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Active, not recruitingNCT04499248Updated May 22, 2026

AGN-193408 SR in the Treatment of Open-angle Glaucoma or Ocular Hypertension

A Phase 1/2 interventional study of AGN-193408 SR and Lumigan in Open-angle Glaucoma and Ocular Hypertension, sponsored by AbbVie. Active, not recruiting at 49 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-22.

Sponsored by AbbVie · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a multicenter, open-label, dose escalation (Cohort 1) to masked, randomized, parallel-groups (Cohort 2) and (Cohort 3) study to evaluate the safety and efficacy of AGN-193408 SR in participants with open-angle glaucoma or ocular hypertension

02

Conditions studied

  • Open-angle Glaucoma
  • Ocular Hypertension

Keywords

  • Open-angle glaucoma
  • Ocular hypertension
03

In context

Glaucoma, Open-Angle

929 studies on the registry are indexed under Glaucoma, Open-Angle; 122 are open to participants now.

This study's enrollment of 100 is above the median of 80 across 700 interventional studies indexed under Glaucoma, Open-Angle.

Browse Glaucoma, Open-Angle studies →

Lead sponsor

AbbVie is the lead sponsor of 953 studies on the registry; 136 are open to participants now.

Of its 350 completed or terminated interventional studies of FDA-regulated products, 210 (60%) 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

  • Participant is willing to withhold his/her IOP (Intraocular Pressure) treatments according to the study requirements, and in the opinion of the investigator, can do so without significant risk.
  • Diagnosis of either OAG [open-angle glaucoma] (ie, [POAG], pseudoexfoliation glaucoma,pigmentary glaucoma) or OHT (ocular hypertension) in both eyes.
  • Must be pseudophakic (at least 4 months postcataract surgery prior to treatment administration [Cycle 1 Day 1 Administration visit]) (Cohort 3 only).

Exclusion criteria

Exclusion Criteria:

  • Known allergy or sensitivity to any study medication or its components, any component of the delivery vehicle, procedure-related materials, or diagnostic agents used during the study (eg, topical anesthetic, dilating drops, fluorescein, povidone-iodine).
  • Concurrent or anticipated enrollment in an investigational drug or device study or participation in such a study within 2 months prior to the Baseline visit through the final study visit.
  • History of intracameral implant in the study eye (eg, Bimatoprost SR, OTX-TIC, ENV515 Travoprost XR).
  • History of laser trabeculoplasty within 6 months prior to screening in the study eye.
  • History or evidence of clinically relevant, substantial ocular trauma (eg, a traumatic cataract, traumatic angle recession, etc.) in the study eye.
  • History or evidence of complicated cataract/lens surgery, as stated in the protocol.
  • Intraocular surgery (including cataract surgery) in the study eye within the 4 months prior to treatment administration.
  • Any history of corneal graft, including partial grafts (eg, Descemet's Stripping Endothelial Keratoplasty [DSEK], Descemet's Membrane Endothelial Keratoplasty [DMEK]); or incisional refractive surgery (eg, radial keratotomy), other than astigmatic keratotomy or limbal relaxing incisions in the study eye.
  • History of herpetic ocular diseases in either eye (including herpes simplex virus and varicella zoster virus).
  • Anticipated need for any incisional or laser ocular surgery in either eye during the study.
  • History of anatomically narrow angle resulting in evidence of angle changes or any history or closed angle glaucoma in the study eye.
  • History or evidence of a peripheral iridotomy/iridectomy in the inferior iris in the study eye.
  • Any history of trabeculectomy or other types of incisional glaucoma surgery, including a glaucoma seton or aqueous bypass stents in either eye, or minimally invasive glaucoma surgery (MIGS) type trabecular meshwork surgeries in the study eye.
  • Anticipated use of corticosteroids in either eye except for permitted interventions or systemically during the study, or historical use prior to Baseline within:

    • 3 years: intraocular fluocinolone acetonide
    • 6 months: intraocular corticosteroid(s) other than fluocinolone; any injectable periocular or sub-Tenon's/subconjunctival corticosteroid
    • 2 months: systemic (eg, oral, intramuscular, intravenous) or topical ocular corticosteroids
    • 2 weeks: dermal corticosteroids applied to skin of the eyelid(s), around the eye, or adnexa.
  • Anticipated use of other topical ocular medications in either eye except for permitted interventions.
  • The anticipated wearing of contact lenses in the study eye (Cohort 1) and both eyes (Cohorts 2 and 3) during the study that deviates from the following (contact lens wear is allowed during the study, but is to be temporarily discontinued before study visits, and before and after an Administration Day according to the following):

    • Use of soft lenses should be discontinued at least 3 days prior to Baseline, and use of rigid gas permeable or hard contact lenses should be discontinued at least 1 week prior to Baseline
    • Use of soft lenses should be discontinued at least 3 days and use of rigid gas permeable or hard contact lenses should be discontinued at least 1 week prior to a scheduled study visit or Administration Day visit
    • Use of contact lenses of any kind should be discontinued for 1 week following any AGN-193408 SR administration
  • Central corneal thickness of \< 480 or > 620 micrometers in both eyes.
  • Visual field loss in the study eye that, in the opinion of the investigator, is functionally significant (eg, split fixation, field defect within the central 10 degrees that is visually significant or likely to cause central visual impairment upon progression) or shows evidence of progressive visual field loss within the year prior to Baseline.
  • Evidence of macular edema in either eye during screening or in participant's medical history.
  • At Screening, evidence of posterior synechia behind the iris inferiorly in the study eye that in the investigator's opinion may inhibit the ability to safely receive at least 1 AGN-193408 SR implant (Cohort 3 only).
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
100 participants (actual)

Study arms

  • Experimental
    Cohort 1 -Dose A

    Single dose of AGN-193408 SR Dose A administered in the study eye on Day 1. One drop of Lumigan 0.01% administered in the non-study eye once daily every evening starting on Day 1.

    Drug: AGN-193408 SR · Other: Lumigan

  • Experimental
    Cohort 1 - Dose B

    Single dose of AGN-193408 SR Dose B administered in the study eye on Day 1. One drop of Lumigan 0.01% administered in the non-study eye once daily every evening starting on Day 1.

    Drug: AGN-193408 SR · Other: Lumigan

  • Experimental
    Cohort 2 - Dose A

    AGN-193408 SR Dose A (single dose on Day 1) + vehicle eye drops (once daily in the evening starting on Day 1) administered in the study eye. Lumigan (once daily in the evening starting on Day 1) + Sham AGN-193408 SR (single administration on Day 1) administered in the non-study eye.

    Drug: AGN-193408 SR · Other: Lumigan · Other: Sham Administration · Other: Lumigan Vehicle

  • Experimental
    Cohort 2 - Dose B

    AGN-193408 SR Dose B (single dose on Day 1) + vehicle eye drops (once daily in the evening starting on Day 1) administered in the study eye. Lumigan (once daily in the evening starting on Day 1) + Sham AGN-193408 SR (single administration on Day 1) administered in the non-study eye.

    Drug: AGN-193408 SR · Other: Lumigan · Other: Sham Administration · Other: Lumigan Vehicle

  • Experimental
    Cohort 3 - Dose A

    AGN-193408 SR Dose A (single dose on Day 1) + vehicle eye drops (once daily in the evening starting on Day 1) administered in the study eye. Lumigan (once daily in the evening starting on Day 1) + Sham AGN-193408 SR (single administration on Day 1) administered in the non-study eye.

    Other: Lumigan · Drug: AGN-193408 SR · Other: Sham Administration · Other: Lumigan Vehicle

  • Experimental
    Cohort 3 - Dose B

    AGN-193408 SR Dose B (single dose on Day 1) + vehicle eye drops (once daily in the evening starting on Day 1) administered in the study eye. Lumigan (once daily in the evening starting on Day 1) + Sham AGN-193408 SR (single administration on Day 1) administered in the non-study eye.

    Other: Lumigan · Drug: AGN-193408 SR · Other: Sham Administration · Other: Lumigan Vehicle

Interventions

  • DrugAGN-193408 SR

    An implant containing preservative-free AGN-193408 dispersed in a biodegradable polymer matrix. Implants are preloaded into an applicator to facilitate insertion of the implant into the anterior chamber of the study eye.

  • OtherLumigan

    Control Treatment in Fellow Eye Lumigan 0.01% is a topical eye drop that is a solution containing 0.1 mg/mL bimatoprost

    Also known as: Active Comparator

  • OtherSham Administration

    Needleless applicator contacting similar intracameral insertion location on eye as AGN-193408 SR.

  • OtherLumigan Vehicle

    Vehicle eye drops (for masking) will be administered once daily in the evening starting on Day 1 in the study eye during Cohort 2.

    Also known as: Vehicle

  • DrugAGN-193408 SR

    An implant containing preservative-free AGN-193408 dispersed in a biodegradable polymer matrix. Implants are preloaded into an applicator to facilitate insertion of the implant in the study eye.

  • OtherSham Administration

    Needleless applicator contacting similar insertion location on eye as AGN-193408 SR.

  • OtherLumigan Vehicle

    Vehicle eye drops (for masking) will be administered once daily in the evening starting on Day 1 in the study eye during Cohort 3.

    Also known as: Vehicle

06

What researchers measure

Primary outcomes

  1. Change from Baseline in Hour 0 Intraocular Pressure (IOP) in the Study Eye

    IOP is a measurement of the fluid pressure inside the study eye. A negative change from baseline indicates an improvement and a positive change from baseline indicates a worsening.

    Time frame: Baseline to Month 36

  2. Number of participants experiencing treatment emergent adverse events

    Time frame: Baseline to Month 36

Secondary outcomes

  1. Time to Rescue Treatment or Re-Treatment in the Study Eye

    Time to rescue treatment or the second treatment is defined as the time between the first treatment and the second treatment in the study eye.

    Time frame: Baseline to Month 36

07

Study locations

49 sites
  • Horizon Eye Specialists & Lasik Center - Sun City /ID# 252153
    Sun City, Arizona 85351, United States
  • Global Research Management /ID# 241699
    Glendale, California 91204-2500, United States
  • United Medical Research Institute /ID# 241701
    Inglewood, California 90301, United States
  • Lakeside Vision Center /ID# 241698
    Irvine, California 92604, United States
  • The Eye Research Foundation /ID# 234528
    Newport Beach, California 92663-3637, United States
  • Sacramento Eye Consultants /ID# 241697
    Sacramento, California 95815, United States
  • Premiere Practice Management LLC /ID# 235957
    Torrance, California 90505, United States
  • Wolstan & Goldberg Eye Associates /ID# 241700
    Torrance, California 90505, United States
  • Connecticut Eye Consultants P.C. /ID# 235862
    Danbury, Connecticut 06810, United States
  • Brandon Eye Associates - Brandon /ID# 276600
    Brandon, Florida 33511, United States
  • Nature Coast Clinical Research - Crystal River /ID# 237781
    Crystal River, Florida 34429, United States
  • Advanced Research, LLC /ID# 276987
    Deerfield Beach, Florida 33064-1346, United States
  • University of Florida Health Ophthalmology - Jacksonville /ID# 243122
    Jacksonville, Florida 32209-6533, United States
  • East Florida Eye Institute /ID# 235762
    Stuart, Florida 34994, United States
  • Logan Ophthalmic Research Inc. /ID# 252087
    Tamarac, Florida 33321, United States
  • Coastal Research Associates /ID# 234649
    Roswell, Georgia 30076, United States
  • Thomas Eye Group PC /ID# 266775
    Sandy Springs, Georgia 30328, United States
  • University of Illinois Hospital and Health Sciences System /ID# 253630
    Chicago, Illinois 60607, United States
  • Midwest Medical Advisors Inc /ID# 235845
    Carmel, Indiana 46290, United States
  • Indiana University - Glick Eye Institute /ID# 235887
    Indianapolis, Indiana 46202, United States
  • Ophthalmic Consultants of Boston /ID# 236535
    Boston, Massachusetts 02129, United States
  • Fraser Eye Care Center /ID# 267100
    Fraser, Michigan 48026, United States
  • Midwest Vision Research Foundation at Pepose Vision Institute /ID# 267094
    Chesterfield, Missouri 63017, United States
  • Silverstein Eye Centers /ID# 266767
    Kansas City, Missouri 64133, United States
  • Tekwani Vision Center /ID# 235149
    St Louis, Missouri 63128, United States
  • Nv Eye Surgery - Henderson /ID# 276925
    Henderson, Nevada 89052, United States
  • Rutgers New Jersey Medical School Campus, Doctors Office Center /ID# 234365
    Newark, New Jersey 07103-2425, United States
  • Northern New Jersey Eye Institute /ID# 241545
    South Orange, New Jersey 07079, United States
  • Asheville Eye Associates /ID# 234963
    Asheville, North Carolina 28803, United States
  • Private Practice - Dr. James D. Branch /ID# 234560
    Winston-Salem, North Carolina 27101, United States
  • The Ohio State University /ID# 267590
    Columbus, Ohio 43210, United States
  • Oklahoma Eye Surgeons /ID# 252089
    Oklahoma City, Oklahoma 73112, United States
  • Drs Fine Hoffman & Sims LLC /ID# 235919
    Eugene, Oregon 97401, United States
  • Scott and Christie and Associates /ID# 252284
    Cranberry Township, Pennsylvania 16066, United States
  • Eye Specialty Group /ID# 252201
    Memphis, Tennessee 38120, United States
  • Vanderbilt Eye Institute /ID# 266915
    Nashville, Tennessee 37232-0025, United States
  • Advancing Vision Research /ID# 236683
    Smyrna, Tennessee 37167, United States
  • Macro Trials (SMO/Network/Consortium) /ID# 266772
    Austin, Texas 78731, United States
  • San Antonio Eye Center /ID# 272087
    San Antonio, Texas 78215, United States
  • St. George Eye Center /ID# 236200
    St. George, Utah 84790, United States
  • Piedmont Eye Center /ID# 246455
    Lynchburg, Virginia 24502, United States
  • Vistar Eye Center /ID# 234811
    Roanoke, Virginia 24011, United States
  • Kitasato University Hospital /ID# 238880
    Sagamihara-shi, Kanagawa 252-0375, Japan
  • National Hospital Organization Saitama Hospital /ID# 266953
    Wako, Saitama 351-0102, Japan
  • Duplicate_Shimane University Hospital /ID# 238641
    Izumo-shi, Shimane 693-8501, Japan
  • The University of Tokyo Hospital /ID# 238871
    Bunkyo-ku, Tokyo 113-8655, Japan
  • Nippon Medical School Tama Nagayama Hospital /ID# 273428
    Tama-shi, Tokyo 206-8512, Japan
  • University of Yamanashi Hospital /ID# 238642
    Chuo-shi, Yamanashi 409-3898, Japan
  • Hayashi eye hospital /ID# 267604
    Fukuoka, 812-0011, Japan
08

References and documents

Individual participant data

Plan to share: Yes — AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04499248
Lead sponsor
AbbVie
Responsible party
Sponsor
First posted
Aug 5, 2020
Start date
Nov 16, 2020
Primary completion
Apr 2029 (estimated)
Completion
Apr 2029 (estimated)
Last update
May 22, 2026

Study contacts

ABBVIE INC.
study director · AbbVie

Oversight

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

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