Combined Phacoemulsification With iStent Inject W Versus Hydrus for Mild to Moderate Open Angle Glaucoma

NCT ID: NCT05583591

Last Updated: 2024-11-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-01

Study Completion Date

2024-04-22

Brief Summary

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The goal of the study is to prospectively evaluate and compare Hydrus microstent to the iStent Inject Wide in combination with cataract surgery in patients with mild to moderate open angle glaucoma. Hydrus and iStent are the two FDA approved trabecular meshwork targeting microstents to treat open angle glaucoma in conjunction with cataract surgery.

Detailed Description

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Conditions

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Open Angle Glaucoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Combined cataract surgery with Hydrus microstent

Group Type ACTIVE_COMPARATOR

Combined cataract surgery with Hydrus microstent

Intervention Type DEVICE

Device designed to help lower intraocular pressure by improving aqueous outflow through the trabecular meshwork. Used in combination with cataract surgery.

Combined cataract surgery with iStent Inject W

Intervention Type DEVICE

Device designed to help lower intraocular pressure by improving aqueous outflow through the trabecular meshwork. Used in combination with cataract surgery.

Combined cataract surgery with iStent Inject W

Group Type ACTIVE_COMPARATOR

Combined cataract surgery with Hydrus microstent

Intervention Type DEVICE

Device designed to help lower intraocular pressure by improving aqueous outflow through the trabecular meshwork. Used in combination with cataract surgery.

Combined cataract surgery with iStent Inject W

Intervention Type DEVICE

Device designed to help lower intraocular pressure by improving aqueous outflow through the trabecular meshwork. Used in combination with cataract surgery.

Interventions

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Combined cataract surgery with Hydrus microstent

Device designed to help lower intraocular pressure by improving aqueous outflow through the trabecular meshwork. Used in combination with cataract surgery.

Intervention Type DEVICE

Combined cataract surgery with iStent Inject W

Device designed to help lower intraocular pressure by improving aqueous outflow through the trabecular meshwork. Used in combination with cataract surgery.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* \>60 years or older
* Visually significant cataract
* Mild to moderate primary open angle glaucoma controlled on medications
* undergoing cataract surgery with lens implantation and concurrent microstent placement
* IOP ≥ 21 mmHg and ≤ 36 mmHg after washout of ocular hypotensive medication(s)
* CCT 480 to 620μm
* No prior ocular surgery including corneal refractive surgery
* No SLT within 6 months of baseline visit, no history of intracameral glaucoma drug eluting implants
* Visual field mean deviation ≤ -12 dB
* Optic nerve abnormalities consistent with glaucoma, C/D ratio less than ≤0.8

Exclusion Criteria

* Prior intraocular surgery
* Visual field MD ≥ -12 dB
* secondary glaucoma including uveitis, traumatic, malignant, neovascular, and congenital glaucoma.
* Glaucoma related to elevated episcleral venous pressure including Sturge-Weber syndrome, thyroid eye disease, orbital tumor, and etc.
* Uncontrolled intraocular pressure on maximum tolerated medical therapy;
* Unable to perform wash-out IOP
* Anatomic exclusion of narrow anterior chamber angle (Shaffer grade I-II), other angle abnormalities including angle closure glaucoma
* Corneal disease or dystrophy
* Pathological myopia with degeneration that affects diagnostic imaging
* Clinically significant ocular pathology or degenerative diseases that affect vision, visual field, or optical coherence tomography of optic nerve.
* Inability to perform reliable Visual Field and optical coherence tomography.
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Alcon Research

INDUSTRY

Sponsor Role collaborator

Diablo Eye Associates

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Diablo Eye Associates

Walnut Creek, California, United States

Site Status

Countries

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United States

Other Identifiers

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COMPETE Trial

Identifier Type: -

Identifier Source: org_study_id

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