Trial Outcomes & Findings for The Baerveldt Versus ClearPath Comparison Study (NCT NCT04468633)

NCT ID: NCT04468633

Last Updated: 2024-09-05

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

76 participants

Primary outcome timeframe

Baseline, Day 1, Week 1, Week 4, Week 6, Month 3, Month 6, and Year 1

Results posted on

2024-09-05

Participant Flow

Participants were recruited from the Duke Eye Center (Durham, NC, USA) and its satellite locations from December 2020 to June 2023.

Unit of analysis: eyes

Participant milestones

Participant milestones
Measure
Baerveldt 350 Implant
Baerveldt 350 implant: The Baerveldt implant is an FDA-approved silicone, non-valved implant.
Ahmed ClearPath 350 Implant
Ahmed ClearPath 350 implant: The Ahmed ClearPath is a non-valved glaucoma drainage device.
Overall Study
STARTED
37 37
39 39
Overall Study
COMPLETED
33 33
39 39
Overall Study
NOT COMPLETED
4 4
0 0

Reasons for withdrawal

Reasons for withdrawal
Measure
Baerveldt 350 Implant
Baerveldt 350 implant: The Baerveldt implant is an FDA-approved silicone, non-valved implant.
Ahmed ClearPath 350 Implant
Ahmed ClearPath 350 implant: The Ahmed ClearPath is a non-valved glaucoma drainage device.
Overall Study
Withdrawal by Subject
4
0

Baseline Characteristics

The Baerveldt Versus ClearPath Comparison Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Baerveldt 350 Implant
n=37 Participants
Baerveldt 350 implant: The Baerveldt implant is an FDA-approved silicone, non-valved implant.
Ahmed ClearPath 350 Implant
n=39 Participants
Ahmed ClearPath 350 implant: The Ahmed ClearPath is a non-valved glaucoma drainage device.
Total
n=76 Participants
Total of all reporting groups
Age, Continuous
71.2 years
STANDARD_DEVIATION 9.9 • n=5 Participants
69.6 years
STANDARD_DEVIATION 11.8 • n=7 Participants
70.4 years
STANDARD_DEVIATION 10.9 • n=5 Participants
Sex: Female, Male
Female
22 Participants
n=5 Participants
15 Participants
n=7 Participants
37 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
24 Participants
n=7 Participants
39 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · White
13 Participants
n=5 Participants
11 Participants
n=7 Participants
24 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Black
24 Participants
n=5 Participants
27 Participants
n=7 Participants
51 Participants
n=5 Participants
Race/Ethnicity, Customized
Race · Other
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
37 Participants
n=5 Participants
39 Participants
n=7 Participants
76 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Day 1, Week 1, Week 4, Week 6, Month 3, Month 6, and Year 1

Population: Participants with data collected at each timepoint.

Outcome measures

Outcome measures
Measure
Baerveldt 350 Implant
n=33 eyes
Baerveldt 350 implant: The Baerveldt implant is an FDA-approved silicone, non-valved implant.
Ahmed ClearPath 350 Implant
n=39 eyes
Ahmed ClearPath 350 implant: The Ahmed ClearPath is a non-valved glaucoma drainage device.
Intraocular Pressure (IOP)
Baseline
21.7 mmHg
Standard Deviation 7.1
22.4 mmHg
Standard Deviation 6.7
Intraocular Pressure (IOP)
Day 1
14.9 mmHg
Standard Deviation 12.1
12.6 mmHg
Standard Deviation 10.5
Intraocular Pressure (IOP)
Week 1
10.7 mmHg
Standard Deviation 5.8
11.5 mmHg
Standard Deviation 6.5
Intraocular Pressure (IOP)
Week 4
16.0 mmHg
Standard Deviation 8.1
15.6 mmHg
Standard Deviation 9.2
Intraocular Pressure (IOP)
Week 6
16.2 mmHg
Standard Deviation 9.7
12.1 mmHg
Standard Deviation 5.4
Intraocular Pressure (IOP)
Month 3
16.5 mmHg
Standard Deviation 6.6
12.8 mmHg
Standard Deviation 6.5
Intraocular Pressure (IOP)
Month 6
14.0 mmHg
Standard Deviation 4.3
12.5 mmHg
Standard Deviation 4.5
Intraocular Pressure (IOP)
Month 12
14.1 mmHg
Standard Deviation 4.3
11.4 mmHg
Standard Deviation 3.9

PRIMARY outcome

Timeframe: Up to Year 1

Outcome measures

Outcome measures
Measure
Baerveldt 350 Implant
n=37 Participants
Baerveldt 350 implant: The Baerveldt implant is an FDA-approved silicone, non-valved implant.
Ahmed ClearPath 350 Implant
n=39 Participants
Ahmed ClearPath 350 implant: The Ahmed ClearPath is a non-valved glaucoma drainage device.
Number of Participants Who Experienced a Complication
13 Participants
4 Participants

SECONDARY outcome

Timeframe: Baseline, Day 1, Week 1, Week 4, Week 6, Month 3, Month 6, and Year 1

Population: Participants with data collected at each timepoint.

Outcome measures

Outcome measures
Measure
Baerveldt 350 Implant
n=33 eyes
Baerveldt 350 implant: The Baerveldt implant is an FDA-approved silicone, non-valved implant.
Ahmed ClearPath 350 Implant
n=39 eyes
Ahmed ClearPath 350 implant: The Ahmed ClearPath is a non-valved glaucoma drainage device.
Best Corrected Visual Acuity (BCVA)
Baseline
0.40 LogMAR
Standard Deviation 0.53
0.56 LogMAR
Standard Deviation 0.71
Best Corrected Visual Acuity (BCVA)
Day 1
0.71 LogMAR
Standard Deviation 0.66
1.09 LogMAR
Standard Deviation 0.86
Best Corrected Visual Acuity (BCVA)
Week 1
0.65 LogMAR
Standard Deviation 0.68
1.03 LogMAR
Standard Deviation 0.87
Best Corrected Visual Acuity (BCVA)
Week 4
0.45 LogMAR
Standard Deviation 0.50
0.71 LogMAR
Standard Deviation 0.84
Best Corrected Visual Acuity (BCVA)
Week 6
0.49 LogMAR
Standard Deviation 0.68
0.71 LogMAR
Standard Deviation 0.86
Best Corrected Visual Acuity (BCVA)
Month 3
0.44 LogMAR
Standard Deviation 0.68
0.77 LogMAR
Standard Deviation 0.88
Best Corrected Visual Acuity (BCVA)
Month 6
0.46 LogMAR
Standard Deviation 0.68
0.71 LogMAR
Standard Deviation 0.80
Best Corrected Visual Acuity (BCVA)
Year 1
0.36 LogMAR
Standard Deviation 0.55
0.72 LogMAR
Standard Deviation 0.76

SECONDARY outcome

Timeframe: Baseline, Day 1, Week 1, Week 4, Week 6, Month 3, Month 6, and Year 1

Population: Participants with data collected at each timepoint.

Outcome measures

Outcome measures
Measure
Baerveldt 350 Implant
n=33 Participants
Baerveldt 350 implant: The Baerveldt implant is an FDA-approved silicone, non-valved implant.
Ahmed ClearPath 350 Implant
n=39 Participants
Ahmed ClearPath 350 implant: The Ahmed ClearPath is a non-valved glaucoma drainage device.
Number of Individual Eyedrop Medications That the Patient is on (Prescribed and Actually Taking)
Baseline
2.7 medications
Standard Deviation 1.1
2.7 medications
Standard Deviation 1.5
Number of Individual Eyedrop Medications That the Patient is on (Prescribed and Actually Taking)
Day 1
0.6 medications
Standard Deviation 0.8
0.7 medications
Standard Deviation 1.2
Number of Individual Eyedrop Medications That the Patient is on (Prescribed and Actually Taking)
Week 1
0.8 medications
Standard Deviation 1.2
0.9 medications
Standard Deviation 1.4
Number of Individual Eyedrop Medications That the Patient is on (Prescribed and Actually Taking)
Week 4
1.1 medications
Standard Deviation 1.3
1.2 medications
Standard Deviation 1.5
Number of Individual Eyedrop Medications That the Patient is on (Prescribed and Actually Taking)
Week 6
1.4 medications
Standard Deviation 1.3
1.1 medications
Standard Deviation 1.3
Number of Individual Eyedrop Medications That the Patient is on (Prescribed and Actually Taking)
Month 3
1.5 medications
Standard Deviation 1.2
1.4 medications
Standard Deviation 1.3
Number of Individual Eyedrop Medications That the Patient is on (Prescribed and Actually Taking)
Month 6
2.0 medications
Standard Deviation 1.3
1.7 medications
Standard Deviation 1.4
Number of Individual Eyedrop Medications That the Patient is on (Prescribed and Actually Taking)
Month 12
2.3 medications
Standard Deviation 1.2
1.6 medications
Standard Deviation 1.5

SECONDARY outcome

Timeframe: Baseline and Year 1

Population: Participants with data collected at both timepoints.

The Humphrey visual field test measures the entire area of peripheral vision that can be seen while the eye is focused on a central point. A positive value indicates an increase in visual field while a negative value indicates a decrease.

Outcome measures

Outcome measures
Measure
Baerveldt 350 Implant
n=27 Participants
Baerveldt 350 implant: The Baerveldt implant is an FDA-approved silicone, non-valved implant.
Ahmed ClearPath 350 Implant
n=25 Participants
Ahmed ClearPath 350 implant: The Ahmed ClearPath is a non-valved glaucoma drainage device.
Change in Humphrey Visual Field (HVF)
2.81 dB
Standard Deviation 9.58
4.72 dB
Standard Deviation 13.55

SECONDARY outcome

Timeframe: Baseline and Year 1

Population: Participants with data collected at both timepoints.

Pachymetry is an ophthalmological test that measures the thickness of the cornea.

Outcome measures

Outcome measures
Measure
Baerveldt 350 Implant
n=28 Participants
Baerveldt 350 implant: The Baerveldt implant is an FDA-approved silicone, non-valved implant.
Ahmed ClearPath 350 Implant
n=26 Participants
Ahmed ClearPath 350 implant: The Ahmed ClearPath is a non-valved glaucoma drainage device.
Change in Thickness of the Cornea as Measured by Pachymetry
12.18 µm
Standard Deviation 25.86
25.96 µm
Standard Deviation 57.79

SECONDARY outcome

Timeframe: Baseline and Year 1

Population: Participants with data collected at both timepoints.

The retinal nerve fiber layer (RNFL) is formed by retinal ganglion cell axons, which collect the visual impulses that begin with the rods and cones.

Outcome measures

Outcome measures
Measure
Baerveldt 350 Implant
n=27 Participants
Baerveldt 350 implant: The Baerveldt implant is an FDA-approved silicone, non-valved implant.
Ahmed ClearPath 350 Implant
n=25 Participants
Ahmed ClearPath 350 implant: The Ahmed ClearPath is a non-valved glaucoma drainage device.
Change in Retinal Nerve Fiber Layer (RNFL)
2.81 µm
Standard Deviation 9.58
4.72 µm
Standard Deviation 13.55

OTHER_PRE_SPECIFIED outcome

Timeframe: Year 1

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Year 1

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Year 1

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and Year 1

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and Year 1

If patient is binocular

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and Year 1

If patient is binocular

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and Year 1

If patient is binocular

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and Year 1

Outcome measures

Outcome data not reported

Adverse Events

Baerveldt 350 Implant

Serious events: 1 serious events
Other events: 9 other events
Deaths: 1 deaths

Ahmed ClearPath 350 Implant

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Baerveldt 350 Implant
n=37 participants at risk
Baerveldt 350 implant: The Baerveldt implant is an FDA-approved silicone, non-valved implant.
Ahmed ClearPath 350 Implant
n=39 participants at risk
Ahmed ClearPath 350 implant: The Ahmed ClearPath is a non-valved glaucoma drainage device.
Cardiac disorders
Myocardial infarction (heart attack)
2.7%
1/37 • Up to 1 year
0.00%
0/39 • Up to 1 year

Other adverse events

Other adverse events
Measure
Baerveldt 350 Implant
n=37 participants at risk
Baerveldt 350 implant: The Baerveldt implant is an FDA-approved silicone, non-valved implant.
Ahmed ClearPath 350 Implant
n=39 participants at risk
Ahmed ClearPath 350 implant: The Ahmed ClearPath is a non-valved glaucoma drainage device.
Surgical and medical procedures
Surgical failure
24.3%
9/37 • Up to 1 year
20.5%
8/39 • Up to 1 year

Additional Information

Andrew Gross, MD

Duke University

Phone: 919-684-8656

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place