Glaucoma, Ocular Hypertension
Conditions
Brief summary
A one month study which will determine the safety and efficacy of bimatoprost eye drops in patients with glaucoma or ocular hypertension
Interventions
1 drop in each eye daily for 1 month
1 drop in each eye daily for 1 month
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic glaucoma or ocular hypertension * IOP controlled on Xalatan
Exclusion criteria
* Uncontrolled medical conditions * Known hypersensitivity to study medications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Mean Peak Macroscopic Conjunctival Hyperemia at Month 1 | Baseline, Month 1 | Change from Baseline in macroscopic conjunctival hyperemia (or visible eye redness). Macroscopic conjunctival hyperemia is graded by the investigator who compares the patient's visual appearance of eye redness to standard photographs using a 5-point scale (Scale 0 to +3: none, trace, mild, moderate, severe). The peak change is calculated for each eye by subtracting the largest score across the hourly measurements at baseline from the largest score across the hourly measurements at month 1. A positive number severity grade change from baseline indicated an increase in redness. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Patients With an Increase in Macroscopic Conjunctival Hyperemia in Either Eye at Month 1 | Month 1 | Percentage of patients with a \>= 1 unit increase in macroscopic conjunctival hyperemia in either eye at the Month 1, 8 AM time point. Macroscopic conjunctival hyperemia is graded by the investigator who compares the patient's visual appearance of eye redness to standard photographs using a 5-point scale (Scale 0 to +3: none, trace, mild, moderate, severe). |
| Change From Baseline in Mean Intraocular Pressure (IOP) at Month 1 | Baseline, Month 1 | Change from baseline in mean (average) IOP at Month 1 8 AM timepoint. IOP is a measurement of the fluid pressure inside the eye. For each eye, the IOP was either the average of the 2 measurements, or, if a third measurement was required, the median of the 3 measurements. A negative number change from Baseline indicated a reduction in IOP. |
| Percentage of Physicians Who Were Very or Extremely Willing to Continue Patient on Drug, if Drug Were Marketed at Month 1 | Month 1 | Percentage of physicians who were very or extremely willing to continue patient on drug if drug were marketed based on their reported response to the question. Physicians were asked Overall, based on how well this drug lowered THIS patient's IOP, balanced with any adverse events she/he may have experienced, would you consider continuing THIS medication (if the drug was marketed)?. The responses were extremely willing, very willing, somewhat willing and not willing. If not willing, physician was asked for reason. |
| Percentage of Patients Who Were Very or Extremely Willing to Use This Glaucoma Medication at Month 1 | Month 1 | Percentage of patients who were very or extremely willing to continue to use this glaucoma medication based on their reported response to the question. Patients were asked Overall, based on how well this drug lowered your IOP, your concern about the preservation of your vision, balanced with any side effects you may have experienced using your medication, would you be willing to continue this medication (eye drops) if your physician prescribed it?. The responses were extremely willing, very willing, somewhat willing and not willing. If not willing, patient was asked for reason. |
| Percentage of Patients Who Reported No Change in the Appearance of Their Eyes Since the Beginning of the Study at Month 1 | Month 1 | Percentage of patients who reported no change in the appearance of their eyes since the beginning of the study. Patients were asked Are you experiencing a change in how your eye looks now since you began your current glaucoma medication?. The responses were yes or no. If yes, patient was asked for primary reason and if better, worse or as expected based on what the doctor's office told them to expect. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Bimatoprost Eye Drops Bimatoprost eye drops | 151 |
| Placebo Placebo | 71 |
| Total | 222 |
Baseline characteristics
| Characteristic | Bimatoprost Eye Drops | Placebo | Total |
|---|---|---|---|
| Age, Customized < 45 years | 9 participants | 2 participants | 11 participants |
| Age, Customized > 65 years | 76 participants | 37 participants | 113 participants |
| Age, Customized Between 45 and 65 years | 66 participants | 32 participants | 98 participants |
| Sex: Female, Male Female | 91 Participants | 44 Participants | 135 Participants |
| Sex: Female, Male Male | 60 Participants | 27 Participants | 87 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 10 / 150 | 2 / 71 |
| serious Total, serious adverse events | 0 / 150 | 0 / 71 |
Outcome results
Change From Baseline in Mean Peak Macroscopic Conjunctival Hyperemia at Month 1
Change from Baseline in macroscopic conjunctival hyperemia (or visible eye redness). Macroscopic conjunctival hyperemia is graded by the investigator who compares the patient's visual appearance of eye redness to standard photographs using a 5-point scale (Scale 0 to +3: none, trace, mild, moderate, severe). The peak change is calculated for each eye by subtracting the largest score across the hourly measurements at baseline from the largest score across the hourly measurements at month 1. A positive number severity grade change from baseline indicated an increase in redness.
Time frame: Baseline, Month 1
Population: Modified Intent-to-Treat (m-ITT). The m-ITT population included all patients who were enrolled in the study, received at least 1 dose of study medication and were evaluated for macroscopic conjunctival hyperemia at baseline and the month 1 visits.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Bimatoprost Eye Drops | Change From Baseline in Mean Peak Macroscopic Conjunctival Hyperemia at Month 1 | Month 1 | 0.18 Number on a scale (score) | Standard Deviation 0.456 |
| Bimatoprost Eye Drops | Change From Baseline in Mean Peak Macroscopic Conjunctival Hyperemia at Month 1 | Baseline | 0.32 Number on a scale (score) | Standard Deviation 0.28 |
| Placebo | Change From Baseline in Mean Peak Macroscopic Conjunctival Hyperemia at Month 1 | Baseline | 0.30 Number on a scale (score) | Standard Deviation 0.288 |
| Placebo | Change From Baseline in Mean Peak Macroscopic Conjunctival Hyperemia at Month 1 | Month 1 | 0.02 Number on a scale (score) | Standard Deviation 0.321 |
Change From Baseline in Mean Intraocular Pressure (IOP) at Month 1
Change from baseline in mean (average) IOP at Month 1 8 AM timepoint. IOP is a measurement of the fluid pressure inside the eye. For each eye, the IOP was either the average of the 2 measurements, or, if a third measurement was required, the median of the 3 measurements. A negative number change from Baseline indicated a reduction in IOP.
Time frame: Baseline, Month 1
Population: Modified Intent-to-Treat (m-ITT). The m-ITT population included all patients who were enrolled in the study, received at least 1 dose of study medication and were evaluated for macroscopic conjunctival hyperemia at baseline and the month 1 visits.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Bimatoprost Eye Drops | Change From Baseline in Mean Intraocular Pressure (IOP) at Month 1 | Baseline, 8AM | 18.2 millimeters of mercury (mmHg) | Standard Deviation 3.13 |
| Bimatoprost Eye Drops | Change From Baseline in Mean Intraocular Pressure (IOP) at Month 1 | Month 1, 8AM | -1.0 millimeters of mercury (mmHg) | Standard Deviation 2.64 |
| Placebo | Change From Baseline in Mean Intraocular Pressure (IOP) at Month 1 | Baseline, 8AM | 18.0 millimeters of mercury (mmHg) | Standard Deviation 3.34 |
| Placebo | Change From Baseline in Mean Intraocular Pressure (IOP) at Month 1 | Month 1, 8AM | 3.6 millimeters of mercury (mmHg) | Standard Deviation 3.85 |
Percentage of Patients Who Reported No Change in the Appearance of Their Eyes Since the Beginning of the Study at Month 1
Percentage of patients who reported no change in the appearance of their eyes since the beginning of the study. Patients were asked Are you experiencing a change in how your eye looks now since you began your current glaucoma medication?. The responses were yes or no. If yes, patient was asked for primary reason and if better, worse or as expected based on what the doctor's office told them to expect.
Time frame: Month 1
Population: Modified Intent-to-Treat (m-ITT). The m-ITT population included all patients who were enrolled in the study, received at least 1 dose of study medication and were evaluated for macroscopic conjunctival hyperemia at baseline and the month 1 visits.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Bimatoprost Eye Drops | Percentage of Patients Who Reported No Change in the Appearance of Their Eyes Since the Beginning of the Study at Month 1 | 95.1 Percentage of Patients |
| Placebo | Percentage of Patients Who Reported No Change in the Appearance of Their Eyes Since the Beginning of the Study at Month 1 | 94.1 Percentage of Patients |
Percentage of Patients Who Were Very or Extremely Willing to Use This Glaucoma Medication at Month 1
Percentage of patients who were very or extremely willing to continue to use this glaucoma medication based on their reported response to the question. Patients were asked Overall, based on how well this drug lowered your IOP, your concern about the preservation of your vision, balanced with any side effects you may have experienced using your medication, would you be willing to continue this medication (eye drops) if your physician prescribed it?. The responses were extremely willing, very willing, somewhat willing and not willing. If not willing, patient was asked for reason.
Time frame: Month 1
Population: Modified Intent-to-Treat (m-ITT). The m-ITT population included all patients who were enrolled in the study, received at least 1 dose of study medication and were evaluated for macroscopic conjunctival hyperemia at baseline and the month 1 visits.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Bimatoprost Eye Drops | Percentage of Patients Who Were Very or Extremely Willing to Use This Glaucoma Medication at Month 1 | 88.5 Percentage of Patients |
| Placebo | Percentage of Patients Who Were Very or Extremely Willing to Use This Glaucoma Medication at Month 1 | 52.9 Percentage of Patients |
Percentage of Patients With an Increase in Macroscopic Conjunctival Hyperemia in Either Eye at Month 1
Percentage of patients with a \>= 1 unit increase in macroscopic conjunctival hyperemia in either eye at the Month 1, 8 AM time point. Macroscopic conjunctival hyperemia is graded by the investigator who compares the patient's visual appearance of eye redness to standard photographs using a 5-point scale (Scale 0 to +3: none, trace, mild, moderate, severe).
Time frame: Month 1
Population: Modified Intent-to-Treat (m-ITT). The m-ITT population included all patients who were enrolled in the study, received at least 1 dose of study medication and were evaluated for macroscopic conjunctival hyperemia at baseline and the month 1 visits.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Bimatoprost Eye Drops | Percentage of Patients With an Increase in Macroscopic Conjunctival Hyperemia in Either Eye at Month 1 | 8.16 Percentage of Patients |
| Placebo | Percentage of Patients With an Increase in Macroscopic Conjunctival Hyperemia in Either Eye at Month 1 | 1.41 Percentage of Patients |
Percentage of Physicians Who Were Very or Extremely Willing to Continue Patient on Drug, if Drug Were Marketed at Month 1
Percentage of physicians who were very or extremely willing to continue patient on drug if drug were marketed based on their reported response to the question. Physicians were asked Overall, based on how well this drug lowered THIS patient's IOP, balanced with any adverse events she/he may have experienced, would you consider continuing THIS medication (if the drug was marketed)?. The responses were extremely willing, very willing, somewhat willing and not willing. If not willing, physician was asked for reason.
Time frame: Month 1
Population: Modified Intent-to-Treat (m-ITT). The m-ITT population included all patients who were enrolled in the study, received at least 1 dose of study medication and were evaluated for macroscopic conjunctival hyperemia at baseline and the month 1 visits.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Bimatoprost Eye Drops | Percentage of Physicians Who Were Very or Extremely Willing to Continue Patient on Drug, if Drug Were Marketed at Month 1 | 85.7 Percentage of Physicians |
| Placebo | Percentage of Physicians Who Were Very or Extremely Willing to Continue Patient on Drug, if Drug Were Marketed at Month 1 | 39.5 Percentage of Physicians |