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CTRI Number  CTRI/2024/05/068149 [Registered on: 31/05/2024] Trial Registered Prospectively
Last Modified On: 31/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To study the use and side effects of Netarsudil 0.02 percent eye drops in patients of glaucoma. 
Scientific Title of Study   TO STUDY THE EFFICACY AND SAFETY OF NETARSUDIL OPHTHALMIC SOLUTION 0.02 PERCENT IN PATIENTS OF POAG. 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Praveena Rawat 
Designation  Primary DNB first year 
Affiliation  Northern Railway Central Hospital  
Address  Department of Ophthalmology Northern Railway Central Hospital Basant Lane New Delhi

New Delhi
DELHI
110055
India 
Phone  7976981837  
Fax    
Email  rawatdrpraveena@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Shailender Kumar Choudhary 
Designation  Assistant chief health director 
Affiliation  Norhtern Railway Central Hospital 
Address  Department of Ophthalmology Northern Railway Central Hospital Basant Lane New Delhi

New Delhi
DELHI
110055
India 
Phone  9717630563  
Fax    
Email  shailenderchoudhary@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Shailender Kumar Choudhary 
Designation  Assistant chief health director 
Affiliation  Norhtern Railway Central Hospital 
Address  Department of Ophthalmology Northern Railway Central Hospital Basant Lane New Delhi

New Delhi
DELHI
110055
India 
Phone  9717630563  
Fax    
Email  shailenderchoudhary@rediffmail.com  
 
Source of Monetary or Material Support  
Northern Railway Central Hospital Basant lane Aram bag Paharganj New Delhi 110055 
 
Primary Sponsor  
Name  Northern Railway Central Hospital Basant Lane Aram Bag Paharganj New Delhi  
Address  Northern Railway Central Hospital Basant Lane Aram Bag Paharganj New Delhi 110055 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shailender Kumar Choudhary  Northern Railway Central Hospital  Department of Ophthalmology, Ground Floor, OPD Room Number 4,Basant Lane,Aram Bag ,Paharganj,Delhi ,Pin code is 110055,India.
New Delhi
DELHI 
9717630563

shailenderchoudhary@rediffmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Northern Railway Central Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H401||Open-angle glaucoma,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Netarsudil plus Timolol  Netarsudil 0.02 percent administered topically to eye once daily in night for three month and Timolol 0.5 percent used in eye topically twice daily for three month. 
Comparator Agent  Timolol   Timolol 0.05 percent eye drop used topically twice daily dosing for three month 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  1. Already diagnosed case of POAG on one of the standard drug that will be Timolol 0.5 percent eye drop for more than 1month.
2. Age at least 45 years and above.
3 .IOP more than 17mmhg and less than 25 mmhg.
4. BCVA 6/9 or better by Snellens chart.
 
 
ExclusionCriteria 
Details  Any ocular disease likely to affect IOP.
Any pathology of eye affecting media clarity.
Any infective /inflammatory pathology of eye at screening time.
Any ocular trauma in last 6 month .
CCT OF patients more than 625 micron.
Hypertension.
Advanced changes of glaucomatous optic nerve.

 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare the IOP reduction between the combination therapy of netarsudil with timolol versus timolol monotherapy calculated by averaging the mean IOP over a period of 3 month.

 
3 month
 
 
Secondary Outcome  
Outcome  TimePoints 

The ocular safety variables with netarsudil are ocular symptoms like dry eyes, ,corneal deposits, corneal verticillata ,conjunctival hemorrhage ,corneal staining ,headaches, blurry vision,instillation site pain, erythema. 
3 month 
 
Target Sample Size   Total Sample Size="130"
Sample Size from India="130" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3/ Phase 4 
Date of First Enrollment (India)   11/06/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The aim of the trial is to study the efficacy and side effects of netarsudil 0.02% eye drops in patients of primary open angle glaucoma over a periods of 3 month. The sample size would be 130 patients and the duration of the trial will be for 18 months .The type of study is randomized control trial . The eligible patients are diagnosed case of POAG who is already  taking timolol 0.5% twice daily of age 45 year and above and IOP would be between 17 and 25 mm hg with visual acuity of 6/9 or better. The patients having advanced glaucomatous changes and having any other ocular pathology which affects IOP or media clarity will be excluded from the study.

After initial examination  like visual acuity ,IOP measurement ,slit lamp examination ,gonioscopy ,fundus and  baseline investigation like OCT for RNFL analysis the randomization of patients will be done by computer allocation system in two arms . The one arm will be provide netarsudil 0.02%  once daily eye drop as a combination therapy with timolol 0.5% twice daily and the other arm will remain on monotherapy of timolol 0.5% .

The follow up visit will be at 2 week ,6 week ,3 month . The visual acuity ,IOP, slit  lamp examinations , schirmers test will be done at each visit . The fundus examination and OCT for RNFL analysis will be done at 3 month .

The primary outcome will be IOP reduction from baseline in percentage which is calculated by averaging  the mean of mean IOP measurements at 2 week ,6 week and 3 month at 9 am , 11 am and 1pm

 
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