A Phase 3 interventional study of Brinzolamide 1%/brimonidine tartrate 0.2% ophthalmic suspension and Brinzolamide 1% ophthalmic suspension in Open-Angle Glaucoma and Ocular Hypertension, sponsored by Alcon Research. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-03-06.
Sponsored by Alcon Research · Phase 3, Interventional, and Treatment
The purpose of this study was to evaluate the safety and efficacy of Brinzolamide/Brimonidine in lowering intraocular pressure (IOP) relative to each of its individual active components in patients with open-angle glaucoma or ocular hypertension.
This study consisted of 7 visits conducted during 2 sequential phases: the screening/eligibility phase, which included a screening visit and 2 eligibility visits, and a treatment phase, which included 4 on-therapy visits conducted at Week 2, Week 6, Month 3, and Month 6 (or early exit). Following washout of any IOP-lowering medication, subjects who met all inclusion/exclusion criteria at both eligibility visits and who had IOP measurements within the specified range during this period were randomized to 1 of 3 study drug groups: Brinz/Brim, Brinz, or Brim.
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Exclusion Criteria:
Brinzolamide 1%/brimonidine tartrate 0.2% ophthalmic suspension, 1 drop instilled in each eye 2 times a day for 6 months
Drug: Brinzolamide 1%/brimonidine tartrate 0.2% ophthalmic suspension
Brinzolamide 1% ophthalmic suspension, 1 drop instilled in each eye 2 times a day for 6 months
Drug: Brinzolamide 1% ophthalmic suspension
Brimonidine tartrate 0.2% ophthalmic solution, 1 drop instilled in each eye 2 times a day for 6 months
Drug: Brimonidine tartrate 0.2% ophthalmic solution
Also known as: AZOPT™
Mean Diurnal IOP Change From Baseline at Month 3
Mean Diurnal IOP Change from Baseline at Month 3 (ie, the subject IOP change from baseline averaged over the 9 AM, + 2 h, and + 7 h time points at Month 3) was measured by Goldmann applanation tonometry. The study drug was instilled approximately 15 minutes after conducting the 9AM IOP measurement. One eye from each subject was chosen as the study eye, and only data for the study eye were used for the efficacy analysis. A higher IOP can be a greater risk factor for developing glaucoma or glaucoma progression (leading to optic nerve damage).
Time frame: Baseline (Day 1), Month 3
Subjects were recruited from 63 investigational centers in the Asia-Pacific region, the European Union, Latin America and Caribbean nations, and the United States.
| Milestone | Brinz/Brim | Brinz | Brim |
|---|---|---|---|
| Started | 193 | 192 | 175 |
| Completed | 160 | 178 | 145 |
| Not completed | 33 | 14 | 30 |
| Withdrew: Adverse event | 23 | 1 | 15 |
| Withdrew: Lost to follow-up | 0 | 4 | 1 |
| Withdrew: Patient's decision unrelated to ae | 1 | 1 | 2 |
| Withdrew: Inadequate control of iop | 5 | 7 | 10 |
| Withdrew: Other | 4 | 1 | 2 |
Mean Diurnal IOP Change from Baseline at Month 3 (ie, the subject IOP change from baseline averaged over the 9 AM, + 2 h, and + 7 h time points at Month 3) was measured by Goldmann applanation tonometry. The study drug was instilled approximately 15 minutes after conducting the 9AM IOP measurement. One eye from each subject was chosen as the study eye, and only data for the study eye were used for the efficacy analysis. A higher IOP can be a greater risk factor for developing glaucoma or glaucoma progression (leading to optic nerve damage).
| millimeters of mercury (mmHg) | Brinz/Brim | Brinz | Brim |
|---|---|---|---|
| Mean Diurnal IOP Change From Baseline at Month 3 | -7.9 ± 0.22 | -6.5 ± 0.23 | -6.4 ± 0.24 |
Collected over Adverse events were collected for the duration of the study (1 year, 8 months). An AE was defined as any untoward medical occurrence in a subject who was administered a study medication, regardless of causal relationship with the medication.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Brinz/Brim | — | 5/193 (2.6%) | 44/193 (22.8%) |
| Brinz | — | 2/192 (1%) | 12/192 (6.3%) |
| Brim | — | 3/175 (1.7%) | 18/175 (10.3%) |
| Event | Brinz/Brim | Brinz | Brim |
|---|---|---|---|
| Carotid artery occlusionNervous system disorders | 0/193 | 0/192 | 1/175 |
| ConcussionInjury, poisoning and procedural complications | 0/193 | 0/192 | 1/175 |
| CystitisInfections and infestations | 0/193 | 0/192 | 1/175 |
| HeadacheNervous system disorders | 0/193 | 0/192 | 1/175 |
| Macular degenerationEye disorders | 0/193 | 0/192 | 1/175 |
| Calculus urethralRenal and urinary disorders | 0/193 | 1/192 | 0/175 |
| CholecystitisHepatobiliary disorders | 0/193 | 1/192 | 0/175 |
| Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/193 | 0/192 | 0/175 |
| CellulitisInfections and infestations | 1/193 | 0/192 | 0/175 |
| Cervix carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/193 | 0/192 | 0/175 |
| Event | Brinz/Brim | Brinz | Brim |
|---|---|---|---|
| Ocular hyperaemiaEye disorders | 11/193 | 3/192 | 9/175 |
| ConjunctivitisEye disorders | 11/193 | 2/192 | 2/175 |
| Vision BlurredEye disorders | 11/193 | 1/192 | 3/175 |
| Eye PainEye disorders | 11/193 | 3/192 | 0/175 |
| DysgeusiaNervous system disorders | 11/193 | 4/192 | 2/175 |
| Dry MouthGastrointestinal disorders | 7/193 | 2/192 | 9/175 |
This reporting group includes all randomized subjects.
| Age, Customized(participants) | Brinz/Brim | Brinz | Brim | Total |
|---|---|---|---|---|
| <65 years | 91 | 87 | 79 | 257 |
| ≥65 years | 102 | 105 | 96 | 303 |
| Sex: Female, Male(Participants) | Brinz/Brim | Brinz | Brim | Total |
|---|---|---|---|---|
| Female | 106 | 102 | 102 | 310 |
| Male | 87 | 90 | 73 | 250 |
No study locations are listed for this record.
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