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Phase 2 N=226 Randomized Triple-blind Treatment

Nebivolol 0.5, 1.0, or Timolol 0.5 Suspension Compared to Timolol 0.5 Solution to Treat Glaucoma/Ocular Hypertension

Open-Angle Glaucoma · Ocular Hypertension

Enrolled (actual)
226
Serious AEs
0.0%
Results posted
Apr 2024
Primary outcome: Primary: Intraocular Pressure Over 84 Days — 22.0; 22.5; 18.8; 19.4 mmHg

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Nebivolol Ophthalmic Suspension 1 Percent (Drug); Nebivolol Ophthalmic Suspension 0.5 Percent (Drug); Timolol Ophthalmic Suspension 0.5 Percent (Drug); Timolol Ophthalmic Solution 0.5 Percent (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Betaliq, Inc.
Primary completion
Mar 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Intraocular Pressure Over 84 Days
22.0; 22.5; 18.8; 19.4; 20.4; 21.1
SECONDARY
Intraocular Pressure: Change From Baseline in Diurnal IOP at Each Visit
-3.1; -2.2; -5.5; -5.2; -3.1; -2.8
SECONDARY
Intraocular Pressure: Change From Baseline at All Time Points at Each Visit
-3.0; -2.5; -6.1; -5.8; -3.3; -3.4

Summary

The purpose of this study is to evaluate the safety (in the eye and throughout the body) and effectiveness of nebivolol (0.5 and 1 percent) and timolol (0.5 percent) eye drop suspensions. These eye drops will be compared to timolol 0.5 percent eye drop solution in participants with open angle glaucoma (the most common type of glaucoma) or high eye pressure (ocular hypertension).

Eligibility Criteria

Inclusion Criteria

  • Willing and able to understand and sign an informed consent form prior to any study related procedures.
  • Able to administer or have a caregiver accurately administer an eye drop.
  • Have POAG or OHT in both eyes that requires therapy for IOP and is adequately controlled, in the opinion of the Investigator, on no more than 2 ocular hypotensive medications (fixed dose combinations count as 2 medications). Subjects with OHT on no ocular hypotensive medication are acceptable. Presence of POAG in one eye and OHT in the fellow eye is acceptable.
  • Able, in the opinion of the Investigator, to safely discontinue use of ocular hypotensive medications, if applicable, and undergo the appropriate required washout period for ocular hypotensive medications prior to Visit 3/Qualification/Baseline.
  • At Visit 3/Qualification/Baseline, at least one eye must have unmedicated (post washout) IOP ≥ 22 and ≤ 34 mm Hg at 8:00 AM and ≥ 18 and ≤ 34 mm Hg at 10:00 AM and 4:00 PM in the same eye(s) qualifying at the Visit 3 8:00 AM time point. The IOP must be at least 22 mm Hg at each consecutive measurement at the 8:00 AM time point.
  • No significant VF (visual field) loss, defined as a mean deviation in either eye greater than - 12 dB or a central point of fixation 90 days prior to Visit 1/Screening), or women of childbearing potential with a negative urine pregnancy test at Visit 1/Screening and Visit 3/Qualification/Baseline who are not breastfeeding or planning a pregnancy during the study. Women of childbearing potential must use an acceptable form of contraception throughout the study. Acceptable methods include the use of at least one of the following:
  • Intrauterine (IUD) device
  • Hormonal contraceptive (oral, injection, patch, implant, ring); subjects must have been on the same hormonal contraceptive for ≥ 90 days prior to Visit 1/Screening
  • Double barrier method (spermicide used with either a condom or diaphragm)
  • Abstinence

Exclusion Criteria

Ocular

  • Intraocular pressure ˃ 34 mm Hg in either eye at Visit 1/Screening, Visit 2/Washout Safety Check, or Visit 3/Qualification/Baseline.
  • Other forms of glaucoma in either eye, e.g., congenital glaucoma, closed-angle glaucoma, uveitic glaucoma, pseudoexfoliation or pigment dispersion syndrome, or history of angle closure. Narrow angles treated with peripheral iridotomy are allowed if at least 4 months status post iridotomy.
  • Current or recent (within 30 days prior to Visit 1/Screening) clinically significant ocular infection or inflammation, in the opinion of the Investigator, in either eye.
  • History of conjunctivitis within 90 days prior to Visit 1/Screening, or history of herpes simplex or herpes zoster in either eye.
  • Clinically significant ocular disease, in the opinion of the Investigator, in either eye (including, but not limited to corneal edema, uveitis, severe dry eye, proliferative diabetic retinopathy or macular degeneration) that might interfere with the study, confound study results, or put the subject at increased risk.
  • Have a cup-to disc (CD) ratio > 0.8 at Visit 1/Screening in either eye.
  • Intravitreal steroid injections within 6 months prior to Visit 1/Screening. Subconjunctival or subtenon steroid injections within 90 days prior to Visit 1/Screening.
  • Use of topical ocular medications within 30 days prior to Visit 1/Screening other than ocular hypotensive medications and medications used as part of an eye examination. Artificial tears may be used during this period provided the use is not required for severe dry eye disease.
  • Clinically significant ocular trauma or incisional ocular surgery (including routine cataract surgery) in either eye within 6 months prior to Visit 1/Screening. Glaucoma filtering surgery, or minimally invasive glaucoma surgery within 12 months prior to Visit 1/Screening. Laser surgery for IOP reduction within 6 months prior to Visit 1/Screening. Non-incisional ocular surgery or non-glaucomatous laser t
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04910100). 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.

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