Trial Outcomes & Findings for A Safety and Efficacy Study of Bimatoprost 0.01% in Primary Open-Angle Glaucoma (POAG) or Ocular Hypertension (OH) (NCT NCT01594970)

NCT ID: NCT01594970

Last Updated: 2014-01-28

Results Overview

Hyperemia is the engorgement of the blood vessels (redness) of the eye. Hyperemia is graded in the study eye on a 5 point scale where 0=None (Normal), 0.5=Trace (Trace reddish pink with no more than slight perilimbal injection), 1=Mild (Mild flush reddish color), 2=Moderate (Bright red color), and 3=Severe (Deep, bright, diffuse redness). The numbers of participants in each severity grade are presented.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

800 participants

Primary outcome timeframe

Week 12

Results posted on

2014-01-28

Participant Flow

Participant milestones

Participant milestones
Measure
Bimatoprost 0.01% (Naive Monotherapy)
1 drop in the affected eye(s), administered in the evening in previously treatment naive subjects for 12 weeks.
Bimatoprost 0.01% (Switched Monotherapy)
1 drop in the affected eye(s), administered in the evening in subjects who were previously on another monotherapy treatment for 12 weeks.
Bimatoprost 0.01% (With Adjunctive Therapy)
1 drop in the affected eye(s), administered in the evening in subjects who are also receiving adjunctive therapy for 12 weeks.
Overall Study
STARTED
295
248
257
Overall Study
COMPLETED
220
166
191
Overall Study
NOT COMPLETED
75
82
66

Reasons for withdrawal

Reasons for withdrawal
Measure
Bimatoprost 0.01% (Naive Monotherapy)
1 drop in the affected eye(s), administered in the evening in previously treatment naive subjects for 12 weeks.
Bimatoprost 0.01% (Switched Monotherapy)
1 drop in the affected eye(s), administered in the evening in subjects who were previously on another monotherapy treatment for 12 weeks.
Bimatoprost 0.01% (With Adjunctive Therapy)
1 drop in the affected eye(s), administered in the evening in subjects who are also receiving adjunctive therapy for 12 weeks.
Overall Study
Non-Adverse Event Related
4
5
6
Overall Study
Adverse Event
17
23
23
Overall Study
Lost to Follow-up
54
54
37

Baseline Characteristics

A Safety and Efficacy Study of Bimatoprost 0.01% in Primary Open-Angle Glaucoma (POAG) or Ocular Hypertension (OH)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bimatoprost 0.01% (Naive Monotherapy)
n=295 Participants
1 drop in the affected eye(s), administered in the evening in previously treatment naive subjects for 12 weeks.
Bimatoprost 0.01% (Switched Monotherapy)
n=248 Participants
1 drop in the affected eye(s), administered in the evening in subjects who were previously on another monotherapy treatment for 12 weeks.
Bimatoprost 0.01% (With Adjunctive Therapy)
n=257 Participants
1 drop in the affected eye(s), administered in the evening in subjects who are also receiving adjunctive therapy for 12 weeks.
Total
n=800 Participants
Total of all reporting groups
Age, Continuous
58.0 Years
STANDARD_DEVIATION 13.81 • n=5 Participants
59.5 Years
STANDARD_DEVIATION 13.23 • n=7 Participants
61.2 Years
STANDARD_DEVIATION 12.59 • n=5 Participants
59.5 Years
STANDARD_DEVIATION 13.30 • n=4 Participants
Sex: Female, Male
Female
130 Participants
n=5 Participants
145 Participants
n=7 Participants
105 Participants
n=5 Participants
380 Participants
n=4 Participants
Sex: Female, Male
Male
165 Participants
n=5 Participants
103 Participants
n=7 Participants
152 Participants
n=5 Participants
420 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Week 12

Population: Intent to Treat: all treated subjects with data at this time point

Hyperemia is the engorgement of the blood vessels (redness) of the eye. Hyperemia is graded in the study eye on a 5 point scale where 0=None (Normal), 0.5=Trace (Trace reddish pink with no more than slight perilimbal injection), 1=Mild (Mild flush reddish color), 2=Moderate (Bright red color), and 3=Severe (Deep, bright, diffuse redness). The numbers of participants in each severity grade are presented.

Outcome measures

Outcome measures
Measure
Bimatoprost 0.01% (Naive Monotherapy)
n=220 Participants
1 drop in the affected eye(s), administered in the evening in previously treatment naive subjects for 12 weeks.
Bimatoprost 0.01% (Switched Monotherapy)
n=166 Participants
1 drop in the affected eye(s), administered in the evening in subjects who were previously on another monotherapy treatment for 12 weeks.
Bimatoprost 0.01% (With Adjunctive Therapy)
n=191 Participants
1 drop in the affected eye(s), administered in the evening in subjects who are also receiving adjunctive therapy for 12 weeks.
Severity of Ocular Hyperemia in the Study Eye on a 5-Point Scale
None
40 Participants
49 Participants
20 Participants
Severity of Ocular Hyperemia in the Study Eye on a 5-Point Scale
Trace
71 Participants
54 Participants
70 Participants
Severity of Ocular Hyperemia in the Study Eye on a 5-Point Scale
Mild
73 Participants
47 Participants
65 Participants
Severity of Ocular Hyperemia in the Study Eye on a 5-Point Scale
Moderate
31 Participants
11 Participants
30 Participants
Severity of Ocular Hyperemia in the Study Eye on a 5-Point Scale
Severe
5 Participants
5 Participants
6 Participants

SECONDARY outcome

Timeframe: Baseline, Week 6, Week 12

Population: Intent to Treat: all treated subjects

IOP is a measure of the fluid pressure inside the eye. A negative number change from baseline indicates a reduction in IOP (improvement).

Outcome measures

Outcome measures
Measure
Bimatoprost 0.01% (Naive Monotherapy)
n=295 Participants
1 drop in the affected eye(s), administered in the evening in previously treatment naive subjects for 12 weeks.
Bimatoprost 0.01% (Switched Monotherapy)
n=248 Participants
1 drop in the affected eye(s), administered in the evening in subjects who were previously on another monotherapy treatment for 12 weeks.
Bimatoprost 0.01% (With Adjunctive Therapy)
n=257 Participants
1 drop in the affected eye(s), administered in the evening in subjects who are also receiving adjunctive therapy for 12 weeks.
Change From Baseline in Intraocular Pressure (IOP)
Baseline
18.6 Millimeters of Mercury (mmHg)
Standard Deviation 5.39
17.0 Millimeters of Mercury (mmHg)
Standard Deviation 5.73
19.3 Millimeters of Mercury (mmHg)
Standard Deviation 6.19
Change From Baseline in Intraocular Pressure (IOP)
Change from Baseline at Week 6 (N=251, 204, 233)
-4.7 Millimeters of Mercury (mmHg)
Standard Deviation 4.50
-2.6 Millimeters of Mercury (mmHg)
Standard Deviation 4.43
-3.2 Millimeters of Mercury (mmHg)
Standard Deviation 5.44
Change From Baseline in Intraocular Pressure (IOP)
Change from Baseline at Week 12 (N=220, 165, 191)
-4.3 Millimeters of Mercury (mmHg)
Standard Deviation 4.42
-2.8 Millimeters of Mercury (mmHg)
Standard Deviation 4.68
-3.4 Millimeters of Mercury (mmHg)
Standard Deviation 6.11

SECONDARY outcome

Timeframe: Baseline, Week 6, Week 12

Population: Intent to Treat: all treated subjects with data at this time point

IOP is a measure of the fluid pressure inside the eye. A negative number change response indicates a reduction in IOP (improvement).

Outcome measures

Outcome measures
Measure
Bimatoprost 0.01% (Naive Monotherapy)
n=295 Participants
1 drop in the affected eye(s), administered in the evening in previously treatment naive subjects for 12 weeks.
Bimatoprost 0.01% (Switched Monotherapy)
n=248 Participants
1 drop in the affected eye(s), administered in the evening in subjects who were previously on another monotherapy treatment for 12 weeks.
Bimatoprost 0.01% (With Adjunctive Therapy)
n=257 Participants
1 drop in the affected eye(s), administered in the evening in subjects who are also receiving adjunctive therapy for 12 weeks.
Overall Percent Change From Baseline in IOP
Change from Baseline at Week 6 (N=251, 204, 233)
-22.09 Percent Change
Standard Deviation 17.023
-12.90 Percent Change
Standard Deviation 18.912
-14.37 Percent Change
Standard Deviation 20.883
Overall Percent Change From Baseline in IOP
Change from Baseline at Week 12 (N=220, 165, 191)
-20.22 Percent Change
Standard Deviation 17.566
-12.81 Percent Change
Standard Deviation 19.438
-14.25 Percent Change
Standard Deviation 23.376

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Week 12

Population: Intent to Treat: all treated subjects with data at this time point

Hyperemia is the engorgement of the blood vessels (redness) of the eye. Hyperemia was graded in the study eye on a 5 point scale where 0=None (Normal), 0.5=Trace (Trace reddish pink with no more than slight perilimbal injection), 1=Mild (Mild flush reddish color), 2=Moderate (Bright red color), and 3=Severe (Deep, bright, diffuse redness). 'Lower' categories refer to grades 0, 0.5 and 1, and 'higher' categories refer to grades 2 and 3. Change in hyperemia severity was classified as improved, no change or worsened based on the change in the hyperemia grading category from higher to lower, no change in category or lower to higher, respectively. The numbers of participants in each category are presented.

Outcome measures

Outcome measures
Measure
Bimatoprost 0.01% (Naive Monotherapy)
n=220 Participants
1 drop in the affected eye(s), administered in the evening in previously treatment naive subjects for 12 weeks.
Bimatoprost 0.01% (Switched Monotherapy)
n=166 Participants
1 drop in the affected eye(s), administered in the evening in subjects who were previously on another monotherapy treatment for 12 weeks.
Bimatoprost 0.01% (With Adjunctive Therapy)
n=191 Participants
1 drop in the affected eye(s), administered in the evening in subjects who are also receiving adjunctive therapy for 12 weeks.
Change From Baseline in Hyperemia Severity in the Study Eye
Improved
1 Participants
8 Participants
15 Participants
Change From Baseline in Hyperemia Severity in the Study Eye
No Change
191 Participants
149 Participants
159 Participants
Change From Baseline in Hyperemia Severity in the Study Eye
Worsened
28 Participants
9 Participants
17 Participants

Adverse Events

Bimatoprost 0.01% (Naive Monotherapy)

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Bimatoprost 0.01% (Switched Monotherapy)

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Bimatoprost 0.01% (With Adjunctive Therapy)

Serious events: 1 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Bimatoprost 0.01% (Naive Monotherapy)
n=295 participants at risk
1 drop in the affected eye(s), administered in the evening in previously treatment naive subjects for 12 weeks.
Bimatoprost 0.01% (Switched Monotherapy)
n=248 participants at risk
1 drop in the affected eye(s), administered in the evening in subjects who were previously on another monotherapy treatment for 12 weeks.
Bimatoprost 0.01% (With Adjunctive Therapy)
n=257 participants at risk
1 drop in the affected eye(s), administered in the evening in subjects who are also receiving adjunctive therapy for 12 weeks.
Eye disorders
Glaucoma
0.00%
0/295
0.00%
0/248
0.39%
1/257
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung Neoplasm Malignant
0.34%
1/295
0.00%
0/248
0.00%
0/257

Other adverse events

Other adverse events
Measure
Bimatoprost 0.01% (Naive Monotherapy)
n=295 participants at risk
1 drop in the affected eye(s), administered in the evening in previously treatment naive subjects for 12 weeks.
Bimatoprost 0.01% (Switched Monotherapy)
n=248 participants at risk
1 drop in the affected eye(s), administered in the evening in subjects who were previously on another monotherapy treatment for 12 weeks.
Bimatoprost 0.01% (With Adjunctive Therapy)
n=257 participants at risk
1 drop in the affected eye(s), administered in the evening in subjects who are also receiving adjunctive therapy for 12 weeks.
Eye disorders
Conjunctival Hyperaemia
2.4%
7/295
3.6%
9/248
5.4%
14/257

Additional Information

Vice President Medical Affairs,

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 at least 30 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