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Comparison of Bimatoprost Sustained Release (SR) to Selective Laser Trabeculoplasty (SLT) in Adults With Open-Angle Glaucoma or Ocular Hypertension

A Comparison of Bimatoprost SR to Selective Laser Trabeculoplasty in Patients With Open-Angle Glaucoma or Ocular Hypertension

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02507687
Enrollment
240
Registered
2015-07-24
Start date
2015-08-27
Completion date
2023-05-31
Last updated
2024-05-10

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

Conditions

Glaucoma, Open-Angle, Ocular Hypertension

Brief summary

This study will evaluate the intraocular pressure (IOP)-lowering effect and safety of bimatoprost SR compared with selective laser trabeculoplasty in patients with open-angle glaucoma or ocular hypertension who are not adequately managed with topical IOP-lowering medication for reasons other than medication efficacy (e.g., due to intolerance or nonadherence).

Interventions

Bimatoprost SR is a biodegradable, sustained-release, preservative-free bimatoprost implant, preloaded in an applicator for administration. The Bimatoprost SR implant is injected into the anterior chamber via the corneal limbus using the prefilled applicator.

Sham bimatoprost SR performed using the same procedure as for Bimatoprost SR using an needleless applicator that touches the eye at the area of insertion but does not deliver an implant into the anterior chamber.

PROCEDURESelective Laser Trabeculoplasty

SLT is a laser procedure that targets the melanin, or pigment, in specific cells of the eye. An ophthalmologist performed 360 degrees of SLT using a standardized method.

Sham SLT is performed on the contralateral eye using the same method as for SLT, with the exception that the laser is not switched to the active state.

Sponsors

AbbVie
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Diagnosis of either open-angle glaucoma or ocular hypertension in each eye that require IOP lowering treatment. * In the investigator's opinion, patient's IOP is not adequately managed with topical medication for reasons other than medication efficacy (eg, due to intolerance or nonadherence). * In the investigator's opinion, both eyes can be treated adequately with topical prostamide, prostaglandin, or prostaglandin analog eye drops as the sole therapy if medication was taken as directed, or with SLT monotherapy.

Exclusion criteria

* History of previous laser trabeculoplasty * History or evidence of complicated cataract surgery: eg, surgery resulting in complicated lens placement (such as anterior chamber intraocular lens implant \[IOL\], sulcus IOL, aphakia, etc) or intraoperative complications (such as a posterior capsular tear \[with or without vitreous loss\], substantial iris trauma, etc) or history of phakic IOL insertion for refractive error correction * Intraocular surgery (including cataract surgery) and/or any ocular laser surgery within the 6 months prior to treatment * Previous use of commercially available Bimatoprost SR; concurrent enrollment in another Allergan Bimatoprost SR study; or previous enrollment in which an implant was received.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Intraocular Pressure at Week 4Baseline and Week 4Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. A mixed-effects model with repeated measures (MMRM) was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.
Change From Baseline in Intraocular Pressure at Week 12Baseline and Week 12Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. An MMRM was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.
Change From Baseline in Intraocular Pressure at Week 24Baseline and Week 24Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. An MMRM was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.

Secondary

MeasureTime frameDescription
Time to Initial Use of Non-study IOP-lowering TreatmentFrom first administration of study treatment to the end of study; overall median follow-up time of 728 days.The time from the date of initial treatment to the date date of first use of non-study IOP-lowering treatment (rescue) was analyzed using the Kaplan-Meier method. If a participant did not use any non-study IOP-lowering treatment in an eye, then the event (initial use of non-study IOP-lowering treatment) time was censored at the study exit date or the last visit date if the study exit date was not available.
Percentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleBaseline, Day 2, Weeks 4, 8, 12, 15, 20, 24, 28, 31, 36, 40, 44, 47, 52, Months 13, 14, 15, 16, 18, 20, 22, 24Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. For by-cycle analyses, cycle number refers to the administration cycle for bimatoprost SR, or sham bimatoprost SR administration in SLT-treated eyes. For SLT-treated eyes cycle number does not refer to SLT administrations, because SLT was only performed once (Day 1). The Day/Week number refers to the number of days/weeks after bimatoprost SR/sham bimatoprost SR administration. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.
Change From Baseline in IOP at Weeks 8, 15, and 20Baseline and Weeks 8, 15, and 20IOP was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.

Countries

Australia, Canada, Denmark, France, Germany, Israel, New Zealand, Philippines, Poland, Russia, United Kingdom, United States

Participant flow

Recruitment details

Participants were randomized at 61 sites in 11 countries (Australia, Canada, Germany, Denmark, France, Great Britain, Israel, New Zealand, Philippines, Poland, and the US). The eye with the higher intraocular pressure (IOP) at Baseline was assigned as the primary eye. If Baseline IOP was the same in both eyes, the right eye was the primary eye.

Pre-assignment details

The primary eye was randomized to receive either bimatoprost sustained release (SR) or selective laser trabeculoplasty (SLT) using a 1:1 ratio. If the primary eye received bimatoprost SR, the contralateral eye received SLT. If the primary eye received SLT, the contralateral eye received bimatoprost SR.

Participants by arm

ArmCount
Stage 1: SLT (Primary Eye) / Bimatoprost SR 15 μg (Contralateral Eye)
Participants enrolled prior to implementation of Protocol Amendment 3 (August 2018) received the following treatment in each eye: Assigned Primary Eye: Selective laser trabeculoplasty (SLT) administered on Day 1 followed by up to three sham bimatoprost SR administrations. Contralateral Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 μg administrations. Bimatoprost SR/sham bimatoprost SR was administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reached Week 32 prior to implementation of Protocol Amendment 3 only).
29
Stage 1: Bimatoprost SR 15 μg (Primary Eye) / SLT Contralateral Eye)
Participants enrolled prior to implementation of Protocol Amendment 3 received the following treatment in each eye: Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to three bimatoprost SR 15 μg administrations. Contralateral Eye: SLT administered on Day 1 followed by up to three sham bimatoprost SR administrations. Bimatoprost SR/sham bimatoprost SR was administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2) and Week 32 (Cycle 3; participants who reached Week 32 prior to implementation of Protocol Amendment 3 only).
28
Stage 2: SLT (Primary Eye) / Bimatoprost SR 10 μg (Contralateral Eye)
Participants enrolled after implementation of Protocol Amendment 3 received the following treatment in each eye: Assigned Primary Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations. Contralateral Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 μg administrations. Bimatoprost SR/sham bimatoprost SR was administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could have occurred after Week 16 and prior to Month 12 based on when retreatment criteria were met.
92
Stage 2: Bimatoprost SR 10 μg (Primary Eye) / SLT (Contralateral Eye)
Participants enrolled after implementation of Protocol Amendment 3 received the following treatment in each eye: Assigned Primary Eye: Sham SLT administered on Day 1 followed by up to two bimatoprost SR 10 μg administrations. Contralateral Eye: SLT administered on Day 1 followed by up to two sham bimatoprost SR administrations. Bimatoprost SR/sham bimatoprost SR was administered on Day 4 (Cycle 1) and at Week 16 (Cycle 2). After implementation of Protocol Amendment 6, Cycle 2 retreatment could have occurred after Week 16 and prior to Month 12 based on when retreatment criteria were met.
91
Total240

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event3222
Overall StudyLost to Follow-up0021
Overall StudyOther, Not Specified0024
Overall StudyProtocol Violation1020
Overall StudyScreen Failure0010
Overall StudyWithdrawal by Subject1466

Baseline characteristics

CharacteristicTotalStage 1: Bimatoprost SR 15 μg (Primary Eye) / SLT Contralateral Eye)Stage 1: SLT (Primary Eye) / Bimatoprost SR 15 μg (Contralateral Eye)Stage 2: Bimatoprost SR 10 μg (Primary Eye) / SLT (Contralateral Eye)Stage 2: SLT (Primary Eye) / Bimatoprost SR 10 μg (Contralateral Eye)
Age, Continuous
Stage 1
62.3 years
STANDARD_DEVIATION 13.11
59.6 years
STANDARD_DEVIATION 13.59
64.9 years
STANDARD_DEVIATION 12.32
Age, Continuous
Stage 2
62.4 years
STANDARD_DEVIATION 11.16
62.1 years
STANDARD_DEVIATION 10.74
62.6 years
STANDARD_DEVIATION 11.61
Ethnicity (NIH/OMB)
Hispanic or Latino
21 Participants4 Participants1 Participants10 Participants6 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
219 Participants24 Participants28 Participants81 Participants86 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
2 participants0 participants0 participants2 participants0 participants
Race/Ethnicity, Customized
Asian
16 participants3 participants3 participants6 participants4 participants
Race/Ethnicity, Customized
Black or African American
44 participants2 participants1 participants14 participants27 participants
Race/Ethnicity, Customized
Not Reported
3 participants0 participants0 participants0 participants3 participants
Race/Ethnicity, Customized
White
175 participants23 participants25 participants69 participants58 participants
Sex: Female, Male
Female
122 Participants12 Participants16 Participants48 Participants46 Participants
Sex: Female, Male
Male
118 Participants16 Participants13 Participants43 Participants46 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 570 / 572 / 1832 / 183
other
Total, other adverse events
41 / 5649 / 55107 / 180121 / 175
serious
Total, serious adverse events
3 / 563 / 5518 / 18022 / 175

Outcome results

Primary

Change From Baseline in Intraocular Pressure at Week 12

Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. An MMRM was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.

Time frame: Baseline and Week 12

Population: The ITT population is defined as all randomized participants. Primary efficacy analysis was performed for participants enrolled in Stage 2. Overall Number of Participants / Units Analyzed reflects the number of participants and eyes with data available for the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Stage 2: SLTChange From Baseline in Intraocular Pressure at Week 12-6.4 mmHgStandard Error 0.3
Stage 2: Bimatoprost SR 10 µgChange From Baseline in Intraocular Pressure at Week 12-6.9 mmHgStandard Error 0.3
p-value: 0.161595% CI: [-1.04, 0.18]Mixed Effect Model Repeated Measurement
Primary

Change From Baseline in Intraocular Pressure at Week 24

Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. An MMRM was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.

Time frame: Baseline and Week 24

Population: The ITT population is defined as all randomized participants. Primary efficacy analysis was performed for participants enrolled in Stage 2. Overall Number of Participants / Units Analyzed reflects the number of participants and eyes with data available for the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Stage 2: SLTChange From Baseline in Intraocular Pressure at Week 24-6.5 mmHgStandard Error 0.28
Stage 2: Bimatoprost SR 10 µgChange From Baseline in Intraocular Pressure at Week 24-6.9 mmHgStandard Error 0.27
p-value: 0.167395% CI: [-0.97, 0.17]Mixed Effect Model Repeated Measurement
Primary

Change From Baseline in Intraocular Pressure at Week 4

Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. A mixed-effects model with repeated measures (MMRM) was used for the analysis. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.

Time frame: Baseline and Week 4

Population: The intent-to-treat (ITT) population is defined as all randomized participants. Primary efficacy analysis was performed for participants enrolled in Stage 2. Overall Number of Participants / Units Analyzed reflects the number of participants and eyes with data available for the analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Stage 2: SLTChange From Baseline in Intraocular Pressure at Week 4-6.2 mmHgStandard Error 0.28
Stage 2: Bimatoprost SR 10 µgChange From Baseline in Intraocular Pressure at Week 4-6.8 mmHgStandard Error 0.28
p-value: 0.023195% CI: [-1.03, -0.08]Mixed Effect Model Repeated Measurement
Secondary

Change From Baseline in IOP at Weeks 8, 15, and 20

IOP was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. A negative change from Baseline indicates a decrease (improvement) in intraocular pressure. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.

Time frame: Baseline and Weeks 8, 15, and 20

Population: Intent-to-treat poulation participants enrolled in Stage 2 with available IOP data at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
Stage 2: SLTChange From Baseline in IOP at Weeks 8, 15, and 20Week 8-6.1 mmHgStandard Deviation 3.52
Stage 2: SLTChange From Baseline in IOP at Weeks 8, 15, and 20Week 20-5.9 mmHgStandard Deviation 3.44
Stage 2: SLTChange From Baseline in IOP at Weeks 8, 15, and 20Week 15-6.0 mmHgStandard Deviation 3.58
Stage 2: SLTChange From Baseline in IOP at Weeks 8, 15, and 20Baseline25.1 mmHgStandard Deviation 3
Stage 2: Bimatoprost SR 10 µgChange From Baseline in IOP at Weeks 8, 15, and 20Week 15-6.0 mmHgStandard Deviation 4.36
Stage 2: Bimatoprost SR 10 µgChange From Baseline in IOP at Weeks 8, 15, and 20Week 8-6.8 mmHgStandard Deviation 3.96
Stage 2: Bimatoprost SR 10 µgChange From Baseline in IOP at Weeks 8, 15, and 20Baseline25.2 mmHgStandard Deviation 2.99
Stage 2: Bimatoprost SR 10 µgChange From Baseline in IOP at Weeks 8, 15, and 20Week 20-6.4 mmHgStandard Deviation 3.97
Secondary

Percentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of Cycle

Intraocular pressure was measured at 8 am (Hour 0) at each visit in each eye using the Goldmann applanation tonometer. For by-cycle analyses, cycle number refers to the administration cycle for bimatoprost SR, or sham bimatoprost SR administration in SLT-treated eyes. For SLT-treated eyes cycle number does not refer to SLT administrations, because SLT was only performed once (Day 1). The Day/Week number refers to the number of days/weeks after bimatoprost SR/sham bimatoprost SR administration. IOP measurements obtained after initiation of non-study IOP-lowering treatment in an eye were excluded from the analysis.

Time frame: Baseline, Day 2, Weeks 4, 8, 12, 15, 20, 24, 28, 31, 36, 40, 44, 47, 52, Months 13, 14, 15, 16, 18, 20, 22, 24

Population: Participants/eyes enrolled in Stage 2 with available IOP data at Baseline and each time point; participants who received retreatment with bimatoprost SR/sham bimatoprost SR at or after Week 16 are not included in Cycle 1 time points from the date of retreatment.

ArmMeasureGroupValue (NUMBER)
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 468.5 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 3668.3 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 1473.4 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 1271.1 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 1572.0 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 4072.1 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 1676.8 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 2872.1 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 1875.0 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 4465.5 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 2079.5 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 2473.2 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 2062.8 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleDay 259.1 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 4783.3 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 864.0 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 1565.3 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 2473.2 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 1373.1 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 3167.5 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 2278.6 percentage of eyes
Stage 2: SLTPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 5278.4 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 1561.2 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 875.3 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 1271.8 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 1561.2 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 2067.3 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 2475.2 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 2871.4 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 3162.1 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 3655.5 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 4062.0 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 4457.9 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 4770.9 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 5266.4 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 1365.7 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 1456.9 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleDay 286.6 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 1670.8 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 1860.3 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 2466.7 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleWeek 471.2 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 2062.3 percentage of eyes
Stage 2: Bimatoprost SR 10 µgPercentage of Eyes Achieving ≥ 20% Reduction in IOP From Baseline Regardless of CycleMonth 2269.1 percentage of eyes
Secondary

Time to Initial Use of Non-study IOP-lowering Treatment

The time from the date of initial treatment to the date date of first use of non-study IOP-lowering treatment (rescue) was analyzed using the Kaplan-Meier method. If a participant did not use any non-study IOP-lowering treatment in an eye, then the event (initial use of non-study IOP-lowering treatment) time was censored at the study exit date or the last visit date if the study exit date was not available.

Time frame: From first administration of study treatment to the end of study; overall median follow-up time of 728 days.

Population: Participants in the ITT population enrolled in Stage 2; eyes that received study treatment are included in the analysis.

ArmMeasureGroupValue (NUMBER)
Stage 2: SLTTime to Initial Use of Non-study IOP-lowering Treatment25% percentile263 days
Stage 2: SLTTime to Initial Use of Non-study IOP-lowering Treatment50% percentileNA days
Stage 2: SLTTime to Initial Use of Non-study IOP-lowering Treatment75% percentileNA days
Stage 2: Bimatoprost SR 10 µgTime to Initial Use of Non-study IOP-lowering Treatment25% percentile276 days
Stage 2: Bimatoprost SR 10 µgTime to Initial Use of Non-study IOP-lowering Treatment50% percentile732 days
Stage 2: Bimatoprost SR 10 µgTime to Initial Use of Non-study IOP-lowering Treatment75% percentileNA days

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026