24-hour Study of Dorzolamide/Timolol and Latanoprost/Timolol Fixed Combinations
Study Details
Study Description
Brief Summary
The primary objective of this crossover trial is to compare the 3-month mean 24-hour intraocular pressure (IOP) control and safety of dorzolamide/timolol fixed combination (DTFC) given twice daily, versus latanoprost/timolol fixed combination (LTFC) given in the evening and placebo given in the morning, versus adjunctive therapy with DTFC given twice daily and latanoprost 0.005% given once in the evening in open-angle glaucoma patients who are insufficiently controlled with latanoprost monotherapy.
Condition or Disease | Intervention/Treatment | Phase |
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|
Phase 4 |
Study Design
Outcome Measures
Primary Outcome Measures
- 24-hour IOP control with DTFC will be statistically similar with LTFC given once each evening and placebo in the morning. []
- Adjunctive therapy with DTFC and latanoprost will provide significantly better 24-hour IOP control than both fixed combinations alone (DTFC and LTFC). []
Eligibility Criteria
Criteria
Inclusion Criteria:
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Consecutive primary open-angle (POAG) and exfoliative glaucoma (XFG) patients will be recruited.
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Patients included will be older than 29 years
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Have early to moderate POAG, or XFG (less than 12 mean deviation visual field loss attributed to glaucoma and 0.8 or better vertical cup-to-disc ratio)
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Will be on therapy with latanoprost for more than 3 months;
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Have at treated baseline IOP at 10:00 (two consecutive readings) greater than 21 mm Hg
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Have a reliable visual field (at least two visual fields with less than 30% fixation losses, false positives or negatives)
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Have a best corrected distance Snellen visual acuity > 1/10
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Have corneal pachymetry within the 550 ± 55 μm range, understand the study instructions and are willing to attend all follow-up appointments
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Are willing to comply with study medication usage
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And have open, normal appearing angles
Exclusion Criteria:
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Patients will be excluded if they have: a risk for significant deterioration during the study
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Known previous history of lack of adequate response (< 10% reduction) to any topical glaucoma medication
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Less than 20% daytime IOP reduction on latanoprost;
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Systemic contraindications to topical beta-blockers (asthma, bradycardia, severe congestive heart disease)
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Known contraindications to prostaglandins, history of ocular herpetic disease, or cystoid macular edema
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History of trauma, inflammation, surgery or past use of steroids (within two months)
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Severe dry eyes
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Use of contact lenses
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Signs of ocular infection, except blepharitis
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Corneal abnormality that may affect IOP measurements
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Unwillingness to accept the risk for hyperchromia of the iris or development of hypertrichosis
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And females of childbearing potential or lactating mothers
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Glaucoma Unit, A University Dept of Ophthalmology | Thessaloniki | Greece | 546 43 |
Sponsors and Collaborators
- Aristotle University Of Thessaloniki
Investigators
- Principal Investigator: Anastasios GP Konstas, MD, PhD, Glaucoma Unit, A University Department of Ophthalmology, AHEPA Hospital, Thessaloniki, Greece
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- A733