Trial Outcomes & Findings for Safety and Efficacy of Bimatoprost Compared With Latanoprost in Patients With Glaucoma or Ocular Hypertension (NCT NCT00541242)

NCT ID: NCT00541242

Last Updated: 2011-10-27

Results Overview

Change from Baseline in mean diurnal IOP. IOP is a measurement of the fluid pressure inside the eye. Mean diurnal IOP is the average of the IOP values of both eyes at each time point measured at 8AM, 12PM and 4PM. For each eye, the IOP was either the average of the 2 measurements, or, if a third measurement was required, the median of the 3 measurements. A negative number change from Baseline indicated a reduction in IOP.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

586 participants

Primary outcome timeframe

Baseline, Week 12

Results posted on

2011-10-27

Participant Flow

Participant milestones

Participant milestones
Measure
Bimatoprost 0.03% Eye Drops
Bimatoprost 0.03% eye drops
Latanoprost 0.005% Eye Drops
Latanoprost 0.005% eye drops
Treatment Period 1
STARTED
0
586
Treatment Period 1
COMPLETED
0
586
Treatment Period 1
NOT COMPLETED
0
0
Treatment Period 2
STARTED
270
273
Treatment Period 2
COMPLETED
261
266
Treatment Period 2
NOT COMPLETED
9
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety and Efficacy of Bimatoprost Compared With Latanoprost in Patients With Glaucoma or Ocular Hypertension

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bimatoprost 0.03% Eye Drops
n=270 Participants
Bimatoprost 0.03% eye drops
Latanoprost 0.005% Eye Drops
n=273 Participants
Latanoprost 0.005% eye drops
Total
n=543 Participants
Total of all reporting groups
Age, Customized
< 45 years
9 participants
n=5 Participants
16 participants
n=7 Participants
25 participants
n=5 Participants
Age, Customized
Between 45 and 65 years
111 participants
n=5 Participants
120 participants
n=7 Participants
231 participants
n=5 Participants
Age, Customized
> 65 years
150 participants
n=5 Participants
137 participants
n=7 Participants
287 participants
n=5 Participants
Sex: Female, Male
Female
147 Participants
n=5 Participants
155 Participants
n=7 Participants
302 Participants
n=5 Participants
Sex: Female, Male
Male
123 Participants
n=5 Participants
118 Participants
n=7 Participants
241 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Week 12

Population: Modified Intent-to-Treat (m-ITT). The m-ITT population included all patients who started the study (randomized) and had at least a baseline and one follow-up visit measurement of IOP after receiving the study medication.

Change from Baseline in mean diurnal IOP. IOP is a measurement of the fluid pressure inside the eye. Mean diurnal IOP is the average of the IOP values of both eyes at each time point measured at 8AM, 12PM and 4PM. For each eye, the IOP was either the average of the 2 measurements, or, if a third measurement was required, the median of the 3 measurements. A negative number change from Baseline indicated a reduction in IOP.

Outcome measures

Outcome measures
Measure
Bimatoprost 0.03% Eye Drops
n=270 Participants
Bimatoprost 0.03% eye drops
Latanoprost 0.005% Eye Drops
n=272 Participants
Latanoprost 0.005% eye drops
Change From Baseline in Mean Diurnal Intraocular Pressure (IOP) at Week 12
Week 12
-5.64 millimeters of mercury (mmHg)
Standard Deviation 2.968
-4.89 millimeters of mercury (mmHg)
Standard Deviation 2.872
Change From Baseline in Mean Diurnal Intraocular Pressure (IOP) at Week 12
Baseline
21.90 millimeters of mercury (mmHg)
Standard Deviation 3.656
22.16 millimeters of mercury (mmHg)
Standard Deviation 3.569

PRIMARY outcome

Timeframe: Baseline, Week 18

Population: Modified Intent-to-Treat (m-ITT). The m-ITT population included all patients who started the study (randomized) and had at least a baseline and one follow-up visit measurement of IOP after receiving the study medication.

Change from Baseline in mean diurnal IOP. IOP is a measurement of the fluid pressure inside the eye. Mean diurnal IOP is the average of the IOP values of both eyes at each time point measured at 8AM, 12PM and 4PM. For each eye, the IOP was either the average of the 2 measurements, or, if a third measurement was required, the median of the 3 measurements. A negative number change from Baseline indicated a reduction in IOP.

Outcome measures

Outcome measures
Measure
Bimatoprost 0.03% Eye Drops
n=270 Participants
Bimatoprost 0.03% eye drops
Latanoprost 0.005% Eye Drops
n=272 Participants
Latanoprost 0.005% eye drops
Change From Baseline in Mean Diurnal Intraocular Pressure (IOP) at Week 18
Baseline
21.90 millimeters of mercury (mmHg)
Standard Deviation 3.656
22.16 millimeters of mercury (mmHg)
Standard Deviation 3.569
Change From Baseline in Mean Diurnal Intraocular Pressure (IOP) at Week 18
Week 18
-5.77 millimeters of mercury (mmHg)
Standard Deviation 3.023
-5.09 millimeters of mercury (mmHg)
Standard Deviation 2.709

Adverse Events

Bimatoprost 0.03% Eye Drops

Serious events: 4 serious events
Other events: 59 other events
Deaths: 0 deaths

Latanoprost 0.005% Eye Drops

Serious events: 11 serious events
Other events: 89 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Bimatoprost 0.03% Eye Drops
n=269 participants at risk
Bimatoprost 0.03% eye drops
Latanoprost 0.005% Eye Drops
n=586 participants at risk
Latanoprost 0.005% eye drops
Infections and infestations
Cellulitis
0.00%
0/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
0.17%
1/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
Cardiac disorders
Coronary artery disease
0.00%
0/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
0.17%
1/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
Cardiac disorders
Atrial fibrillation
0.37%
1/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
0.00%
0/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.37%
1/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
0.00%
0/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.37%
1/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
0.00%
0/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
Infections and infestations
Pneumonia
0.37%
1/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
0.34%
2/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
Gastrointestinal disorders
Gastric ulcer haemorrhage
0.00%
0/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
0.17%
1/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
Nervous system disorders
Intraventricular haemorrhage
0.00%
0/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
0.17%
1/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
Musculoskeletal and connective tissue disorders
Spinal column stenosis
0.00%
0/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
0.17%
1/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
0.17%
1/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
Vascular disorders
Aortic anyeurysm
0.00%
0/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
0.17%
1/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
Skin and subcutaneous tissue disorders
Skin necrosis
0.00%
0/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
0.17%
1/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
Reproductive system and breast disorders
Prostamegaly
0.00%
0/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
0.17%
1/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.

Other adverse events

Other adverse events
Measure
Bimatoprost 0.03% Eye Drops
n=269 participants at risk
Bimatoprost 0.03% eye drops
Latanoprost 0.005% Eye Drops
n=586 participants at risk
Latanoprost 0.005% eye drops
Eye disorders
Conjunctival hyperaemia
21.9%
59/269
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.
15.2%
89/586
SAEs and other AEs in the Latanoprost(LAT) Arm include those events reported by pts who received LAT in Treatment Period 1 AND those who were randomized to and received LAT in Treatment Period 2. SAEs and other AEs in the Bimatoprost(BIM) Arm only include those events reported for pts who were randomized to and received BIM in Treatment Period 2.

Additional Information

Therapeutic Area Head

Allergan, Inc.

Phone: 714-246-4500

Results disclosure agreements

  • Principal investigator is a sponsor employee A disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 90 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo
  • Publication restrictions are in place

Restriction type: OTHER