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CTRI Number  CTRI/2019/04/018738 [Registered on: 24/04/2019] Trial Registered Prospectively
Last Modified On: 13/01/2020
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Research study to evaluate safety and effectiveness of preservative free bimatoprost 0.01% ophthalmic solution in comparison to conventional bimatoprost 0.01%) ophthalmic solution in glaucoma or ocular hypertension patients in Indian population 
Scientific Title of Study   Evaluation of efficacy and safety of bimatoprost 0.01% (Careprost) preservative-free (PF) ophthalmic solution in comparison toconventional bimatoprost 0.01% (Lumigan) ophthalmic solution for glaucoma or ocular hypertension in Indian population  
Trial Acronym  ET1901001 
Secondary IDs if Any  
Secondary ID  Identifier 
ET1901001  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Bhaumik Mody 
Designation  Overall Trial Coordinator 
Affiliation  EthiTrials Contract Research Pvt Ltd 
Address  Ethitrials Contract Research Pvt. Ltd., India, 916, Devpath Complex, B/h Lal Bunglow, Off C.G. Road, Navrangpura, Ahmedabad - 380009 Ahmadabad GUJARAT 382210 India

Ahmadabad
GUJARAT
380009
India 
Phone  917966174411  
Fax    
Email  bhaumik.mody@ethitrials.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nayan Patel 
Designation  Medical monitor 
Affiliation  EthiTrials Contract Research Pvt Ltd 
Address  Ethitrials Contract Research Pvt. Ltd., India, 916, Devpath Complex, B/h Lal Bunglow, Off C.G. Road, Navrangpura, Ahmedabad - 380009

Ahmadabad
GUJARAT
380009
India 
Phone  917966174411  
Fax    
Email  nayan.patel@ethitrials.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nayan Patel 
Designation  Medical monitor 
Affiliation  EthiTrials Contract Research Pvt Ltd 
Address  Ethitrials Contract Research Pvt. Ltd., India, 916, Devpath Complex, B/h Lal Bunglow, Off C.G. Road, Navrangpura, Ahmedabad - 380009

Ahmadabad
GUJARAT
380009
India 
Phone  917966174411  
Fax    
Email  nayan.patel@ethitrials.com  
 
Source of Monetary or Material Support  
Sun Pharma Laboratories Ltd. Sun House Plot No. 201, B/1, Western Express Highway, Goregaon (E), Mumbai 400063 
 
Primary Sponsor  
Name  Sun Pharma Laboratories Ltd 
Address  Sun House, 201 B/1, Western Express Highway, Goregaon(E), Mumbai 400063, India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Kantha Sree  Gandhi hospital Museerabad  Room Number 333, 2nd floor, Department of Ophthalmology, Gandhi Hopsital, Museerabad, Secuderabad-500003
Hyderabad
TELANGANA 
9000986199

kanthasreebugge@gmail.com 
Dr Vivekananda Reddy M  LV Prasad Eye Institute Vijayawada  Room no. 221, 1st Floor, Department of Ophthalmology,beside Library KVC (Kode Ventakadri Chowdary) Campus, Tadigadapa, Vijayawada-521134
Krishna
ANDHRA PRADESH 
9052992024

docmrv@gmail.com 
Dr Purvi Raj Bhagat  M & J Western regional institute of ophthalmology  110/113, Glaucoma Unit , B J Medical College and Civil Hospital, Asarwa
Ahmadabad
GUJARAT 
919825985265

dr.purvibhagat@yahoo.com 
Dr A Parivadhini  Sankara Nethralay  Room number 204, 2nd floor, Department of Glaucoma,Sankara Nethralaya, 18/14, College Road, Nugambakkam, Chennai-600006
Chennai
TAMIL NADU 
9840126173

drap@snmail.org 
Dr Reema Raval  Shri C H Nagri municipal eye hospital  118 Glaucoma Department , Smt. NHL Municipal Medical College, Ellise bridge, Ellisbridge
Ahmadabad
GUJARAT 
917926466724

ravalreema@yahoo.com 
Dr Sheshadri mahajan  St. Theresas hospital  Room number 1, Department of Ophthalmologist, St. Theresa Hospital, Sanathnagar, Hyderabad-500018
Hyderabad
TELANGANA 
8686494949

drsheshadri@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
ETHICS COMMITTEE ST. THERESAs HOSPITAL  Approved 
Institutional Ethics Committee, B J Medical College and Civil Hospital, Ahmedabad  Approved 
Institutional Ethics Committee, Gandhi Medical College,Secunderabad.  Approved 
Institutional Ethics Committee, SMT. NHL Municipal Medical college, Ahmedabad  Approved 
LV Prasad Eye Institute Ethics Committee  Approved 
The Institutional Ethics Committee, Vision Research Foundation, Chennai  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H400||Glaucoma suspect, (2) ICD-10 Condition: H401||Open-angle glaucoma,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Bimatoprost Ophthalmic Solution 0.01% w/v (benzalkonium chloride free)  Once a day for 12 weeks 
Comparator Agent  Conventional Bimatoprost 0.01% ophthalmic solution  Once a day for 12 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1) Men and women aged ≥18 years.
2) Diagnosis of ocular hypertension (OHT) or primary open angle glaucoma (POAG) in one eye or both eyes
3) Unmedicated IOP ≥ 22 -30 mmHg in one or both eyes with no more than 5 mmHg inter-eye difference
4) Willing to give informed consent.
5) Best corrected visual acuity equivalent to a Snellen score of 20/100 or better in each eye.
6) For ongoing medication below is acceptable minimum washout period.
04 days for parasympathomimetic and topical or systemic carbonic anhydrase inhibitors,
02 weeks for sympathomimetics and α-agonists
04 weeks for β-adrenergic blocking agents, combination products and prostaglandin agonists
7) Women of child bearing potential practicing an acceptable method of birth control as judged by the investigator(s) [such as condoms, foams, jellies, diaphragm, intrauterine device (IUD), oral or long acting injected contraceptives] from at least 2 months prior to study entry and through the duration of the study; or be postmenopausal for at least 1 year, surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy has been performed on the subject); or with a negative urine pregnancy test. 
 
ExclusionCriteria 
Details  1) History of allergic hypersensitivity or poor tolerance to any of the components of the preparations to be used in this study.
2) Known lack of ocular hypotensive response to topical ophthalmic, prostaglandin analogs (in the opinion of the investigator).
3) Intraocular conventional surgery or laser surgery within six months of the study.
4) Use of contact lenses during the study;
5) Use of systemic corticosteroids within 21 days before any study visit;
6) Use of ophthalmic corticosteroids within 2 months or during the study;
7) History of inadequate IOP control on bimatoprost monotherapy;
8) Any clinical ocular surface findings at baseline such as trace or greater hyperaemia or irritation.
9) Refractive surgery in the study eye (e.g., radial keratotomy, PRK, LASIK, etc.) within the past 3 months.
10) Angle closure glaucoma or a history of acute angle closure treated with a peripheral iridotomy.
11) Ocular trauma within the past 3 months.
12) Progressive retinal or optic nerve disease apart from glaucoma or a torn posterior lens or having had a risk for macular edema.
13) Concurrent infectious/non-infectious conjunctivitis, keratitis, or uveitis in either eye.
14) Other than ocular hypotensive drugs, which must be washed out according to the provided schedule, ocular medication of any kind (with the exception of lubricating drops for dry eye) within 30 days of baseline.
15) Any abnormality preventing stable applanation tonometry.
16) Clinically significant ocular disease (e.g., corneal edema, uveitis, severe keratoconjunctivitis sicca), which might interfere with the study, including glaucomatous damage so severe that washout of ocular hypotensive drugs, is not judged safe.
17) Clinically significant systemic disease, which might interfere with the study.
18) History of non-compliance to medical regimens or unwilling to comply with the study protocol.
19) Patients having uncontrolled hypertension.
20) Participation in another clinical study within thirty (30) days.
21) Changes in systemic medication within 30 days prior to screening that could have a substantial impact on IOP, or anticipated changes during the study.
22) Patients who are pregnant, nursing a child or who are not willing to use acceptable methods of contraception during the study. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Change in intraocular pressure (IOP) of the subject’s eye/eyes.  Baseline to week 12. 
 
Secondary Outcome  
Outcome  TimePoints 
Change in intraocular pressure (IOP) of the subject’s eye/eyes  from baseline to Week 2 and Week 6. 
Changes in Visual acuity of eye/eyes  Baseline to week 2, week 6 and week 12 
Changes in Conjunctival hyperemia of eye/eyes  Baseline to week 2, week 6 and week 12 
Safety monitoring by AE assessment  Throughout the study period 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
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)   01/05/2019 
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="9"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This study is designed to evaluate the safety and efficacy of a preservative- free(PF) bimatoprost 0.01% formulation that was developed as an alternative for patients with sensitivity or allergies to preservatives. This is an open label, prospective, randomized, multi-center, controlled, parallel group, non-inferiority clinical phase IV study in 200 Indian patients. The study will include at least 4 evaluation points: Enrollment Visit and patient assessments at 02 weeks, 06 weeks and 12 weeks after randomization. Eligible patients will be enrolled as per Inclusion and exclusion criteria. Subjects will be randomized as per 1:1 study treatment ratio. Statistics team will prepare a randomization and it will be provided to each investigator for enrollment. Patients will be provided/dispensed study medication kits containing unit-dose containers (each for single use) both formulations. Patients will be instructed to instill one drop in each affected eye once daily in the evening, starting on the day of the baseline visit.

Follow-up visits are scheduled at weeks 2, 6 and 12. IOP will be measured using a tonometer at 8:00, 12:00 and 16:00 (within 01 hour of scheduled time) at each visit.

Efficacy Variable will be measure as change in Intraocular Pressure (IOP) from baseline of the study eye at each time points. Safety analysis include Visual Acuity, Conjuctival Hyperemia, any AEs

 
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