Glaucoma, Open-AnglePhase 3NCT02507687
Comparison of Bimatoprost Sustained Release (SR) to Selective Laser Trabeculoplasty (SLT) in Adults With Open-Angle Glaucoma or Ocular Hypertension
A Phase 3 study testing Bimatoprost SR and Selective Laser Trabeculoplasty in people with Glaucoma, Open-Angle and Ocular Hypertension, run by AbbVie at 95 sites in 12 countries.
Trial summary
This study will evaluate the intraocular pressure (IOP)-lowering effect and safety of bimatoprost SR compared with selective laser trabeculoplasty in patients with open-angle glaucoma or ocular hypertension who are not adequately managed with topical IOP-lowering medication for reasons other than medication efficacy… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Glaucoma, Open-Angle, Ocular Hypertension
- What is being tested?
- Bimatoprost SR and Selective Laser Trabeculoplasty
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 240 participants
- Where
- 95 sitesin 12 countries
- Study dates
- 27 Aug 2015to 31 May 2023
- Phase
- Phase 3
- 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
- Diagnosis of either open-angle glaucoma or ocular hypertension in each eye that require IOP lowering treatment.
- In the investigator's opinion, patient's IOP is not adequately managed with topical medication for reasons other than medication efficacy (eg, due to intolerance or nonadherence).
- In the investigator's opinion, both eyes can be treated adequately with topical prostamide, prostaglandin, or prostaglandin analog eye drops as the sole therapy if medication was taken as directed, or with SLT monotherapy.
Who cannot join
- History of previous laser trabeculoplasty
- History or evidence of complicated cataract surgery: eg, surgery resulting in complicated lens placement (such as anterior chamber intraocular lens implant [IOL], sulcus IOL, aphakia, etc) or intraoperative complications (such as a posterior capsular tear [with or without vitreous loss], substantial iris trauma, etc) or history of phakic IOL insertion for refractive error correction
- Intraocular surgery (including cataract surgery) and/or any ocular laser surgery within the 6 months prior to treatment
- Previous use of commercially available Bimatoprost SR; concurrent enrollment in another Allergan Bimatoprost SR study; or previous enrollment in which an implant was received.
Trial locations and contacts
95 sites in 12 countries.
95 sites in 12 countries
United States51 sites
Eye Associates of New Mexico /ID# 235115
Albuquerque, New Mexico, 87109
California Center for Clin Res /ID# 237412
Arcadia, California, 91007
ATX Clinical Trials Inc. dba Keystone Research /ID# 235869
Austin, Texas, 78731
Cross Eye Center /ID# 236116
Bellaire, Texas, 77401
Chattanooga Eye Institute /ID# 235250
Chattanooga, Tennessee, 37411
Midwest Vision Research Foundation at Pepose Vision Institute /ID# 235879
Chesterfield, Missouri, 63017
University of Illinois at Chicago Illinois Eye and Ear Infirmary /ID# 234875
Chicago, Illinois, 60612
Scott and Christie and Associates /ID# 234594
Cranberry Township, Pennsylvania, 16066
Segal Drug Trials Inc. /ID# 235169
Delray Beach, Florida, 33484
Trinity Research Group /ID# 234598
Dothan, Alabama, 36301
Cincinnati Eye Institute- Edgewood /ID# 236714
Edgewood, Kentucky, 41017-3415
Albemarle Clinical Trials LLC /ID# 235144
Elizabeth City, North Carolina, 27909
Emerson Clinical Research Institute /ID# 235977
Falls Church, Virginia, 22046
Bagan Strinden Vision /ID# 234898
Fargo, North Dakota, 58103
Carolinas Centers for Sight,PC /ID# 237017
Florence, South Carolina, 29501
Eye Associates of South West Florida /ID# 235424
Fort Myers, Florida, 33901-9311
Fraser Eye Center /ID# 235791
Fraser, Michigan, 48026
Orange County Ophthalmology /ID# 235995
Garden Grove, California, 92843
Arizona Advanced Eye Research Institute /ID# 234947
Glendale, Arizona, 85306
Speciality Eye Care Medical Group /ID# 236001
Glendale, California, 91203
Lugene Eye Institute /ID# 237042
Glendale, California, 91204
Duplicate_Cornerstone Eye Care /ID# 235047
High Point, North Carolina, 27262
Houston Eye Associates /ID# 237883
Houston, Texas, 77025
Baylor College of Medicine - Baylor Medical Center /ID# 237148
Houston, Texas, 77030-3411
Lakeside Vision Center /ID# 234971
Irvine, California, 92604
Levenson Eye Associates Inc. /ID# 235021
Jacksonville, Florida, 32204
University of Florida /ID# 236876
Jacksonville, Florida, 32209
Eye Care Specialists /ID# 235129
Kingston, Pennsylvania, 18704
Family Eye Group P.C. /ID# 236114
Lancaster, Pennsylvania, 17601-2644
Sabates Eye Centers /ID# 234868
Leawood, Kansas, 66211
The Eye Care Institute /ID# 236690
Louisville, Kentucky, 40206-1738
Piedmont Eye Center /ID# 234533
Lynchburg, Virginia, 24502
West Virginia University Eye Institute /ID# 235174
Morgantown, West Virginia, 26501
Clayton Eye Clinical Research, LLC /ID# 236678
Morrow, Georgia, 30260-4180
Ocala Eye PA /ID# 235431
Ocala, Florida, 34474
Oklahoma Eye Surgeons /ID# 235848
Oklahoma City, Oklahoma, 73112
California Eye Specialists Medical Group Inc. /ID# 235999
Pasadena, California, 91107
North Bay Eye Associates Inc. /ID# 235429
Petaluma, California, 94954-2387
Wills Eye Hospital /ID# 236487
Philadelphia, Pennsylvania, 19107
Arizona Glaucoma Specialists /ID# 235066
Phoenix, Arizona, 85050-4265
M&M Eye Institute /ID# 235391
Prescott, Arizona, 86301
Advanced Glaucoma Specialists /ID# 234799
Reading, Massachusetts, 01867
San Antonio Eye Center /ID# 235632
San Antonio, Texas, 78215
Eye associates /ID# 236501
San Antonio, Texas, 78229
Medical Center Ophthalmology Associates /ID# 235016
San Antonio, Texas, 78240-1502
Pacific Eye Associates /ID# 235326
San Francisco, California, 94115
Northern New Jersey Eye Institute PA /ID# 234944
South Orange, New Jersey, 07079-1855
Walman Eye Center /ID# 236054
Sun City, Arizona, 85351
Dr. Andrew Gardner Logan, FL /ID# 236946
Tamarac, Florida, 33321
University of South Florida /ID# 237737
Tampa, Florida, 33612
Wolstan & Goldberg Eye Associates /ID# 235166
Torrance, California, 90505
United Kingdom9 sites
Cambridge University Hospitals NHS Foundation Trust /ID# 238315
Cambridge, CB2 0QQ
Epsom & St Helier University Hospital NHS Trust /ID# 236902
Carshalton, Surrey, SM5 1AA
University Hospital of Derby and Burton NHS Foundation Trust /ID# 237129
Derby, Derbyshire, DE22 3NE
NHS Lothian /ID# 237450
Edinburgh, EH3 9HE
Queen Mary's Hospital /ID# 234899
Greater London, Kent, DA14 6LT
Guys and St Thomas NHS Foundation Trust /ID# 236806
London, London, City of, SE1 9RT
Moorfields Eye Hospital NHS Foundation Trust /ID# 237708
London, EC1V 2PD
Imperial College Healthcare NHS Trust /ID# 234777
London, W2 1NY
Manchester University NHS Foundation Trust /ID# 237318
Manchester, M13 9WL
Australia8 sites
Eye Surgery Associates /ID# 235872
East Melbourne, Victoria, 3002
Essendon Eye Clinic /ID# 235433
Essendon, 3040
Melbourne Eye Specialists /ID# 234614
Fitzroy, Victoria, VIC3065
Geelong Eye Clinic /ID# 236118
Geelong, 3220
Waverley Eye Clinic /ID# 234997
Glen Waverley, Victoria, 3150
Vision Eye Institute /ID# 236003
Melbourne, 3058
The Lions Eye Institute /ID# 236832
Nedlands, Western Australia, 6009
Queensland Eye Institute /ID# 236074
South Brisbane, Queensland, 4101
France7 sites
Chu Angers /Id# 237805
Angers, 49933
Polyclinique de la Baie /ID# 235842
Avranches, 50300
CHU Bordeaux - Hopital Pellegrin /ID# 237705
Bordeaux, 33000
Clinique Honore Cave - Pharmacie /ID# 235925
Montauban, 82000
CHU de Nice - Hospital Pasteur 2 /ID# 235844
Nice, 06000
CHU Strasbourg - Hopital Civil /ID# 237837
Strasbourg, 67091
Chu Toulouse Purpan - Hopital Pierre Paul Riquet /ID# 235841
Toulouse, 31000
Israel5 sites
Rambam Health Care Campus /ID# 237741
Haifa, 3109601
The Lady Davis Carmel Medical Center /ID# 236757
Haifa, 34362
Galilee Medical Center /ID# 235742
Nahariya, 2210001
Rabin Medical Center /ID# 237698
Petah Tikva, 4941492
Tel Aviv Sourasky Medical Center /ID# 237211
Tel Aviv, Tel Aviv, 6423906
Philippines4 sites
Asian Eye Institute /ID# 235092
Makati City, 1200
Peregrine Eye and Laser Institute /ID# 236220
Makati City, 1209
American Eye Center /ID# 235320
Makati City, 1229
Cardinal Santos Medical Center /ID# 235325
San Juan City, 1502
Germany3 sites
Charite Universitaetsklinikum Berlin - Campus Virchow /ID# 235966
Berlin, 13353
Internationale Innovative Ophthalmochirurgie /ID# 235263
Düsseldorf, North Rhine-Westphalia, 40212
Universitaetsklinikum Magdeburg /ID# 237284
Magdeburg, 39120
New Zealand3 sites
Southern Eye Specialists /ID# 236081
Christchurch, Canterbury, 8013
Auckland Eye Hospital /ID# 235253
Remuera, Auckland, 1050
Capital Eye Specialists /ID# 236111
Wellington, 6011
Russia2 sites
Clinical ophthalmology hospital n.a. V.P. Vihodtsev. /ID# 236041
Omsk, 644024
Samara State Medical University /ID# 236997
Samara, 443099
Canada1 site
Ophthalmology Clinic Bellevue /ID# 234631
Montreal, Quebec, H1V 1G5
Denmark1 site
Rigshospitalet Glostrup /ID# 237709
Glostrup Municipality, Capital Region, 2600
Poland1 site
Centrum Diagnostyki i Mikrochirurgii Oka - LENS dr n. med. Slawomir Zalewski /ID# 235929
Olsztyn, 10-424
About this study
Official title: A Comparison of Bimatoprost SR to Selective Laser Trabeculoplasty in Patients With Open-Angle Glaucoma or Ocular Hypertension
This study will evaluate the intraocular pressure (IOP)-lowering effect and safety of bimatoprost SR compared with selective laser trabeculoplasty in patients with open-angle glaucoma or ocular hypertension who are not adequately managed with topical IOP-lowering medication for reasons other than medication efficacy (e.g., due to intolerance or nonadherence).
- Conditions
- Glaucoma, Open-Angle, Ocular Hypertension
- Being tested
- Bimatoprost SR, Sham Bimatoprost SR, Selective Laser Trabeculoplasty, Sham Selective Laser Trabeculoplasty
- 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.
Bimatoprost SRDrug
Bimatoprost SR is a biodegradable, sustained-release, preservative-free bimatoprost implant, preloaded in an applicator for administration. The Bimatoprost SR implant is injected into the anterior chamber via the corneal limbus using the prefilled applicator.
Sham Bimatoprost SRDrug
Sham bimatoprost SR performed using the same procedure as for Bimatoprost SR using an needleless applicator that touches the eye at the area of insertion but does not deliver an implant into the anterior chamber.
Selective Laser TrabeculoplastyProcedure or surgery
SLT is a laser procedure that targets the melanin, or pigment, in specific cells of the eye.
An ophthalmologist performed 360 degrees of SLT using a standardized method.
Sham Selective Laser TrabeculoplastyProcedure or surgery
Sham SLT is performed on the contralateral eye using the same method as for SLT, with the exception that the laser is not switched to the active state.
| Study group | Role | What they receive |
|---|---|---|
| Stage 1: SLT (Primary Eye) / Bimatoprost SR 15 µg (Contralateral Eye) | Experimental | Participants enrolled prior to implementation of Protocol Amendment 3 receive the following treatment in each eye:
Assigned Primary Eye: Selective laser trabeculoplasty (SLT) administered on Day 1 followed by up to three sham bimatoprost SR administrations.
Contralateral Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 µg administrations.
Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reach Week 32 prior to implementation of Protocol Amendment 3 only). Receives: Drug: Bimatoprost SR; Drug: Sham Bimatoprost SR; Procedure: Selective Laser Trabeculoplasty; Procedure: Sham Selective Laser Trabeculoplasty |
| Stage 1: Bimatoprost SR 15 µg (Primary Eye) / SLT (Contralateral Eye) | Experimental | Participants enrolled prior to implementation of Protocol Amendment 3 receive the following treatment in each eye:
Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 µg administrations.
Contralateral Eye: SLT administered on Day 1 followed by up to three sham bimatoprost SR administrations.
Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reach Week 32 prior to implementation of Protocol Amendment 3 only). Receives: Drug: Bimatoprost SR; Drug: Sham Bimatoprost SR; Procedure: Selective Laser Trabeculoplasty; Procedure: Sham Selective Laser Trabeculoplasty |
| Stage 2: SLT (Primary Eye) / Bimatoprost SR 10 µg (Contralateral Eye) | Experimental | Participants enrolled after implementation of Protocol Amendment 3 receive the following treatment in each eye:
Assigned Primary Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations.
Contralateral Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 µg administrations.
Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could occur after Week 16 and prior to Month 12 based on when retreatment criteria are met. Receives: Drug: Bimatoprost SR; Drug: Sham Bimatoprost SR; Procedure: Selective Laser Trabeculoplasty; Procedure: Sham Selective Laser Trabeculoplasty |
| Stage 2: Bimatoprost SR 10 µg (Primary Eye) / SLT (Contralateral Eye) | Experimental | Participants enrolled after implementation of Protocol Amendment 3 receive the following treatment in each eye:
Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 µg administrations.
Contralateral Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations.
Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could occur after Week 16 and prior to Month 12 based on when retreatment criteria were met. Receives: Drug: Bimatoprost SR; Drug: Sham Bimatoprost SR; Procedure: Selective Laser Trabeculoplasty; Procedure: Sham Selective Laser Trabeculoplasty |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Intraocular Pressure at Week 4
Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. A mixed-effects model with repeated measures (MMRM) was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.
Measured: Baseline and Week 4
Change From Baseline in Intraocular Pressure at Week 12
Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. An MMRM was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.
Measured: Baseline and Week 12
Change From Baseline in Intraocular Pressure at Week 24
Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. An MMRM was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.
Measured: Baseline and Week 24
Secondary outcomes (3)
Time to Initial Use of Non-study IOP-lowering Treatment
The time from the date of initial treatment to the date date of first use of non-study IOP-lowering treatment (rescue) was analyzed using the Kaplan-Meier method.
If a participant did not use any non-study IOP-lowering treatment in an eye, then the event (initial use of non-study IOP-lowering treatment) time was censored at the study exit date or the last visit date if the study exit date was not available.
Measured: From first administration of study treatment to the end of study; overall median follow-up time of 728 days.
Percentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of Cycle
Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer.
For by-cycle analyses, cycle number refers to the administration cycle for bimatoprost SR, or sham bimatoprost SR administration in SLT-treated eyes. For SLT-treated eyes cycle number does not refer to SLT administrations, because SLT was only performed once (Day 1). The Day/Week number refers to the number of days/weeks after bimatoprost SR/sham bimatoprost SR administration.
IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.
Measured: Baseline, Day 2, Weeks 4, 8, 12, 15, 20, 24, 28, 31, 36, 40, 44, 47, 52, Months 13, 14, 15, 16, 18, 20, 22, 24
Change From Baseline in IOP at Weeks 8, 15, and 20
IOP was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.
Measured: Baseline and Weeks 8, 15, and 20
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jul 2015 (estimated)
- Study start27 Aug 2015
- Primary completion24 Nov 2021
- Study completion31 May 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Glaucoma, Open-AngleStudies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Outcomes assessor
- Enrolment
- 240 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- ABBVIE INC., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02507687
- Sponsor's protocol ID
- 192024-093
- Other IDs
- 2015-002131-18, 2015
- Status last verified
- Apr 2024
- First submitted
- 22 Jul 2015
- Last updated
- 10 May 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols, analyses plans, clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
- Expanded access
- Available
Publications
Kolko M, Tatham AJ, Lim KS, Wells AP, Shiu M, Uy HS, Sarkisian SR Jr, Ho Q, Jiao J, Kim K, Goodkin ML, Bejanian M, Robinson MR, Paauw JD; ATHENA STUDY GROUP. Phase 3, Randomized, Comparison Study of Intracameral Bimatoprost Implant 10 microg and Selective Laser Trabeculoplasty. Am J Ophthalmol. 2025 Apr;272:19-37. doi: 10.1016/j.ajo.2024.12.026. Epub 2025 Jan 10.
PubMed 39800203Rolim-de-Moura CR, Paranhos A Jr, Loutfi M, Burton D, Wormald R, Evans JR. Laser trabeculoplasty for open-angle glaucoma and ocular hypertension. Cochrane Database Syst Rev. 2022 Aug 9;8(8):CD003919. doi: 10.1002/14651858.CD003919.pub3.
PubMed 35943114
Study at a glance
From the registry record, last updated by the sponsor on 10 May 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Comparison of Bimatoprost SR to Selective Laser Trabeculoplasty in Patients With Open-Angle Glaucoma or Ocular Hypertension
- ClinicalTrials.gov ID
- NCT02507687
- Acronym / sponsor ID
- 192024-093
- Conditions
- Glaucoma, Open-Angle, Ocular Hypertension
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 240 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 27 Aug 2015 (actual)
- Primary completion
- 24 Nov 2021 (actual)
- Study completion
- 31 May 2023 (actual)
- First posted
- 24 Jul 2015 (estimated)
- Results
- Posted 10 May 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the intraocular pressure (IOP)-lowering effect and safety of bimatoprost SR compared with selective laser trabeculoplasty in patients with open-angle glaucoma or ocular hypertension who are not adequately managed with topical IOP-lowering medication for reasons other than medication efficacy (e.g., due to intolerance or nonadherence).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Stage 1: SLT (Primary Eye) / Bimatoprost SR 15 µg (Contralateral Eye) | Experimental | Drug: Bimatoprost SR, Drug: Sham Bimatoprost SR, Procedure: Selective Laser Trabeculoplasty, Procedure: Sham Selective Laser TrabeculoplastyParticipants enrolled prior to implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Selective laser trabeculoplasty (SLT) administered on Day 1 followed by up to three sham bimatoprost SR administrations. Contralateral Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 µg administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reach Week 32 prior to implementation of Protocol Amendment 3 only). |
| Stage 1: Bimatoprost SR 15 µg (Primary Eye) / SLT (Contralateral Eye) | Experimental | Drug: Bimatoprost SR, Drug: Sham Bimatoprost SR, Procedure: Selective Laser Trabeculoplasty, Procedure: Sham Selective Laser TrabeculoplastyParticipants enrolled prior to implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 µg administrations. Contralateral Eye: SLT administered on Day 1 followed by up to three sham bimatoprost SR administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reach Week 32 prior to implementation of Protocol Amendment 3 only). |
| Stage 2: SLT (Primary Eye) / Bimatoprost SR 10 µg (Contralateral Eye) | Experimental | Drug: Bimatoprost SR, Drug: Sham Bimatoprost SR, Procedure: Selective Laser Trabeculoplasty, Procedure: Sham Selective Laser TrabeculoplastyParticipants enrolled after implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations. Contralateral Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 µg administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could occur after Week 16 and prior to Month 12 based on when retreatment criteria are met. |
| Stage 2: Bimatoprost SR 10 µg (Primary Eye) / SLT (Contralateral Eye) | Experimental | Drug: Bimatoprost SR, Drug: Sham Bimatoprost SR, Procedure: Selective Laser Trabeculoplasty, Procedure: Sham Selective Laser TrabeculoplastyParticipants enrolled after implementation of Protocol Amendment 3 receive the following treatment in each eye: Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 µg administrations. Contralateral Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations. Bimatoprost SR/sham bimatoprost SR is administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could occur after Week 16 and prior to Month 12 based on when retreatment criteria were met. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Diagnosis of either open-angle glaucoma or ocular hypertension in each eye that require IOP lowering treatment.
- In the investigator's opinion, patient's IOP is not adequately managed with topical medication for reasons other than medication efficacy (eg, due to intolerance or nonadherence).
- In the investigator's opinion, both eyes can be treated adequately with topical prostamide, prostaglandin, or prostaglandin analog eye drops as the sole therapy if medication was taken as directed, or with SLT monotherapy.
Key exclusion criteria (4 listed)
- History of previous laser trabeculoplasty
- History or evidence of complicated cataract surgery: eg, surgery resulting in complicated lens placement (such as anterior chamber intraocular lens implant [IOL], sulcus IOL, aphakia, etc) or intraoperative complications (such as a posterior capsular tear [with or without vitreous loss], substantial iris trauma, etc) or history of phakic IOL insertion for refractive error correction
- Intraocular surgery (including cataract surgery) and/or any ocular laser surgery within the 6 months prior to treatment
- Previous use of commercially available Bimatoprost SR; concurrent enrollment in another Allergan Bimatoprost SR study; or previous enrollment in which an implant was received.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Bimatoprost SRBimatoprost SR is a biodegradable, sustained-release, preservative-free bimatoprost implant, preloaded in an applicator for administration. The Bimatoprost SR implant is injected into the anterior chamber via the corneal limbus using the prefilled applicator. | Drug | Stage 1: Bimatoprost SR 15 µg (Primary Eye) / SLT (Contralateral Eye), Stage 1: SLT (Primary Eye) / Bimatoprost SR 15 µg (Contralateral Eye), Stage 2: Bimatoprost SR 10 µg (Primary Eye) / SLT (Contralateral Eye), Stage 2: SLT (Primary Eye) / Bimatoprost SR 10 µg (Contralateral Eye) |
| Sham Bimatoprost SRSham bimatoprost SR performed using the same procedure as for Bimatoprost SR using an needleless applicator that touches the eye at the area of insertion but does not deliver an implant into the anterior chamber. | Drug | Stage 1: Bimatoprost SR 15 µg (Primary Eye) / SLT (Contralateral Eye), Stage 1: SLT (Primary Eye) / Bimatoprost SR 15 µg (Contralateral Eye), Stage 2: Bimatoprost SR 10 µg (Primary Eye) / SLT (Contralateral Eye), Stage 2: SLT (Primary Eye) / Bimatoprost SR 10 µg (Contralateral Eye) |
| Selective Laser TrabeculoplastySLT is a laser procedure that targets the melanin, or pigment, in specific cells of the eye. An ophthalmologist performed 360 degrees of SLT using a standardized method. | Procedure or surgery | Stage 1: Bimatoprost SR 15 µg (Primary Eye) / SLT (Contralateral Eye), Stage 1: SLT (Primary Eye) / Bimatoprost SR 15 µg (Contralateral Eye), Stage 2: Bimatoprost SR 10 µg (Primary Eye) / SLT (Contralateral Eye), Stage 2: SLT (Primary Eye) / Bimatoprost SR 10 µg (Contralateral Eye) |
| Sham Selective Laser TrabeculoplastySham SLT is performed on the contralateral eye using the same method as for SLT, with the exception that the laser is not switched to the active state. | Procedure or surgery | Stage 1: Bimatoprost SR 15 µg (Primary Eye) / SLT (Contralateral Eye), Stage 1: SLT (Primary Eye) / Bimatoprost SR 15 µg (Contralateral Eye), Stage 2: Bimatoprost SR 10 µg (Primary Eye) / SLT (Contralateral Eye), Stage 2: SLT (Primary Eye) / Bimatoprost SR 10 µg (Contralateral Eye) |
Primary outcome
Change From Baseline in Intraocular Pressure at Week 4
Time frame: Baseline and Week 4
Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. A mixed-effects model with repeated measures (MMRM) was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.
Change From Baseline in Intraocular Pressure at Week 12
Time frame: Baseline and Week 12
Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. An MMRM was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.
Change From Baseline in Intraocular Pressure at Week 24
Time frame: Baseline and Week 24
Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. An MMRM was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.
3 secondary outcomes
Time to Initial Use of Non-study IOP-lowering Treatment
Time frame: From first administration of study treatment to the end of study; overall median follow-up time of 728 days.
Percentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of Cycle
Time frame: Baseline, Day 2, Weeks 4, 8, 12, 15, 20, 24, 28, 31, 36, 40, 44, 47, 52, Months 13, 14, 15, 16, 18, 20, 22, 24
Change From Baseline in IOP at Weeks 8, 15, and 20
Time frame: Baseline and Weeks 8, 15, and 20
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 May 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39800203Kolko M, Tatham AJ, Lim KS, Wells AP, Shiu M, Uy HS, Sarkisian SR Jr, Ho Q, Jiao J, Kim K, Goodkin ML, Bejanian M, Robinson MR, Paauw JD; ATHENA STUDY GROUP. Phase 3, Randomized, Comparison Study of Intracameral Bimatoprost Implant 10 microg and Selective Laser Trabeculoplasty. Am J Ophthalmol. 2025 Apr;272:19-37. doi: 10.1016/j.ajo.2024.12.026. Epub 2025 Jan 10.
- Derived from this study: PubMed 35943114Rolim-de-Moura CR, Paranhos A Jr, Loutfi M, Burton D, Wormald R, Evans JR. Laser trabeculoplasty for open-angle glaucoma and ocular hypertension. Cochrane Database Syst Rev. 2022 Aug 9;8(8):CD003919. doi: 10.1002/14651858.CD003919.pub3.
- Individual participant dataSharing planned: Yes. AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols, analyses plans, clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
ABBVIE INC. study director
AbbVie
95 sites in 12 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Bimatoprost SR and Selective Laser Trabeculoplasty in people with Glaucoma, Open-Angle and Ocular Hypertension, run by AbbVie at 95 sites in 12 countries.
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 3 inclusion and 4 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 10 May 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 95 sites in United States, United Kingdom, Australia, France, Israel and 7 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 10 May 2024). 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 at Week 4 (time frame: Baseline and Week 4). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02507687, which also lists 2 linked publications.
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 10 May 2024; AzTrials last refreshed its copy on 7 Nov 2026.