Trial Outcomes & Findings for Efficacy and Safety Assessment of T4090 Ophthalmic Solution Versus Rhopressa® Ophthalmic Solution in Patients With Open-angle Glaucoma or Ocular Hypertension (NCT NCT06394973)
NCT ID: NCT06394973
Last Updated: 2026-01-02
Results Overview
IOP measurement with calibrated Goldmann applanation tonometer in each eye at three time points (8:00 AM; 10:00 AM; 4:00 PM) by the Investigator. Mean diurnal is calculated from these three timepoints.
COMPLETED
PHASE2
161 participants
The primary efficacy endpoint is the change from baseline (D1) at Week 7 in the mean diurnal IOP in the study eye.
2026-01-02
Participant Flow
161 patients randomized and 159 patients treated. 2 Patients did not receive a treatment due to randomization error in IRT.
Participant milestones
| Measure |
T4090 0.2%
Preservative-free Kinezodianone R HCl 0.2%, ophthalmic solution.
|
T4090 0.3%
Preservative-free Kinezodianone R HCl 0.3%, ophthalmic solution.
|
Rhopressa®
Preserved netarsudil 0.02%, ophthalmic solution.
|
|---|---|---|---|
|
Overall Study
STARTED
|
53
|
53
|
53
|
|
Overall Study
COMPLETED
|
48
|
48
|
49
|
|
Overall Study
NOT COMPLETED
|
5
|
5
|
4
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Efficacy and Safety Assessment of T4090 Ophthalmic Solution Versus Rhopressa® Ophthalmic Solution in Patients With Open-angle Glaucoma or Ocular Hypertension
Baseline characteristics by cohort
| Measure |
T4090 0.2%
n=53 Participants
Preservative-free Kinezodianone R HCl 0.2%, ophthalmic solution.
|
T4090 0.3%
n=53 Participants
Preservative-free Kinezodianone R HCl 0.3%, ophthalmic solution.
|
Rhopressa®
n=53 Participants
Preserved netarsudil 0.02%, ophthalmic solution
|
Total
n=159 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=228 Participants
|
0 Participants
n=115 Participants
|
0 Participants
n=343 Participants
|
0 Participants
n=18 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
9 Participants
n=228 Participants
|
15 Participants
n=115 Participants
|
12 Participants
n=343 Participants
|
36 Participants
n=18 Participants
|
|
Age, Categorical
>=65 years
|
44 Participants
n=228 Participants
|
38 Participants
n=115 Participants
|
41 Participants
n=343 Participants
|
123 Participants
n=18 Participants
|
|
Age, Continuous
|
71.4 years
STANDARD_DEVIATION 9.37 • n=228 Participants
|
69.2 years
STANDARD_DEVIATION 9.45 • n=115 Participants
|
70.3 years
STANDARD_DEVIATION 10.15 • n=343 Participants
|
70.3 years
STANDARD_DEVIATION 9.64 • n=18 Participants
|
|
Sex: Female, Male
Female
|
23 Participants
n=228 Participants
|
31 Participants
n=115 Participants
|
26 Participants
n=343 Participants
|
80 Participants
n=18 Participants
|
|
Sex: Female, Male
Male
|
30 Participants
n=228 Participants
|
22 Participants
n=115 Participants
|
27 Participants
n=343 Participants
|
79 Participants
n=18 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
13 Participants
n=228 Participants
|
11 Participants
n=115 Participants
|
11 Participants
n=343 Participants
|
35 Participants
n=18 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
40 Participants
n=228 Participants
|
42 Participants
n=115 Participants
|
42 Participants
n=343 Participants
|
124 Participants
n=18 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=228 Participants
|
0 Participants
n=115 Participants
|
0 Participants
n=343 Participants
|
0 Participants
n=18 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=228 Participants
|
0 Participants
n=115 Participants
|
0 Participants
n=343 Participants
|
0 Participants
n=18 Participants
|
|
Race (NIH/OMB)
Asian
|
2 Participants
n=228 Participants
|
0 Participants
n=115 Participants
|
2 Participants
n=343 Participants
|
4 Participants
n=18 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=228 Participants
|
1 Participants
n=115 Participants
|
0 Participants
n=343 Participants
|
1 Participants
n=18 Participants
|
|
Race (NIH/OMB)
Black or African American
|
9 Participants
n=228 Participants
|
12 Participants
n=115 Participants
|
9 Participants
n=343 Participants
|
30 Participants
n=18 Participants
|
|
Race (NIH/OMB)
White
|
42 Participants
n=228 Participants
|
40 Participants
n=115 Participants
|
42 Participants
n=343 Participants
|
124 Participants
n=18 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=228 Participants
|
0 Participants
n=115 Participants
|
0 Participants
n=343 Participants
|
0 Participants
n=18 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=228 Participants
|
0 Participants
n=115 Participants
|
0 Participants
n=343 Participants
|
0 Participants
n=18 Participants
|
|
Region of Enrollment
United States
|
53 Participants
n=228 Participants
|
53 Participants
n=115 Participants
|
53 Participants
n=343 Participants
|
159 Participants
n=18 Participants
|
PRIMARY outcome
Timeframe: The primary efficacy endpoint is the change from baseline (D1) at Week 7 in the mean diurnal IOP in the study eye.Population: Primary estimand - Full Set Analysis
IOP measurement with calibrated Goldmann applanation tonometer in each eye at three time points (8:00 AM; 10:00 AM; 4:00 PM) by the Investigator. Mean diurnal is calculated from these three timepoints.
Outcome measures
| Measure |
T4090 0.2%
n=45 Participants
Preservative-free Kinezodianone R HCl 0.2%, ophthalmic solution.
|
T4090 0.3%
n=42 Participants
Preservative-free Kinezodianone R HCl 0.3%, ophthalmic solution.
|
Rhopressa®
n=47 Participants
Preserved netarsudil 0.02%, ophthalmic solution.
|
|---|---|---|---|
|
Mean Diurnal IOP
|
-5.07 mmHg
Standard Deviation 2.75
|
-4.73 mmHg
Standard Deviation 2.94
|
-4.6 mmHg
Standard Deviation 3.06
|
Adverse Events
T4090 0.2%
T4090 0.3%
Rhopressa®
Serious adverse events
| Measure |
T4090 0.2%
n=53 participants at risk
Preservative-free Kinezodianone R HCl 0.2%, ophthalmic solution.
|
T4090 0.3%
n=53 participants at risk
Preservative-free Kinezodianone R HCl 0.3%, ophthalmic solution.
|
Rhopressa®
n=53 participants at risk
Preserved netarsudil 0.02%, ophthalmic solution.
|
|---|---|---|---|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung Adenocarcinoma
|
0.00%
0/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
0.00%
0/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
1.9%
1/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
Other adverse events
| Measure |
T4090 0.2%
n=53 participants at risk
Preservative-free Kinezodianone R HCl 0.2%, ophthalmic solution.
|
T4090 0.3%
n=53 participants at risk
Preservative-free Kinezodianone R HCl 0.3%, ophthalmic solution.
|
Rhopressa®
n=53 participants at risk
Preserved netarsudil 0.02%, ophthalmic solution.
|
|---|---|---|---|
|
Eye disorders
Abnormal sensation in eye
|
1.9%
1/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
7.5%
4/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
3.8%
2/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Eye disorders
Blepharitis
|
1.9%
1/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
3.8%
2/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
5.7%
3/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Eye disorders
Conjunctival haemorrhage
|
3.8%
2/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
5.7%
3/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
1.9%
1/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Eye disorders
Conjunctival hyperaemia
|
66.0%
35/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
47.2%
25/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
39.6%
21/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Eye disorders
Corneal endothelial cell loss
|
11.3%
6/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
15.1%
8/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
3.8%
2/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Eye disorders
Corneal endothelial disorder
|
35.8%
19/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
30.2%
16/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
20.8%
11/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Eye disorders
Eye irritation
|
3.8%
2/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
9.4%
5/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
3.8%
2/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Eye disorders
Eye pain
|
3.8%
2/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
5.7%
3/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
1.9%
1/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Eye disorders
Eye pruritus
|
9.4%
5/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
11.3%
6/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
7.5%
4/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Eye disorders
Foreign body sensation in eyes
|
5.7%
3/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
9.4%
5/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
5.7%
3/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Eye disorders
Lacrimation increased
|
9.4%
5/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
15.1%
8/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
11.3%
6/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Eye disorders
Ocular hyperaemia
|
9.4%
5/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
17.0%
9/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
13.2%
7/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Eye disorders
Vision blurred
|
13.2%
7/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
13.2%
7/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
7.5%
4/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
General disorders
Instillation site erythema
|
9.4%
5/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
15.1%
8/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
3.8%
2/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
General disorders
Instillation site irritation
|
7.5%
4/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
15.1%
8/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
18.9%
10/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
General disorders
Instillation site lacrimation
|
9.4%
5/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
3.8%
2/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
1.9%
1/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Investigations
Conjunctival staining
|
5.7%
3/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
1.9%
1/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
1.9%
1/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
|
Investigations
Corneal pachymetry
|
11.3%
6/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
11.3%
6/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
5.7%
3/53 • Adverse events were collected from informed consent signature (Visit #1) until the final study visit (Visit #5), up to 53 days.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place