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CompletedNCT01769521Updated Nov 17, 2015

Relationship Between 24-hour IOP Pattern and the 24-hour Blood Pressure Pattern in Patients With POAG

An interventional study of Sensimed Triggerfish® in Primary Open Angle Glaucoma and Normal Tension Glaucoma, sponsored by Sensimed AG. Completed at 1 site in Poland. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2015-11-17.

Sponsored by Sensimed AG · Not applicable and Interventional

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 99 Years
Sex
All
01

Study summary

Interplay between the increasing IOP and decreasing blood pressure (BP) during the 24-hour period, especially in the nocturnal period, may lead to insufficient perfusion pressure of the optic nerve and contribute to the glaucomatous damage in adjunct to the antero-posterior vectorial mechanical impact on the lamina cribrosa, the translaminar pressure. Patients with progressive VF loss showed greater nocturnal BP dips than patients with stable VF. Reduced mean intraocular perfusion pressure (IOPP) was significantly associated with the extent of glaucomatous damage. How the nycthemeral IOP fluctuation influences glaucoma progression has not been studied in a prospective manner and remains to be elucidated.

The purpose of this study is to assess the relationship between the 24-hour IOP fluctuation pattern and the 24-hour BP pattern in patients with primary open angle glaucoma (POAG). IOP fluctuations will be monitored with SENSIMED Triggerfish®, a portable investigational device using a contact lens sensor that monitors the IOP fluctuation continuously over 24-hours.

02

Conditions studied

  • Primary Open Angle Glaucoma
  • Normal Tension Glaucoma

Keywords

  • Glaucoma
  • IOP
  • Blood pressure
  • ECG
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 20 is below the median of 65 across 1,272 interventional studies indexed under Glaucoma.

Browse Glaucoma studies →

Lead sponsor

Sensimed AG is the lead sponsor of 28 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of POAG, including progressing normal tension glaucoma (NTG) based on recent or recurrent disc haemorrhage
  • No anti-glaucomatous drug treatment or washed-out for a period of 4 weeks prior to SD0 and absent throughout the study
  • Aged more than 18 years, of either sex
  • Not more than 4 diopters spherical equivalent on both eyes
  • Not more than 2 diopters cylinder equivalent on both eyes
  • Have given written informed consent, prior to pre-study screening

Exclusion criteria

Exclusion Criteria:

  • Patients with history of ocular surgery within the last 3 months
  • Corneal or conjunctival abnormality hindering contact lens adaptation
  • Severe dry eye
  • Secondary forms of OAG
  • Patients with systemic hypertension
  • Patients with allergy to corneal anesthetic
  • Patients with contraindications for silicone contact lens wear
  • Wear of full frame metallic glasses during Triggerfish® monitoring
  • Patients not able to understand the character and individual consequences of the investigation
  • Simultaneous participation in other clinical research
05

Study design

Phase
Not applicable
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Triggerfish

    Device: Sensimed Triggerfish

    Device: Sensimed Triggerfish®

Interventions

  • DeviceSensimed Triggerfish®

    Portable investigational device using a contact lens sensor that monitors the IOP fluctuation continuously over 24-hours

06

What researchers measure

Primary outcomes

  1. To evaluate the relationship between the 24-hour IOP fluctuations as monitored by Triggerfish® and the 24-hour blood pressure pattern in patients with POAG.

    Time frame: 24-hour

Secondary outcomes

  1. Nycthemeral IOP pattern

    The nycthemeral IOP fluctuation pattern, will be derived from the Triggerfish®, over a 24-hour period. Curves will be plotted for the IOP fluctuation.

    Time frame: 24-hour

  2. Relationship between the nocturnal IOP fluctuation pattern and the diurnal fluctuation pattern (office hours)

    The nocturnal IOP fluctuation pattern will be compared to that of the diurnal fluctuation pattern (office hours). The diurnal IOP fluctuation pattern will be compared to the tonometric IOP curve concomitantly assessed in the contralateral eye.

    Time frame: 24 hours

  3. Relationship between intraocular pulsation amplitude and BP

    The relationship between intraocular pulsation amplitude and BP will be determined by the determination of the mean intraocular Triggerfish output (IOT), SIOT and DIOT and correlated to the mean BP, SBP and DBP.

    Time frame: 24-hours

  4. Relationship between the intraocular pulsation frequency and heart rate (HR)

    The relationship between the intraocular pulsation frequency as determined by Triggerfish® will be correlated with the heart frequency as determined by ECG

    Time frame: 24-hours

  5. Assess safety and tolerability

    AEs and SAEs will be collected throughout the duration of the study

    Time frame: 24-hours

07

Study locations

1 site
  • Przemienienia Pańskiego Hospital, Poznan University of Medical Sciences Karol Marcinkowski
    Poznan, 61-848, Poland
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 17, 2015, 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
NCT01769521
Lead sponsor
Sensimed AG
Responsible party
Sponsor
First posted
Jan 16, 2013
Start date
Oct 2012
Primary completion
Apr 2013
Completion
Apr 2013
Last update
Nov 17, 2015

Study contacts

Jarosław Kocięcki, MD
principal investigator · Przemienienia Pańskiego Hospital

Oversight

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

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This study is completed, as verified in Nov 2015. You cannot join it, but the record below documents what was studied.

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