Aqueous Suppressant Versus Aqueous Outflow on Ocular Blood Flow
Examination of the Effect of Aqueous Suppressant Versus Aqueous Outflow Enhancing Glaucoma Medications on Ocular Perfusion Pressure and Blood Flow: A Mechanistic Study
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
The purpose of this study will be to compare the aqueous production suppressant to aqueous outflow drugs in terms of the response to known vascular parameters. Specifically; systemic perfusion pressure, retrobulbar blood flow and retinal microcirculation.
A comparison of perfusion pressure, retinal microcirculation utilizing Heidelberg Retinal Flowmetry and retrobulbar circulation utilizing color Doppler ultrasound imaging
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Indiana
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Indianapolis, Indiana, United States, 46202
- Department of Ophthalmology Indiana University School of Medicine
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
Patients will meet all of the following inclusion criteria to enter the study:
- Age: 30 years or older.
Diagnosis: confirmed open-angle glaucoma in at least one eye:
- glaucomatous visual field loss on Humphrey 24-2 or 10-2 perimetry
- glaucomatous optic disc cupping
- agreement between two baseline exams for reliability
- Best corrected visual acuity at least 20/60 in at least one eye.
- Prior Humphrey visual fields demonstrate acceptable reliability standards (see below).
Exclusion Criteria:
- Extensive Humphrey visual field damage consisting of either a mean deviation (MD) < -15 decibels or a clinically determined threat to fixation in both hemifields.
- Evidence of exfoliation or pigment dispersion.
- History of acute angle-closure or a narrow, occludable anterior chamber angle by gonioscopy.
- History of chronic or recurrent inflammatory eye diseases (e.g., scleritis, uveitis).
- History or signs of intraocular trauma.
- Severe or potentially progressive retinal disease such as retinal degeneration, diabetic retinopathy, and retinal detachment.
- Any abnormality preventing reliable applanation tonometry.
- Current use of any ophthalmic or systemic steroid which may interfere with this investigation.
- Cataract surgery within the past year.
- Resting pulse < 50 beats per minute.
- Severe, unstable or uncontrolled cardiovascular, renal, or pulmonary disease.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
|---|
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aqueous suppressant
aqueous suppressant treated
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aqueous outflow
aqueous outflow treated
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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6-month Change in Ophthalmic Artery (OA) Peak Systolic Velocity (PSV)
Time Frame: Baseline and 6 month visits
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Baseline and 6 month visits
|
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6-month Change in Phthalmic Artery (OA) End Diastolic Velocity (EDV)
Time Frame: Baseline and 6 month visits
|
Baseline and 6 month visits
|
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6-month Change in Phthalmic Artery (OA) Vascular Resistance (RI)
Time Frame: Baseline and 6 month visits
|
Baseline and 6 month visits
|
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6-month Change in Central Retinal Artery (CRA) Peak Systolic Velocity (PSV)
Time Frame: Baseline and 6 month visits
|
Baseline and 6 month visits
|
|
6-month Change in Central Retinal Artery (CRA) End Diastolic Velocity (EDV)
Time Frame: Baseline and 6 month visits
|
Baseline and 6 month visits
|
|
6-month Change in Central Retinal Artery (CRA) Vascular Resistance (RI)
Time Frame: Baseline and 6 month visits
|
Baseline and 6 month visits
|
|
6-month Change in Ocular Perfusion Pressures (OPP)
Time Frame: Baseline and 6 month visits
|
Baseline and 6 month visits
|
|
2-year Change in OA PSV
Time Frame: Baseline and 24 month visits
|
Baseline and 24 month visits
|
|
2-year Change in OA EDV
Time Frame: Baseline and 24 month visits
|
Baseline and 24 month visits
|
|
2-year Change in OA RI
Time Frame: Baseline and 24 month visits
|
Baseline and 24 month visits
|
|
2-year Change in CRA PSV
Time Frame: Baseline and 24 month visits
|
Baseline and 24 month visits
|
|
2-year Change in CRA EDV
Time Frame: Baseline and 24 month visits
|
Baseline and 24 month visits
|
|
2-year Change in CRA RI
Time Frame: Baseline and 24 month visits
|
Baseline and 24 month visits
|
|
2-year Change in OPP
Time Frame: Baseline and 24 month visits
|
Baseline and 24 month visits
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Alon Harris, PhD, Indiana University School of Medicine
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- IGPS-prost-OAG
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