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Primary Open-angle GlaucomaPhase 4NCT03331770

Efficacy and Tolerability of an Innovative Formulation of BAK-free Latanoprost

A Phase 4 study testing Latanoprost Ophthalmic Product in people with Primary Open-angle Glaucoma, run by Laboratorios Poen at 1 site in Argentina.

Completed

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

Official record
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Trial summary

This study evaluates the efficacy and tolerability of a new formulation of latanoprost without Benzalkonium Chloride (BAK-free). Patients with open-angle glaucoma who were using BAK-containing latanoprost ophthalmic solution for ≥6 months, switched to BAK-free latanoprost ophthalmic emulsion. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Primary Open-angle Glaucoma
What is being tested?
Latanoprost Ophthalmic Product
Could I receive a placebo?
No, everyone receives an active treatment
How many people
103 participants
Where
1 siteArgentina
Study dates
6 Jan 2017to 6 Oct 2017
Phase
Phase 4
Are there results?
None posted in the registry

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

  • Men and women aged ≥ 18 years
  • Diagnosed with primary open-angle glaucoma or pseudoexfoliative glaucoma.
  • Receiving containing-BAK latanoprost as monotherapy for at least 6 months
  • Pachymetry between 520 and 580 microns
  • Informed consent given

Who cannot join

  • History of allergic hypersensitivity or poor tolerance to latanoprost or any components of the formula
  • Angle closure glaucoma or secondary glaucoma
  • History of recent previous glaucoma surgery or trabeculoplasty (less than 1 year of surgery)
  • History of cataract surgery during the last 6 months
  • History of uveitis or intraocular inflammation
  • Corneal alteration
  • Pregnant patients, who wish to conceive or who are in the nursing period.

Trial locations and contacts

1 site in 1 country.

Argentina1 site
  • Laboratoarios Poen

    Buenos Aires, 1407

Other trials in Argentina

About this study

Official title: Multicentric Study to Evaluate the Efficacy and Tolerability of an Innovative Formulation of Benzalkonium Chloride-free Latanoprost in Patients With Primary Open-Angle Glaucoma

This study evaluates the efficacy and tolerability of a new formulation of latanoprost without Benzalkonium Chloride (BAK-free). Patients with open-angle glaucoma who were using BAK-containing latanoprost ophthalmic solution for ≥6 months, switched to BAK-free latanoprost ophthalmic emulsion.

Read the detailed description

Latanoprost is a prostaglandin F2alfa analogue that increases the uveoscleral outflow of aqueous humor, resulting in a intraocular pressure (IOP) reduction. Benzalkonium chloride (BAK) is usually employed in formulations of prostaglandin analogues due to its dual action of preservative and adjuvant in the formulation. However, this preservative has known toxic effects on the ocular surface, causing ocular dryness and discomfort on long-term use. Benzalkonium Chloride-free (BAK-free)Latanoprost is a new formulation approved for the use in patients with primary open angle glaucoma /ocular hypertension. In this study, patients that were using BAK-containing latanoprost for ≥6 months, switched to a new formulation of BAK-free latanoprost ophthalmic emulsion to evaluate its hypotensive action and quantify the changes in ocular surface parameters.

Being tested
Latanoprost Ophthalmic Product
Keywords
Benzalkonium Chloride, Latanoprost, BAK-free, Glaucoma, Ocular hypertension, conjunctival hyperemia, BUT, OSDI, Schirmer I, Corneal staining, Tear meniscus height
Medical subject headings
Glaucoma, Open-Angle, Glaucoma, Ocular Hypertension

What participants receive

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

  • Latanoprost Ophthalmic ProductDrug

    Also called Louten® Emulsion

    Multidose bottle, preserved with potassium sorbate, that can be stored at room temperature up to 30°C during all shelf life, the emulsion does not require shaking before use

Study groups in NCT03331770
Study groupRoleWhat they receive
BAK-free latanoprost ophthalmic emulsionExperimentalPatients with primary open-angle glaucoma who were using BAK-containing latanoprost ophthalmic solution for ≥ 6 months (baseline), switched to a new formulation of latanoprost ophthalmic product
Receives: Drug: Latanoprost Ophthalmic Product

What is being measured

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

  1. Intraocular pressure

    Intraocular pressure (IOP) is the fluid pressure inside the eye. Tonometry is the method eye care professionals use to determine it. IOP is an important aspect in the evaluation of patients at risk from glaucoma. Most tonometers measure pressure in millimeters of mercury (mmHg).

    Measured: At the baseline (still on treatment with BAK-containing latanoprost)

  2. Intraocular pressure

    Intraocular pressure (IOP) is the fluid pressure inside the eye. Tonometry is the method eye care professionals use to determine it. IOP is an important aspect in the evaluation of patients at risk from glaucoma. Most tonometers measure pressure in millimeters of mercury (mmHg).

    Measured: After 4 weeks of treatment with BAK-free latanoprost

  3. Intraocular pressure

    Intraocular pressure (IOP) is the fluid pressure inside the eye. Tonometry is the method eye care professionals use to determine it. IOP is an important aspect in the evaluation of patients at risk from glaucoma. Most tonometers measure pressure in millimeters of mercury (mmHg).

    Measured: After 8 weeks of treatment with BAK-free latanoprost

  4. Intraocular pressure

    Intraocular pressure (IOP) is the fluid pressure inside the eye. Tonometry is the method eye care professionals use to determine it. IOP is an important aspect in the evaluation of patients at risk from glaucoma. Most tonometers measure pressure in millimeters of mercury (mmHg).

    Measured: After 12 weeks of treatment with BAK-free latanoprost

Secondary outcomes (24)
  1. Ocular Surface Disease Index (OSDI)

    The OSDI score is a valid and reliable instrument for measuring dry eye disease severity (normal, mild to moderate, and sever) and effect on vision related function. It is determined using OSDI questionnaire (score). The OSDI score is assessed on a scale of 0 to 100, with higher scores representing greater disability. The index demonstrates sensitivity and specificity in distinguishing between normal patients and patients with dry eye disease.

    Measured: At the baseline (still on treatment with BAK-containing latanoprost)

  2. Ocular Surface Disease Index (OSDI)

    The OSDI score is a valid and reliable instrument for measuring dry eye disease severity (normal, mild to moderate, and sever) and effect on vision related function. It is determined using OSDI questionnaire (score). The OSDI score is assessed on a scale of 0 to 100, with higher scores representing greater disability. The index demonstrates sensitivity and specificity in distinguishing between normal patients and patients with dry eye disease.

    Measured: After 4 weeks of treatment with BAK-free latanoprost

  3. Ocular Surface Disease Index (OSDI)

    The OSDI score is a valid and reliable instrument for measuring dry eye disease severity (normal, mild to moderate, and sever) and effect on vision related function. It is determined using OSDI questionnaire (score). The OSDI score is assessed on a scale of 0 to 100, with higher scores representing greater disability. The index demonstrates sensitivity and specificity in distinguishing between normal patients and patients with dry eye disease.

    Measured: After 8 weeks of treatment with BAK-free latanoprost

  4. Ocular Surface Disease Index (OSDI)

    The OSDI score is a valid and reliable instrument for measuring dry eye disease severity (normal, mild to moderate, and sever) and effect on vision related function. It is determined using OSDI questionnaire (score). The OSDI score is assessed on a scale of 0 to 100, with higher scores representing greater disability. The index demonstrates sensitivity and specificity in distinguishing between normal patients and patients with dry eye disease.

    Measured: After 12 weeks of treatment with BAK-free latanoprost

  5. Conjunctival hyperemia

    Patients on treatment with prostaglandin analogues preserved with BAK suffer from conjunctival hyperemia. It is the most common side effect that leads to discontinuation or non-compliance. It is determined with the slit lamp. It is classified as patients without hyperemia or with mild, moderate, or severe hyperemia.

    Measured: At the baseline (still on treatment with BAK-containing latanoprost)

  6. Conjunctival hyperemia

    Patients on treatment with prostaglandin analogues preserved with BAK suffer from conjunctival hyperemia. It is the most common side effect that leads to discontinuation or non-compliance. It is determined with the slit lamp. It is classified as patients without hyperemia or with mild, moderate, or severe hyperemia.

    Measured: After 4 weeks of treatment with BAK-free latanoprost

  7. Conjunctival hyperemia

    Patients on treatment with prostaglandin analogues preserved with BAK suffer from conjunctival hyperemia. It is the most common side effect that leads to discontinuation or non-compliance. It is determined with the slit lamp. It is classified as patients without hyperemia or with mild, moderate, or severe hyperemia.

    Measured: After 8 weeks of treatment with BAK-free latanoprost

  8. Conjunctival hyperemia

    Patients on treatment with prostaglandin analogues preserved with BAK suffer from conjunctival hyperemia. It is the most common side effect that leads to discontinuation or non-compliance. It is determined with the slit lamp. It is classified as patients without hyperemia or with mild, moderate, or severe hyperemia.

    Measured: After 12 weeks of treatment with BAK-free latanoprost

  9. Schirmer I test

    Schirmer test measures the production of tears. This test consists of placing a small strip of filter paper inside the lower eyelid (inferior fornix). The eyes are closed for 5 minutes. The paper is then removed and the amount of moisture is measured (millimeter).

    Measured: At the baseline (still on treatment with BAK-containing latanoprost)

  10. Schirmer I test

    Schirmer test measures the production of tears. This test consists of placing a small strip of filter paper inside the lower eyelid (inferior fornix). The eyes are closed for 5 minutes. The paper is then removed and the amount of moisture is measured (millimeter).

    Measured: After 4 weeks of treatment with BAK-free latanoprost

  11. Schirmer I test

    Schirmer test measures the production of tears. This test consists of placing a small strip of filter paper inside the lower eyelid (inferior fornix). The eyes are closed for 5 minutes. The paper is then removed and the amount of moisture is measured (millimeter).

    Measured: After 8 weeks of treatment with BAK-free latanoprost

  12. Schirmer I test

    Schirmer test measures the production of tears. This test consists of placing a small strip of filter paper inside the lower eyelid (inferior fornix). The eyes are closed for 5 minutes. The paper is then removed and the amount of moisture is measured (millimeter).

    Measured: After 12 weeks of treatment with BAK-free latanoprost

  13. Break up time (BUT)

    Tear film break-up time (TBUT) is a method for determining the stability of the tear film and checking evaporative dry eye. In testing for TBUT, sodium fluorescein dye is added to the eye and the tear film is observed under the slit lamp while the patient avoids blinking until tiny dry spots develop. The BUT is recorded as the number of seconds that elapse between the last blink and the appearance of the first dry spot in the tear film.

    Measured: At the baseline (still on treatment with BAK-containing latanoprost)

  14. Break up time (BUT)

    Tear film break-up time (TBUT) is a method for determining the stability of the tear film and checking evaporative dry eye. In testing for TBUT, sodium fluorescein dye is added to the eye and the tear film is observed under the slit lamp while the patient avoids blinking until tiny dry spots develop. The BUT is recorded as the number of seconds that elapse between the last blink and the appearance of the first dry spot in the tear film.

    Measured: After 4 weeks of treatment with BAK-free latanoprost

  15. Break up time (BUT)

    Tear film break-up time (TBUT) is a method for determining the stability of the tear film and checking evaporative dry eye. In testing for TBUT, sodium fluorescein dye is added to the eye and the tear film is observed under the slit lamp while the patient avoids blinking until tiny dry spots develop. The BUT is recorded as the number of seconds that elapse between the last blink and the appearance of the first dry spot in the tear film.

    Measured: After 8 weeks of treatment with BAK-free latanoprost

  16. Break up time (BUT)

    Tear film break-up time (TBUT) is a method for determining the stability of the tear film and checking evaporative dry eye. In testing for TBUT, sodium fluorescein dye is added to the eye and the tear film is observed under the slit lamp while the patient avoids blinking until tiny dry spots develop. The BUT is recorded as the number of seconds that elapse between the last blink and the appearance of the first dry spot in the tear film.

    Measured: After 12 weeks of treatment with BAK-free latanoprost

  17. Corneal epithelial fluorescein staining

    This is a test that uses orange dye (fluorescein) and a blue light to detect damage to the cornea. Fluorescein does not stain intact corneal epithelium but does stain corneal stroma, thus demarcating the area of the epithelial loss. Number of patients with corneal epithelial defects classified as inferior punctata keratitis or central corneal keratitis.

    Measured: At the baseline (still on treatment with BAK-containing latanoprost)

  18. Corneal epithelial fluorescein staining

    This is a test that uses orange dye (fluorescein) and a blue light to detect damage to the cornea. Fluorescein does not stain intact corneal epithelium but does stain corneal stroma, thus demarcating the area of the epithelial loss. Number of patients with corneal epithelial defects classified as inferior punctata keratitis or central corneal keratitis.

    Measured: After 4 weeks of treatment with BAK-free latanoprost

  19. Corneal epithelial fluorescein staining

    This is a test that uses orange dye (fluorescein) and a blue light to detect damage to the cornea. Fluorescein does not stain intact corneal epithelium but does stain corneal stroma, thus demarcating the area of the epithelial loss. Number of patients with corneal epithelial defects classified as inferior punctata keratitis or central corneal keratitis.

    Measured: After 8 weeks of treatment with BAK-free latanoprost

  20. Corneal epithelial fluorescein staining

    This is a test that uses orange dye (fluorescein) and a blue light to detect damage to the cornea. Fluorescein does not stain intact corneal epithelium but does stain corneal stroma, thus demarcating the area of the epithelial loss. Number of patients with corneal epithelial defects classified as inferior punctata keratitis or central corneal keratitis.

    Measured: After 12 weeks of treatment with BAK-free latanoprost

  21. Tear meniscus height

    The height of the tear meniscus is related to the tear secretion rate and tear stability, and it is a good indicator of the overall tear volume. It is measured with a slit lamp and classified as normal, increased or decreased (millimeter).

    Measured: At the baseline (still on treatment with BAK-containing latanoprost)

  22. Tear meniscus height

    The height of the tear meniscus is related to the tear secretion rate and tear stability, and it is a good indicator of the overall tear volume. It is measured with a slit lamp and classified as normal, increased or decreased (millimeter).

    Measured: After 4 weeks of treatment with BAK-free latanoprost

  23. Tear meniscus height

    The height of the tear meniscus is related to the tear secretion rate and tear stability, and it is a good indicator of the overall tear volume. It is measured with a slit lamp and classified as normal, increased or decreased (millimeter).

    Measured: After 8 weeks of treatment with BAK-free latanoprost

  24. Tear meniscus height

    The height of the tear meniscus is related to the tear secretion rate and tear stability, and it is a good indicator of the overall tear volume. It is measured with a slit lamp and classified as normal, increased or decreased (millimeter).

    Measured: After 12 weeks of treatment with BAK-free latanoprost

Timeline

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

  1. First posted6 Nov 2017
  2. Study start6 Jan 2017
  3. Primary completion6 Oct 2017
  4. Study completion6 Oct 2017

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 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
A prospective, open-label, single-arm, multicenter, 12-week study
Masking
None (open label)
Enrolment
103 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03331770
Sponsor's protocol ID
SOLEMU03
Status last verified
Oct 2017
First submitted
25 Oct 2017
Last updated
8 Nov 2017
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Walimbe T, Chelerkar V, Bhagat P, Joshi A, Raut A. Effect of benzalkonium chloride-free latanoprost ophthalmic solution on ocular surface in patients with glaucoma. Clin Ophthalmol. 2016 May 9;10:821-7. doi: 10.2147/OPTH.S102976. eCollection 2016.

    PubMed 27274186
  • Munoz Negrete FJ, Lemij HG, Erb C. Switching to preservative-free latanoprost: impact on tolerability and patient satisfaction. Clin Ophthalmol. 2017 Mar 21;11:557-566. doi: 10.2147/OPTH.S126042. eCollection 2017.

    PubMed 28356710
  • Cucherat M, Stalmans I, Rouland JF. Relative efficacy and safety of preservative-free latanoprost (T2345) for the treatment of open-angle glaucoma and ocular hypertension: an adjusted Indirect comparison meta-analysis of randomized clinical trials. J Glaucoma. 2014 Jan;23(1):e69-75. doi: 10.1097/IJG.0b013e3182a075e6.

    PubMed 23881267
  • Denis P; Monoprost French Study Group. [Unpreserved latanoprost in the treatment of open-angle glaucoma and ocular hypertension. A multicenter, randomized, controlled study]. J Fr Ophtalmol. 2016 Sep;39(7):622-30. doi: 10.1016/j.jfo.2016.05.006. Epub 2016 Aug 25. French.

    PubMed 27567675
  • Sanford M. Preservative-free latanoprost eye drops in patients with primary open-angle glaucoma/ocular hypertension. Clin Drug Investig. 2014 Jul;34(7):521-8. doi: 10.1007/s40261-014-0203-4.

    PubMed 24895141

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Latanoprost Ophthalmic Product in people with Primary Open-angle Glaucoma, run by Laboratorios Poen at 1 site in Argentina.

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 5 inclusion and 7 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 8 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Argentina. 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 (time frame: At the baseline (still on treatment with BAK-containing latanoprost)). The study lists 4 primary outcomes in all. 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 NCT03331770, which also lists 5 linked publications.

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 8 Nov 2017.

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