary completion31 Aug 2015
  4. Study completion7 Oct 2015

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
156 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02358369
Sponsor's protocol ID
FSV5-004
Status last verified
May 2020
First submitted
21 Jan 2015
Last updated
4 Jun 2020
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Bimatoprost and Timolol 0.5% in people with Primary Open-Angle Glaucoma and Ocular Hypertension, run by ForSight Vision5, Inc. at 10 sites in United States.

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 10 inclusion and 14 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 4 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

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.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Jun 2020). 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 Intraocular Pressure (IOP) at Week 8 (time frame: Baseline (Day 0) to Week 8). The study lists 10 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 4 Jun 2020.

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