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CTRI Number  CTRI/2015/07/006043 [Registered on: 22/07/2015] Trial Registered Prospectively
Last Modified On: 24/11/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   A Clinical Trial to Study the Effectiveness and Safety of Brinzolamide 1.0% w/v plus Brimonidine Tartrate 0.2 % w/v Ophthalmic Suspension compared with Brinzolamide 1% eye drops for the Treatment of patients with Open-Angle Glaucoma or Ocular Hypertension.  
Scientific Title of Study   A Clinical Study to evaluate the Efficacy , Safety and Tolerability of Brinzolamide 1.0% w/v plus Brimonidine Tartrate 0.2 % w/v Ophthalmic Suspension Vs. Brinzolamide 1% eye drops in patients with Open-Angle Glaucoma or Ocular Hypertension 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
APL/CT/12/004;Version No.:1 dated 24.11.2014  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rajesh Parekh 
Designation  Consultant Ophthalmologist 
Affiliation  Bhagwan Mahavir Jain Hopsital 
Address  Bhagwan Mahavir Jain Hopsital, Millers Road, Vasanthnagar, Bangalore – 560052

Bangalore
KARNATAKA
560052
India 
Phone  9945544744  
Fax  080-22261153  
Email  eyetrials@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shailesh Singh  
Designation  Vice President R&D and Reg. Affairs  
Affiliation  Ajanta Pharma Ltd  
Address  Ajanta Pharma Ltd Advent 43AB/44CD Charkop Industrial Estate Kandivli West

Mumbai
MAHARASHTRA
400 067
India 
Phone  022-6062111  
Fax  022-6061200  
Email  shailesh.singh@ajantapharma.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shailesh Singh  
Designation  Vice President R&D and Reg. Affairs  
Affiliation   
Address  Ajanta Pharma Ltd Advent 43AB/44CD Charkop Industrial Estate Kandivli West

Mumbai
MAHARASHTRA
400 067
India 
Phone  022-6062111  
Fax  022-6061200  
Email  shailesh.singh@ajantapharma.com  
 
Source of Monetary or Material Support  
Ajanta Pharma Limited 
 
Primary Sponsor  
Name  Ajanta Pharma Ltd  
Address  Ajanta Pharma Ltd, Advent 43 AB/44CD, Charkop Industrial Estate, Kandivli (West) Mumbai MAHARASHTRA 400 067 India.  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
Nil   
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 21  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Mary Abraham  Apollo first med Hospital  Apollo first med Hospital, 154, P. K. Road, Kilpauk, Chennai - 600010.
Chennai
TAMIL NADU 
9841700824

beulah.f@aherf-smo.org 
Dr Gayatri Devendra Hoshing  Aster Aadhar Hospital (Prerana Hospital Ltd.)  R.S. No. 628, B Ward, Near Shastri nagar, KMT workshop, Kolhapur 416012. Maharashtra
Kolhapur
MAHARASHTRA 
9422493335

mantrolikar@yahoo.com 
Dr Rajesh Parekh  Bhagwan Mahaveer Jain Hospital  Department Of Opthalmolgy, Room no. 11, Millers Road, Vasanthnagar, Bangalore – 560052.
Bangalore
KARNATAKA 
09945544744

eyetrials@gmail.com 
Dr Nandini Momaya   Bhatia Hospital Medical Research Society  Bhatia Hospital Medical Research Society, Bhatia Hospital Tardeo Road, Grant Road (W), Mumbai-400007. Maharashtra.
Mumbai
MAHARASHTRA 
02222024809

crc.bhmrs@gmail.com 
Dr Gurkirat Singh Bajwa  Dayanand Medical College & Hospital  Department of Ophthalmology, 1st Floor, Room No.1 Tagore Nagar, Civil Lines, Ludhiana – 141001, Punjab.
Ludhiana
PUNJAB 
09814031105

gbajwa9@rediffmail.com 
Dr Nita U Shanbhag  Dr. D. Y. Patil Medical Hospital  Dr. D. Y. Patil Medical Hospital, Sector-5, Nerul (E), Navi Mumbai - 400614.
Mumbai (Suburban)
MAHARASHTRA 
9322402424

nita@eyesurgeon.in 
Dr Mohua Mazumdar  Institute of Post Graduate Medical Education & Research  Institute of Post Graduate Medical Education & Research, 244, A.J.C. Bose Road, Kolkata-700020. West Bengal.
Kolkata
WEST BENGAL 
09830682007

mazumder_mahua@yahoo.com 
Dr Prasenjit Maiti  IPGMER & SSKM Hospital   244, A.J.C Bose Road, Kolkata, 70020. West Bengal
Kolkata
WEST BENGAL 
9831044795

sreejitamaiti@gmail.com 
Dr Vijaya Pai H  Kasturaba Medical College and Hospital  Kasturaba Medical College and Hospital, Madhav Nagar, Manipal -576104. Karnataka.
Mysore
KARNATAKA 
9845426427

paivijaya@yahoo.co.in 
Dr Pramod Kumar  King George Medical college  Department of Opthalmology(South wing)King Georges medical college chowk, Lucknow-226003
Lucknow
UTTAR PRADESH 
9838894091

Pramodkumar2020@rediffmail.com 
Dr Vyavahare Deepali Dattatraya  Lifepoint Multispecialtiy Hospital  Lifepoint Multispecialtiy Hospital, 145/1, Mumbai Banglore Higway Near Hotel Sayaji, Wakad, Pune-411057. Maharashtra.
Pune
MAHARASHTRA 
9730475068

lp.feasibility@gmail.com 
Dr Purvi Raj Bhagat  M & J Western Regional Institute of Ophthalmology And Civil Hospital  M & J Western Regional Institute of Ophthalmology And Civil Hospital, Asarwa, Ahmedabad - 380016. Gujarat.
Ahmadabad
GUJARAT 
7922680360

dr.purvibhagat@yahoo.com 
Dr Chittranjan Shaw  Medical College Hospital  Regional Institute of Ophthalmology, Medical College Hospital, 88, College Street, Kolkata- 700033.
Kolkata
WEST BENGAL 
9477371192

pralay.87@rediffmail.com 
Dr Gupta Prabodhini Ajay  Medipoint Hospital Pvt. Ltd  Medipoint Hospital Pvt. Ltd., 241/1, New D.P. Road, Aundh, Pune-411007. Maharashtra.
Pune
MAHARASHTRA 
9822495795

prabodh1@hotmail.com 
Dr Gautam Bhaduri  Regional Institute Of Ophthalmology  Room no. 101, ground floor Medical College, 88, college street, Kolkata - 700073
Kolkata
WEST BENGAL 
09831021798

dr.gautambhaduri@yahoo.in 
Dr Kumudini Sharma  Sanjay Gandhi Post Graduate Institute of Medical Sciences  Department of Ophthalmology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raebareli Road, lucknow - 226014. Uttar Pradesh.
Lucknow
UTTAR PRADESH 
7408890080

drpradhyumman@gmail.com 
Dr Arjun Ahuja  Seth GS Medical College & KEM Hospital  Department of Ophthalmology, Seth GS Medical College & KEM Hospital, Parel, Mumbai-400012. Maharashtra.
Mumbai
MAHARASHTRA 
9820118832

dr_arjunahuja@yahoo.com 
Dr Anupama Vyas  Shalby Hospitals  Shalby Hospitals, Opp. Karnavati Club, S. G. Highway, Ahmedabad-380015. Gujarat.
Ahmadabad
GUJARAT 
7698442447

byasanupama@yahoo.co.in 
Dr Nilesh Viinaychandra Parekh  Sir T Hospital & Govt. Medical College  Department of Ophthalmology, Sir T Hospital & Govt. Medical College, Bhavnagar-364001. Gujarat.
Bhavnagar
GUJARAT 
9825252673

drnvparekh@hotmail.com 
Dr Radha Annamalai  Sri Ramchandra Hospital  Sri Ramchandra Hospital, No.: 1, Ramachandra Nagar, Porur, Chennai - 600116. Tamilnadu.
Chennai
TAMIL NADU 
9500193396

drradhaannamalai@yahoo.co.in 
Dr T Ajay Chakravarthy  St. Theressa Hospital   St. Theresa’s Hospital, Sanathnagar, Hyderabad-500018. Telangana.
Hyderabad
ANDHRA PRADESH 
9908114725

ajaychakravarthy@yahoo.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 16  
Name of Committee  Approval Status 
Aster Aadhar Ethics Committee  Approved 
B.J. Medical College & Civil Hospital  Approved 
Clinical Trial Ethics Committee_Bhatia Hospital  Approved 
Dayanand Medical College & Hospital  Approved 
Ethics Committee, Apollo Hospital  Approved 
Ethics Committee_Kasturba Medical College  Approved 
Ethics Committee_St Theresa Hospital  Approved 
Institute Ethics Committee, SGPGI Bioethics Cell  Submittted/Under Review 
Institutional Ethics Committee Bhagwan Mahaveer Jain Hospital  Submittted/Under Review 
Institutional Ethics Committee, Regional Institute of Ophthalmology  Approved 
Institutional Ethics Committee, Shalby Hospital  Submittted/Under Review 
Institutional Ethics Committee,KEM Hospital  Approved 
Institutional Ethics Committee,Kings George’s Medical University   Approved 
Institutional Ethics Committee_Sri Ramachandra University  Approved 
IPGME&R Research Oversight Committee at Office of the Dean  Approved 
LPR ethics Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H401||Open-angle glaucoma, Open-Angle Glaucoma or Ocular Hypertension,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Brinzolamide 1% eye drop   1-2 drops twice daily in affected eye(s) for 12 weeks. 
Intervention  Brinzolamide 1.0% w/v plus Brimonidine Tartrate 0.2 % w/v Ophthalmic Suspension  1-2 drops twice daily in affected eye(s) for 12 weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  •A clinical diagnosis of glaucoma or Ocular hypertension at least in at one (study) eye.
•IOP between 21 to less tnan and equal 36 mm of Hg.
•Freshly diagnosed patients of open angle glaucoma or ocular hypertension, Patients who are previously diagnosed and on treatment for open angle glaucoma or ocular hypertension will undergo washout period, Miotics (7 days), Alpha Agonist and Alpha/beta agonist (14 days), β antagonist and prostaglandin analogs (21 days).
Subject with H/O discontinued Carbonic anhydrase inhibitor since past 4 months.
•Voluntary willingness to give written informed consent prior to participation in trial.
 
 
ExclusionCriteria 
Details  Any history of:
•Ocular trauma or intraocular surgery within the past 6 months;
•Ocular infection, inflammation, or laser surgery within the past 3 months;

Any present observation of:

•Chronic, recurrent or severe inflammatory eye disease.
•Central cornea thickness 620 mm, as measured by pachymetry, in either eye.
•Shaffer angle grade less than 2 in either eye (range, 0 [complete or partial closure] to 3 [wide open angle, more than 20]), as measured by Gonioscopy.
•Severe central visual field loss in either eye measured by Perimetry.
•Clinically significant or progressive retinal disease.
•Best-corrected visual acuity worse than 0.6 logMAR (Best Corrected VA score worse than 55 ETDRS letters (20/80 Snellen equivalent).
•Other ocular pathology (including severe dry eye) that may preclude the administration of an alpha-adrenergic agonist and/or a topical CAI.
•Patients with broken rear lens capsule or anterior eye lenses or in patients with known risk factors for cystoid macular edema or iritis / uveitis.
•Patients who are required to wear contact lens during the study period.
•Cup/disc ratio greater than 0.80.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pharmacy-controlled Randomization 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
•The primary end point for assessing efficacy will be the reduction in IOP (Intraocular Pressure) measured by Tonometry   1st week, 2nd week, 4th week, 8th week, 12th week 
 
Secondary Outcome  
Outcome  TimePoints 
• Percentage of patients reaching the defined IOP (intraocular pressure) 20 mmHg for general population, and ≤20 mmHg for elderly)   12th week 
•Percentage of patients reporting AE and/or SAE during the study.   12th week 
 
Target Sample Size   Total Sample Size="232"
Sample Size from India="232" 
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 
Date of First Enrollment (India)   10/08/2015 
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="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   No publication 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This study is a multicentric, double blind, randomized, active control, parallel group comparative Study to evaluate the Efficacy, Safety and Tolerability of Brinzolamide 1.0% w/v plus Brimonidine Tartrate 0.2% w/v Ophthalmic Suspension Vs. Brinzolamide 1% eye drops in patients with Open Angle Glaucoma or Ocular Hypertension. The Study is proposed to start on 12.06.15. The following primary outcome will be measured at Day 1,at the end of 1st 2nd, 4th, 8th and 12th week of treatment for clinical assessment: The mean reduction in IOP of the treatment groups will be assessed using descriptive statistics. The improvement in IOP from baseline to the end of treatment period will be compared by Chi square test. The secondary outcome will be measured as Percentage of patients reaching the defined IOP (intraocular pressure) <20 mmHg for general population, and ≤20 mmHg for elderly) at the final visit of the study and Percentage of patients reporting AE and/or SAE during the study.

 
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