E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
glaucoma and ocular hypertension |
Glaucoma e hipertensión ocular |
|
E.1.1.1 | Medical condition in easily understood language |
over tension in the eye |
Un incremento en la presión dentro del ojo |
|
E.1.1.2 | Therapeutic area | Body processes [G] - Ocular Physiological Phenomena [G14] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 17.1 |
E.1.2 | Level | HLGT |
E.1.2 | Classification code | 10018307 |
E.1.2 | Term | Glaucoma and ocular hypertension |
E.1.2 | System Organ Class | 10015919 - Eye disorders |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The first objective of the study is to demonstrate the non-inferiority of T2347 unpreserved eye drops compared with Xalacom® on change in mean IOP at 9.00 am (± 1 hour) between the baseline (Day 0) and Day 84 in the worse eye. |
El objetivo principal del estudio es demostrar la no inferioridad del colirio sin conservantes T2347 frente a Xalacom® en el cambio en la PIO media del ojo más afectado a las 9:00 h (± 1 hora) entre el inicio (Día 0) y el Día 84 |
|
E.2.2 | Secondary objectives of the trial |
The secondary objective is the evaluation of the efficacy and safety by mean of secondary efficacy and safety criteria. Those criteria are explicitly mentioned in the study protocol. |
El objetivo secundario es la evaluación de la eficacia y la seguridad mediante los criterios de eficacia y seguridad secundarios. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patient will be eligible for inclusion in this study if all these criteria are respected at the inclusion visit:
- Signed and dated informed consent,
- Male or female aged ? 18 years old,
- Both eyes with open angle glaucoma or ocular hypertension already treated and controlled by Xalacom® or generics since at least 2 months.
- IOP ? 18 mmHg in both eyes
-- History of IOP insufficiently controlled with first-line monotherapy based on the investigator judgement (e.g. non reaching the target IOP)
- History of an add-on IOP reduction with Xalacom® or generics (fixed combination Latanoprost 0.005% + Timolol 0.5% preserved eye drops) in comparison with first-line treatment
- Corneal thickness ? 500 ?m and ? 600 ?m in both eyes.
|
- Consentimiento informado firmado y fechado
- Hombre o mujer de ? 18 años
- Ambos ojos con glaucoma de ángulo abierto o hipertensión ocular ya tratada y controlada con Xalacom® o genéricos (combinación fija de latanoprost al 0,005% y timolol al 0,5% con conservantes) desde al menos 2 meses
- PIO ? 18 mm Hg en ambos ojos
- Antecedentes de PIO controlada de forma insuficiente con tratamiento monoterapia de primera elección basado en el juicio del investigador (e.i. no se ha conseguido el nivel de PIO deseada)
- Antecedentes de haberse obtenido una reducción adicional de los valores de PIO con Xalacom® o genéricos (colirio en base a una combinación fija de latanoprost 0.005% + timolol 0.5% con conservantes) en comparación con el tratamiento de primera elección.
- Espesor corneal ? 500 ?m y ? 580 ?m en ambos ojos |
|
E.4 | Principal exclusion criteria |
Ophthalmic exclusion criteria (in either eye)
- Fundoscopy not performed or not available within the 6 months before inclusion visit.
- Visual field (VF) not performed or not available within the 6 months before inclusion visit.
- Significant worsening according to the two last VF (minimum 6 months between these 2 VF)
- Advanced stage of glaucoma:
? Absolute defect in the ten degrees central point of the visual field.
? Severe visual field loss according to the investigator?s best judgement.
? Risk of visual field worsening as a consequence of participation in the trial according to the investigator?s best judgement.
- Best far corrected visual acuity ? 1/10.
- History of trauma, infection, clinically significant inflammation within the 3 months before inclusion visit.
- Ongoing or known history of ocular seasonal and perennial allergy (SAC, PAC) and/or uveitis and/or viral infection.
- Presence of at least one severe objective sign among the following:
? Hyperaemia (Grade 5)
? Superficial punctate keratitis (Grade 3)
? Blepharitis (Grade 3)
- Severe dry eye (defined by severe epithelial erosions of the cornea and/or use of dry eye medication with a frequency exceeding 8 instillations / day).
- Corneal ulceration.
- Palpebral abnormalities not related to medical treatment study and incompatible with a good evaluation.
- History of corneal refractive surgery.
- Any abnormality preventing accurate assessment e.g. reliable tonometry measurement, visual field examination or corneal refractive surgery.
The protocol also defines other exclusion criteria such as systemic/non ophthalmic exclusion criteria, specific exclusion criteria for women, exclusion criteria related to general conditions and exclusion criteria related to previous and concomitant medications/ non-product therapies. |
Criterios de exclusión oftálmicos (en cualquier ojo)
- Oftalmoscopia no realizada o no disponible en los 6 meses previos a la visita de inclusión
- Examen del campo visual (CV) no realizado o no disponible en los 6 meses previos a la visita de inclusión
- Empeoramiento significativo según los dos últimos exámenes del CV (intervalo mínimo de 6 meses entre cada uno)
- Estadio avanzado del glaucoma:
? Defecto absoluto en los diez grados centrales del campo visual
? Pérdida grave del campo visual según el mejor criterio del investigador
? Riesgo de empeoramiento del campo visual como consecuencia de la participación en el estudio según el mejor criterio del investigador
- Mejor agudeza visual corregida de lejos ? 1/10
- Antecedentes de traumatismo, infección, inflamación clínicamente significativa en los 3 meses previos a la visita de inclusión
- Presencia o antecedentes conocidos de conjuntivitis alérgica estacional o perenne (CAE, CAP), uveítis y/o infección vírica
- Presencia de al menos uno de los siguientes signos objetivos graves:
? Hiperemia (grado 5)
? Queratitis punteada superficial (grado 3)
? Blefaritis (grado 3)
- Sequedad ocular grave (definida como erosiones epiteliales graves de la córnea y/o uso de medicamentos para el ojo seco con una frecuencia superior a 8 instilaciones/día)
- Úlcera corneal
- Anomalías palpebrales no relacionadas con el tratamiento del estudio e incompatibles con una buena evaluación
- Antecedentes de cirugía refractiva de la córnea
- Cualquier anomalía que impida una evaluación precisa, por ejemplo, una medición por tonometría fiable o un examen del campo visual
El protocolo también define otros criterios de exclusión tales como criterios sistémicos/no oftálmicos, criterios de exclusión específicos para pacientes de sexo femenino, los relacionados con la medicación/terapias no medicamentosas concomitante tanto a nivel sistémico como ocular, y criterios de exclusión relacionados con la condición médica general del paciente. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
The primary efficacy endpoint is the change from baseline in mean IOP (average of the 2 or 3 recording values) on Day 84 in the worse eye. |
La variable principal de eficacia es el cambio del valor promedio de la presión intraocular (promedio de 2 ó 3 medidas)en D84, respecto al valor basal, en el peor ojo. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
Secondary key efficacy variables:
- Change from baseline in mean IOP
- Global assessment of efficacy by the investigator |
Variables secundarias de eficacia:
-Cambio de la media de la presión intraocular respecto al valor basal
-Evaluación global de la eficacia del tratamiento realizada por el investigador |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Day 42 and day 84 |
Día 42 y Día 84 |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | Yes |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
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.8.4.1 | Number of sites anticipated in Member State concerned | 10 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 50 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
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 (LPLV) |
Último paciente Última Visita |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 18 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 18 |