Glaucoma and Ocular Hypertension
Conditions
Brief summary
This is a multiple cohort study that will evaluate the safety and efficacy of ENV515 travoprost XR in patients with open-angle glaucoma or ocular hypertension.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of either ocular hypertension or open angle glaucoma in both eyes. * Are currently treated with topical PGA for ocular hypertension in both eyes. * Patients who in the opinion of the Investigator: have an IOP in both eyes that is considered to be adequately controlled, can be safely withdrawn from IOP medications in both eyes during the washout period, and who are not considered to be at significant risk for disease progression throughout the trial.
Exclusion criteria
* Eye surgery (including cataract surgery) within the past 3 months. * History of glaucoma related surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Summary of Change From Baseline Average Intraocular Pressure Diurnal Measurement by Treatment Group Population (Cohort 1) | Baseline and Day 25 | Average intraocular pressure (IOP) diurnal measurement is calculated by taking the average of the intraocular pressure measurements at 8AM, 10AM and 4PM. The protocol was later amended (Amendment 09) to a safety only study so the diurnal measurements were no longer collected for Cohorts 2 and 3; only the 8AM IOP was collected as a safety assessment only. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Cohort 1 - Group 1 2 ENV515-3 implants (28.2 μg travoprost) in Study Eye for 28 days | 7 |
| Cohort 1 - Group 2 3 ENV515-3 implants (42.3 μg travoprost) in Study Eye for 28 days | 10 |
| Cohort 1 - Group 3 1 ENV515-1 implant (42.5 μg travoprost) in Study Eye for 28 days | 2 |
| Cohort 1 - Group 4 2 ENV515-3 implants (85.0 μg travoprost) in Study Eye for 28 days | 2 |
| Cohort 2 2 ENV515-3 implants (28.2 μg travoprost) in Study Eye for up to 21 months | 5 |
| Cohort 3 - Group 1 1 ENV515-3-2 implant (26.1 μg travoprost) in Study Eye for up to 24 months | 6 |
| Cohort 3 - Group 2 2 ENV515-3-2 implants (52.2 μg travoprost) in Study Eye for up to 24 months | 9 |
| Total | 41 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 |
|---|---|---|---|---|---|---|---|---|
| Overall Study | Consent withdrawn | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Baseline characteristics
| Characteristic | Cohort 1 - Group 1 | Cohort 1 - Group 2 | Cohort 1 - Group 3 | Cohort 1 - Group 4 | Cohort 2 | Cohort 3 - Group 1 | Cohort 3 - Group 2 | Total |
|---|---|---|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 7 Participants | 9 Participants | 2 Participants | 1 Participants | 2 Participants | 1 Participants | 6 Participants | 28 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 3 Participants | 5 Participants | 3 Participants | 13 Participants |
| Age, Continuous Cohort 1 | 74.32 Years STANDARD_DEVIATION 4.729 | 71.99 Years STANDARD_DEVIATION 4.213 | 71.29 Years STANDARD_DEVIATION 7.128 | 62.46 Years STANDARD_DEVIATION 8.188 | — | — | — | 71.79 Years STANDARD_DEVIATION 5.619 |
| Age, Continuous Cohorts 2 and 3 | — | — | — | — | 57.412 Years STANDARD_DEVIATION 11.4833 | 59.472 Years STANDARD_DEVIATION 7.2299 | 64.462 Years STANDARD_DEVIATION 10.4534 | 61.203 Years STANDARD_DEVIATION 9.8634 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 2 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 4 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 5 Participants | 10 Participants | 2 Participants | 1 Participants | 4 Participants | 6 Participants | 9 Participants | 37 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Intraocular Pressure (mm Hg) Cohort 1 | 24.57 mm Hg STANDARD_DEVIATION 2.37 | 24.12 mm Hg STANDARD_DEVIATION 2.277 | 24.83 mm Hg STANDARD_DEVIATION 3.064 | 26.67 mm Hg STANDARD_DEVIATION 1.414 | — | — | — | 24.58 mm Hg STANDARD_DEVIATION 2.267 |
| Intraocular Pressure (mm Hg) Cohorts 2 and 3 | — | — | — | — | 26.2 mm Hg STANDARD_DEVIATION 2.39 | 28.2 mm Hg STANDARD_DEVIATION 2.99 | 25.2 mm Hg STANDARD_DEVIATION 1.56 | 26.4 mm Hg STANDARD_DEVIATION 2.5 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 2 Participants | 5 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 7 Participants | 7 Participants | 2 Participants | 2 Participants | 5 Participants | 5 Participants | 7 Participants | 35 Participants |
| Region of Enrollment United States | 7 Participants | 10 Participants | 2 Participants | 2 Participants | 5 Participants | 6 Participants | 9 Participants | 41 Participants |
| Sex: Female, Male Female | 5 Participants | 3 Participants | 2 Participants | 2 Participants | 4 Participants | 2 Participants | 6 Participants | 24 Participants |
| Sex: Female, Male Male | 2 Participants | 7 Participants | 0 Participants | 0 Participants | 1 Participants | 4 Participants | 3 Participants | 17 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk |
|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 7 | 0 / 10 | 0 / 2 | 0 / 2 | 0 / 5 | 0 / 6 | 0 / 9 |
| other Total, other adverse events | 4 / 7 | 7 / 10 | 2 / 2 | 2 / 2 | 5 / 5 | 6 / 6 | 9 / 9 |
| serious Total, serious adverse events | 0 / 7 | 1 / 10 | 0 / 2 | 0 / 2 | 0 / 5 | 0 / 6 | 4 / 9 |
Outcome results
Summary of Change From Baseline Average Intraocular Pressure Diurnal Measurement by Treatment Group Population (Cohort 1)
Average intraocular pressure (IOP) diurnal measurement is calculated by taking the average of the intraocular pressure measurements at 8AM, 10AM and 4PM. The protocol was later amended (Amendment 09) to a safety only study so the diurnal measurements were no longer collected for Cohorts 2 and 3; only the 8AM IOP was collected as a safety assessment only.
Time frame: Baseline and Day 25
Population: Safety Population
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Cohort 1 - Group 1 | Summary of Change From Baseline Average Intraocular Pressure Diurnal Measurement by Treatment Group Population (Cohort 1) | -5.10 mm Hg | Standard Deviation 1.707 |
| Cohort 1 - Group 2 | Summary of Change From Baseline Average Intraocular Pressure Diurnal Measurement by Treatment Group Population (Cohort 1) | -6.65 mm Hg | Standard Deviation 2.076 |
| Cohort 1 - Group 3 | Summary of Change From Baseline Average Intraocular Pressure Diurnal Measurement by Treatment Group Population (Cohort 1) | -3.17 mm Hg | Standard Deviation 1.179 |
| Cohort 1 - Group 4 | Summary of Change From Baseline Average Intraocular Pressure Diurnal Measurement by Treatment Group Population (Cohort 1) | -5.67 mm Hg | Standard Deviation 0 |