Trial Outcomes & Findings for Safety and Efficacy Assessment of Monoprost® in Comparison With Lumigan® 0.01 % and Lumigan® 0.03% Unit Dose (NCT NCT02017327)

NCT ID: NCT02017327

Last Updated: 2020-04-02

Results Overview

The primary endpoint is the change from baseline of conjunctival hyperaemia assessed on MacMonnies' 6 point ordinal scale, in the worse eye at the D84 visit. The primary statistical hypothesis tested is that Monoprost® is superior to Lumigan® 0.03% Unit Dose with regard to this primary endpoint, i.e. that in the worse eye the decrease from baseline in the MacMonnies 6 point ordinal scale is greater in the Monoprost® treated group than in the Lumigan® 0.03% Unit Dose group at the Day 84 visit. The conjunctival hyperaemia will be scored using the "McMonnies" photographic scale (0 to 5). The minimum score is 0 corresponding to a low hyperaemia and the maximum score is 5 corresponding to a higher hyperaemia. The Rows represent the number of participants with a change from Baseline to D84 corresponding to * "decrease of 3 points" * "decrease of 2 points" * "no change", * "increase of 2 points" * "increase of 1 point" on Mc Monnies scale

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

379 participants

Primary outcome timeframe

Day 84

Results posted on

2020-04-02

Participant Flow

patients were enrolled at medical clinics from Dec 2013 to July 2016

the number of patients enrolled in 379 but as the primary Endpoint is Safety, the Baseline population is based on the safety Set and it corresponds to 373 patients

Participant milestones

Participant milestones
Measure
Monoprost
1 drop in each eye once daily at 9.00 pm (± 1 hour) for 3 months. Monoprost: Monoprost®: Latanoprost 0.005% ophthalmic preparation is a sterile unpreserved oil-based solution for topical ophthalmic use. It is supplied in 0.30 ml single use polyethylene containers. The batch numbers and reanalysis dates will be stated in the certificate of analysis.
Lumigan 0.01% (Bimatoprost Eye Drop Solution)
1 drop in each eye once daily at 9.00 pm (± 1 hour) for 3 months. 3-mL multidose containers
Lumigan 0.03% UD (Bimatoprost Eye Drop Solution)
one drop in each eye once daily at 9.00 pm (± 1 hour) in the inferior conjunctival cul-de-sac from D0 to D84. 0.4-mL single-use low density polyethylene (LDPE) containers.
Overall Study
STARTED
122
125
132
Overall Study
COMPLETED
106
113
117
Overall Study
NOT COMPLETED
16
12
15

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety and Efficacy Assessment of Monoprost® in Comparison With Lumigan® 0.01 % and Lumigan® 0.03% Unit Dose

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Monoprost
n=119 Participants
1 drop in each eye once daily at 9.00 pm (± 1 hour) for 3 months. Monoprost: Monoprost®: Latanoprost 0.005% ophthalmic preparation is a sterile unpreserved oil-based solution for topical ophthalmic use. It is supplied in 0.30 ml single use polyethylene containers. The batch numbers and reanalysis dates will be stated in the certificate of analysis.
Lumigan 0.01%
n=124 Participants
1 drop in each eye once daily at 9.00 pm (± 1 hour) for 3 months. Lumigan 0.01%: Lumigan® 0.01%: Bimatoprost eye drop solution is supplied in 3 ml multidose container.
Lumigan 0.03% Unit Dose
n=130 Participants
1 drop in each eye once daily at 9.00 pm (± 1 hour) for 3 months. Lumigan 0.03% Unit Dose: Lumigan® 0.03% Unit Dose: Bimatoprost eye drop solution is supplied in 0.4 ml single use low density polyethylene (LDPE) containers.
Total
n=373 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Age, Categorical
Between 18 and 65 years
46 Participants
n=93 Participants
44 Participants
n=4 Participants
48 Participants
n=27 Participants
138 Participants
n=483 Participants
Age, Categorical
>=65 years
73 Participants
n=93 Participants
80 Participants
n=4 Participants
82 Participants
n=27 Participants
235 Participants
n=483 Participants
Age, Continuous
67.5 years
STANDARD_DEVIATION 9.9 • n=93 Participants
67.4 years
STANDARD_DEVIATION 10.3 • n=4 Participants
68.3 years
STANDARD_DEVIATION 10 • n=27 Participants
67.7 years
STANDARD_DEVIATION 10.1 • n=483 Participants
Sex: Female, Male
Female
70 Participants
n=93 Participants
70 Participants
n=4 Participants
78 Participants
n=27 Participants
218 Participants
n=483 Participants
Sex: Female, Male
Male
49 Participants
n=93 Participants
54 Participants
n=4 Participants
52 Participants
n=27 Participants
155 Participants
n=483 Participants
Region of Enrollment
France
24 participants
n=93 Participants
25 participants
n=4 Participants
26 participants
n=27 Participants
75 participants
n=483 Participants
Region of Enrollment
Germany
14 participants
n=93 Participants
12 participants
n=4 Participants
15 participants
n=27 Participants
41 participants
n=483 Participants
Region of Enrollment
Spain
50 participants
n=93 Participants
52 participants
n=4 Participants
51 participants
n=27 Participants
153 participants
n=483 Participants
Region of Enrollment
United Kingdom
21 participants
n=93 Participants
24 participants
n=4 Participants
26 participants
n=27 Participants
71 participants
n=483 Participants
Region of Enrollment
Greece
10 participants
n=93 Participants
11 participants
n=4 Participants
12 participants
n=27 Participants
33 participants
n=483 Participants

PRIMARY outcome

Timeframe: Day 84

Population: the primary analysis was performed in the mSAF.(All randomised patients of the Safety set with at least one eligible eye and with any safety information on treatment.)

The primary endpoint is the change from baseline of conjunctival hyperaemia assessed on MacMonnies' 6 point ordinal scale, in the worse eye at the D84 visit. The primary statistical hypothesis tested is that Monoprost® is superior to Lumigan® 0.03% Unit Dose with regard to this primary endpoint, i.e. that in the worse eye the decrease from baseline in the MacMonnies 6 point ordinal scale is greater in the Monoprost® treated group than in the Lumigan® 0.03% Unit Dose group at the Day 84 visit. The conjunctival hyperaemia will be scored using the "McMonnies" photographic scale (0 to 5). The minimum score is 0 corresponding to a low hyperaemia and the maximum score is 5 corresponding to a higher hyperaemia. The Rows represent the number of participants with a change from Baseline to D84 corresponding to * "decrease of 3 points" * "decrease of 2 points" * "no change", * "increase of 2 points" * "increase of 1 point" on Mc Monnies scale

Outcome measures

Outcome measures
Measure
Monoprost
n=112 Participants
1 drop in each eye once daily at 9.00 pm (± 1 hour) for 3 months. Monoprost: Monoprost®: Latanoprost 0.005% ophthalmic preparation is a sterile unpreserved oil-based solution for topical ophthalmic use. It is supplied in 0.30 ml single use polyethylene containers. The batch numbers and reanalysis dates will be stated in the certificate of analysis.
Lumigan 0.01%
n=118 Participants
1 drop in each eye once daily at 9.00 pm (± 1 hour) for 3 months. Lumigan 0.01%: Lumigan® 0.01%: Bimatoprost eye drop solution is supplied in 3 ml multidose container.
Lumigan 0.03% Unit Dose
n=124 Participants
1 drop in each eye once daily at 9.00 pm (± 1 hour) for 3 months. Lumigan 0.03% Unit Dose: Lumigan® 0.03% Unit Dose: Bimatoprost eye drop solution is supplied in 0.4 ml single use low density polyethylene (LDPE) containers.
Safety With Respect to the Assessment of Conjunctival Hyperaemia in the Worse Eye
change at D84 -3
4 Participants
1 Participants
5 Participants
Safety With Respect to the Assessment of Conjunctival Hyperaemia in the Worse Eye
change at D84 - 2
29 Participants
13 Participants
19 Participants
Safety With Respect to the Assessment of Conjunctival Hyperaemia in the Worse Eye
change at D84 -1
47 Participants
59 Participants
42 Participants
Safety With Respect to the Assessment of Conjunctival Hyperaemia in the Worse Eye
change at D84 0
29 Participants
39 Participants
38 Participants
Safety With Respect to the Assessment of Conjunctival Hyperaemia in the Worse Eye
change at D84 +1
2 Participants
6 Participants
17 Participants
Safety With Respect to the Assessment of Conjunctival Hyperaemia in the Worse Eye
change at D84 +2
0 Participants
0 Participants
1 Participants
Safety With Respect to the Assessment of Conjunctival Hyperaemia in the Worse Eye
missing data
1 Participants
0 Participants
2 Participants

Adverse Events

Monoprost

Serious events: 3 serious events
Other events: 0 other events
Deaths: 0 deaths

Lumigan 0.01%

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

Lumigan 0.03% Unit Dose

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

Serious adverse events

Serious adverse events
Measure
Monoprost
n=119 participants at risk
1 drop in each eye once daily at 9.00 pm (± 1 hour) for 3 months. Monoprost: Monoprost®: Latanoprost 0.005% ophthalmic preparation is a sterile unpreserved oil-based solution for topical ophthalmic use. It is supplied in 0.30 ml single use polyethylene containers. The batch numbers and reanalysis dates will be stated in the certificate of analysis.
Lumigan 0.01%
n=124 participants at risk
1 drop in each eye once daily at 9.00 pm (± 1 hour) for 3 months. Lumigan 0.01%: Lumigan® 0.01%: Bimatoprost eye drop solution is supplied in 3 ml multidose container.
Lumigan 0.03% Unit Dose
n=130 participants at risk
1 drop in each eye once daily at 9.00 pm (± 1 hour) for 3 months. Lumigan 0.03% Unit Dose: Lumigan® 0.03% Unit Dose: Bimatoprost eye drop solution is supplied in 0.4 ml single use low density polyethylene (LDPE) containers.
Musculoskeletal and connective tissue disorders
intervetebral disk protrusion
0.84%
1/119 • Number of events 1 • 3 months
0.00%
0/124 • 3 months
0.00%
0/130 • 3 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
prostate cancer
0.84%
1/119 • Number of events 1 • 3 months
0.00%
0/124 • 3 months
0.00%
0/130 • 3 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
breast neoplasm
0.84%
1/119 • Number of events 1 • 3 months
0.00%
0/124 • 3 months
0.00%
0/130 • 3 months
Cardiac disorders
myocardial infarction
0.00%
0/119 • 3 months
0.81%
1/124 • Number of events 1 • 3 months
0.00%
0/130 • 3 months
Vascular disorders
hypotension
0.00%
0/119 • 3 months
0.81%
1/124 • Number of events 1 • 3 months
0.00%
0/130 • 3 months
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
metastatic colon cancer
0.00%
0/119 • 3 months
0.00%
0/124 • 3 months
0.77%
1/130 • Number of events 1 • 3 months
Renal and urinary disorders
ureterolithiasis
0.00%
0/119 • 3 months
0.00%
0/124 • 3 months
0.77%
1/130 • Number of events 1 • 3 months

Other adverse events

Adverse event data not reported

Additional Information

Director of medical operation

Laboratoires Thea

Phone: +473985089

Results disclosure agreements

  • Principal investigator is a sponsor employee All the results of the Trial are the sole and exclusive property of THEA, and cannot be used in whatever form without prior written agreement of THEA.
  • Publication restrictions are in place

Restriction type: OTHER