- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03612817
Preservative-free Tafluprost/Timolol Fixed Combination: Morning vs Evening Dosing (TTFC)
A 3-month Study Investigating the 24-hour Efficacy With the Preservative-free Tafluprost/Timolol Fixed Combination Dosed Morning, or Evening in Subjects With Open-angle Glaucoma Insufficiently Controlled With Latanoprost Monotherapy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Prospective, observer-masked, placebo-controlled, crossover, comparison in consecutive open-angle glaucoma patients, insufficiently controlled with preserved latanoprost monotherapy (mean 24-hr IOP greater than 20 mmHg). Patients were randomized to either morning (08:00), or evening (20:00) preservative-free tafluprost/timolol fixed combination for 3 months and then were crossed over. After each treatment period patients underwent habitual 24-hour intraocular pressure monitoring with Goldmann tonometry in the sitting position (at 10:00, 14:00, 18:00 and 22:00) and Perkins tonometry in the supine position (at 02:00 and 06:00).
Primary Study Objective: Mean 24-hour efficacy with both dosing regimens of tafluprost/timolol fixed combination versus latanoprost monotherapy.
Secondary Study Objectives
- Mean efficacy with the evening dosing of tafluprost/timolol compared with the morning-dosed tafluprost/timolol fixed combination at each time point measured.
- Mean daytime and mean nighttime IOP control with the two dosing regimens.
- Mean peak and fluctuation of 24-hour pressure with the evening and the morning dosing of the fixed combination.
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Makedonia
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Thessaloníki, Makedonia, Greece, 54636
- 1st University Department of Ophthalmology
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- age between 21-85 years;
- mild to moderate glaucomatous disc damage and visual field loss (less than -12 dB mean deviation visual field loss attributed to glaucoma and 0.8 or better vertical cup-to-disc ratio);
- visual acuity greater than 0.1 in the study eye;
- open anterior chamber angles;
- in each patient the diagnosis of open-angle glaucoma will be made by the principal investigator based on the European Glaucoma Society criteria;
- study patients will have to demonstrate a reliable visual field (at least two visual fields with less than 20% fixation losses, false positives, or negatives);
- patient should understand the study instructions and to be willing to attend all follow-up appointments and should be willing to comply with study medication usage.
Exclusion Criteria:
- previous history of less than 10% IOP decrease on any IOP-lowering medication;
- evidence of concurrent conjunctivitis, keratitis, or uveitis in either eye;
- history of inadequate adherence; intolerance, or contraindication to either prostaglandins, β-blockers, dorzolamide, or benzalconium chloride (BAK);
- severe ocular surface disease, intraocular conventional or laser surgery in the study eye (within 6 months prior to enrolment);
- previous history of ocular trauma;
- use of corticosteroids (within 3 months before the enrolment) and use of contact lenses;
- patients will also be excluded if on baseline exam they show clinical evidence of inflammation, signs of ocular infection (except blepharitis), signs of any corneal abnormality that will affect subsequent IOP measurements;
- unwillingness to participate in the trial;
- females of childbearing potential or lactating mothers.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Tafluprost/timolol with PM dosing
Therapy with Tafluprost/timolol fixed combination drops dosed PM (20:00)
|
Evaluation of 24-hour pressure control with tafluprost/timolol given in the evening or morning
Other Names:
|
Active Comparator: Tafluprost/timolol with AM dosing
Therapy with Tafluprost/timolol fixed combination drops dosed AM (08:00)
|
Evaluation of 24-hour pressure control with tafluprost/timolol given in the evening or morning
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mean 24-hour pressure control with Tafluprost/timolol fixed combination dosed morning or evening
Time Frame: 3-month study
|
24-hour efficacy documented after each period of therapy
|
3-month study
|
Collaborators and Investigators
Collaborators
Investigators
- Study Director: Theodoros Giannopoulos, MD, Aristotle University
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 433
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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