Primary Open-angle Glaucoma and Ocular Hypertension
Conditions
Brief summary
This is a randomized, double-masked, parallel-group, multi-center study. Subjects diagnosed with POAG or OHT who meet eligibility criteria at Visit 1 (Screening) will wash out their current topical IOP lowering medication(s), if any. After completing the required washout period, subjects will return for Visit 2 (Baseline, Day 1). Subjects who meet all eligibility criteria at Visit 2 (Baseline, Day 1) will be randomized to receive study medication for up to 6 weeks. Approximately 100 subjects with POAG or OHT will be randomized in a 1:1 ratio to either: * DE-117 ophthalmic solution 0.002% QD (Once Daily) * DE-117 ophthalmic solution 0.002% BID (Twice Daily) This study will consist of a screening period of up to 35 days including a washout period of up to 28 days (+ 7 days window), and a 6-week double-masked treatment period.
Interventions
DE-117 ophthalmic solution QD and Vehicle (no active DE-117 ingredient) QD add one drop in each eye
DE-117 ophthalmic solution BID twice Daily (20:00 and 8:00) add one drop in each eye
Sponsors
Study design
Eligibility
Inclusion criteria
Provide signed written informed consent * Have a diagnosis of POAG or OHT in both eyes, or one eye with POAG and the other with OHT. * Qualifying corrected visual acuity in each eye * Qualifying central corneal thickness in each eye * Qualifying Day 1 IOP measurement at 3 time-points in both eyes * Qualifying Anterior chamber angle
Exclusion criteria
* History of ocular surgery specifically intended to lower IOP * Subjects who cannot safely discontinue use of ocular hypotensive medications during the wait/washout period * Advanced glaucoma in either eye * Any corneal abnormality or other condition interfering with or preventing reliable Goldmann applanation tonometry * Any ocular surgery or ocular laser treatment within 180 days prior to Screening and throughout the study in either eye * Females who are pregnant, nursing, or planning a pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraocular Pressure (IOP) at Week 6 | 08:00 at week 6 | Intraocular pressure (IOP), the fluid pressure inside the eye, was measured by applanation tonometry in millimeters mercury (mmHg). |
| Intraocular Pressure (IOP) at Week 2 | 08:00 at week 2 | Intraocular pressure (IOP), the fluid pressure inside the eye, was measured by applanation tonometry in millimeters mercury (mmHg). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Diurnal Intraocular Pressure (IOP) | 6 weeks | Intraocular pressure (IOP), the fluid pressure inside the eye, was measured by applanation tonometry in millimeters mercury (mmHg). |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Test Arm: DE-117 BID DE-117 Ophthalmic Solution BID Twice daily (20:00 and 8:00)
DE-117 Ophthalmic Solution BID: DE-117 ophthalmic solution BID twice Daily (20:00 and 8:00) add one drop in each eye | 48 |
| Drug Arm: DE-117 QD DE-117 Ophthalmic Solution QD (20:00) and Vehicle (8:00; no active DE-117 ingredient) QD
DE-117 Ophthalmic Solution QD: DE-117 ophthalmic solution QD and Vehicle (no active DE-117 ingredient) QD add one drop in each eye | 50 |
| Total | 98 |
Baseline characteristics
| Characteristic | Drug Arm: DE-117 QD | Total | Test Arm: DE-117 BID |
|---|---|---|---|
| Age, Continuous | 66.3 years STANDARD_DEVIATION 8.73 | 66.8 years STANDARD_DEVIATION 9.05 | 67.3 years STANDARD_DEVIATION 9.45 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 2 Participants | 4 Participants | 2 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 48 Participants | 94 Participants | 46 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 14 Participants | 27 Participants | 13 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 1 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 35 Participants | 70 Participants | 35 Participants |
| Sex: Female, Male Female | 25 Participants | 52 Participants | 27 Participants |
| Sex: Female, Male Male | 25 Participants | 46 Participants | 21 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 48 | 0 / 50 |
| other Total, other adverse events | 20 / 48 | 7 / 50 |
| serious Total, serious adverse events | 0 / 48 | 1 / 50 |
Outcome results
Intraocular Pressure (IOP) at Week 2
Intraocular pressure (IOP), the fluid pressure inside the eye, was mea...
Time frame: 16:00 at week 2
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Test Arm: DE-117 BID | Intraocular Pressure (IOP) at Week 2 | 16.73 mmHg | Standard Error 0.47 |
| Drug Arm: DE-117 QD | Intraocular Pressure (IOP) at Week 2 | 17.81 mmHg | Standard Error 0.44 |
Intraocular Pressure (IOP) at Week 2
Intraocular pressure (IOP), the fluid pressure inside the eye, was measured by applanation tonometry in millimeters mercury (mmHg).
Time frame: 08:00 at week 2
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Test Arm: DE-117 BID | Intraocular Pressure (IOP) at Week 2 | 18.19 mmHg | Standard Error 0.46 |
| Drug Arm: DE-117 QD | Intraocular Pressure (IOP) at Week 2 | 19.15 mmHg | Standard Error 0.45 |
Intraocular Pressure (IOP) at Week 2
Intraocular pressure (IOP), the fluid pressure inside the eye, was measured by applanation tonometry in millimeters mercury (mmHg).
Time frame: 12:00 at week 2
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Test Arm: DE-117 BID | Intraocular Pressure (IOP) at Week 2 | 17.73 mmHg | Standard Error 0.49 |
| Drug Arm: DE-117 QD | Intraocular Pressure (IOP) at Week 2 | 18.17 mmHg | Standard Error 0.46 |
Intraocular Pressure (IOP) at Week 6
Intraocular pressure (IOP), the fluid pressure inside the eye, was measured by applanation tonometry in millimeters mercury (mmHg).
Time frame: 08:00 at week 6
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Test Arm: DE-117 BID | Intraocular Pressure (IOP) at Week 6 | 18.33 mmHg | Standard Error 0.49 |
| Drug Arm: DE-117 QD | Intraocular Pressure (IOP) at Week 6 | 19.01 mmHg | Standard Error 0.47 |
Intraocular Pressure (IOP) at Week 6
Intraocular pressure (IOP), the fluid pressure inside the eye, was measured by applanation tonometry in millimeters mercury (mmHg).
Time frame: 12:00 at week 6
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Test Arm: DE-117 BID | Intraocular Pressure (IOP) at Week 6 | 17.77 mmHg | Standard Error 0.45 |
| Drug Arm: DE-117 QD | Intraocular Pressure (IOP) at Week 6 | 18.35 mmHg | Standard Error 0.43 |
Intraocular Pressure (IOP) at Week 6
Intraocular pressure (IOP), the fluid pressure inside the eye, was mea...
Time frame: 16:00 at week 6
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Test Arm: DE-117 BID | Intraocular Pressure (IOP) at Week 6 | 17.30 mmHg | Standard Error 0.45 |
| Drug Arm: DE-117 QD | Intraocular Pressure (IOP) at Week 6 | 17.66 mmHg | Standard Error 0.43 |
Mean Diurnal Intraocular Pressure (IOP)
Intraocular pressure (IOP), the fluid pressure inside the eye, was measured by applanation tonometry in millimeters mercury (mmHg).
Time frame: 6 weeks
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Test Arm: DE-117 BID | Mean Diurnal Intraocular Pressure (IOP) | 17.77 mmHg | Standard Error 0.43 |
| Drug Arm: DE-117 QD | Mean Diurnal Intraocular Pressure (IOP) | 18.37 mmHg | Standard Error 0.41 |