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CompletedNCT03808688Updated Sep 29, 2020Results posted

Study of Rhopressa® for the Reduction of Elevated Intraocular Pressure in Patients With Glaucoma or Ocular Hypertension in a Real-world Setting

A Phase 4 interventional study of Netarsudil Ophthalmic Solution 0.02% in Glaucoma, Open-Angle and Ocular Hypertension, sponsored by Aerie Pharmaceuticals. Completed at 22 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-09-29.

Sponsored by Aerie Pharmaceuticals · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
261
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

To evaluate the IOP lowering efficacy of netarsudil ophthalmic solution 0.02% when used as monotherapy or when used concomitantly with other IOP-lowering agents in subjects with elevated IOP due to open angle glaucoma or ocular hypertension in a real-world clinical setting. The study is an open-label design. The patients will receive treatment for 12 weeks.

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Conditions studied

  • Glaucoma, Open-Angle
  • Ocular Hypertension
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In context

Glaucoma

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

This study's enrollment of 261 is above the median of 65 across 1,272 interventional studies indexed under Glaucoma.

Browse Glaucoma studies →

Lead sponsor

Aerie Pharmaceuticals is the lead sponsor of 35 studies on the registry; none are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 16 (89%) 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

Eligibility criteria

Key Inclusion Criteria:

  1. Male or female subjects (aged 18 or older)
  2. Subjects diagnosed with open-angle glaucoma or ocular hypertension, and determined by the treating physician to require additional intraocular pressure (IOP)-lowering treatment with netarsudil 0.02%.
  3. Willingness to follow protocol requirements, including signed informed consent, routine follow-up schedule, completing questionnaires and completing laboratory tests

Key Exclusion Criteria:

  1. Have any active ocular disease other than glaucoma or ocular hypertension that would interfere with study interpretation
  2. Women of childbearing potential who are pregnant, nursing, or planning a pregnancy and not using a medically acceptable form of birth control. Male subjects with a female partner of childbearing potential must have had a prior vasectomy or agree to use an effective method of birth control during the treatment period and for 3 months after the subject has completed the study.
  3. Known sensitivity or allergy to the study medication or components
  4. Any systemic disease or clinical evidence of any condition which would make the subject, in the opinion of the investigator, unsuitable for the study or could potentially confound the study results
  5. Concurrent participation or prior participation in any investigational drug or device study within the last 30 days prior to the Baseline Visit
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
261 participants (actual)

Study arms

  • Other
    Netarsudil Ophthalmic Solution 0.02%

    Drug: Netarsudil Ophthalmic Solution 0.02%

Interventions

  • DrugNetarsudil Ophthalmic Solution 0.02%

    1 drop in each eye once daily in the evening

    Also known as: Rhopressa

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What researchers measure

Primary outcomes

  1. Intraocular Pressure (IOP)

    Percent Change from Baseline IOP at Week 12, as measured by Goldmann applanation tonometry. Prostaglandin analog (PGA). Fixed dose combination (FDC).

    Time frame: 12 weeks

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Results

Posted Sep 29, 2020

Participant flow

A total of 261 subjects were enrolled across 22 investigational sites and 260 treated.

Participant flow — Overall Study
MilestoneNetarsudil Ophthalmic Solution 0.02% MonotherapyNetarsudil Ophthalmic Solution 0.02% Concomitant Therapy
Started99161
Completed81138
Not completed1823
Withdrew: Adverse event1317
Withdrew: Lack of efficacy20
Withdrew: Lost to follow-up02
Withdrew: Withdrawal by subject10
Withdrew: Intolerance to conjunctival hyperemia10
Withdrew: Iop too high11
Withdrew: Iop too high, nerve/visual field changes01
Withdrew: Visit out of window01
Withdrew: Medication non-compliance01

Outcome measures

PrimaryIntraocular Pressure (IOP)

Percent Change from Baseline IOP at Week 12, as measured by Goldmann applanation tonometry. Prostaglandin analog (PGA). Fixed dose combination (FDC).

Time frame:
12 weeks
Reported as:
Mean · percent change
Intraocular Pressure (IOP)
percent changeNetarsudil Ophth Sol 0.02% Monotherapy - Tx Naïve At BaselineNetarsudil Ophth Sol 0.02% Monotherapy - Replaced 1 AgentNetarsudil Ophth Sol 0.02% Monotherapy - Replaced 2 AgentsNetarsudil Ophth Sol 0.02% Concomitant Therapy
Intraocular Pressure (IOP)-16.9 ± 16.35-2.3 ± 16.230.2 ± 8.81-17.0 ± 16.81
Statistical analysis
  • Netarsudil Ophth Sol 0.02% Monotherapy - Tx Naïve At Baseline vs Netarsudil Ophth Sol 0.02% Monotherapy - Replaced 1 Agent vs Netarsudil Ophth Sol 0.02% Monotherapy - Replaced 2 Agents vs Netarsudil Ophth Sol 0.02% Concomitant Therapy ·

Adverse events

Collected over Adverse event data was collected during the course of the 12-week treatment period.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Netarsudil Ophthalmic Solution 0.02% Monotherapy0/99 (0%)2/99 (2%)43/99 (43.4%)
Netarsudil Ophthalmic Solution 0.02% Concomitant Therapy0/161 (0%)1/161 (0.6%)58/161 (36%)
Most frequent serious events
Most frequent serious events
EventNetarsudil Ophthalmic Solution 0.02% MonotherapyNetarsudil Ophthalmic Solution 0.02% Concomitant Therapy
Malignant Melanoma of EyelidNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/990/161
PneumoniaInfections and infestations1/990/161
Cellulitis Lower Left ExtremityInfections and infestations0/991/161
Most frequent other events
Most frequent other events
EventNetarsudil Ophthalmic Solution 0.02% MonotherapyNetarsudil Ophthalmic Solution 0.02% Concomitant Therapy
Conjunctival HyperemiaEye disorders22/9932/161
Vision BlurredEye disorders9/9910/161
Conjunctival HemorrageEye disorders6/998/161
Instillation Site PainEye disorders6/998/161

Baseline characteristics

Modified intent to treat (mITT) population included all subjects who received at least 1 dose of study medication and had at least 1 follow-up visit with a completed IOP measurement.

Age, Continuous
Age, Continuous(years)Netarsudil Ophthalmic Solution 0.02% MonotherapyNetarsudil Ophthalmic Solution 0.02% Concomitant TherapyTotal
Mean67.2 ± 11.8567.2 ± 10.5367.2 ± 11.02
Sex: Female, Male
Sex: Female, Male(Participants)Netarsudil Ophthalmic Solution 0.02% MonotherapyNetarsudil Ophthalmic Solution 0.02% Concomitant TherapyTotal
Female5791148
Male346094
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Netarsudil Ophthalmic Solution 0.02% MonotherapyNetarsudil Ophthalmic Solution 0.02% Concomitant TherapyTotal
Hispanic or Latino11819
Not Hispanic or Latino80143223
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Netarsudil Ophthalmic Solution 0.02% MonotherapyNetarsudil Ophthalmic Solution 0.02% Concomitant TherapyTotal
American Indian or Alaska Native101
Asian033
Native Hawaiian or Other Pacific Islander000
Black or African American134558
White77102179
More than one race011
Unknown or Not Reported000
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Study locations

22 sites
  • Atlantis Eyecare
    Huntington Beach, California 92647, United States
  • Harvard Eye Associates
    Laguna Hills, California 92653, United States
  • North Bay Eye Associates, Inc
    Petaluma, California 94954, United States
  • Shettle Eye Research Inc
    Largo, Florida 33773, United States
  • Center For Sight
    Sarasota, Florida 34238, United States
  • Coastal Research Associates, LLC
    Roswell, Georgia 30076, United States
  • Wheaton Eye Clinic, Ltd
    Wheaton, Illinois 60187, United States
  • Stiles Eyecare Excellence and Glaucoma Institute, PA
    Overland Park, Kansas 66213, United States
  • Gaddie Eye Centers, LLC
    Louisville, Kentucky 40241, United States
  • Glaucoma Consultants
    Baltimore, Maryland 21204, United States
  • Tekwani Vision Center
    Saint Louis, Missouri 63128, United States
  • Mark J. Weiss, M.D., Inc.
    Tulsa, Oklahoma 74104, United States
  • Scott & Christie and Associates, PC
    Cranberry Township, Pennsylvania 16066, United States
  • Valley Eye Professionals, LLC
    Huntingdon Valley, Pennsylvania 19006, United States
  • Carolina Cataract & Laser Center
    Ladson, South Carolina 29456, United States
  • Total Eye Care, PA
    Memphis, Tennessee 38119, United States
  • VRF Eye Specialty Group
    Memphis, Tennessee 38120, United States
  • Advancing Vision Research
    Nashville, Tennessee 37204, United States
  • Keystone Research
    Austin, Texas 78731, United States
  • Cataract & Glaucoma Center
    El Paso, Texas 79902, United States
  • Houston Eye Associates
    Houston, Texas 77025, United States
  • The Eye Centers of Racine and Kenosha
    Racine, Wisconsin 53405, United States
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References and documents

Publications

  • Zaman F, Gieser SC, Schwartz GF, Swan C, Williams JM. A multicenter, open-label study of netarsudil for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension in a real-world setting. Curr Med Res Opin. 2021 Jun;37(6):1011-1020. doi: 10.1080/03007995.2021.1901222. Epub 2021 Mar 27. PubMed 33733980 ↗

Study documents

  • Study protocol · Dec 18, 2018
  • Statistical analysis plan · Aug 15, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 29, 2020, 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
NCT03808688
Lead sponsor
Aerie Pharmaceuticals
Responsible party
Sponsor
First posted
Jan 17, 2019
Start date
Dec 27, 2018
Primary completion
Jul 26, 2019
Completion
Jul 26, 2019
Results posted
Sep 29, 2020
Last update
Sep 29, 2020

Study contacts

David Hollander, MD, MBA
study director · Aerie Pharmaceuticals, Inc.

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2019. You cannot join it, but the record below documents what was studied.

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