Additivity Study: Additive Effect on Eye Pressure of Azopt and Alphagan P to Travatan

NCT ID: NCT00121147

Last Updated: 2006-02-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-09-30

Study Completion Date

2005-10-31

Brief Summary

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The purpose of this study is to compare the additive effect on eye pressure of Azopt and Alphagan P to Travatan.

Detailed Description

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The purpose of this research study is to compare the effect on the pressure inside the eye when Brinzolamide Ophthalmic Suspension, 1% (Azopt), a carbonic anhydrase inhibitor, and Brimonidine Tartrate Ophthalmic Solution, 0.15% (Alphagan-P), an alpha 2 agonist, are added to Travoprost Ophthalmic Solution, 0.004% (Travatan), a prostaglandin, in patients with primary open angle glaucoma, ocular hypertension and pseudoexfoliation syndrome. Brinzolamide Ophthalmic Suspension, 1% (Azopt), Brimonidine Tartrate Ophthalmic Solution, 0.15% (Alphagan-P), and Travoprost Ophthalmic Solution, 0.004% (Travatan) are all currently approved by the FDA and on the market, being used by patients. Even though all three medications are currently approved for the purpose of the study they will be considered study medicines.

Glaucoma, Ocular Hypertension and Pseudoexfoliation syndrome have been treated with IOP-lowering medications or surgery to lower the pressure inside the eye to reduce the risk of visual field loss. Today, common treatments for a patient often begins with the prescription of a prostaglandin (Travoprost). If the prostaglandin does not lower the pressure inside the eye enough, a second drug is usually added. Topical carbonic anhydrase inhibitors (Brinzolamide) and alpha 2 agonists (Brimonidine) are common choices as additive medicines.

Conditions

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Open Angle Glaucoma Ocular Hypertension Pseudoexfoliation Syndrome

Keywords

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glaucoma pseudoexfoliation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Travatan

Intervention Type DRUG

Azopt

Intervention Type DRUG

Alphagan P

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Minimum age: 35 years
* Uni or bilateral primary open angle glaucoma, ocular hypertension or pseudoexfoliation syndrome (POAG is defined as having VF and optic nerve changes consistent with glaucomatous disease)
* Insufficient response to monotherapy: defined as IOP \> 18mm Hg (mean diurnal) and less than 32 mm Hg on Travatan at baseline
* Informed consent and HIPPA consent obtained at screening visit prior to any study events
* Ability to adhere to study treatment visit plan

Exclusion Criteria

* Closed, occluded, or potentially occludable angle
* History of angle closure
* Previous intraocular surgery, except uncomplicated clear cornea phacoemulsification or argon laser trabeculoplasty
* Argon laser trabeculoplasty or phacoemulsification within the last 3 months
* Central corneal thickness outside the 500 - 600 (inclusive) micron range as measured by ultrasonic pachymetry
* Ocular or periocular inflammation within 3 months prior to study (except blepharitis related or seasonal allergic conjunctivitis)
* History of uveitis or previous intraocular inflammation (other than post-operatively)
* Hypersensitivity to sulfa, alpha agonists or benzalkonium chloride
* History of use of any steroids for over 1 week within 3 months of screening or likely need for any corticosteroids during the study (except inhaled, nasal or topical non-ocular)
* Use of systemic medications known to effect IOP (e.g. Alpha agonists, Beta blockers, Ace inhibitors and angiotensin II receptor blockers) which have not been stable for three months prior to baseline and the dosage is not expected to change during the course of the study

Women

* Pregnancy (study medications have been determined to cause possible harm to the fetus)
* Women of childbearing potential who are not using contraceptive methods. Childbearing potential is defined as any woman who is not postmenopausal (12 months without a menstrual period) or surgically sterile. Contraceptive methods are defined as abstinence, having a vasectomized partner, or ongoing use of approved oral, injectable, topical or implanted contraceptives, a barrier method or an IUD

General:

* Use of any investigational medication within one month prior to baseline visit
Minimum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Alcon Research

INDUSTRY

Sponsor Role collaborator

Hermann Eye Center

OTHER

Sponsor Role lead

Principal Investigators

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Robert M Feldman, M.D.

Role: STUDY_CHAIR

Hermann Eye Fund / University of Texas

Locations

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Doheny Eye Institute

Los Angeles, California, United States

Site Status

The Eye Center

Hamden, Connecticut, United States

Site Status

University of Florida

Gainesville, Florida, United States

Site Status

Emory Healthcare Eye Center

Atlanta, Georgia, United States

Site Status

Omni Eye Services

Atlanta, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

University of Illinois Eye and Ear Infirmary

Chicago, Illinois, United States

Site Status

Indiana University School of Medicine

Indianapolis, Indiana, United States

Site Status

Glaucoma Consultation Service

Boston, Massachusetts, United States

Site Status

Kresge Eye Institute

Detroit, Michigan, United States

Site Status

Mississippi Eye Associates

Ocean Springs, Mississippi, United States

Site Status

Eyecare Ophthalmology PC

Bethpage, New York, United States

Site Status

Mount Sinai School of Medicine

New York, New York, United States

Site Status

Dean McGee Eye Institute

Oklahoma City, Oklahoma, United States

Site Status

Wills Eye Institute

Philadelphia, Pennsylvania, United States

Site Status

The Keystone Eye Associates

Philadelphia, Pennsylvania, United States

Site Status

Glaucoma Associates of Texas

Dallas, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Hermann Eye Center

Houston, Texas, United States

Site Status

Lone Star Eye Associates

Sugarland, Texas, United States

Site Status

West Virginia University Eye Institute

Morgantown, West Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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HEF-042

Identifier Type: -

Identifier Source: org_study_id