CClinicalTrials.gg
CompletedNCT01217606Updated Dec 20, 2016Results posted

Safety and Efficacy of Triple Combination Therapy in Patients With Primary Open-Angle Glaucoma or Ocular Hypertension

A Phase 3 interventional study of bimatoprost/brimonidine tartrate/timolol ophthalmic solution (Triple Combination Therapy) and Fixed Combination 0.2% brimonidine tartrate/0.5% timolol ophthalmic solution in Glaucoma, Open-Angle and Ocular Hypertension, sponsored by Allergan. Completed at 1 site in Brazil. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-12-20.

Sponsored by Allergan · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
185
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will evaluate the safety and efficacy of Triple Combination Therapy compared with Fixed Combination brimonidine tartrate/timolol ophthalmic solution in patients with primary open-angle glaucoma or ocular hypertension.

02

Conditions studied

  • Glaucoma, Open-Angle
  • Ocular Hypertension
03

In context

Glaucoma

1,818 studies on the registry are indexed under Glaucoma; 231 are open to participants now.

This study's enrollment of 185 is above the median of 65 across 1,272 interventional studies indexed under Glaucoma.

Browse Glaucoma studies →

Lead sponsor

Allergan is the lead sponsor of 499 studies on the registry; none are open to participants now.

Of its 91 completed or terminated interventional studies of FDA-regulated products, 89 (98%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Ocular hypertension or primary open-angle glaucoma in each eye
  • Requires treatment with IOP-lowering medication in both eyes

Exclusion criteria

Exclusion Criteria:

  • Required chronic use of ocular medications during the study other than study medication
  • Use of any corticosteroids within 30 days
  • History of any traumatic eye surgeries
  • Cataract surgery in the past 6 months
  • Anticipated wearing of contact lenses during the study
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
185 participants (actual)

Study arms

  • Experimental
    Triple Combination Therapy

    Triple Combination Therapy with bimatoprost/brimonidine tartrate/timolol ophthalmic solution. One drop of Triple Combination Therapy administered to each eye, twice daily for up to 12 months.

    Drug: bimatoprost/brimonidine tartrate/timolol ophthalmic solution (Triple Combination Therapy)

  • Active comparator
    Combigan®

    Fixed Combination brimonidine tartrate/timolol ophthalmic solution (Combigan®). One drop of Fixed Combination 0.2% brimonidine tartrate/0.5% timolol ophthalmic solution administered to each eye, twice daily for up to 12 months.

    Drug: Fixed Combination 0.2% brimonidine tartrate/0.5% timolol ophthalmic solution

Interventions

  • Drugbimatoprost/brimonidine tartrate/timolol ophthalmic solution (Triple Combination Therapy)

    One drop of Triple Combination Therapy administered to each eye, twice daily for up to 12 months.

  • DrugFixed Combination 0.2% brimonidine tartrate/0.5% timolol ophthalmic solution

    One drop of Fixed Combination 0.2% brimonidine tartrate/0.5% timolol ophthalmic solution administered to each eye, twice daily for up to 12 months.

    Also known as: COMBIGAN®

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Mean Worse Eye Intraocular Pressure (IOP) Analyzed by Two-Sample T-Test

    Intraocular pressure (IOP) is a measurement of the fluid pressure inside the eye. IOP is evaluated at Hour 0 and Hour 2 in the worse eye, defined as the eye with the worse (higher) Hour 0 IOP at baseline. The mean of Hours 0 and 2 is calculated at Baseline and Week 12 in the worse eye. A negative number change from baseline indicates a reduction in IOP (improvement) and a positive number change from baseline indicates an increase in IOP (worsening). Data are analyzed using a two-sample t-test.

    Time frame: Baseline, Week 12

Secondary outcomes

  1. Change From Baseline in Mean Worse Eye Intraocular Pressure (IOP) Analyzed by Mixed-Effect Model for Repeated Measure

    Intraocular pressure (IOP) is a measurement of the fluid pressure inside the eye. IOP is evaluated at Hour 0 and Hour 2 in the worse eye, defined as the eye with the worse (higher) Hour 0 IOP at baseline. The mean of Hours 0 and 2 is calculated at Baseline and Week 12 in the worse eye. A negative number change from baseline indicates a reduction in IOP (improvement) and a positive number change from baseline indicates an increase in IOP (worsening). Data are analyzed by a mixed-effect model for repeated measure.

    Time frame: Baseline, Week 1, Week 2, Week 4, Week 8, Week 12, Month 6, Month 9, Month 12

  2. Change From Baseline in Mean Worse Eye Intraocular Pressure (IOP) Analyzed by Analysis of Covariance (ANCOVA)

    Intraocular pressure (IOP) is a measurement of the fluid pressure inside the eye. IOP is evaluated at Hour 0 and Hour 2 in the worse eye, defined as the eye with the worse (higher) IOP at baseline. The mean of Hours 0 and 2 is calculated at Baseline and Week 12 in the worse eye. A negative number change from baseline indicates a reduction in IOP (improvement) and a positive number change from baseline indicates an increase in IOP (worsening). Data are analyzed by ANCOVA.

    Time frame: Baseline, Week 1, Week 2, Week 4, Week 8, Week 12, Month 6, Month 9, Month 12

07

Results

Posted Nov 9, 2015

Participant flow

Initial Treatment Phase
Participant flow — Initial Treatment Phase
MilestoneTriple Combination TherapyCombigan®
Started9095
Completed7683
Not completed1412
Withdrew: Other reasons02
Withdrew: Protocol violation32
Withdrew: Personal reasons02
Withdrew: Lack of efficacy10
Withdrew: Adverse event106
9-Month Masked Extension
Participant flow — 9-Month Masked Extension
MilestoneTriple Combination TherapyCombigan®
Started6773
Not enrolled in masked extension910
Completed5462
Not completed1311
Withdrew: Adverse event36
Withdrew: Other reasons44
Withdrew: Personal reasons21
Withdrew: Lost to follow-up10
Withdrew: Pregnancy10
Withdrew: Lack of efficacy20

Outcome measures

PrimaryChange From Baseline in Mean Worse Eye Intraocular Pressure (IOP) Analyzed by Two-Sample T-Test

Intraocular pressure (IOP) is a measurement of the fluid pressure inside the eye. IOP is evaluated at Hour 0 and Hour 2 in the worse eye, defined as the eye with the worse (higher) Hour 0 IOP at baseline. The mean of Hours 0 and 2 is calculated at Baseline and Week 12 in the worse eye. A negative number change from baseline indicates a reduction in IOP (improvement) and a positive number change from baseline indicates an increase in IOP (worsening). Data are analyzed using a two-sample t-test.

Time frame:
Baseline, Week 12
Reported as:
Mean · Millimeters of Mercury (mmHg)
Change From Baseline in Mean Worse Eye Intraocular Pressure (IOP) Analyzed by Two-Sample T-Test
Millimeters of Mercury (mmHg)Triple Combination TherapyCombigan®
Baseline25.42 ± 2.90224.43 ± 2.592
Change from Baseline at Week 12 (N=85, 93)-10.45 ± 3.175-8.28 ± 3.256
SecondaryChange From Baseline in Mean Worse Eye Intraocular Pressure (IOP) Analyzed by Mixed-Effect Model for Repeated Measure

Intraocular pressure (IOP) is a measurement of the fluid pressure inside the eye. IOP is evaluated at Hour 0 and Hour 2 in the worse eye, defined as the eye with the worse (higher) Hour 0 IOP at baseline. The mean of Hours 0 and 2 is calculated at Baseline and Week 12 in the worse eye. A negative number change from baseline indicates a reduction in IOP (improvement) and a positive number change from baseline indicates an increase in IOP (worsening). Data are analyzed by a mixed-effect model for repeated measure.

Time frame:
Baseline, Week 1, Week 2, Week 4, Week 8, Week 12, Month 6, Month 9, Month 12
Reported as:
Mean · Millimeters of Mercury (mmHg)
Change From Baseline in Mean Worse Eye Intraocular Pressure (IOP) Analyzed by Mixed-Effect Model for Repeated Measure
Millimeters of Mercury (mmHg)Triple Combination TherapyCombigan®
Baseline25.42 ± 2.90224.43 ± 2.592
Change from Baseline at Week 1 (N=82, 91)-11.63 ± 3.060-8.13 ± 2.969
Change from Baseline at Week 2 (N=82, 87)-11.24 ± 3.283-8.12 ± 2.942
Change from Baseline at Week 4 (N=82, 88)-10.88 ± 3.193-8.35 ± 3.100
Change from Baseline at Week 8 (N=75, 87)-10.53 ± 3.165-7.94 ± 3.453
Change from Baseline at Week 12 (N=76, 83)-10.56 ± 3.224-8.16 ± 3.161
Change from Baseline at Month 6 (N=64, 69)-10.41 ± 2.976-8.29 ± 3.221
Change from Baseline at Month 9 (N=58, 67)-10.29 ± 3.275-8.14 ± 2.937
Change from Baseline at Month 12 (N=55, 63)-9.38 ± 3.398-7.58 ± 3.486
SecondaryChange From Baseline in Mean Worse Eye Intraocular Pressure (IOP) Analyzed by Analysis of Covariance (ANCOVA)

Intraocular pressure (IOP) is a measurement of the fluid pressure inside the eye. IOP is evaluated at Hour 0 and Hour 2 in the worse eye, defined as the eye with the worse (higher) IOP at baseline. The mean of Hours 0 and 2 is calculated at Baseline and Week 12 in the worse eye. A negative number change from baseline indicates a reduction in IOP (improvement) and a positive number change from baseline indicates an increase in IOP (worsening). Data are analyzed by ANCOVA.

Time frame:
Baseline, Week 1, Week 2, Week 4, Week 8, Week 12, Month 6, Month 9, Month 12
Reported as:
Mean · Millimeters of Mercury (mmHg)
Change From Baseline in Mean Worse Eye Intraocular Pressure (IOP) Analyzed by Analysis of Covariance (ANCOVA)
Millimeters of Mercury (mmHg)Triple Combination TherapyCombigan®
Baseline25.42 ± 2.90224.43 ± 2.592
Change from Baseline at Week 1 (N=82, 91)-11.63 ± 3.060-8.13 ± 2.969
Change from Baseline at Week 2 (N=84, 92)-11.20 ± 3.290-8.28 ± 3.076
Change from Baseline at Week 4 (N=85, 93)-10.85 ± 3.180-8.53 ± 3.228
Change from Baseline at Week 8 (N=85, 93)-10.44 ± 3.105-8.07 ± 3.521
Change from Baseline at Week 12 (N=85, 93)-10.45 ± 3.175-8.28 ± 3.256
Change from Baseline at Month 6 (N=67, 73)-10.32 ± 2.965-8.42 ± 3.252
Change from Baseline at Month 9 (N=67, 73)-10.09 ± 3.349-8.17 ± 3.031
Change from Baseline at Month 12 (N=67, 73)-9.36 ± 3.368-7.77 ± 3.489

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Triple Combination Therapy—1/90 (1.1%)84/90 (93.3%)
Combigan®—1/95 (1.1%)77/95 (81.1%)
Most frequent serious events
Most frequent serious events
EventTriple Combination TherapyCombigan®
Rotator Cuff SyndromeMusculoskeletal and connective tissue disorders1/900/95
Tendon ruptureInjury, poisoning and procedural complications0/901/95
Most frequent other events
Showing 10 of 16
Most frequent other events
EventTriple Combination TherapyCombigan®
Conjunctival hyperaemiaEye disorders54/9028/95
Punctate keratitisEye disorders25/9019/95
BlepharitisEye disorders15/9012/95
Conjunctival folliclesEye disorders7/9015/95
Eye pruritusEye disorders12/907/95
Eye irritationEye disorders11/903/95
MeibomianitisEye disorders10/908/95
Erythema of eyelidEye disorders9/907/95
CataractEye disorders8/903/95
Visual Field DefectNervous system disorders7/907/95

Baseline characteristics

Age, Customized
Age, Customized(Participants)Triple Combination TherapyCombigan®Total
≤65 years6862130
>65 years223355
Gender
Gender(Participants)Triple Combination TherapyCombigan®Total
Female5363116
Male373269
08

Study locations

1 site
  • São Paulo, Brazil
09

References and documents

Publications

  • Belfort R Jr, Paula JS, Lopes Silva MJ, Della Paolera M, Kim T, Chen MY, Goodkin ML. Fixed-combination Bimatoprost/Brimonidine/Timolol in Glaucoma: A Randomized, Masked, Controlled, Phase III Study Conducted in Brazil☆. Clin Ther. 2020 Feb;42(2):263-275. doi: 10.1016/j.clinthera.2019.12.008. Epub 2020 Feb 20. PubMed 32089329 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 20, 2016, 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
NCT01217606
Lead sponsor
Allergan
Responsible party
Sponsor
First posted
Oct 8, 2010
Start date
Jan 2011
Primary completion
Sep 2014
Completion
Jun 2015
Results posted
Nov 9, 2015
Last update
Dec 20, 2016

Study contacts

Medical Director
study director · Allergan

Oversight

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

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