Trial Outcomes & Findings for Study of Travoprost Ophthalmic Solution, 0.004% Compared to Timolol (0.5% or 0.25%) in Pediatric Glaucoma Patients (NCT NCT01652664)

NCT ID: NCT01652664

Last Updated: 2015-07-23

Results Overview

IOP (fluid pressure inside the eye) was assessed using a calibrated tonometer and measured in millimeters of mercury (mmHg). A higher IOP can be a greater risk factor for developing glaucoma or glaucoma progression (leading to optic nerve damage). One eye from each participant was chosen as the study eye and only the study eye was used for analysis.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

184 participants

Primary outcome timeframe

Baseline (Day 0), Month 3

Results posted on

2015-07-23

Participant Flow

Participants were recruited from 38 investigational centers in the United States, Germany, Singapore, United Kingdom, Taiwan, Philippines, Spain, Saudi Arabia, Colombia, France, Portugal, Belgium, Poland, Romania, Puerto Rico, and Mexico.

Of the 184 enrolled, 32 participants were exited as screen failures prior to randomization. This reporting group includes all randomized participants (152).

Participant milestones

Participant milestones
Measure
Travoprost
1 drop administered in each eye in the evening with Travoprost vehicle in the morning for 3 months
Timolol
1 drop administered in each eye twice daily (once in the morning and once in the evening) for 3 months; both concentrations of timolol (0.5% and 0.25%, based on age) were combined into a single group.
Overall Study
STARTED
77
75
Overall Study
COMPLETED
71
74
Overall Study
NOT COMPLETED
6
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Travoprost
1 drop administered in each eye in the evening with Travoprost vehicle in the morning for 3 months
Timolol
1 drop administered in each eye twice daily (once in the morning and once in the evening) for 3 months; both concentrations of timolol (0.5% and 0.25%, based on age) were combined into a single group.
Overall Study
Treatment Failure
5
1
Overall Study
Inadequate IOP control
1
0

Baseline Characteristics

Study of Travoprost Ophthalmic Solution, 0.004% Compared to Timolol (0.5% or 0.25%) in Pediatric Glaucoma Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Travoprost
n=77 Participants
1 drop administered in each eye in the evening with Travoprost vehicle in the morning for 3 months
Timolol
n=75 Participants
1 drop administered in each eye twice daily (once in the morning and once in the evening) for 3 months; both concentrations of timolol (0.5% and 0.25%, based on age) were combined into a single group.
Total
n=152 Participants
Total of all reporting groups
Age, Customized
2 months to <3 years
10 participants
n=5 Participants
6 participants
n=7 Participants
16 participants
n=5 Participants
Age, Customized
3 to <12 years
40 participants
n=5 Participants
39 participants
n=7 Participants
79 participants
n=5 Participants
Age, Customized
12 to <18 years
27 participants
n=5 Participants
30 participants
n=7 Participants
57 participants
n=5 Participants
Sex: Female, Male
Female
40 Participants
n=5 Participants
40 Participants
n=7 Participants
80 Participants
n=5 Participants
Sex: Female, Male
Male
37 Participants
n=5 Participants
35 Participants
n=7 Participants
72 Participants
n=5 Participants
Intraocular Pressure
24.7 mmHg
STANDARD_DEVIATION 4.62 • n=5 Participants
24.2 mmHg
STANDARD_DEVIATION 4.01 • n=7 Participants
24.4 mmHg
STANDARD_DEVIATION 4.32 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline (Day 0), Month 3

Population: All participants who received study drug and completed at least 1 scheduled on-therapy visit. No imputation was used, therefore the analysis included only observed cases.

IOP (fluid pressure inside the eye) was assessed using a calibrated tonometer and measured in millimeters of mercury (mmHg). A higher IOP can be a greater risk factor for developing glaucoma or glaucoma progression (leading to optic nerve damage). One eye from each participant was chosen as the study eye and only the study eye was used for analysis.

Outcome measures

Outcome measures
Measure
Travoprost
n=71 Participants
1 drop administered in each eye in the evening with Travoprost vehicle in the morning for 3 months
Timolol
n=74 Participants
1 drop administered in each eye twice daily (once in the morning and once in the evening) for 3 months; both concentrations of timolol (0.5% and 0.25%, based on age) were combined into a single group.
Mean Change From Baseline in IOP at Month 3
-5.4 mmHg
Standard Error 0.98
-5.3 mmHg
Standard Error 0.93

Adverse Events

Pre-Treatment

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

Travoprost

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

Timolol

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pre-Treatment
n=184 participants at risk
All enrolled participants
Travoprost
n=77 participants at risk
All participants who received travoprost with vehicle
Timolol
n=75 participants at risk
All participants who received timolol; both concentrations of timolol (0.5% and 0.25%, based on age) were combined into a single group.
Infections and infestations
Keratitis bacterial
0.00%
0/184 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
0.00%
0/77 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
1.3%
1/75 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
Infections and infestations
Pneumonia
0.00%
0/184 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
0.00%
0/77 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
1.3%
1/75 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
Infections and infestations
Viral infection
0.00%
0/184 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
0.00%
0/77 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
1.3%
1/75 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.

Other adverse events

Other adverse events
Measure
Pre-Treatment
n=184 participants at risk
All enrolled participants
Travoprost
n=77 participants at risk
All participants who received travoprost with vehicle
Timolol
n=75 participants at risk
All participants who received timolol; both concentrations of timolol (0.5% and 0.25%, based on age) were combined into a single group.
Eye disorders
Ocular hyperaemia
0.00%
0/184 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
19.5%
15/77 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
4.0%
3/75 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
Eye disorders
Growth of eyelashes
0.00%
0/184 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
6.5%
5/77 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
0.00%
0/75 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
Eye disorders
Conjunctival hyperaemia
0.00%
0/184 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
5.2%
4/77 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
1.3%
1/75 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
Nervous system disorders
Headache
0.54%
1/184 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
6.5%
5/77 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.
2.7%
2/75 • Adverse events (AEs) were collected for the duration of the study (05 Sep 2012 - 25 Mar 2014). This analysis group includes all enrolled participants.
An AE was defined as any untoward medical occurrence in a patient who is administered a study medication, regardless of whether or not the event has a causal relationship with the medication. All AEs were obtained as solicited comments from patients and as observations by the study Investigator as outlined in the study protocol.

Additional Information

Subha Venkataraman, Clinical Project Lead

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