ClinicalTrials.gg
RecruitingNCT06822738Updated Oct 9, 2026

A Study to Assess Adverse Events and Effectiveness of Gel Stent (XEN63) Implantation Using Ab Interno and Ab Externo Approaches in Adult Participants With Glaucoma

A Phase 3 interventional study of XEN63 Glaucoma Treatment System in Primary Open Angle Glaucoma, sponsored by AbbVie. Recruiting at 29 sites in United States. Open to participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by AbbVie · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2025; still recruiting 1 year 9 months later.
Updated Oct 9, 2026Site recruiting status changed1 site addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
130
Allocation
Not applicable
Ages
45 Years and older
Sex
All
01

Study summary

Glaucoma is the second most common cause of blindness in the world, second only to cataracts. This study will assess how safe and effective a glaucoma gel stent is when implanted using the ab interno (inside the eye) and ab externo (outside the eye) approach. Adverse events and intraocular pressure will be assessed.

XEN63 is an investigational device for the treatment of intraocular pressure (IOP) in patients with glaucoma when both medical and conventional surgical treatments have failed (for US approval) and when medical treatments have failed (for outside US [OUS] approval). Participants will be placed in one of two groups called study arms. One group will receive the XEN63 gel stent ab interno (inside the eye) and the other group will receive the XEN63 gel stent ab externo (outside the eye). Approximately 130 participants aged 45 years or older with glaucoma will be enrolled in this study at approximately 32 sites in the United States.

Participants will receive XEN63 implanted using either the ab interno approach or the ab externo approach on Day 1 and will be followed for 12 months.

Participants will attend regular visits during the study at a hospital or clinic. The safety and effect of the gel stent on your glaucoma will be checked by medical assessments and eye examinations.

02

Conditions studied

  • Primary Open Angle Glaucoma

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Keywords

  • Primary Open Angle Glaucoma
  • AGN-9003
03

In context

Glaucoma, Open-Angle

924 studies on the registry are indexed under Glaucoma, Open-Angle; 117 are open to participants now.

This study's planned enrollment of 130 is above the median of 80 across 692 interventional studies indexed under Glaucoma, Open-Angle.

Browse Glaucoma, Open-Angle studies →

Lead sponsor

AbbVie is the lead sponsor of 973 studies on the registry; 133 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 214 (60%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of glaucoma in the study eye (SE) (meeting criterion a or b)

    1. That meets the following glaucoma criteria of eyes diagnosed with glaucoma uncontrolled by maximal medical therapy (four or more classes of intraocular pressure (IOP)-lowering medications, or fewer in cases where it has been documented that certain medication classes cannot be tolerated or are ), and failed one or more incisional intraocular glaucoma surgeries (e.g., glaucoma filtering surgery, tube shunt)
    2. Uncontrolled by medical therapy (to meet out-of-US [OUS] requirements) with participants who only have glaucoma uncontrolled by medical therapy (non-refractory glaucoma), a maximum of 10 participants who meet only criterion b (and not a) will be enrolled in each cohort.

Exclusion criteria

Exclusion Criteria:

  • History of angle-closure glaucoma where the angle has not been surgically opened in the SE.
  • History of secondary open-angle glaucoma (e.g., neovascular, pigmentary, pseudoexfoliative, uveitic, angle recession/traumatic glaucoma, etc.) in the SE.
  • Active inflammation (e.g., blepharitis, conjunctivitis, keratitis, uveitis) in the SE.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
130 participants (estimated)

Study arms

  • Experimental
    XEN63 Ab Externo

    Participants will be implanted with XEN63 via ab externo surgical approach in the study eye. Participants will be followed for up to 12 months.

    Device: XEN63 Glaucoma Treatment System

  • Experimental
    XEN63 Ab Interno

    Participants will be implanted with XEN63 via ab interno surgical approach in the study eye. Participants will be followed for up to 12 months.

    Device: XEN63 Glaucoma Treatment System

Interventions

  • DeviceXEN63 Glaucoma Treatment System

    Gel Stent

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Treatment Response of Achieving ≥ 20% Reduction in Intraocular Pressure (IOP) From Baseline on the Same or Fewer Number of IOP-Lowering Medications Compared to Baseline

    IOP is a measurement of the fluid pressure inside the study eye. Treatment response is defined as IOP reduction on the same or fewer number of topical IOP-lowering medications.

    Time frame: Month 12

  2. Number of Participants with Adverse Events (AEs)

    An AE is defined as any untoward medical occurrence in a patient or clinical investigation in which a participant is administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.

    Time frame: Month 12

Secondary outcomes

  1. Mean Diurnal IOP

    IOP is a measurement of the fluid pressure inside the eye. The mean diurnal IOP was the average of the IOP values of the study eye at Month 12.

    Time frame: Month 12

  2. Change From Baseline in Diurnal IOP

    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 12

  3. Change from Baseline in Number of Topical IOP-Lowering Medications

    A numerical count by class of drug of topical IOP lowering medications being taken.

    Time frame: Baseline to Month 12

  4. Mean Number of Topical IOP-Lowering Medications

    A numerical count by class of drug of topical IOP lowering medications being taken.

    Time frame: Month 12

07

Study locations

25 of 29 sites recruiting
  • Arizona Advanced Eye Research Institute /ID# 268363
    Glendale, Arizona 85306, United States
    Recruiting
  • LA Glaucoma Group /ID# 268444
    Culver City, California 90232, United States
    Recruiting
  • North Bay Eye Associates /ID# 277071
    Petaluma, California 94954, United States
    Recruiting
  • University Of Colorado - Anschutz Medical Campus /ID# 269947
    Aurora, Colorado 80045, United States
    Recruiting
  • Colorado Eye Institute /ID# 277072
    Colorado Springs, Colorado 80924, United States
    Recruiting
  • Brandon Eye Associates - Brandon /ID# 277074
    Brandon, Florida 33511, United States
    Recruiting
  • East Coast Institute for Research /ID# 280411
    Jacksonville, Florida 32256, United States
    Recruiting
  • New Vision Eye Center /ID# 269955
    Vero Beach, Florida 32960, United States
    Completed

    Not enrolling at this site — choose another above.

  • Coastal Research Associates - Roswell /ID# 268458
    Roswell, Georgia 30076, United States
    Recruiting
  • Illinois Eye Center - Peoria Location /ID# 277127
    Peoria, Illinois 61615, United States
    Completed

    Not enrolling at this site — choose another above.

  • Stiles Eyecare Excellence & Glaucoma Institute /ID# 268451
    Overland Park, Kansas 66213, United States
    Completed

    Not enrolling at this site — choose another above.

  • Tulane University School of Medicine /ID# 277486
    New Orleans, Louisiana 70112, United States
    Recruiting
  • Advanced Glaucoma Specialists /ID# 281858
    Reading, Massachusetts 01867, United States
    Recruiting
  • Fraser Eye Care Center /ID# 281837
    Fraser, Michigan 48026, United States
    Recruiting
  • Minnesota Eye Consultants - Minneapolis /ID# 272445
    Minneapolis, Minnesota 55431, United States
    Recruiting
  • Vance Thompson Vision - Omaha /ID# 271599
    Omaha, Nebraska 68137, United States
    Recruiting
  • NYC Glaucoma /ID# 283103
    New York, New York 10003, United States
    Recruiting
  • Cincinnati Eye Institute /ID# 279773
    Cincinnati, Ohio 45242, United States
    Recruiting
  • Cleveland Clinic - Cleveland /ID# 277070
    Cleveland, Ohio 44195, United States
    Recruiting
  • Oklahoma Eye Surgeons /ID# 269174
    Oklahoma City, Oklahoma 73112, United States
    Recruiting
  • Ophthalmic Partners of PA /ID# 276059
    Bala-Cynwyd, Pennsylvania 19004, United States
    Recruiting
  • Wills Eye Hospital /ID# 268569
    Philadelphia, Pennsylvania 19107, United States
    Recruiting
  • Glaucoma Associates Of Texas /ID# 268745
    Dallas, Texas 75231, United States
    Recruiting
  • University of Texas - Southwestern Medical Center /ID# 268571
    Dallas, Texas 75235, United States
    Recruiting
  • El Paso Eye Surgeons /ID# 268356
    El Paso, Texas 79902, United States
    Recruiting
  • Berkeley Eye Center - Houston Greenway Plaza /ID# 277078
    Houston, Texas 77027, United States
    Recruiting
  • University of Virginia /ID# 277487
    Charlottesville, Virginia 22908, United States
    Recruiting
  • Vistar Eye Center - Roanoke - South Jefferson Street /ID# 276119
    Roanoke, Virginia 24016, United States
    Completed

    Not enrolling at this site — choose another above.

  • The Eye Centers of Racine and Kenosha /ID# 271266
    Kenosha, Wisconsin 53142, United States
    Recruiting
08

References and documents

Related links

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, Statistical analysis plan

Time frame: For details on when studies are available for sharing, visit https://vivli.org/ourmember/abbvie/

Access criteria: To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/

Data sharing details ↗ · vivli.org

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2025 (actual). Primary completion is estimated for Nov 2028, 45 months after the start.

Of 47 industry-sponsored phase 3 interventional studies under Glaucoma, Open-Angle, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 39. This study's planned 45 months is above that.

Counting every sponsor, half of 49 studies reached it within 25 months; a quarter within 12 and three quarters within 39.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 7, 2025
First posted
Feb 12, 2025
StartActual
Feb 11, 2025
Primary completionEst.
Nov 2028
CompletionEst.
Nov 2028
Last update
Oct 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
1 site added. Illinois Eye Center - Peoria Location /ID# 277127 is now Completed
Show site
  • Advanced Glaucoma Specialists /ID# 281858 · Reading, United States
across 2 updates, Sep 28, 2026 – Oct 9, 2026
Show all 2 updates
  1. Oct 9, 2026
    Illinois Eye Center - Peoria Location /ID# 277127 is now Completed
    + 1 other change: verification date
  2. Sep 28, 2026
    1 site added
    Show site
    • Advanced Glaucoma Specialists /ID# 281858 · Reading, United States

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06822738
Lead sponsor
AbbVie
Responsible party
Sponsor
First posted
Feb 12, 2025
Start date
Feb 11, 2025
Primary completion
Nov 2028 (estimated)
Completion
Nov 2028 (estimated)
Last update
Oct 9, 2026

Study contacts

ABBVIE CALL CENTER
Contact
abbvieclinicaltrials@abbvie.com
844-663-3742
ABBVIE INC.
study director · AbbVie

Oversight

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

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