Trial Outcomes & Findings for Prospective Randomized Study Comparing Ex-PRESS to Trabeculectomy (NCT NCT01263561)

NCT ID: NCT01263561

Last Updated: 2014-12-09

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

64 participants

Primary outcome timeframe

1 year post surgery

Results posted on

2014-12-09

Participant Flow

Participant milestones

Participant milestones
Measure
Trabeculectomy
trabeculectomy filtering surgery trabeculectomy: trabeculectomy filtering surgery
ExPRESS
ExPRESS miniature glaucoma drainage device ExPRESS shunt: ExPRESS miniature glaucoma drainage device
Overall Study
STARTED
31
33
Overall Study
COMPLETED
30
31
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Trabeculectomy
trabeculectomy filtering surgery trabeculectomy: trabeculectomy filtering surgery
ExPRESS
ExPRESS miniature glaucoma drainage device ExPRESS shunt: ExPRESS miniature glaucoma drainage device
Overall Study
Death
1
2

Baseline Characteristics

Prospective Randomized Study Comparing Ex-PRESS to Trabeculectomy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Trabeculectomy
n=31 Participants
trabeculectomy filtering surgery trabeculectomy: trabeculectomy filtering surgery
ExPRESS
n=33 Participants
ExPRESS miniature glaucoma drainage device ExPRESS shunt: ExPRESS miniature glaucoma drainage device
Total
n=64 Participants
Total of all reporting groups
Age, Continuous
65.9 years
STANDARD_DEVIATION 11.5 • n=5 Participants
62 years
STANDARD_DEVIATION 13.9 • n=7 Participants
63.9 years
STANDARD_DEVIATION 12.7 • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
13 Participants
n=7 Participants
23 Participants
n=5 Participants
Sex: Female, Male
Male
21 Participants
n=5 Participants
20 Participants
n=7 Participants
41 Participants
n=5 Participants
intraocular pressure
22 mmHg
STANDARD_DEVIATION 6.8 • n=5 Participants
22.6 mmHg
STANDARD_DEVIATION 10.2 • n=7 Participants
22.3 mmHg
STANDARD_DEVIATION 8.6 • n=5 Participants
glaucoma medications
3.4 number of medications
STANDARD_DEVIATION 1.3 • n=5 Participants
3.5 number of medications
STANDARD_DEVIATION .9 • n=7 Participants
3.5 number of medications
STANDARD_DEVIATION 1.1 • n=5 Participants
visual acuity
.48 logMAR
STANDARD_DEVIATION .6 • n=5 Participants
.42 logMAR
STANDARD_DEVIATION .6 • n=7 Participants
.44 logMAR
STANDARD_DEVIATION .56 • n=5 Participants

PRIMARY outcome

Timeframe: 1 year post surgery

Outcome measures

Outcome measures
Measure
Trabeculectomy
n=30 Participants
trabeculectomy filtering surgery trabeculectomy: trabeculectomy filtering surgery
ExPRESS
n=31 Participants
ExPRESS miniature glaucoma drainage device ExPRESS shunt: ExPRESS miniature glaucoma drainage device
Intraocular Pressure
10.7 mmHg
Standard Deviation 3.5
11.2 mmHg
Standard Deviation 4.3

PRIMARY outcome

Timeframe: 1 year post surgery

Outcome measures

Outcome measures
Measure
Trabeculectomy
n=30 Participants
trabeculectomy filtering surgery trabeculectomy: trabeculectomy filtering surgery
ExPRESS
n=31 Participants
ExPRESS miniature glaucoma drainage device ExPRESS shunt: ExPRESS miniature glaucoma drainage device
Success Rate (IOP Between 5-18 mmHg and 20% Reduction From Baseline) Without Glaucoma Medication
57 percentage of participants
71 percentage of participants

SECONDARY outcome

Timeframe: 1 year post surgery

Complications will be evaluated for the intra-operative, early post-operative (up until 1 month) and late post-operative (from 1 month to 1 year) periods. In addition complications will be evaluated as severe (defined as a permanent reduction in vision or complications requiring a surgical intervention) and not severe (complications which resolve with conservative management). As an individual subject may have more than one complication, the number of complications will be compared between the two surgical groups.

Outcome measures

Outcome measures
Measure
Trabeculectomy
n=31 Participants
trabeculectomy filtering surgery trabeculectomy: trabeculectomy filtering surgery
ExPRESS
n=33 Participants
ExPRESS miniature glaucoma drainage device ExPRESS shunt: ExPRESS miniature glaucoma drainage device
Complications
choroidal effusion
1 participants
0 participants
Complications
early bleb leak
2 participants
3 participants
Complications
ExPRESS eroding through sclera
0 participants
1 participants
Complications
membrane over ExPRESS
0 participants
1 participants
Complications
Total # of subjects with a complication
16 participants
15 participants
Complications
Late transient hypotony
2 participants
3 participants
Complications
encapsulated bleb
1 participants
0 participants
Complications
Early transient hypotony
12 participants
13 participants

Adverse Events

Trabeculectomy

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

ExPRESS

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr Yvonne Buys

Department of Ophthalmology and Vision Sciences, University of Toronto

Phone: 416-603-5682

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place