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Phase 4 Completed N=242 Randomized Treatment

Primary Tube Versus Trabeculectomy Study

Source: ClinicalTrials.gov NCT00666237 ↗
Enrolled (actual)
242
Serious AEs
0.0%
Results posted
Oct 2022
Primary outcomePrimary: Number of Participants With Surgical Failure — 31; 23; 18; 9 Participants
◆ Published Evidence
Highly cited
320citations · ~40 / year
Treatment Outcomes in the Primary Tube Versus Trabeculectomy Study after 1 Year of Follow-up.
Ophthalmology · 2018 · High-confidence link

Summary

The purpose of the Primary Tube Versus Trabeculectomy (PTVT) Study is to compare the long-term safety and efficacy of nonvalved tube shunt surgery to trabeculectomy with mitomycin C in eyes that have not had previous ocular surgery.

Linked Publications (3)

  • Treatment Outcomes in the Primary Tube Versus Trabeculectomy Study after 1 Year of Follow-up.
    Ophthalmology · 2018 · 320 citations · High-confidence link
  • Treatment Outcomes in the Primary Tube Versus Trabeculectomy Study after 3 Years of Follow-up.
    Ophthalmology · 2020 · 252 citations · High-confidence link
  • Comparing Treatment Outcomes from the Tube Versus Trabeculectomy and Primary Tube Versus Trabeculectomy Studies.
    Ophthalmology · 2021 · 20 citations · Open access · High-confidence link

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Surgical Failure
31; 23; 18; 9; 0; 1
SECONDARY
Intraocular Pressure
23.3; 23.9; 13.8; 12.4; 13.5; 12.8
SECONDARY
Number of Participants With Reported Postoperative Complications
24; 40; 27; 32
SECONDARY
Visual Acuity Using a Snellen Chart
0.20; 0.25; 0.30; 0.42
SECONDARY
Visual Acuity as Measured Using EDTRS Chart
73; 73; 69; 66
SECONDARY
Visual Field
SECONDARY
Reoperation for Glaucoma
21; 12
SECONDARY
Number of Glaucoma Medications
3.1; 3.2; 2.1; 0.9; 2.1; 0.8

Eligibility Criteria

Inclusion Criteria

  • Age 18-85 years
  • Glaucoma that is inadequately controlled on tolerated medical therapy with Intraocular Pressure (IOP) greater than or equal to 18 mm Hg and less than or equal to 40 mm Hg
  • No previous incisional ocular surgery

Exclusion Criteria

  • Unwilling or unable to give consent, unwilling to accept randomization, or unable to return for scheduled protocol visits
  • Pregnant or nursing women
  • No light perception vision
  • Active iris neovascularization or active proliferative retinopathy
  • Iridocorneal endothelial syndrome
  • Epithelial or fibrous ingrowth
  • Chronic or recurrent uveitis
  • Steroid-induced glaucoma
  • Severe posterior blepharitis
  • Unwilling to discontinue contact lens use after surgery
  • Previous cyclodestructive procedure
  • Conjunctival scarring from prior ocular trauma or cicatrizing disease precluding a superior trabeculectomy
  • Functionally significant cataract
  • Need for glaucoma surgery combined with other ocular procedures or anticipated need for additional ocular surgery
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00666237) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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