About this trial
This is a randomized, double-masked, single-site, prospective, contralateral eye study designed to evaluate the outcomes of Direct Selective Laser Trabeculoplasty (DSLT) followed by the addition of combination netarsudil and latanoprost (Rocklatan) versus latanoprost monotherapy. The study will be conducted at one investigational site. The primary endpoint is the change in mean diurnal intraocular pressure (IOP) from baseline (post DSLT and post washout) at visit 3 between the two groups. Secondary endpoints include the change in mean IOP from baseline at each timepoint (8am, 12pm, 4pm) at visit 3 between groups, and the mean percentage decrease in IOP from baseline for each group. Assessments will be conducted at three key visits: Visit 1 (Screening Phase and DSLT Procedure on Day 0), Visit 2 (Baseline Visit post washout at Week 8), and Visit 3 (Follow-Up Visit 1 at Week 12). Each visit will include specific examinations and measurements such as visual field and OCT imaging, diurnal IOP measurements, and documentation of adverse events.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults (≥18 years) with a diagnosis of mild to moderate bilateral primary open-angle glaucoma (POAG) or open-angle glaucoma (OAG).
On 3 topical glaucoma medications at screening, one of which must be a prostaglandin analog.
Post-DSLT and post-washout, baseline intraocular pressure (IOP) 16-36 mmHg in both eyes.
Best-corrected visual acuity (BCVA) ≥20/60 in both eyes.
Disqualifiers
Ocular hypertension only (no glaucomatous damage).
Inability or medical ineligibility for washout of ocular hypotensive medications.
Prior selective laser trabeculoplasty (SLT) within 12 months of screening.
History of glaucoma surgery (trabeculectomy, tube shunt, minimally invasive glaucoma surgery [MIGS] affecting outflow).
Trial design
Parallel
Treatments tested in this trial
Rocklatan 0.02%-0.005% Ophthalmic Solution
Drugnetarsudil and latanoprost 0.02%/0.005%
Latanoprost 0.005% Ophthalmic Solution
DrugLatanoprost 0.005%
Treatment groups
Trial outcomes
Primary outcomes
Change in mean diurnal intraocular pressure (IOP) from baseline
Secondary outcomes
Change in mean intraocular pressure (IOP) from baseline at each time of day
8am, 12pm, 4pm
Mean percentage decrease in intraocular pressure (IOP) from baseline
Measured using the Snellen chart at each follow-up visit.
Sponsors and contacts
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Eye Centers of Southeast Texas
Lead sponsor
Sengi
Collaborator