Glaucoma Biomarkers

NCT ID: NCT01677507

Last Updated: 2017-09-13

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

135 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2016-08-30

Brief Summary

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Glaucoma is a major cause of blindness. The inability to predict a patient's IOP response to medications is a critical barrier for the clinician to consistently provide highly effective IOP-based treatments. Current trial-and error approaches to glaucoma management are inefficient and have not addressed this barrier as there are no predictive factors for drug response. Our long-term goal is to improve outcomes by identifying biomarkers and environmental factors that profile a patient at risk for glaucoma by age-of-onset, rate of disease progression, "poor response" to treatment, and large IOP fluctuation. Our purpose of this research project is to address this critical barrier by focusing on physiological factors that predict IOP response to drugs.

Detailed Description

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Conditions

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Glaucoma Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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timolol

To compare the variation in response to timolol between individuals

Group Type EXPERIMENTAL

Variation in eye pressure response to timolol and latanoprost treatment

Intervention Type DRUG

Arm 1 is to test for variation in eye pressure response to timolol. Arm 2 is to test for variation in eye pressure response to latanoprost.

latanoprost

To compare the variation in response to latanoprost between individuals

Group Type ACTIVE_COMPARATOR

Variation in eye pressure response to timolol and latanoprost treatment

Intervention Type DRUG

Arm 1 is to test for variation in eye pressure response to timolol. Arm 2 is to test for variation in eye pressure response to latanoprost.

Interventions

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Variation in eye pressure response to timolol and latanoprost treatment

Arm 1 is to test for variation in eye pressure response to timolol. Arm 2 is to test for variation in eye pressure response to latanoprost.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Either gender.
* Any self-declared ethnoracial category.
* Greater than or equal to 40 years.
* Healthy eyes with the crystalline lens, without glaucoma (cup:disc ratio \< 0.8 both eyes; asymmetry of cup:disc ratio between eyes \< 0.2).
* Open angles.
* Ability to cooperate for aqueous humor dynamic studies.

Exclusion Criteria

* Contact lenses removed prior to topical fluorescein instillation, and not used until the end of each fluorophotometry session.
* Able to participate on site over the multi-visit study period.


* Women who are pregnant due to IOP changes.
* Any form of glaucoma, including extremely narrow angle with complete or partial closure.
* Current use of any glaucoma medication, either topically or orally.
* Chronic or recurrent inflammatory eye disease.
* Ocular trauma within the past 6 months.
* Ocular infection or ocular inflammation in the past 3 months.
* Clinically significant retinal disease.
* Any abnormality preventing reliable fluorophotometry of either eye, such as corneal scarring or severe dry eye that results in punctate fluorescein staining of the cornea.
* Intraocular surgery within 6 months.
* Serious hypersensitivity to any components of the study medications or risk from treatment with glaucoma medications, such as severe asthma or emphysema.
* Subjects must be on a stable regimen for at least 30 days prior to the Visit 1 regarding a chronic systemic medication that may affect IOP (i.e., sympathomimetic agents, beta-blockers, alpha-adrenergic agonists, alpha-adrenergic blockers, calcium channel blockers, angiotensin converting enzyme inhibitors, etc.). Any change of such medication during the study period will result in exclusion.
* Use of any glucocorticoid by any route. Subject must be washed out of the glucocorticoid for at least 2 weeks before study entry.
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Nebraska

OTHER

Sponsor Role collaborator

Mayo Clinic

OTHER

Sponsor Role collaborator

National Eye Institute (NEI)

NIH

Sponsor Role collaborator

University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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Sayoko E. Moroi

PI

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sayoko E Moroi, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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University of Michigan

Ann Arbor, Michigan, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

Countries

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United States

References

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Kolli A, Toris CB, Reed DM, Gilbert J, Sit AJ, Gulati V, Kazemi A, Fan S, Musch DC, Moroi SE. The Effects of Topical Timolol and Latanoprost on Calculated Ocular Perfusion Pressure in Nonglaucomatous Volunteers. J Ocul Pharmacol Ther. 2021 Dec;37(10):565-574. doi: 10.1089/jop.2021.0068. Epub 2021 Oct 4.

Reference Type DERIVED
PMID: 34610254 (View on PubMed)

Man X, Costa R, Ayres BM, Moroi SE. Acetazolamide-Induced Bilateral Ciliochoroidal Effusion Syndrome in Plateau Iris Configuration. Am J Ophthalmol Case Rep. 2016 Oct;3:14-17. doi: 10.1016/j.ajoc.2016.05.003. Epub 2016 May 17.

Reference Type DERIVED
PMID: 29226268 (View on PubMed)

Liu M, Reed DM, Fan S, Kazemi A, Gulati V, Sit AJ, Moroi SE, Toris CB. Assessing Agreement of Intraocular Pressure from Four Mechanistically Different Tonometers in the Eye Dynamics and Engineering Network Clinical Trial. Ophthalmol Glaucoma. 2025 Aug 11:S2589-4196(25)00157-7. doi: 10.1016/j.ogla.2025.07.010. Online ahead of print.

Reference Type DERIVED
PMID: 40803602 (View on PubMed)

Other Identifiers

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R01EY022124

Identifier Type: NIH

Identifier Source: secondary_id

View Link

HUM00052276

Identifier Type: -

Identifier Source: org_study_id

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