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Open-angle Glaucoma, Ocular HypertensionPhase 2NCT03216902

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

A Phase 2 study testing Topical ultra-low dose of DE-126 Ophthalmic Solution, Topical low dose of DE-126 Ophthalmic Solution and Topical medium dose of DE-126 Ophthalmic Solution in people with Open-angle Glaucoma, Ocular Hypertension, run by Santen Inc. at 17 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

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. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Open-angle Glaucoma, Ocular Hypertension
What is being tested?
Topical ultra-low dose of DE-126 Ophthalmic Solution, Topical low dose of DE-126 Ophthalmic Solution and Topical medium dose of DE-126 Ophthalmic Solution
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
241 participants
Where
17 sitesin 2 countries
Study dates
25 Jul 2017to 27 Feb 2018
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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

Who cannot join

  • 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

Trial locations and contacts

17 sites in 2 countries.

17 sites in 2 countries

United States12 sites
  • Sall Research Medical Center, Inc

    Artesia, California, 90701

  • Keystone Research Ltd SMO/Texan Eye, PA

    Austin, Texas, 78731

  • Mundorf Eye Center

    Charlotte, North Carolina, 28204

  • Cornerstone Health Care, LLC

    High Point, North Carolina, 27262

  • Shettle Eye Research, Inc.

    Largo, Florida, 33773

  • North Valley Eye Medical Group

    Mission Hills, California, 91345

  • Clayton Eye Clinical Research, LLC

    Morrow, Georgia, 30260

  • Eye Research Foundation, INC

    Newport Beach, California, 92657

  • North Bay Eye Associates, Inc.

    Petaluma, California, 94954

  • Rochester Ophthalmological Group, PC

    Rochester, New York, 14618

  • Coastal Research Associates, LLC

    Roswell, Georgia, 30076

  • Keystone Research LTD SMO/Medical Center Ophthalmology Assoc.

    San Antonio, Texas, 78240

Other trials in United States

Japan5 sites
  • Murakami Karindoh Hospital

    Fukuoka-shi, Fukuoka

  • Nagasaka Eye Clinic

    Nagoya-shi, Aichi

  • Sugiura Eye Clinic

    Osaka-shi, Osaka

  • Sapporo Katoh Ophthalmology Clinic

    Sapporo-shi, Hokkaido

  • Dogenzaka Kato Eye Clinic

    Shibuya-ku, Tokyo

Other trials in Japan

About this study

Official title: A Phase IIb, Randomized, Observer-Masked, Placebo- and Active-Controlled, Parallel-Group, Multinational and Multicenter Study Assessing the Safety and Efficacy of DE-126 Ophthalmic Solution in Subjects With Primary Open-Angle Glaucoma or Ocular Hypertension- Angel Study

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.

Being tested
Vehicle of DE-126 Ophthalmic Solution, high dose of DE-126 Ophthalmic Solution, Topical ultra-low dose of DE-126 Ophthalmic Solution, Topical low dose of DE-126 Ophthalmic Solution, Topical medium dose of DE-126 Ophthalmic Solution, Topical high dose of DE-126 Ophthalmic Solution
Keywords
Glaucoma
Medical subject headings
Glaucoma, Open-Angle, Ocular Hypertension, Glaucoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

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

    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

  • Topical ultra-low dose of DE-126 Ophthalmic SolutionDrug

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

  • Topical low dose of DE-126 Ophthalmic SolutionDrug

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

  • Topical medium dose of DE-126 Ophthalmic SolutionDrug

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

  • Topical high dose of DE-126 Ophthalmic SolutionDrug

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

  • 0.005% Latanoprost Ophthalmic SolutionDrug

    Also called Xalatan®

    0.005% Latanoprost Ophthalmic Solution dosed once daily for 12 weeks

Study groups in NCT03216902
Study groupRoleWhat they receive
Placebo (Vehicle of DE-126) followed by high dose of DE-126Placebo comparatorNot described
Receives: Drug: Vehicle of DE-126 Ophthalmic Solution, high dose of DE-126 Ophthalmic Solution
Ultra-low dose 0.0005% DE-126ExperimentalNot described
Receives: Drug: Topical ultra-low dose of DE-126 Ophthalmic Solution
Low dose 0.001% DE-126ExperimentalNot described
Receives: Drug: Topical low dose of DE-126 Ophthalmic Solution
Medium dose 0.002% DE-126ExperimentalNot described
Receives: Drug: Topical medium dose of DE-126 Ophthalmic Solution
High dose 0.003% DE-126ExperimentalNot described
Receives: Drug: Topical high dose of DE-126 Ophthalmic Solution
0.005% LatanoprostActive comparatorNot described
Receives: Drug: 0.005% Latanoprost Ophthalmic Solution

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Intraocular Pressure in the Study Eye at Month 3

    Intraocular Pressure (IOP),the fluid pressure inside the eye was measured by the Goldmann applanation tonometer in millimeters mercury (mmHg) at 3 time-points throughout the day.

    Measured: 9:00, 13:00 and 17:00 at Month 3

Secondary outcomes (9)
  1. Intraocular Pressure in the Study Eye at Week 6

    Intraocular Pressure (IOP),the fluid pressure inside the eye was measured by the Goldmann applanation tonometer in millimeters mercury (mmHg) at 3 time-points throughout the day.

    Measured: 9:00, 13:00 and 17:00 at Week 6

  2. Intraocular Pressure in the Study Eye at Week 1 and Week 2

    Intraocular Pressure (IOP),the fluid pressure inside the eye was measured by the Goldmann applanation tonometer in millimeters mercury (mmHg) at 3 time-points throughout the day.

    Measured: 9:00, 13:00 and 17:00 at Week 1 and Week 2

  3. Mean Diurnal Intraocular Pressure in the Study Eye at Each Post-baseline Visit

    Mean Diurnal IOP was defined as the mean of the IOP values at the three schedules timepoints (9:00, 13:00 and 17:00) at that visit for that subject.

    Measured: Week 1, Week 2, Week 6 and Month 3.

  4. Change From Baseline (CFB) in Mean Diurnal Intraocular Pressure in the Study Eye at Each Post-baseline Visit

    Mean Diurnal IOP was defined as the mean of the IOP values at the three schedules timepoints (9:00, 13:00 and 17:00) at that visit for that subject.

    Measured: Week 1, Week 2, Week 6 and Month 3.

  5. Percent Change From Baseline (CFB) in Mean Diurnal Intraocular Pressure in the Study Eye at Each Post-baseline Visit

    Mean Diurnal IOP was defined as the mean of the IOP values at the three schedules timepoints (9:00, 13:00 and 17:00) at that visit for that subject.

    Measured: Week 1, Week 2, Week 6 and Month 3.

  6. Change From Baseline (CFB) in Intraocular Pressure in the Study Eye at Three Time Points at Each Post-baseline Visit

    Intraocular Pressure (IOP),the fluid pressure inside the eye was measured by the Goldmann applanation tonometer in millimeters mercury (mmHg) at 3 time-points throughout the day.

    Measured: 9:00, 13:00 and 17:00 at Week 1, Week 2, Week 6 and Month 3.

  7. Percent Change From Baseline (CFB) in Intraocular Pressure in the Study Eye at Three Time Points at Each Post-baseline Visit

    Intraocular Pressure (IOP),the fluid pressure inside the eye was measured by the Goldmann applanation tonometer in millimeters mercury (mmHg) at 3 time-points throughout the day.

    Measured: 9:00, 13:00 and 17:00 at Week 1, Week 2, Week 6 and Month 3.

  8. Percentage of Subjects With Mean Diurnal Intraocular Pressure Reduction From Baseline ≥ 20%, 25% and 30% in the Study Eye at Each Post-baseline Visit

    A Subject was a responder if the percent reduction from baseline in mean diurnal IOP in the study eye was ≥ 20%.

    A Subject was a responder if the percent reduction from baseline in mean diurnal IOP in the study eye was ≥ 25%.

    A Subject was a responder if the percent reduction from baseline in mean diurnal IOP in the study eye was ≥ 30%.

    Measured: WeeK 1, Week 2, Week 6 and Month 3.

  9. Percentage of Subjects With Mean Diurnal Intraocular Pressure ≤ 18 mmHg in the Study Eye at Each Post-baseline Visit

    A subject was a responder if the mean diurnal IOP in the study eye was ≤ 18 mmHg.

    Measured: Week 1, Week 2, Week 6 and Month 3.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Jul 2017
  2. Study start25 Jul 2017
  3. Primary completion27 Feb 2018
  4. Study completion27 Feb 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
241 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03216902
Sponsor's protocol ID
012601IN
Status last verified
Sep 2020
First submitted
11 Jul 2017
Last updated
23 Oct 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • 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.

    PubMed 35167779

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Topical ultra-low dose of DE-126 Ophthalmic Solution, Topical low dose of DE-126 Ophthalmic Solution and Topical medium dose of DE-126 Ophthalmic Solution in people with Open-angle Glaucoma, Ocular Hypertension, run by Santen Inc. at 17 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in United States, Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 Oct 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Intraocular Pressure in the Study Eye at Month 3 (time frame: 9:00, 13:00 and 17:00 at Month 3). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03216902, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Oct 2020.

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