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    Clinical Trial Results:
    Intraocular pressure and tolerability Study of Preservative Free Bimatoprost 0.03% Unit Dose (BUDPF) or preservative free Latanoprost 0.005% Unit Dose (LUDPF) (Monoprost®) in patients with Ocular hypertension or glaucoma: A Randomized, single masked, 3 month cross-over, Investigator led, European multicentre Trial (SPORT)

    Summary
    EudraCT number
    2013-003490-10
    Trial protocol
    BE   AT   PT   GB   IT  
    Global end of trial date
    17 Feb 2015

    Results information
    Results version number
    v1(current)
    This version publication date
    14 Nov 2021
    First version publication date
    14 Nov 2021
    Other versions
    Summary report(s)
    SPORT Report Synopsis

    Trial information

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    Trial identification
    Sponsor protocol code
    ECR-GLC-2013-06
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01975714
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    AIBILI
    Sponsor organisation address
    Azinhaga de Santa Comba, Celas, Coimbra, Portugal, 3000-548
    Public contact
    EVICR.net Coordinating Centre, AIBILI (EVICR.net), +351 239480142, 4c@aibili.pt
    Scientific contact
    EVICR.net Coordinating Centre, AIBILI (EVICR.net), +351 239480142, 4c@aibili.pt
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    07 Apr 2015
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    17 Feb 2015
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective is to compare the difference in mean Intraocular pressure values between the 2 groups at 6 months.
    Protection of trial subjects
    The trial was conducted in accordance with the ethical principles that have their origins in the Declaration of Helsinki and its amendment in October 2000, Edinburgh, Scotland, the European Guidelines on Good Clinical Practice (GCP) and the International Conference on Harmonisation (ICH) Guidelines. The Investigator ensured that each patient was fully informed about the nature and objective of the study and possible risks associated with participation. Patients indicated assent to participate in the study by personally signing and dating the written informed consent form. The process of obtaining informed consent was documented in the patient’s source documents. The informed consent form used in this study, and any changes made during the course of the study, were prospectively approved by the Ethics Committees (EC). The Investigator retained the original of each patient’s signed informed consent form and gave a copy to the patient. Eligible patients were only included in the study after providing written (witnessed, where required by law or regulation), EC-approved informed consent. In cases where the patient’s representative gave consent, the patient was informed about the study to the extent possible given his/her understanding. If the patient was capable of doing so, he/she indicated assent by personally signing and dating the written informed consent document or a separate assent form. Informed consent was obtained before conducting any study-specific procedures (i.e. all of the procedures described in the protocol). Women of child bearing potential were informed that taking the study medication may involve unknown risks to the fetus if pregnancy were to occur during the study and agree that in order to participate in the study they must adhere to the contraception requirement for the duration of the study.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    22 Oct 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Portugal: 12
    Country: Number of subjects enrolled
    Italy: 17
    Country: Number of subjects enrolled
    Belgium: 20
    Country: Number of subjects enrolled
    Austria: 6
    Country: Number of subjects enrolled
    United Kingdom: 2
    Country: Number of subjects enrolled
    Switzerland: 10
    Worldwide total number of subjects
    67
    EEA total number of subjects
    57
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    32
    From 65 to 84 years
    32
    85 years and over
    3

    Subject disposition

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    Recruitment
    Recruitment details
    Studied period (years): 1 year, 4 months First enrolment: 22-Oct-2013 Last completed: 17-Feb-2015

    Pre-assignment
    Screening details
    72 patients were screened, 5 of which did not meet the eligibility criteria

    Period 1
    Period 1 title
    Baseline
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Carer, Monitor, Data analyst, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    BUDPF/ LUDPF
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    BUDPF
    Investigational medicinal product code
    S01EE03
    Other name
    Pharmaceutical forms
    Eye drops, solution in single-dose container
    Routes of administration
    Ophthalmic use
    Dosage and administration details
    0.03% preservative free

    Investigational medicinal product name
    LUDPF
    Investigational medicinal product code
    S01EE01
    Other name
    Pharmaceutical forms
    Eye drops, solution in single-dose container
    Routes of administration
    Ophthalmic use
    Dosage and administration details
    0.005% preservative free

    Arm title
    LUDPF/ BUDPF
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    BUDPF
    Investigational medicinal product code
    S01EE03
    Other name
    Pharmaceutical forms
    Eye drops, solution in single-dose container
    Routes of administration
    Ophthalmic use
    Dosage and administration details
    0.03% preservative free

    Investigational medicinal product name
    LUDPF
    Investigational medicinal product code
    S01EE01
    Other name
    Pharmaceutical forms
    Eye drops, solution in single-dose container
    Routes of administration
    Ophthalmic use
    Dosage and administration details
    0.005% preservative free

    Number of subjects in period 1
    BUDPF/ LUDPF LUDPF/ BUDPF
    Started
    33
    34
    Completed
    33
    34
    Period 2
    Period 2 title
    overall trial
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind [1]
    Roles blinded
    Investigator, Data analyst, Assessor, Subject, Monitor, Carer

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    BUDPF/ LUDPF
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    BUDPF
    Investigational medicinal product code
    S01EE03
    Other name
    Pharmaceutical forms
    Eye drops, solution in single-dose container
    Routes of administration
    Ophthalmic use
    Dosage and administration details
    0.03% preservative free

    Investigational medicinal product name
    LUDPF
    Investigational medicinal product code
    S01EE01
    Other name
    Pharmaceutical forms
    Eye drops, solution in single-dose container
    Routes of administration
    Ophthalmic use
    Dosage and administration details
    0.005% preservative free

    Arm title
    LUDPF/ BUDPF
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    BUDPF
    Investigational medicinal product code
    S01EE03
    Other name
    Pharmaceutical forms
    Eye drops, solution in single-dose container
    Routes of administration
    Ophthalmic use
    Dosage and administration details
    0.03% preservative free

    Investigational medicinal product name
    LUDPF
    Investigational medicinal product code
    S01EE01
    Other name
    Pharmaceutical forms
    Eye drops, solution in single-dose container
    Routes of administration
    Ophthalmic use
    Dosage and administration details
    0.005% preservative free

    Notes
    [1] - The roles blinded appear to be inconsistent with a double blind trial.
    Justification: A classic double blinded trial has both investigator and patient blinded. In this study the investigator was blinded, as was the technician that measured the primary outcome and the statistician, but the patients knew the medication they were taking. As both were active drugs, there was no placebo effect applicable. The system complained when selecting single blind so we selected double.
    Number of subjects in period 2
    BUDPF/ LUDPF LUDPF/ BUDPF
    Started
    33
    34
    Completed
    33
    34

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    BUDPF/ LUDPF
    Reporting group description
    -

    Reporting group title
    LUDPF/ BUDPF
    Reporting group description
    -

    Reporting group values
    BUDPF/ LUDPF LUDPF/ BUDPF Total
    Number of subjects
    33 34 67
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    14 18 32
        From 65-84 years
    17 15 32
        85 years and over
    2 1 3
        Adults
    0 0 0
    Gender categorical
    Units: Subjects
        Female
    21 16 37
        Male
    12 18 30
    Intraocular pressure
    Units: mmHg
        arithmetic mean (standard deviation)
    19.2 ( 3.32 ) 19.2 ( 4.61 ) -

    End points

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    End points reporting groups
    Reporting group title
    BUDPF/ LUDPF
    Reporting group description
    -

    Reporting group title
    LUDPF/ BUDPF
    Reporting group description
    -
    Reporting group title
    BUDPF/ LUDPF
    Reporting group description
    -

    Reporting group title
    LUDPF/ BUDPF
    Reporting group description
    -

    Primary: Intraocular pressure

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    End point title
    Intraocular pressure
    End point description
    End point type
    Primary
    End point timeframe
    6 months - baseline
    End point values
    BUDPF/ LUDPF LUDPF/ BUDPF
    Number of subjects analysed
    33
    34
    Units: mmHg
        arithmetic mean (standard deviation)
    15.9 ( 2.8 )
    13.9 ( 2.61 )
    Statistical analysis title
    Linear mixed effects model
    Statistical analysis description
    For this analysis a linear mixed model approach was used to compare the two groups (Model 1). Specifically, the Treatment (LUDPF vs BUDPF) at 6 months was used as a fixed effect factor with the two levels representing the two groups. The model included the baseline IOP (i.e. the IOP with no treatments) as a covariate and the Center as random effect to correct for the correlation among patient measurements from the same center
    Comparison groups
    BUDPF/ LUDPF v LUDPF/ BUDPF
    Number of subjects included in analysis
    67
    Analysis specification
    Pre-specified
    Analysis type
    other [1]
    P-value
    < 0.01
    Method
    Mixed models analysis
    Parameter type
    Effect size
    Point estimate
    1.6
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    0.68
         upper limit
    2.5
    Notes
    [1] - Linear mixed effects model

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    month 6
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    15
    Reporting groups
    Reporting group title
    Bimatoprost
    Reporting group description
    this was the active drug when AE was reported

    Reporting group title
    Latanoprost
    Reporting group description
    this drug was the active when AE was reported

    Serious adverse events
    Bimatoprost Latanoprost
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 67 (2.99%)
    2 / 67 (2.99%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Injury, poisoning and procedural complications
    Contusion
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Surgical and medical procedures
    Rectal fistula repair
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Rectal haemorrhage
         subjects affected / exposed
    0 / 67 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Intervertebral disc protrusion
         subjects affected / exposed
    0 / 67 (0.00%)
    1 / 67 (1.49%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Bimatoprost Latanoprost
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    19 / 67 (28.36%)
    12 / 67 (17.91%)
    Injury, poisoning and procedural complications
    Laceration
         subjects affected / exposed
    0 / 67 (0.00%)
    1 / 67 (1.49%)
         occurrences all number
    0
    1
    Skeletal injury
         subjects affected / exposed
    0 / 67 (0.00%)
    1 / 67 (1.49%)
         occurrences all number
    0
    1
    Surgical and medical procedures
    Knee operation
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences all number
    1
    0
    Nervous system disorders
    Retinal migraine
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences all number
    1
    0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 67 (0.00%)
    1 / 67 (1.49%)
         occurrences all number
    0
    1
    General disorders and administration site conditions
    Malaise
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences all number
    1
    0
    Ear and labyrinth disorders
    Tinnitus
         subjects affected / exposed
    2 / 67 (2.99%)
    0 / 67 (0.00%)
         occurrences all number
    2
    0
    Eye disorders
    Asthenopia
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences all number
    1
    0
    Blepharal pigmentation
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences all number
    1
    0
    Conjunctival hyperaemia
         subjects affected / exposed
    1 / 67 (1.49%)
    1 / 67 (1.49%)
         occurrences all number
    1
    1
    Dark circles under eyes
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences all number
    1
    0
    Diabetic retinal oedema
         subjects affected / exposed
    0 / 67 (0.00%)
    1 / 67 (1.49%)
         occurrences all number
    0
    1
    Dry eye
         subjects affected / exposed
    2 / 67 (2.99%)
    0 / 67 (0.00%)
         occurrences all number
    2
    0
    Erythema of eyelid
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences all number
    1
    0
    Eye irritation
         subjects affected / exposed
    0 / 67 (0.00%)
    1 / 67 (1.49%)
         occurrences all number
    0
    1
    Eye pain
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences all number
    1
    0
    Eye pruritus
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences all number
    1
    0
    Foreign body sensation in eyes
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences all number
    1
    0
    Vision blurred
         subjects affected / exposed
    2 / 67 (2.99%)
    0 / 67 (0.00%)
         occurrences all number
    2
    0
    Visual acuity reduced
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences all number
    1
    0
    Gastrointestinal disorders
    Haemorrhoidal haemorrhage
         subjects affected / exposed
    0 / 67 (0.00%)
    1 / 67 (1.49%)
         occurrences all number
    0
    1
    Large intestine polyp
         subjects affected / exposed
    1 / 67 (1.49%)
    0 / 67 (0.00%)
         occurrences all number
    1
    0
    Musculoskeletal and connective tissue disorders
    Pain in extremity
         subjects affected / exposed
    0 / 67 (0.00%)
    1 / 67 (1.49%)
         occurrences all number
    0
    1
    Infections and infestations
    Cystitis
         subjects affected / exposed
    0 / 67 (0.00%)
    1 / 67 (1.49%)
         occurrences all number
    0
    1
    Influenza
         subjects affected / exposed
    0 / 67 (0.00%)
    1 / 67 (1.49%)
         occurrences all number
    0
    2
    Nasopharyngitis
         subjects affected / exposed
    0 / 67 (0.00%)
    1 / 67 (1.49%)
         occurrences all number
    0
    1
    Oral herpes
         subjects affected / exposed
    0 / 67 (0.00%)
    1 / 67 (1.49%)
         occurrences all number
    0
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    Only primary analysis results were posted.

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/26907933
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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