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    The EU Clinical Trials Register currently displays   43884   clinical trials with a EudraCT protocol, of which   7296   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

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    Summary
    EudraCT Number:2009-018067-27
    Sponsor's Protocol Code Number:SynergyStudy
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2010-03-10
    Trial results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2009-018067-27
    A.3Full title of the trial
    Evaluación cruzada prospectiva en abierto del iStent® (GTS400) en pacientes con glaucoma primario de ángulo abierto (Synergy Study)
    A.3.2Name or abbreviated title of the trial where available
    SynergyStudy
    A.4.1Sponsor's protocol code numberSynergyStudy
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorGlaukos Corporation
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name XALATAN 0,005%, colirio en solucion
    D.2.1.1.2Name of the Marketing Authorisation holderPFIZER, S.A.
    D.2.1.2Country which granted the Marketing AuthorisationSpain
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.4Pharmaceutical form Eye drops*
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOphthalmic use (Noncurrent)
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNLATANOPROST
    D.3.9.2Current sponsor codeXalatan
    D.3.9.3Other descriptive nameLATANOPROST
    D.3.10 Strength
    D.3.10.1Concentration unit µg microgram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number50
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Glaukoma
    MedDRA Classification
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    El objetivo de este ensayo es evaluar la seguridad y la eficacia en la reducción de la PIO de dos modelos GTS400 del micro-stent para bypass trabecular de Glaukos, y evaluar posteriormente la reducción de la PIO que se obtiene al añadir latanoprost.
    E.2.2Secondary objectives of the trial
    Tasa de acontecimientos adversos oculares
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    ? Diagnóstico por parte de los investigadores de glaucoma de ángulo abierto primario (incluyendo pseudoexfoliación o glaucoma pigmentario)
    ? De sexo masculino o femenino con al menos 18 años de edad y capataces de otorgar el consentimiento informado por escrito
    ? PIO diurna no tratada media (en la visita inicial tras haber descansado de toda la medicación que toma) de al menos 22 mmHg, pero inferior a 38 mmHg
    ? La PIO diurna media es la media de cuatro determinaciones de la PIO diurna efectuadas
    ? El espolón escleral del paciente debe ser claramente visible con el gonioscopio
    ? Debe haber probabilidades de que esté disponible y de que desee asistir a las visitas de seguimiento
    ? No deberán haber sido sometidos previamente a cirugía incisional ni a intervenciones con láser para tratar el glaucoma; se acepta la cirugía previa para cataratas
    ? Una BSCVA mínima de 20/200 o mejor
    E.4Principal exclusion criteria
    ? Menores de 18 años
    ? No respondedores al latanoprost conocidos
    ? Glaucoma de ángulo cerrado
    ? Glaucomas secundarios excepto el pseudoexfoliativo y el pigmentario; sin glaucoma neovascular, uveítico o por recesión angular
    ? Intervenciones anteriores al glaucoma (por ejemplo, trabeculectomía, viscocanalostomía, ALT, SLT, implante de un shunt, implante de colágeno, intervenciones ciclodestructivas, etc.)
    ? Fijación del split
    ? Córneas opacas en las que la opacidad impide la visión del ángulo nasal mediante gonioscopia
    ? Presión venosa episcleral elevada con antecedentes de orbitopatía tiroidea activa, fístula carotídeo-cavernosa, tumores de la órbita, u orbitopatía congestiva.
    ? Tumor retrobulbar
    ? Oftalmopatía tiroidea
    ? Síndrome de Sturge-Weber
    ? Enfermedades inflamatoria crónica (ocular o sistémica)
    ? Traumatismo ocular previo
    ? Existencia de PAS (sinequia anterior periférica) en la que la PAS se localiza lo suficientemente cerca del sitio de implantación como para causar problemas ya desde el principio, o secundariamente a la progresión de la PAS.
    ? Glaucoma asociado a trastornos vasculares
    ? Trastornos o traumatismos de la superficie ocular
    ? Intervenciones de cirugía refractiva previas que impiden determinar con exactitud la PIO (por ejemplo, PRK, LASIK)
    ? El ojo contralateral ya ha sido incluido en el estudio
    ? Contraindicación de algún medicamento usado en el estudio o de alguno de sus componentes
    ? Embarazo, lactancia, o ausencia de un método anticonceptivo adecuado en mujeres con capacidad de procrear
    E.5 End points
    E.5.1Primary end point(s)
    ? PIO media sólo con stents (mes 6)
    ? PIO media con stents y latanoprost (mes 12)
    ? Reducción media de la PIO sólo con stents (mes 6)
    ? Reducción media de la PIO con stents y latanoprost (mes 12)
    ? Porcentaje de pacientes que alcanzan una PIO objetivo < 18 mmHg sólo con stents (mes 6) y con stents y latanoprost (mes 12)
    ? Respuestas al cuestionario del paciente
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans Information not present in EudraCT
    E.7.1.2Bioequivalence study Information not present in EudraCT
    E.7.1.3Other Information not present in EudraCT
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) Yes
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised Information not present in EudraCT
    E.8.1.2Open Information not present in EudraCT
    E.8.1.3Single blind Information not present in EudraCT
    E.8.1.4Double blind Information not present in EudraCT
    E.8.1.5Parallel group Information not present in EudraCT
    E.8.1.6Cross over Information not present in EudraCT
    E.8.1.7Other Information not present in EudraCT
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Information not present in EudraCT
    E.8.2.2Placebo Information not present in EudraCT
    E.8.2.3Other Information not present in EudraCT
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned3
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA17
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    Last patient last visit
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months6
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years1
    E.8.9.2In all countries concerned by the trial months6
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero Information not present in EudraCT
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) Information not present in EudraCT
    F.1.1.3Newborns (0-27 days) Information not present in EudraCT
    F.1.1.4Infants and toddlers (28 days-23 months) Information not present in EudraCT
    F.1.1.5Children (2-11years) Information not present in EudraCT
    F.1.1.6Adolescents (12-17 years) Information not present in EudraCT
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) Yes
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state15
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 90
    F.4.2.2In the whole clinical trial 100
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    expected normal treatment of that condition
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2010-05-10
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2010-03-24
    P. End of Trial
    P.End of Trial StatusCompleted
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