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CTRI Number  CTRI/2025/11/097648 [Registered on: 18/11/2025] Trial Registered Prospectively
Last Modified On: 11/02/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   A clinical trail to reduce elevated Intraocular Pressure (IOP) in adult participants with Open Angle Glaucoma or Ocular Hypertension to evaluate the Safety, Tolerability and Efficacy of of Brinzolamide Brimonidine Tartrate and Timolol Ophthalmic Suspension  
Scientific Title of Study   A Multicentric, Open-label, Prospective Non-comparative Active Post Marketing Surveillance Study to evaluate the Safety Tolerability and Efficacy of Fixed Dose Combination of Brinzolamide 10 mg, Brimonidine Tartrate 2 mg and Timolol 5 mg Ophthalmic Suspension to reduce elevated Intraocular Pressure (IOP) in adult participants with Open Angle Glaucoma or Ocular Hypertension for whom monotherapy or dual therapy provides insufficient IOP reduction 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
APL-CT-25-01; Version No 01; Version Date 23-Jul-2025  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Mohita Sharma 
Designation  Principal Investigator 
Affiliation  Tirupati Eye Centre and Research Institute 
Address  Tirupati Eye Centre and Research Institute, Department of Ophthalmology, OPD Room No.01, 1st Floor Block-C, 53C, Sector-33, Near NTPC Township, Noida - 201301, Uttar Pradesh, India.

Gautam Buddha Nagar
UTTAR PRADESH
201301
India 
Phone  9560889495  
Fax    
Email  drmohita@tirupatieye.org  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neeta Nargundkar 
Designation  Director Biosphere Clinical Research Pvt. Ltd. 
Affiliation  Biosphere Clinical Research Pvt Ltd 
Address  Biosphere Clinical Research Pvt Ltd Office No 02 03 04 Second Floor Highland Corporate Center Kapurbawdi Junction Thane West 400607 Maharashtra India

Thane
MAHARASHTRA
400607
India 
Phone  9029025200  
Fax    
Email  drneeta@biospherecro.com  
 
Details of Contact Person
Public Query
 
Name  Dr Neeta Nargundkar 
Designation  Director Biosphere Clinical Research Pvt. Ltd. 
Affiliation  Biosphere Clinical Research Pvt Ltd 
Address  Biosphere Clinical Research Pvt Ltd Office No 02 03 04 Second Floor Highland Corporate Center Kapurbawdi Junction Thane West 400607 Maharashtra India

Thane
MAHARASHTRA
400607
India 
Phone  9029025200  
Fax    
Email  drneeta@biospherecro.com  
 
Source of Monetary or Material Support  
M/S Ajanta Pharma Limited Plot No. 43AB & 44BCD, Charkop Industrial Estate, Charkop, Kandivali (W),Mumbai 400 067, Maharashtra, India.  
 
Primary Sponsor  
Name  Ajanta Pharma Limited 
Address  Plot No 43 AB and 44 BCD Govt Industrial Estate Charkop Kandivali West Mumbai 400067 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 10  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sandeep Patil  Belagavi Institute of Medical Sciences  Department of ophthalmology, B unit, Room no- 38 ground floor, Dr. B R Ambedkar Road, Sadashiv Nagar, Belagavi – 590001, Karnataka, India.
Bangalore
KARNATAKA 
91 9945447572

drsandeepatil@gmail.com 
Dr Prashanth C N  Dr. B. R. Ambedkar Medical College and Hospital  Department of Ophthalmology, Room no- 301, 3 rd floor, Shampura Main Road, Kadugondanahalli, Bangalore - 560045, Karnataka, India
Bangalore
KARNATAKA 
91 9880708204

prashanthcndoctor@gmail.com 
Dr Vepa Meenakshi  Dr. R. S. P. R Govt Regional Eye Hospital  Department of Ophthalmology, Room no- 101, 1st floor, Andhra medical college, Opposite Bullayya College, Resapuvanipalem, Visakhapatnam- 530013, Andhra Pradesh, India.
Visakhapatnam
ANDHRA PRADESH 
91 9849123310

meenakshivepa@gmail.com 
Dr P Seshu Babu  Government General Hospital Old RIMSGGH   Department of Ophthalmology OPD No 16 1st Floor Government Medical College, Srikakulam 532001 Andhra Pradesh India
Srikakulam
ANDHRA PRADESH 
8942279033

bioexperts21@gmail.com 
Dr Bhagat Purvi Raj  M & J Western Regional Institute of Ophthalmology,  Department of Ophthalmology, Room no.- 101 , 1st floor, B. J. Medical College, Civil Hospital Campus, Asarwa, Ahmedabad-380016, Gujarat, India.
Ahmadabad
GUJARAT 
91 9825985265

dr.purvibhagat@yahoo.com 
Dr Swati R  Mysore Medical College and Research Institute, K R Hospital  Department of Ophthalmology, OPD no. 01 Ground floor , Irwin Road, Mysuru 570001, Karnataka India
Mysore
KARNATAKA 
91 9448787598

swatiprakash.darpan@gmail.com 
Dr Shreyangsi Biswas  N.R.S. Medical College and Hospital  Department of Ophthalmology, room no- 201, 2 nd floor, 138, A.J.C Bose Road Kolkata-700014, West Bengal, India.
Kolkata
WEST BENGAL 
91 9830692465

Bshreyansi.93@gmail.com 
Dr Kishore Tulsidas Pahuja  Natasha Eye Care & Research Centre  Department of ophthalmology, 2nd floor room no. 1, Pimple saudagar Shiv Sai Lane Building A Sai Saheb Society Oppo Lotus Hospital Pune 411027 Maharashtra India
Pune
MAHARASHTRA 
91 9890086862

kishorepahuja@gmail.com 
Dr Rajesh Babubhai Shah  Sanjivani Eye Hospital and Phaco Center,  Department of Ophthalmology, room no-203, basement, Satved Complex, Near Valu’s Hospital, Near Golden triangle, Naranpura, Ahmedabad -380013, Gujarat, India.
Ahmadabad
GUJARAT 
91 9824024764

drrajeshshahcr@gmail.com 
Dr Mohita Sharma  Tirupati Eye Centre and Research Institute  Department of ophthalmology, OPD room no. 01, 1st floor Block-C, 53C, Sector-33, Near NTPC Township, Noida - 201301, Uttar Pradesh, India.
Gautam Buddha Nagar
UTTAR PRADESH 
91 9560889495

drmohita@tirupatieye.org 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 10  
Name of Committee  Approval Status 
Committee BIMS Belagavi Institute of Medical Sciences, Belagavi Dr B R Ambedkar Road Belgaum  Approved 
Dr B R Ambedkar Medical College and Hospital Dr B R Ambedkar Medical College and Hospital No 24 Shampura Main Road, Kadugondanahalli Bengaluru, Karnataka 560045,Bangalore  Submittted/Under Review 
Ethics Committee N.R.S. Medical College, NRS Medical College and Hospital NRS Medical College, 138 A.J.C Bose Road, Kolkata Kolkata- 700014, West Bengal,  Approved 
Ethics Committee of Navneet Memorial Hospital Navneet Memorial Hospital, Opp. Sardar Patel Seva Samaj Hall, Navrangpura, Ahmedabad  Approved 
IEC King George hospital, King George hospital Maharanipeta, Collector office Junction, Visakhapatnam Visakhapatnam -530002, Andhra Pradesh  Approved 
IEC-MMC and RI and Associated Hospital, Mysore Medical College and Research Institute, Mysore Medical College and Research Institute Irwin Road, Mysuru, karnataka  Approved 
Institutional Ethics Committee - B. J. Medical College and Civil Hospital B. J. Medical College and Civil Hospital Office of Medical Superintendent Civil Hospital Ahmedabad Gujarat   Submittted/Under Review 
Institutional Ethics Committee,Govt.General Hospital,Srikakulam,Andhra Pradesh-532001  Approved 
Skinovate Independent Ethics Committee Skinovate Laser and Cosmetic Surgery Center  Approved 
Womenophthalmologists Society Independent Ethics Committee for Tirupati Eye Centre and Research Institute, Block-C, 53C, Sector-33, Near NTPC Township, Noida - 201301, Uttar Pradesh, India.  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H401||Open-angle glaucoma,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  As this is an open label, non comparative, active PMS study, comparator agent is not applicable.  As this is an open label, non comparative, active PMS study, comparator agent is not applicable. 
Intervention  Fixed Dose Combination of Brinzolamide 10 mg, Brimonidine Tartrate 2 mg and Timolol 5 mg Ophthalmic Suspension  One drop of fixed dose combination of Brinzolamide 10 mg, Brimonidine Tartrate 2 mg and Timolol 5 mg Ophthalmic Suspension to be administered in the affected eye(s), twice daily, in the morning and evening, preferably at the same time for 12 weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Adult male and female participants more 18 to less then 75 years of age.
2. Diagnosed with unilateral or bilateral open angle glaucoma (including pseudo
exfoliation or pigment dispersion) or ocular hypertension.
3. Participants who are already on monotherapy or dual drug therapy on any of the
following anti-glaucoma drugs, Timolol (0.5 percent), Brimonidine (0.1 or 0.2 percent),
Brinzolamide (1 percent) or Dorzolamide (2 percent) eye drops with IOP of 22-32 mmHg in at least
one eye.
4. Best Corrected Visual Acuity (BCVA) of 6 by 24 or better in study eye(s).
5. Gonioscopy angle more then grade 2 on Shaffer grading in the study eye(s).
6. Participants who are willing to give informed consent for participation in the study and
willing to adhere to all protocol procedures. 
 
ExclusionCriteria 
Details  1. Participants with a known history of hypersensitivity to the study
medications or any of the ingredients of the formulation.
2. Clinically significant or progressive retinal disease (i.e. retinal
degeneration, diabetic retinopathy, retinal detachment or retinal tears)
or optic nerve disease.
3. Ocular laser surgery within 3 months prior to entry.
4. Any intraocular surgery (e.g, cataract surgery) within 6 months prior
to entry.
5. Corneal abnormalities that could preclude accurate IOP readings with
tonometry. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. The assessment of the safety of participants [Based on the incidence of treatment-emergent adverse event (TEAE)].
2. The assessment of the tolerability of the study drug will be based on the incidence of AEs and SAEs. 
12 weeks  
 
Secondary Outcome  
Outcome  TimePoints 
1. Change from baseline in the mean IOP at Visit 3/Week 2/Day 14±2, Visit 4/Week 6/Day 42±2 and Visit 5/Week 12/Day 84±2.  12 weeks  
 
Target Sample Size   Total Sample Size="230"
Sample Size from India="230" 
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 4 
Date of First Enrollment (India)   02/12/2025 
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="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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  
Subjects will be screened on day -3 and if qualify as per the inclusion and exclusion criteria, then will consider for enrollment. the subjects will be provided with study drug and drug dosing card at enrollment visit (Day 1), which need to be brought along with in each subsequent visit till the last visit. Follow-up visits after enrollment into the study will be done on Day 14±2, Day 42±2 and the final visit at Day 84±2 of treatment to assess safety, tolerability and efficacy
 
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