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A Study of the Safety and Efficacy of Bimatoprost in Patients With Glaucoma or Ocular Hypertension

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00538304
Enrollment
222
Registered
2007-10-02
Start date
2007-11-30
Completion date
2008-05-31
Last updated
2019-04-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Glaucoma, Ocular Hypertension

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

DRUGbimatoprost eye drops

1 drop in each eye daily for 1 month

DRUGplacebo

1 drop in each eye daily for 1 month

Sponsors

Allergan
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Chronic glaucoma or ocular hypertension * IOP controlled on Xalatan

Exclusion criteria

* Uncontrolled medical conditions * Known hypersensitivity to study medications

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Mean Peak Macroscopic Conjunctival Hyperemia at Month 1Baseline, Month 1Change 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

MeasureTime frameDescription
Percentage of Patients With an Increase in Macroscopic Conjunctival Hyperemia in Either Eye at Month 1Month 1Percentage 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 1Baseline, Month 1Change 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 1Month 1Percentage 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 1Month 1Percentage 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 1Month 1Percentage 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

ArmCount
Bimatoprost Eye Drops
Bimatoprost eye drops
151
Placebo
Placebo
71
Total222

Baseline characteristics

CharacteristicBimatoprost Eye DropsPlaceboTotal
Age, Customized
< 45 years
9 participants2 participants11 participants
Age, Customized
> 65 years
76 participants37 participants113 participants
Age, Customized
Between 45 and 65 years
66 participants32 participants98 participants
Sex: Female, Male
Female
91 Participants44 Participants135 Participants
Sex: Female, Male
Male
60 Participants27 Participants87 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
10 / 1502 / 71
serious
Total, serious adverse events
0 / 1500 / 71

Outcome results

Primary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Bimatoprost Eye DropsChange From Baseline in Mean Peak Macroscopic Conjunctival Hyperemia at Month 1Month 10.18 Number on a scale (score)Standard Deviation 0.456
Bimatoprost Eye DropsChange From Baseline in Mean Peak Macroscopic Conjunctival Hyperemia at Month 1Baseline0.32 Number on a scale (score)Standard Deviation 0.28
PlaceboChange From Baseline in Mean Peak Macroscopic Conjunctival Hyperemia at Month 1Baseline0.30 Number on a scale (score)Standard Deviation 0.288
PlaceboChange From Baseline in Mean Peak Macroscopic Conjunctival Hyperemia at Month 1Month 10.02 Number on a scale (score)Standard Deviation 0.321
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Bimatoprost Eye DropsChange From Baseline in Mean Intraocular Pressure (IOP) at Month 1Baseline, 8AM18.2 millimeters of mercury (mmHg)Standard Deviation 3.13
Bimatoprost Eye DropsChange From Baseline in Mean Intraocular Pressure (IOP) at Month 1Month 1, 8AM-1.0 millimeters of mercury (mmHg)Standard Deviation 2.64
PlaceboChange From Baseline in Mean Intraocular Pressure (IOP) at Month 1Baseline, 8AM18.0 millimeters of mercury (mmHg)Standard Deviation 3.34
PlaceboChange From Baseline in Mean Intraocular Pressure (IOP) at Month 1Month 1, 8AM3.6 millimeters of mercury (mmHg)Standard Deviation 3.85
Secondary

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.

ArmMeasureValue (NUMBER)
Bimatoprost Eye DropsPercentage of Patients Who Reported No Change in the Appearance of Their Eyes Since the Beginning of the Study at Month 195.1 Percentage of Patients
PlaceboPercentage of Patients Who Reported No Change in the Appearance of Their Eyes Since the Beginning of the Study at Month 194.1 Percentage of Patients
Secondary

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.

ArmMeasureValue (NUMBER)
Bimatoprost Eye DropsPercentage of Patients Who Were Very or Extremely Willing to Use This Glaucoma Medication at Month 188.5 Percentage of Patients
PlaceboPercentage of Patients Who Were Very or Extremely Willing to Use This Glaucoma Medication at Month 152.9 Percentage of Patients
Secondary

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.

ArmMeasureValue (NUMBER)
Bimatoprost Eye DropsPercentage of Patients With an Increase in Macroscopic Conjunctival Hyperemia in Either Eye at Month 18.16 Percentage of Patients
PlaceboPercentage of Patients With an Increase in Macroscopic Conjunctival Hyperemia in Either Eye at Month 11.41 Percentage of Patients
Secondary

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.

ArmMeasureValue (NUMBER)
Bimatoprost Eye DropsPercentage of Physicians Who Were Very or Extremely Willing to Continue Patient on Drug, if Drug Were Marketed at Month 185.7 Percentage of Physicians
PlaceboPercentage of Physicians Who Were Very or Extremely Willing to Continue Patient on Drug, if Drug Were Marketed at Month 139.5 Percentage of Physicians

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026