Trial Outcomes & Findings for Circadian Ocular Perfusion Pressure and Ocular Blood Flow (NCT NCT00800540)

NCT ID: NCT00800540

Last Updated: 2013-03-22

Results Overview

Diastolic ocular perfusion pressure (DOPP) is defined as the difference between diastolic arterial pressure and intraocular pressure. Diastolic arterial pressure was measured with a calibrated automated sphygmomanometer. Intraocular pressure was measured with a calibrated pneumatonometer. A lower DOPP indicates a lower optic blood supply, which can be a risk factor for developing glaucoma or glaucoma progression (leading to optic nerve damage).

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

35 participants

Primary outcome timeframe

Week 0, Week 6 (period-based)

Results posted on

2013-03-22

Participant Flow

Participants were recruited from and enrolled at one study center located in Greece.

Participant milestones

Participant milestones
Measure
AZARGA/COMBIGAN
AZARGA, followed by COMBIGAN, as randomized. Each fixed combination was used for 6 weeks, with a 4-week washout period separating the two treatment periods.
COMBIGAN/AZARGA
COMBIGAN, followed by AZARGA, as randomized. Each fixed combination was used for 6 weeks, with a 4-week washout period separating the two treatment periods.
Period One: 6 Weeks
STARTED
17
18
Period One: 6 Weeks
COMPLETED
16
17
Period One: 6 Weeks
NOT COMPLETED
1
1
Washout: 4 Weeks
STARTED
16
17
Washout: 4 Weeks
COMPLETED
16
17
Washout: 4 Weeks
NOT COMPLETED
0
0
Period 2: 6 Weeks
STARTED
16
17
Period 2: 6 Weeks
COMPLETED
16
16
Period 2: 6 Weeks
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
AZARGA/COMBIGAN
AZARGA, followed by COMBIGAN, as randomized. Each fixed combination was used for 6 weeks, with a 4-week washout period separating the two treatment periods.
COMBIGAN/AZARGA
COMBIGAN, followed by AZARGA, as randomized. Each fixed combination was used for 6 weeks, with a 4-week washout period separating the two treatment periods.
Period One: 6 Weeks
Noncompliance
1
0
Period One: 6 Weeks
Pt Decision Unrelated to Adverse Event
0
1
Period 2: 6 Weeks
Adverse Event
0
1

Baseline Characteristics

Circadian Ocular Perfusion Pressure and Ocular Blood Flow

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall
n=35 Participants
All enrolled
Age Continuous
65.2 years
STANDARD_DEVIATION 10.3 • n=5 Participants
Sex: Female, Male
Female
19 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
Region of Enrollment
Greece
35 participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 0, Week 6 (period-based)

Population: This reporting group includes all patients who received study medication and completed the on-therapy follow-up study visit in both periods (ITT).

Diastolic ocular perfusion pressure (DOPP) is defined as the difference between diastolic arterial pressure and intraocular pressure. Diastolic arterial pressure was measured with a calibrated automated sphygmomanometer. Intraocular pressure was measured with a calibrated pneumatonometer. A lower DOPP indicates a lower optic blood supply, which can be a risk factor for developing glaucoma or glaucoma progression (leading to optic nerve damage).

Outcome measures

Outcome measures
Measure
AZARGA
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
COMBIGAN
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
Mean Change From Baseline in Overall Diastolic Ocular Perfusion Pressure at Week 6
2.6 mmHg (millimeters of mercury)
Standard Error 0.780
0.8 mmHg (millimeters of mercury)
Standard Error 0.779

SECONDARY outcome

Timeframe: Week 0, Week 6 (period-based)

Population: This reporting group includes all patients who received study medication and completed the on-therapy follow-up study visit in both periods (ITT).

Circadian diastolic ocular perfusion pressure (COPP) is defined as the variations in diastolic OPP during the day and night. Diastolic ocular perfusion pressure was calculated at 7 timepoints over a 24-hour period. Changes in the diastolic ocular perfusion pressure rhythm throughout the day (outside the normal range) may affect glaucoma progression.

Outcome measures

Outcome measures
Measure
AZARGA
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
COMBIGAN
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
Mean Change From Baseline in Circadian Diastolic Ocular Perfusion Pressure at Week 6
9:00 am
2.8 mmHg (millimeters of mercury)
Standard Error 1.282
6.5 mmHg (millimeters of mercury)
Standard Error 1.282
Mean Change From Baseline in Circadian Diastolic Ocular Perfusion Pressure at Week 6
1:00 pm
3.0 mmHg (millimeters of mercury)
Standard Error 1.282
2.1 mmHg (millimeters of mercury)
Standard Error 1.282
Mean Change From Baseline in Circadian Diastolic Ocular Perfusion Pressure at Week 6
5:00 pm
4.4 mmHg (millimeters of mercury)
Standard Error 1.282
3.9 mmHg (millimeters of mercury)
Standard Error 1.282
Mean Change From Baseline in Circadian Diastolic Ocular Perfusion Pressure at Week 6
9:00 pm
4.5 mmHg (millimeters of mercury)
Standard Error 1.282
2.0 mmHg (millimeters of mercury)
Standard Error 1.282
Mean Change From Baseline in Circadian Diastolic Ocular Perfusion Pressure at Week 6
12:00 am
0.8 mmHg (millimeters of mercury)
Standard Error 1.282
-5.6 mmHg (millimeters of mercury)
Standard Error 1.282
Mean Change From Baseline in Circadian Diastolic Ocular Perfusion Pressure at Week 6
3:00 am
0.3 mmHg (millimeters of mercury)
Standard Error 1.282
-4.0 mmHg (millimeters of mercury)
Standard Error 1.282
Mean Change From Baseline in Circadian Diastolic Ocular Perfusion Pressure at Week 6
6:00 am
2.0 mmHg (millimeters of mercury)
Standard Error 1.296
0.9 mmHg (millimeters of mercury)
Standard Error 1.282

SECONDARY outcome

Timeframe: Week 0, Week 6 (period-based)

Population: This reporting group includes all patients who received study medication and completed the on-therapy follow-up study visit in both periods (ITT). The analysis is based on patient eye-matched image data received.

Retinal perfusion assessments were made using Heidelberg Retinal Flowmetry (HRF). Assessments were made at 4 timepoints over a 12-hour period. Intensity of blood flow was measured in arbitrary units, with a higher number indicating an increased blood flow. An increase in ocular blood flow may reduce the risk of glaucoma progression.

Outcome measures

Outcome measures
Measure
AZARGA
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
COMBIGAN
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
Mean Change From Baseline in Mean Flow Value in the Superotemporal Peripapillary Retina at Week 6
9:00 am
-272.4 Arbitrary Units
Standard Error 146.294
-43.5 Arbitrary Units
Standard Error 146.586
Mean Change From Baseline in Mean Flow Value in the Superotemporal Peripapillary Retina at Week 6
1:00 pm
-12.1 Arbitrary Units
Standard Error 142.844
248.9 Arbitrary Units
Standard Error 144.917
Mean Change From Baseline in Mean Flow Value in the Superotemporal Peripapillary Retina at Week 6
5:00 pm
-26.7 Arbitrary Units
Standard Error 144.914
-51.3 Arbitrary Units
Standard Error 142.844
Mean Change From Baseline in Mean Flow Value in the Superotemporal Peripapillary Retina at Week 6
9:00 pm
14.0 Arbitrary Units
Standard Error 148.317
-33.2 Arbitrary Units
Standard Error 144.451

SECONDARY outcome

Timeframe: Week 0, Week 6 (period-based)

Population: This reporting group includes all patients who received study medication and completed the on-therapy follow-up study visit in both periods (ITT). The analysis is based on patient eye-matched image data received.

Retinal perfusion assessments were made using Heidelberg Retinal Flowmetry (HRF). Assessments were made at 4 timepoints over a 12-hour period. Intensity of blood flow was measured in arbitrary units, with a higher number indicating an increased blood flow. An increase in ocular blood flow may reduce the risk of glaucoma progression.

Outcome measures

Outcome measures
Measure
AZARGA
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
COMBIGAN
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
Mean Change From Baseline in Mean Flow Value in the Inverotemporal Peripapillary Retina at Week 6
9:00 am
15.9 Arbitrary Units
Standard Error 92.064
-70.0 Arbitrary Units
Standard Error 89.642
Mean Change From Baseline in Mean Flow Value in the Inverotemporal Peripapillary Retina at Week 6
1:00 pm
-40.7 Arbitrary Units
Standard Error 89.642
-89.2 Arbitrary Units
Standard Error 95.324
Mean Change From Baseline in Mean Flow Value in the Inverotemporal Peripapillary Retina at Week 6
5:00 pm
-38.7 Arbitrary Units
Standard Error 88.363
-69.1 Arbitrary Units
Standard Error 92.610
Mean Change From Baseline in Mean Flow Value in the Inverotemporal Peripapillary Retina at Week 6
9:00 pm
182.3 Arbitrary Units
Standard Error 92.064
-91.0 Arbitrary Units
Standard Error 92.064

SECONDARY outcome

Timeframe: Week 0, Week 6 (period-based)

Population: This reporting group includes all patients who received study medication and completed the on-therapy follow-up study visit in both periods (ITT).

Intraocular pressure (IOP) is defined as the fluid pressure inside the eye. Intraocular pressure was measured with a calibrated pneumatonometer at 7 time points over a 24-hour period. High IOP (outside the normal range) can be a risk factor for developing glaucoma or glaucoma progression (leading to optic nerve damage).

Outcome measures

Outcome measures
Measure
AZARGA
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
COMBIGAN
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
Mean Change From Baseline in Intraocular Pressure (IOP) at Week 6
9:00 am
-6.3 mmHg (millimeters of mercury)
Standard Error 0.661
-6.5 mmHg (millimeters of mercury)
Standard Error 0.661
Mean Change From Baseline in Intraocular Pressure (IOP) at Week 6
1:00 pm
-6.0 mmHg (millimeters of mercury)
Standard Error 0.661
-6.5 mmHg (millimeters of mercury)
Standard Error 0.661
Mean Change From Baseline in Intraocular Pressure (IOP) at Week 6
5:00 pm
-5.6 mmHg (millimeters of mercury)
Standard Error 0.661
-5.2 mmHg (millimeters of mercury)
Standard Error 0.661
Mean Change From Baseline in Intraocular Pressure (IOP) at Week 6
9:00 pm
-4.3 mmHg (millimeters of mercury)
Standard Error 0.661
-4.9 mmHg (millimeters of mercury)
Standard Error 0.661
Mean Change From Baseline in Intraocular Pressure (IOP) at Week 6
12:00 am
-1.9 mmHg (millimeters of mercury)
Standard Error 0.661
-1.6 mmHg (millimeters of mercury)
Standard Error 0.661
Mean Change From Baseline in Intraocular Pressure (IOP) at Week 6
3:00 am
-1.3 mmHg (millimeters of mercury)
Standard Error 0.661
-0.6 mmHg (millimeters of mercury)
Standard Error 0.661
Mean Change From Baseline in Intraocular Pressure (IOP) at Week 6
6:00 am
-2.3 mmHg (millimeters of mercury)
Standard Error 0.668
-1.2 mmHg (millimeters of mercury)
Standard Error 0.661

SECONDARY outcome

Timeframe: Week 0, Week 6 (period-based)

Population: This reporting group includes all patients who received study medication and completed the on-therapy follow-up study visit in both periods (ITT).

Blood pressure is defined as the pressure exerted by circulating blood upon the walls of the blood vessels, that is, arterial pressure of the systemic circulation of blood. Diastolic blood pressure refers to the minimum pressure, that is, the pressure between heartbeats. Diastolic glood pressure was measured at 7 timepoints in a 24-hour period using a calibrated sphygmomonometer. Higher blood pressure (outside the normal range) can be a risk factor for developing cardiovascular events, such as heart attack, stroke, or heart failure. Lower blood pressure (outside the normal range) can be a risk factor for dizziness or fainting.

Outcome measures

Outcome measures
Measure
AZARGA
n=32 Participants
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
COMBIGAN
n=32 Participants
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
Mean Change From Baseline in Diastolic Blood Pressure at Week 6
9:00 am
-3.3 mmHg (millimeters of mercury)
Standard Error 1.315
0.6 mmHg (millimeters of mercury)
Standard Error 1.315
Mean Change From Baseline in Diastolic Blood Pressure at Week 6
1:00 pm
-3.5 mmHg (millimeters of mercury)
Standard Error 1.315
-4.3 mmHg (millimeters of mercury)
Standard Error 1.315
Mean Change From Baseline in Diastolic Blood Pressure at Week 6
5:00 pm
-1.5 mmHg (millimeters of mercury)
Standard Error 1.315
-0.9 mmHg (millimeters of mercury)
Standard Error 1.315
Mean Change From Baseline in Diastolic Blood Pressure at Week 6
9:00 pm
-0.5 mmHg (millimeters of mercury)
Standard Error 1.315
-2.1 mmHg (millimeters of mercury)
Standard Error 1.315
Mean Change From Baseline in Diastolic Blood Pressure at Week 6
12:00 am
-1.4 mmHg (millimeters of mercury)
Standard Error 1.315
-7.3 mmHg (millimeters of mercury)
Standard Error 1.315
Mean Change From Baseline in Diastolic Blood Pressure at Week 6
3:00 am
-1.5 mmHg (millimeters of mercury)
Standard Error 1.315
-3.8 mmHg (millimeters of mercury)
Standard Error 1.315
Mean Change From Baseline in Diastolic Blood Pressure at Week 6
6:00 am
-0.5 mmHg (millimeters of mercury)
Standard Error 1.334
-0.7 mmHg (millimeters of mercury)
Standard Error 1.315

SECONDARY outcome

Timeframe: Week 0, Week 6 (period-based)

Population: This reporting group includes all patients who received study medication and completed the on-therapy follow-up study visit in both periods (ITT).

Blood pressure is defined as the pressure exerted by circulating blood upon the walls of the blood vessels, that is, arterial pressure of the systemic circulation of blood. Systolic blood pressure refers to the maximum pressure, that is, the pressure while the heart is beating, and was measured at 7 timepoints in a 24-hour period using a calibrated sphygmomonometer. Higher blood pressure (outside the normal range) can be a risk factor for developing cardiovascular events, such as heart attack, stroke, or heart failure. Lower blood pressure (outside the normal range) can be a risk factor for dizziness or fainting.

Outcome measures

Outcome measures
Measure
AZARGA
n=32 Participants
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
COMBIGAN
n=32 Participants
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
Mean Change From Baseline in Systolic Blood Pressure at Week 6
9:00 pm
-1.4 mmHg (millimeters of mercury)
Standard Error 2.134
-0.6 mmHg (millimeters of mercury)
Standard Error 2.134
Mean Change From Baseline in Systolic Blood Pressure at Week 6
12:00 am
-2.9 mmHg (millimeters of mercury)
Standard Error 2.134
-12.2 mmHg (millimeters of mercury)
Standard Error 2.134
Mean Change From Baseline in Systolic Blood Pressure at Week 6
3:00 am
-2.9 mmHg (millimeters of mercury)
Standard Error 2.134
-3.0 mmHg (millimeters of mercury)
Standard Error 2.134
Mean Change From Baseline in Systolic Blood Pressure at Week 6
6:00 am
-0.1 mmHg (millimeters of mercury)
Standard Error 2.165
3.0 mmHg (millimeters of mercury)
Standard Error 2.134
Mean Change From Baseline in Systolic Blood Pressure at Week 6
9:00 am
-4.2 mmHg (millimeters of mercury)
Standard Error 2.134
4.5 mmHg (millimeters of mercury)
Standard Error 2.134
Mean Change From Baseline in Systolic Blood Pressure at Week 6
1:00 pm
-2.6 mmHg (millimeters of mercury)
Standard Error 2.134
-1.9 mmHg (millimeters of mercury)
Standard Error 2.134
Mean Change From Baseline in Systolic Blood Pressure at Week 6
5:00 pm
-2.9 mmHg (millimeters of mercury)
Standard Error 2.134
-0.4 mmHg (millimeters of mercury)
Standard Error 2.134

SECONDARY outcome

Timeframe: Week 0, Week 6 (period-based)

Population: This reporting group includes all patients who received study medication and completed the on-therapy follow-up study visit in both periods (ITT). The analysis is based on patient eye-matched image data received.

Vascular resistance in the central retinal artery was assessed using Color Doppler Imaging (CDI). Assessments were made at 7 time points over a 24-hour period.

Outcome measures

Outcome measures
Measure
AZARGA
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
COMBIGAN
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
Mean Change From Baseline in Vascular Resistance in the Central Retinal Artery at Week 6
9:00 am
-0.00 cm/s (centimeters per second)
Standard Error 0.014
0.01 cm/s (centimeters per second)
Standard Error 0.014
Mean Change From Baseline in Vascular Resistance in the Central Retinal Artery at Week 6
1:00 pm
-0.01 cm/s (centimeters per second)
Standard Error 0.014
0.01 cm/s (centimeters per second)
Standard Error 0.014
Mean Change From Baseline in Vascular Resistance in the Central Retinal Artery at Week 6
5:00 pm
0.00 cm/s (centimeters per second)
Standard Error 0.014
-0.00 cm/s (centimeters per second)
Standard Error 0.014
Mean Change From Baseline in Vascular Resistance in the Central Retinal Artery at Week 6
9:00 pm
0.00 cm/s (centimeters per second)
Standard Error 0.014
0.02 cm/s (centimeters per second)
Standard Error 0.014
Mean Change From Baseline in Vascular Resistance in the Central Retinal Artery at Week 6
12:00 am
0.02 cm/s (centimeters per second)
Standard Error 0.014
-0.01 cm/s (centimeters per second)
Standard Error 0.014
Mean Change From Baseline in Vascular Resistance in the Central Retinal Artery at Week 6
3:00 am
0.01 cm/s (centimeters per second)
Standard Error 0.014
0.01 cm/s (centimeters per second)
Standard Error 0.014
Mean Change From Baseline in Vascular Resistance in the Central Retinal Artery at Week 6
6:00 am
-0.02 cm/s (centimeters per second)
Standard Error 0.014
0.02 cm/s (centimeters per second)
Standard Error 0.014

SECONDARY outcome

Timeframe: Week 0, Week 6 (period-based)

Population: This reporting group includes all patients who received study medication and completed the on-therapy follow-up study visit in both periods (ITT). The analysis is based on patient eye-matched image data received.

Vascular resistance in the ophthalmic artery was assessed using Color Doppler Imaging (CDI). Assessments were made at 7 time points over a 24-hour period.

Outcome measures

Outcome measures
Measure
AZARGA
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
COMBIGAN
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
Mean Change From Baseline in Vascular Resistance in the Ophthalmic Artery at 6 Weeks
9:00 am
-0.01 cm/s (centimeters per second)
Standard Error 0.012
-0.01 cm/s (centimeters per second)
Standard Error 0.011
Mean Change From Baseline in Vascular Resistance in the Ophthalmic Artery at 6 Weeks
1:00 pm
0.02 cm/s (centimeters per second)
Standard Error 0.012
0.02 cm/s (centimeters per second)
Standard Error 0.012
Mean Change From Baseline in Vascular Resistance in the Ophthalmic Artery at 6 Weeks
5:00 pm
0.01 cm/s (centimeters per second)
Standard Error 0.012
0.01 cm/s (centimeters per second)
Standard Error 0.012
Mean Change From Baseline in Vascular Resistance in the Ophthalmic Artery at 6 Weeks
9:00 pm
0.01 cm/s (centimeters per second)
Standard Error 0.012
0.01 cm/s (centimeters per second)
Standard Error 0.011
Mean Change From Baseline in Vascular Resistance in the Ophthalmic Artery at 6 Weeks
12:00 am
-0.01 cm/s (centimeters per second)
Standard Error 0.012
0.02 cm/s (centimeters per second)
Standard Error 0.012
Mean Change From Baseline in Vascular Resistance in the Ophthalmic Artery at 6 Weeks
3:00 am
0.01 cm/s (centimeters per second)
Standard Error 0.012
0.03 cm/s (centimeters per second)
Standard Error 0.012
Mean Change From Baseline in Vascular Resistance in the Ophthalmic Artery at 6 Weeks
6:00 am
0.01 cm/s (centimeters per second)
Standard Error 0.012
0.03 cm/s (centimeters per second)
Standard Error 0.011

SECONDARY outcome

Timeframe: Week 0, Week 6 (period-based)

Population: This reporting group includes all patients who received study medication and completed the on-therapy follow-up study visit in both periods (ITT). The analysis is based on patient eye-matched image data received.

End diastolic velocity in the ophthalmic artery was assessed using Color Doppler Imaging (CDI). Assessments were made at 7 time points over a 24-hour period.

Outcome measures

Outcome measures
Measure
AZARGA
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
COMBIGAN
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
Mean Change From Baseline in End Diastolic Velocity in the Ophthalmic Artery at Week 6
9:00 am
-0.0 cm/s (centimeters per second)
Standard Error 0.454
-0.8 cm/s (centimeters per second)
Standard Error 0.448
Mean Change From Baseline in End Diastolic Velocity in the Ophthalmic Artery at Week 6
1:00 pm
-0.6 cm/s (centimeters per second)
Standard Error 0.459
-1.2 cm/s (centimeters per second)
Standard Error 0.460
Mean Change From Baseline in End Diastolic Velocity in the Ophthalmic Artery at Week 6
5:00 pm
0.5 cm/s (centimeters per second)
Standard Error 0.459
0.2 cm/s (centimeters per second)
Standard Error 0.466
Mean Change From Baseline in End Diastolic Velocity in the Ophthalmic Artery at Week 6
9:00 pm
0.4 cm/s (centimeters per second)
Standard Error 0.454
-0.8 cm/s (centimeters per second)
Standard Error 0.448
Mean Change From Baseline in End Diastolic Velocity in the Ophthalmic Artery at Week 6
12:00 am
-0.8 cm/s (centimeters per second)
Standard Error 0.466
-1.4 cm/s (centimeters per second)
Standard Error 0.454
Mean Change From Baseline in End Diastolic Velocity in the Ophthalmic Artery at Week 6
3:00 am
-0.1 cm/s (centimeters per second)
Standard Error 0.454
-0.6 cm/s (centimeters per second)
Standard Error 0.459
Mean Change From Baseline in End Diastolic Velocity in the Ophthalmic Artery at Week 6
6:00 am
-0.2 cm/s (centimeters per second)
Standard Error 0.466
-0.5 cm/s (centimeters per second)
Standard Error 0.448

SECONDARY outcome

Timeframe: Week 0, Week 6 (period-based)

Population: This reporting group includes all patients who received study medication and completed the on-therapy follow-up study visit in both periods (ITT). The analysis is based on patient eye-matched image data received.

Peak systolic velocity in the ophthalmic artery was assessed using Color Doppler Imaging (CDI). Assessments were made at 7 time points over a 24-hour period.

Outcome measures

Outcome measures
Measure
AZARGA
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
COMBIGAN
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
Mean Change From Baseline in Peak Systolic Velocity in the Ophthalmic Artery at Week 6
6:00 am
-0.6 cm/s (centimeters per second)
Standard Error 1.267
1.5 cm/s (centimeters per second)
Standard Error 1.221
Mean Change From Baseline in Peak Systolic Velocity in the Ophthalmic Artery at Week 6
9:00 am
-1.0 cm/s (centimeters per second)
Standard Error 1.237
-3.8 cm/s (centimeters per second)
Standard Error 1.221
Mean Change From Baseline in Peak Systolic Velocity in the Ophthalmic Artery at Week 6
1:00 pm
-0.7 cm/s (centimeters per second)
Standard Error 1.251
-1.4 cm/s (centimeters per second)
Standard Error 1.254
Mean Change From Baseline in Peak Systolic Velocity in the Ophthalmic Artery at Week 6
5:00 pm
2.2 cm/s (centimeters per second)
Standard Error 1.251
1.3 cm/s (centimeters per second)
Standard Error 1.267
Mean Change From Baseline in Peak Systolic Velocity in the Ophthalmic Artery at Week 6
9:00 pm
2.2 cm/s (centimeters per second)
Standard Error 1.237
-1.4 cm/s (centimeters per second)
Standard Error 1.221
Mean Change From Baseline in Peak Systolic Velocity in the Ophthalmic Artery at Week 6
12:00 am
-2.3 cm/s (centimeters per second)
Standard Error 1.268
-3.1 cm/s (centimeters per second)
Standard Error 1.235
Mean Change From Baseline in Peak Systolic Velocity in the Ophthalmic Artery at Week 6
3:00 am
0.2 cm/s (centimeters per second)
Standard Error 1.235
0.0 cm/s (centimeters per second)
Standard Error 1.250

SECONDARY outcome

Timeframe: Week 0, Week 6 (period-based)

Population: This reporting group includes all patients who received study medication and completed the on-therapy follow-up study visit in both periods (ITT). The analysis is based on patient eye-matched image data received.

Peak systolic velocity in the central retinal artery was assessed using Color Doppler Imaging (CDI). Assessments were made at 7 time points over a 24-hour period.

Outcome measures

Outcome measures
Measure
AZARGA
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
COMBIGAN
n=41 eyes
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
Mean Change From Baseline in Peak Systolic Velocity in the Central Retinal Artery at Week 6
9:00 am
0.9 cm/s (centimeters per second)
Standard Error 0.571
0.7 cm/s (centimeters per second)
Standard Error 0.565
Mean Change From Baseline in Peak Systolic Velocity in the Central Retinal Artery at Week 6
1:00 pm
-0.2 cm/s (centimeters per second)
Standard Error 0.577
0.3 cm/s (centimeters per second)
Standard Error 0.578
Mean Change From Baseline in Peak Systolic Velocity in the Central Retinal Artery at Week 6
5:00 pm
1.0 cm/s (centimeters per second)
Standard Error 0.577
0.6 cm/s (centimeters per second)
Standard Error 0.565
Mean Change From Baseline in Peak Systolic Velocity in the Central Retinal Artery at Week 6
9:00 pm
0.9 cm/s (centimeters per second)
Standard Error 0.565
-0.5 cm/s (centimeters per second)
Standard Error 0.565
Mean Change From Baseline in Peak Systolic Velocity in the Central Retinal Artery at Week 6
12:00 am
1.9 cm/s (centimeters per second)
Standard Error 0.577
-0.5 cm/s (centimeters per second)
Standard Error 0.565
Mean Change From Baseline in Peak Systolic Velocity in the Central Retinal Artery at Week 6
3:00 am
0.2 cm/s (centimeters per second)
Standard Error 0.565
-1.1 cm/s (centimeters per second)
Standard Error 0.570
Mean Change From Baseline in Peak Systolic Velocity in the Central Retinal Artery at Week 6
6:00 am
0.2 cm/s (centimeters per second)
Standard Error 0.571
0.9 cm/s (centimeters per second)
Standard Error 0.565

Adverse Events

AZARGA

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

COMBIGAN

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

Serious adverse events

Serious adverse events
Measure
AZARGA
n=34 participants at risk
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
COMBIGAN
n=34 participants at risk
One drop in the study eye, twice daily (9:00 and 21:00), for six weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast Cancer
2.9%
1/34 • Adverse events were collected for the duration of the study.
The safety population is defined as patients who received study medication.
0.00%
0/34 • Adverse events were collected for the duration of the study.
The safety population is defined as patients who received study medication.

Other adverse events

Adverse event data not reported

Additional Information

Director, Global Medical Affairs

Alcon Research, Ltd.

Phone: 1-888-451-3937

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor reserves the right of prior review of any publication or presentation of information related to the study.
  • Publication restrictions are in place

Restriction type: OTHER