Central Corneal Thickness and 24-hour Fluctuation of Intraocular Pressure

NCT ID: NCT00941525

Last Updated: 2015-07-07

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

PHASE4

Total Enrollment

174 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2014-07-31

Brief Summary

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The purpose of this study is to determine whether 24-hour fluctuation of intraocular pressure (IOP) is associated with central corneal thickness (CCT) in subjects with ocular hypertension or open angle glaucoma and in age-matched controls. Also to evaluate whether mean IOP reduction as a response to latanoprost (0.005% Xalatan) is associated with CCT, after a 4-weeks period of treatment.

Also, to evaluate whether 24-hour fluctuation of IOP is associated with corneal hysteresis (CH) measured by Ocular Response Analyzer (ORA).

Detailed Description

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Conditions

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Open Angle Glaucoma Ocular Hypertension

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Ocular hypertensives

This study includes two groups.

1. Subjects with ocular hypertension and
2. Controls. Group 2 undergoes only 1 visit (visit 1) without any intervention. Group 1 undergoes visit 1 without intervention. Then they receive treatment (1 eyedrop of latanoprost (0.005%) dosed once a day in both eyes at 8:00pm for a 4-weeks period for 1 month) and undergo the visit 2 under the effect of treatment.

Group Type OTHER

Latanoprost

Intervention Type DRUG

1 eyedrop of latanoprost (0.005%) dosed once a day at 8:00pm for a 4-weeks period

Interventions

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Latanoprost

1 eyedrop of latanoprost (0.005%) dosed once a day at 8:00pm for a 4-weeks period

Intervention Type DRUG

Other Intervention Names

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0.005% Xalatan

Eligibility Criteria

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Inclusion Criteria

Males and females \>50 years old with:

* Primary Open-Angle Glaucoma newly diagnosed or with anti-glaucoma medical treatment \< =12 weeks
* Pseudoexfoliative Glaucoma newly diagnosed or with anti-glaucoma medical treatment \<= 12 weeks
* Ocular Hypertensives newly diagnosed or with anti-glaucoma medical treatment \<= 12 weeks
* Age-matched controls
* IOP\>=22mmHg at the eligibility visit for glaucoma patients and ocular hypertensives

Exclusion Criteria

For Eye

* Use of any ophthalmic medication (drops) during the study (except for natural tears)
* Inflammation of any aetiology
* Previous eye surgery or laser
* Corneal abnormalities (oedema, dystrophies etc) For Subjects
* Systemic diseases which affect the cornea (such as autoimmune diseases)
* Inability to participate due to advanced age or serious illness
* Mean IOP\>36mmHg in either eye at the eligibility visit.
* Subjects who cannot safety discontinue use of all IOP-lowering medication(s) for washout
* Subjects with severe central visual field loss in either eye. Severe central visual field loss is defined as sensitivity \<=10dB in at least 2 of the 4 visual field test points closest to the point of fixation
* Other types of glaucoma (such as angle-closure glaucoma and secondary glaucomas)
Minimum Eligible Age

50 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Aristotle University Of Thessaloniki

OTHER

Sponsor Role lead

Responsible Party

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Fotis Topouzis

Professior

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Fotis Topouzis, MD

Role: PRINCIPAL_INVESTIGATOR

Aristotle University Of Thessaloniki

Locations

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A' Department of Ophthalmology, Aristotle University of Thessaloniki, AHEPA Hospital

Thessaloniki, , Greece

Site Status

Countries

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Greece

References

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Nouri-Mahdavi K, Hoffman D, Coleman AL, Liu G, Li G, Gaasterland D, Caprioli J; Advanced Glaucoma Intervention Study. Predictive factors for glaucomatous visual field progression in the Advanced Glaucoma Intervention Study. Ophthalmology. 2004 Sep;111(9):1627-35. doi: 10.1016/j.ophtha.2004.02.017.

Reference Type BACKGROUND
PMID: 15350314 (View on PubMed)

Asrani S, Zeimer R, Wilensky J, Gieser D, Vitale S, Lindenmuth K. Large diurnal fluctuations in intraocular pressure are an independent risk factor in patients with glaucoma. J Glaucoma. 2000 Apr;9(2):134-42. doi: 10.1097/00061198-200004000-00002.

Reference Type BACKGROUND
PMID: 10782622 (View on PubMed)

European Glaucoma Prevention Study (EGPS) Group; Miglior S, Pfeiffer N, Torri V, Zeyen T, Cunha-Vaz J, Adamsons I. Predictive factors for open-angle glaucoma among patients with ocular hypertension in the European Glaucoma Prevention Study. Ophthalmology. 2007 Jan;114(1):3-9. doi: 10.1016/j.ophtha.2006.05.075. Epub 2006 Oct 27.

Reference Type BACKGROUND
PMID: 17070596 (View on PubMed)

Gordon MO, Beiser JA, Brandt JD, Heuer DK, Higginbotham EJ, Johnson CA, Keltner JL, Miller JP, Parrish RK 2nd, Wilson MR, Kass MA. The Ocular Hypertension Treatment Study: baseline factors that predict the onset of primary open-angle glaucoma. Arch Ophthalmol. 2002 Jun;120(6):714-20; discussion 829-30. doi: 10.1001/archopht.120.6.714.

Reference Type BACKGROUND
PMID: 12049575 (View on PubMed)

Orzalesi N, Rossetti L, Invernizzi T, Bottoli A, Autelitano A. Effect of timolol, latanoprost, and dorzolamide on circadian IOP in glaucoma or ocular hypertension. Invest Ophthalmol Vis Sci. 2000 Aug;41(9):2566-73.

Reference Type BACKGROUND
PMID: 10937568 (View on PubMed)

Larsson LI, Mishima HK, Takamatsu M, Orzalesi N, Rossetti L. The effect of latanoprost on circadian intraocular pressure. Surv Ophthalmol. 2002 Aug;47 Suppl 1:S90-6. doi: 10.1016/s0039-6257(02)00296-5.

Reference Type BACKGROUND
PMID: 12204704 (View on PubMed)

Orzalesi N, Rossetti L, Bottoli A, Fumagalli E, Fogagnolo P. The effect of latanoprost, brimonidine, and a fixed combination of timolol and dorzolamide on circadian intraocular pressure in patients with glaucoma or ocular hypertension. Arch Ophthalmol. 2003 Apr;121(4):453-7. doi: 10.1001/archopht.121.4.453.

Reference Type BACKGROUND
PMID: 12695241 (View on PubMed)

Liu JH, Kripke DF, Weinreb RN. Comparison of the nocturnal effects of once-daily timolol and latanoprost on intraocular pressure. Am J Ophthalmol. 2004 Sep;138(3):389-95. doi: 10.1016/j.ajo.2004.04.022.

Reference Type BACKGROUND
PMID: 15364220 (View on PubMed)

Orzalesi N, Rossetti L, Bottoli A, Fogagnolo P. Comparison of the effects of latanoprost, travoprost, and bimatoprost on circadian intraocular pressure in patients with glaucoma or ocular hypertension. Ophthalmology. 2006 Feb;113(2):239-46. doi: 10.1016/j.ophtha.2005.10.045.

Reference Type BACKGROUND
PMID: 16458092 (View on PubMed)

Luce DA. Determining in vivo biomechanical properties of the cornea with an ocular response analyzer. J Cataract Refract Surg. 2005 Jan;31(1):156-62. doi: 10.1016/j.jcrs.2004.10.044.

Reference Type BACKGROUND
PMID: 15721708 (View on PubMed)

Congdon NG, Broman AT, Bandeen-Roche K, Grover D, Quigley HA. Central corneal thickness and corneal hysteresis associated with glaucoma damage. Am J Ophthalmol. 2006 May;141(5):868-75. doi: 10.1016/j.ajo.2005.12.007. Epub 2006 Mar 9.

Reference Type BACKGROUND
PMID: 16527231 (View on PubMed)

Kotecha A, Elsheikh A, Roberts CR, Zhu H, Garway-Heath DF. Corneal thickness- and age-related biomechanical properties of the cornea measured with the ocular response analyzer. Invest Ophthalmol Vis Sci. 2006 Dec;47(12):5337-47. doi: 10.1167/iovs.06-0557.

Reference Type BACKGROUND
PMID: 17122122 (View on PubMed)

Larsson LI. Intraocular pressure over 24 hours after repeated administration of latanoprost 0.005% or timolol gel-forming solution 0.5% in patients with ocular hypertension. Ophthalmology. 2001 Aug;108(8):1439-44. doi: 10.1016/s0161-6420(01)00605-4.

Reference Type BACKGROUND
PMID: 11470697 (View on PubMed)

Kida T, Liu JH, Weinreb RN. Effect of 24-hour corneal biomechanical changes on intraocular pressure measurement. Invest Ophthalmol Vis Sci. 2006 Oct;47(10):4422-6. doi: 10.1167/iovs.06-0507.

Reference Type BACKGROUND
PMID: 17003435 (View on PubMed)

Other Identifiers

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EudraCT: 2008-004629-41

Identifier Type: -

Identifier Source: secondary_id

83155

Identifier Type: -

Identifier Source: org_study_id

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