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CompletedNCT00832377Updated Sep 29, 2017Results posted

COSOPT (Timolol/Dorzolamide Combination) Normal Tension Glaucoma Study (MK0507A-161)(COMPLETED)

A Phase 2 interventional study of timolol/dorzolamide combination in Glaucoma, sponsored by Merck Sharp & Dohme LLC. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-09-29.

Sponsored by Merck Sharp & Dohme LLC (part of Merck & Co., Inc) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
37
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

A study to evaluate the effect of the 12-week treatment with timolol/dorzolamide combination eyedrops (COSOPT) on decrease in intraocular pressure (IOP) at 2 hours after the study drug administration

02

Conditions studied

  • Glaucoma

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03

In context

Glaucoma

1,844 studies on the registry are indexed under Glaucoma; 233 are open to participants now.

This study's enrollment of 37 is below the median of 65 across 1,296 interventional studies indexed under Glaucoma.

Browse Glaucoma studies →

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,159 studies on the registry; 133 are open to participants now.

Of its 497 completed or terminated interventional studies of FDA-regulated products, 369 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients who have not been treated with a glaucoma medication within 6 weeks prior to study participation after diagnosis with primary open-angle glaucoma
  • Patients with primary open-angle glaucoma based on gonioscopy
  • Patients with normal tension glaucoma diagnosed based on accompanying optic disc cupping and reappearance of visual field defect corresponding to retinal nerve fiber layer defect.
  • Subjects with \< 22 mm Hg of diurnal IOP measured using Goldmann applanation tonometer (every two hours between 9 a.m. and 5 p.m.)

Exclusion criteria

Exclusion Criteria:

  • Patients with another type of glaucoma but primary open-angle glaucoma
  • Patients treated with other glaucoma medications within 6 weeks prior to study participation
  • Patients with a history of chronic ocular inflammation or recurrent ocular inflammation
  • Patients using contact lenses
  • Patients who are allergic to timolol or dorzolamide
  • Patients with a history of any of the following COSOPT (timolol/dorzolamide combination) contraindications:

    • Reactive airway diseases
    • Sinus bradycardia, second or third degree atrioventricular block, overt cardiac failure, cardiogenic shock
    • Severe renal impairment
  • Patients with a history of significant ocular trauma or intraocular surgery within 6 months before participating the study, or intraocular laser surgery within 3 months before the participating the study
  • Patients with a history of a corneal disease
  • Patients who are using steroid or used the drug for more than 2 weeks within 12 months before participating the study
  • Pregnant women
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
37 participants (actual)

Study arms

  • Experimental
    Timolol/Dorzolamide

    Timolol/Dorzolamide, 1 drop, twice daily, for 12 weeks

    Drug: timolol/dorzolamide combination

Interventions

06

What researchers measure

Primary outcomes

  1. Mean Change in the Peak Intraocular Pressure (IOP) Measured Two Hours After Study Drug Administration at Week 12 Compared to Baseline IOP.

    The therapeutic goal of normal tension glaucoma treatment includes lowering IOP to prevent progression of damage in optic nerves or vision. In this trial, IOP was measured with the same tonometer throughout the study. A decreased IOP from baseline is considered an improvement. IOP was measured in both eyes and the eye with the higher IOP was used for the participant.

    Time frame: Baseline and 12 weeks

Secondary outcomes

  1. Mean Change in Trough IOP Measured Right Before Study Drug Administration at Week 12 Compared to Baseline IOP.

    The therapeutic goal of normal tension glaucoma treatment includes lowering IOP to prevent progression of damage in optic nerves or vision. In this trial, IOP was measured with the same tonometer throughout the study. A decreased IOP from baseline is considered an improvement. IOP was measured in both eyes and the eye with the higher IOP was used for the participant.

    Time frame: Baseline and 12 weeks

  2. Mean Change in IOP 8 Hours After the Study Drug Administration at Week 12 Compared to Baseline IOP

    The therapeutic goal of normal tension glaucoma treatment includes lowering IOP to prevent progression of damage in optic nerves or vision. In this trial, IOP was measured with the same tonometer throughout the study. A decreased IOP from baseline is considered an improvement. IOP was measured in both eyes and the eye with the higher IOP was used for the participant.

    Time frame: Baseline and 12 weeks

Other outcomes

  1. Baseline IOP

    Baseline IOP was measured at \~9 AM of first day of treatment period. IOP was measured in both eyes and the eye with the higher IOP was used for the participant.

    Time frame: Baseline

07

Results

Posted Mar 24, 2011

Participant flow

Participant flow — Overall Study
MilestoneTimolol/Dorzolamide
Started37
Completed36
Not completed1
Withdrew: Protocol violation1

Outcome measures

PrimaryMean Change in the Peak Intraocular Pressure (IOP) Measured Two Hours After Study Drug Administration at Week 12 Compared to Baseline IOP.

The therapeutic goal of normal tension glaucoma treatment includes lowering IOP to prevent progression of damage in optic nerves or vision. In this trial, IOP was measured with the same tonometer throughout the study. A decreased IOP from baseline is considered an improvement. IOP was measured in both eyes and the eye with the higher IOP was used for the participant.

Time frame:
Baseline and 12 weeks
Reported as:
Mean · mmHg
Mean Change in the Peak Intraocular Pressure (IOP) Measured Two Hours After Study Drug Administration at Week 12 Compared to Baseline IOP.
mmHgTimolol/Dorzolamide
Mean Change in the Peak Intraocular Pressure (IOP) Measured Two Hours After Study Drug Administration at Week 12 Compared to Baseline IOP.-3.73 ± 2.28
Statistical analysis
  • Timolol/Dorzolamide · paired t-test · p = <0.0001 (Week 12 peak IOP vs. baseline)
SecondaryMean Change in Trough IOP Measured Right Before Study Drug Administration at Week 12 Compared to Baseline IOP.

The therapeutic goal of normal tension glaucoma treatment includes lowering IOP to prevent progression of damage in optic nerves or vision. In this trial, IOP was measured with the same tonometer throughout the study. A decreased IOP from baseline is considered an improvement. IOP was measured in both eyes and the eye with the higher IOP was used for the participant.

Time frame:
Baseline and 12 weeks
Reported as:
Mean · mmHg
Mean Change in Trough IOP Measured Right Before Study Drug Administration at Week 12 Compared to Baseline IOP.
mmHgTimolol/Dorzolamide
Mean Change in Trough IOP Measured Right Before Study Drug Administration at Week 12 Compared to Baseline IOP.-3.22 ± 2.14
Statistical analysis
  • Timolol/Dorzolamide · paired t-test · p = <0.0001 (Week 12 trough IOP vs. baseline)
SecondaryMean Change in IOP 8 Hours After the Study Drug Administration at Week 12 Compared to Baseline IOP

The therapeutic goal of normal tension glaucoma treatment includes lowering IOP to prevent progression of damage in optic nerves or vision. In this trial, IOP was measured with the same tonometer throughout the study. A decreased IOP from baseline is considered an improvement. IOP was measured in both eyes and the eye with the higher IOP was used for the participant.

Time frame:
Baseline and 12 weeks
Reported as:
Mean · mmHg
Mean Change in IOP 8 Hours After the Study Drug Administration at Week 12 Compared to Baseline IOP
mmHgTimolol/Dorzolamide
Mean Change in IOP 8 Hours After the Study Drug Administration at Week 12 Compared to Baseline IOP-3.78 ± 2.40
Statistical analysis
  • Timolol/Dorzolamide · paired t-test · p = <0.0001 (Week 12 8-HR IOP vs. baseline)
Other pre-specifiedBaseline IOP

Baseline IOP was measured at \~9 AM of first day of treatment period. IOP was measured in both eyes and the eye with the higher IOP was used for the participant.

Time frame:
Baseline
Reported as:
Mean · mmHg
Baseline IOP
mmHgTimolol/Dorzolamide
Baseline IOP15.60 ± 2.46

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Timolol/Dorzolamide—0/37 (0%)24/37 (64.9%)
Most frequent other events
Most frequent other events
EventTimolol/Dorzolamide
Eye irritationEye disorders22/37
Ocular hyperaemiaEye disorders6/37
Back painMusculoskeletal and connective tissue disorders2/37
HeadacheNervous system disorders2/37
RashSkin and subcutaneous tissue disorders2/37

Baseline characteristics

Age, Continuous
Age, Continuous(years)Timolol/Dorzolamide
Mean56.6 ± 10.92
Sex: Female, Male
Sex: Female, Male(Participants)Timolol/Dorzolamide
Female19
Male18
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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Kim TW, Kim M, Lee EJ, Jeoung JW, Park KH. Intraocular pressure-lowering efficacy of dorzolamide/timolol fixed combination in normal-tension glaucoma. J Glaucoma. 2014 Jun-Jul;23(5):329-32. doi: 10.1097/IJG.0b013e3182741f4d. PubMed 23377586 ↗

Individual participant data

Plan to share: Yes — http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf http://engagezone.msd.com/ds_documentation.php

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2009 to primary completion in Mar 2010, 10 months.

Results were first posted in Mar 2011, 1 year after primary completion.

Of 41 industry-sponsored phase 2 interventional studies under Glaucoma, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 13. This study's 10 months is close to that.

Counting every sponsor, half of 51 studies reached it within 11 months; a quarter within 6 and three quarters within 21.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 29, 2009
First posted
Jan 30, 2009
StartActual
Apr 24, 2009
Primary completionActual
Mar 12, 2010
CompletionActual
Mar 26, 2010
Results first posted
Mar 24, 2011
Last update
Sep 29, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 29, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00832377
Responsible party
Sponsor
First posted
Jan 30, 2009
Start date
Apr 24, 2009
Primary completion
Mar 12, 2010
Completion
Mar 26, 2010
Results posted
Mar 24, 2011
Last update
Sep 29, 2017

Study contacts

Medical Monitor
study director · Merck Sharp & Dohme LLC

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Dorzolamide-timolol combination

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