A Phase IIb Safety and Efficacy Study of DE-126 Ophthalmic Solution in Primary Open-Angle Glaucoma or Ocular Hypertension- Angel Study

NCT ID: NCT03216902

Last Updated: 2020-10-23

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

241 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-25

Study Completion Date

2018-02-27

Brief Summary

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Treatment of elevated pressure in the eye (Intraocular pressure, or 'IOP') with eye drop medications has been shown to be effective in delaying or preventing the progression of glaucoma, and it is the only proven method for reducing the risk of glaucomatous visual field loss.

This study is being conducted to determine how well DE-126 ophthalmic solution works (efficacy) in safely lowering IOP when dosed as topical eyedrops. This study will evaluate the safety and efficacy of four (4) concentrations of DE-126, when compared with latanoprost (0.005%) eye drops in patients with primary open-angle glaucoma or ocular hypertension.

The IOP will be measured at 3 different times throughout the day, over 6 total visits during a 3-month treatment period (with up to 4 extra weeks observation if the patient must stop taking current eye drops to lower IOP). Safety assessments will be done throughout the study, including ocular signs and symptoms, vital signs, and clinical laboratory tests. While the most important time-point to measure IOP in this study and evaluate efficacy will be at the final study visit (month 3), IOP values will also be evaluated at other visits throughout the 3-month treatment period.

Detailed Description

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Conditions

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Open-angle Glaucoma, Ocular Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Placebo (Vehicle of DE-126) followed by high dose of DE-126

Group Type PLACEBO_COMPARATOR

Vehicle of DE-126 Ophthalmic Solution, high dose of DE-126 Ophthalmic Solution

Intervention Type DRUG

Vehicle of DE-126 Ophthalmic Solution dosed once daily for 6weeks, followed by high dose of DE-126 dosed once daily for 6 additional weeks

Ultra-low dose 0.0005% DE-126

Group Type EXPERIMENTAL

Topical ultra-low dose of DE-126 Ophthalmic Solution

Intervention Type DRUG

Topical ultra-low dose of DE-126 Ophthalmic Solution dosed once daily for 12 weeks

Low dose 0.001% DE-126

Group Type EXPERIMENTAL

Topical low dose of DE-126 Ophthalmic Solution

Intervention Type DRUG

Topical low dose of DE-126 Ophthalmic Solution dosed once daily for 12 weeks

Medium dose 0.002% DE-126

Group Type EXPERIMENTAL

Topical medium dose of DE-126 Ophthalmic Solution

Intervention Type DRUG

Topical medium dose of DE-126 Ophthalmic Solution dosed once daily for 12 weeks

High dose 0.003% DE-126

Group Type EXPERIMENTAL

Topical high dose of DE-126 Ophthalmic Solution

Intervention Type DRUG

Topical high dose of DE-126 Ophthalmic Solution dosed once daily for 12 weeks

0.005% Latanoprost

Group Type ACTIVE_COMPARATOR

0.005% Latanoprost Ophthalmic Solution

Intervention Type DRUG

0.005% Latanoprost Ophthalmic Solution dosed once daily for 12 weeks

Interventions

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Vehicle of DE-126 Ophthalmic Solution, high dose of DE-126 Ophthalmic Solution

Vehicle of DE-126 Ophthalmic Solution dosed once daily for 6weeks, followed by high dose of DE-126 dosed once daily for 6 additional weeks

Intervention Type DRUG

Topical ultra-low dose of DE-126 Ophthalmic Solution

Topical ultra-low dose of DE-126 Ophthalmic Solution dosed once daily for 12 weeks

Intervention Type DRUG

Topical low dose of DE-126 Ophthalmic Solution

Topical low dose of DE-126 Ophthalmic Solution dosed once daily for 12 weeks

Intervention Type DRUG

Topical medium dose of DE-126 Ophthalmic Solution

Topical medium dose of DE-126 Ophthalmic Solution dosed once daily for 12 weeks

Intervention Type DRUG

Topical high dose of DE-126 Ophthalmic Solution

Topical high dose of DE-126 Ophthalmic Solution dosed once daily for 12 weeks

Intervention Type DRUG

0.005% Latanoprost Ophthalmic Solution

0.005% Latanoprost Ophthalmic Solution dosed once daily for 12 weeks

Intervention Type DRUG

Other Intervention Names

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Xalatan®

Eligibility Criteria

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Inclusion Criteria

* Provide signed written informed consent
* Diagnosis of POAG or OHT in both eyes
* Qualifying corrected visual acuity in each eye
* Qualifying central corneal thickness in each eye
* Qualifying Day 1 IOP measurement at 3 time-points in both eyes
* Qualifying Anterior chamber angle

Exclusion Criteria

* History of ocular surgery specifically intended to lower IOP
* Subjects who cannot safely discontinue use of ocular hypotensive medications during the wait/washout period
* Advanced glaucoma in either eye
* Any corneal abnormality or other condition interfering with or preventing reliable Goldmann applanation tonometry
* Any ocular surgery or ocular laser treatment within 90 days prior to Visit 1 (Screening) and throughout the study in either eye
* Females who are pregnant, nursing, or planning a pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Santen Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sall Research Medical Center, Inc

Artesia, California, United States

Site Status

North Valley Eye Medical Group

Mission Hills, California, United States

Site Status

Eye Research Foundation, INC

Newport Beach, California, United States

Site Status

North Bay Eye Associates, Inc.

Petaluma, California, United States

Site Status

Shettle Eye Research, Inc.

Largo, Florida, United States

Site Status

Clayton Eye Clinical Research, LLC

Morrow, Georgia, United States

Site Status

Coastal Research Associates, LLC

Roswell, Georgia, United States

Site Status

Rochester Ophthalmological Group, PC

Rochester, New York, United States

Site Status

Mundorf Eye Center

Charlotte, North Carolina, United States

Site Status

Cornerstone Health Care, LLC

High Point, North Carolina, United States

Site Status

Keystone Research Ltd SMO/Texan Eye, PA

Austin, Texas, United States

Site Status

Keystone Research LTD SMO/Medical Center Ophthalmology Assoc.

San Antonio, Texas, United States

Site Status

Murakami Karindoh Hospital

Fukuoka-shi, Fukuoka, , Japan

Site Status

Nagasaka Eye Clinic

Nagoya-shi, Aichi, , Japan

Site Status

Sugiura Eye Clinic

Osaka-shi, Osaka, , Japan

Site Status

Sapporo Katoh Ophthalmology Clinic

Sapporo-shi, Hokkaido, , Japan

Site Status

Dogenzaka Kato Eye Clinic

Shibuya-ku, Tokyo, , Japan

Site Status

Countries

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United States Japan

References

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Wirta DL, Kuwayama Y, Lu F, Shao H, Odani-Kawabata N. Phase 2b, Randomized, 3-Month, Dose-Finding Study of Sepetaprost in Patients with Primary Open-Angle Glaucoma or Ocular Hypertension: The ANGEL Study. J Ocul Pharmacol Ther. 2022 Apr;38(3):240-251. doi: 10.1089/jop.2021.0077. Epub 2022 Feb 15.

Reference Type DERIVED
PMID: 35167779 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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012601IN

Identifier Type: -

Identifier Source: org_study_id

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