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CTRI Number  CTRI/2012/03/002494 [Registered on: 15/03/2012] Trial Registered Prospectively
Last Modified On: 03/10/2013
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   STUDY TO DETERMINE THE THERAPEUTIC EQUIVALENCE OF GENERIC BRINZOLAMIDE 1% OPHTHALMIC SUSPENSION MANUFACTURED BY INNOPHARMA INC 
Scientific Title of Study   A MULTICENTER, DOUBLE-MASKED, RANDOMIZED, PARALLEL ASSIGNMENT, STUDY TO DETERMINE THE THERAPEUTIC EQUIVALENCE OF GENERIC BRINZOLAMIDE 1% OPHTHALMIC SUSPENSION MANUFACTURED BY INNOPHARMA INC. WITH RESPECT TO AZOPTâ„¢ (BRINZOLAMIDE 1% OPHTHALMIC SUSPENSION) IN PATIENTS WITH PRIMARY OPEN ANGLE GLAUCOMA OR OCULAR HYPERTENSION 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
CD-11-265  Protocol Number 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Leslie Ravi 
Designation  Principal Investigator 
Affiliation  Bangalore Diabetic Centre  
Address  Bangalore Diabetic Centre #426,4th Cross,2nd Block,Kalyan Nagar,Bangalore-560043

Bangalore
KARNATAKA
560043
India 
Phone    
Fax    
Email  leslieravikumar@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Leslie Ravi 
Designation  Principal Investigator 
Affiliation  Bangalore Diabetic Centre  
Address  Bangalore Diabetic Centre #426,4th Cross,2nd Block,Kalyan Nagar,Bangalore-560043

Bangalore
KARNATAKA
560043
India 
Phone    
Fax    
Email  leslieravikumar@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Leslie Ravi 
Designation  Principal Investigator 
Affiliation  Bangalore Diabetic Centre  
Address  Bangalore Diabetic Centre #426,4th Cross,2nd Block,Kalyan Nagar,Bangalore-560043

Bangalore
KARNATAKA
560043
India 
Phone    
Fax    
Email  leslieravikumar@yahoo.co.in  
 
Source of Monetary or Material Support  
InnoPharma Inc 
 
Primary Sponsor  
Name  InnoPharma Inc 
Address  InnoPharma, Inc.10 Knightsbridge Rd. Suite III Piscataway, NJ 08854  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
Semler Research Center Pvt Ltd  75A, 15th Cross, I Phase J.P.Nagar, Bangalore 560 078, INDIA 
 
Countries of Recruitment     Singapore
India
Malaysia
Sri Lanka
United States of America  
Sites of Study  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Kummararaj G  AG Eye care Hospitals   AG Eye care Hospitals # 6, Officers Colony Puttur Opp To G H, Puthur, Trichy - 620017
Tiruchirappalli
TAMIL NADU 
09894545554
04314542325
gkageye@gmail.com 
Dr Lelie Ravikumar  Bangalore Diabetic Centre  Bangalore Diabetic Centre #426,4th Cross,2nd Block,Kalyan Nagar,Bangalore-560043
Bangalore
KARNATAKA 
9980011225

leslieravikumar@yahoo.co.in 
Dr Srihargava Natesh  Nethra Eye Hospital  Nethra Eye Hospital #8,Poojary Layout,80 Ft Road,RMV 2nd stage, Bangalore-560094
Bangalore
KARNATAKA 
9342880273

sribhargava.natesh@gmail.com 
Dr Deval Shah  NETR eye care clinic  NETR eye care clinic #Vision House Opposite Kameshwar School,Near Jodhpur Cross road,Satellite,Ahmedabad-380015,Gujarat
Ahmadabad
GUJARAT 
08690543200

gunvant.atre@i5clinicalresearch.com 
Dr Nita Shanbhag  Omkar Eye Care Centre   Omkar Eye Care Centre #302,303 Koteshwar Plaza junction of RHB Rd & J Nehru Rd,Mulund West Mumbai-400080
Mumbai
MAHARASHTRA 
09322402424

nita@eyesurgeon.in 
Dr Sowbhagya  Shankara Netralaya   #41-42/45 Sri Krupa 7th cross,Saraswatipuram,Nandini Layout Main Road,Bangalore-96
Bangalore
KARNATAKA 
09620937759

hnbhagya@yahoo.co.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Bangalore Central Ethics Committee/Bangalore/Dr. Leslie Ravi, No 1423, Kullappa Layout, Kullappa Circle, ST. Thomas Town P.O., Bangalore 560084, Karnataka, India  Approved 
IEC Consultants/Bangalore/Dr. Kummararaj , "Darussalam", 598,2ndCross,17th Main, 3rd Block,Koramangala,Bangalore-560034, India   Not Applicable 
IEC Consultants/Bangalore/Dr. Sowbhagya HN, "Darussalam", 598,2ndCross,17th Main, 3rd Block,Koramangala,Bangalore-560034, India   Not Applicable 
IEC Consultants/Bangalore/Dr. Sribhargava Natesh, "Darussalam", 598,2ndCross,17th Main, 3rd Block,Koramangala,Bangalore-560034, India   Not Applicable 
MANAV Independent Ethics Committee/Dr. Deval Shah/ Ahmedabad, Shree Raj Hospital, 1st Floor, Maruti Centre, Gurukul Road, Memnagar, Ahmedabad-380052, India  Not Applicable 
The KELKAR Education Trusts, Independent Scientific and Ethics Committee/Mumbai/Dr.Nita Shanbhag, Trust Office, 3rd floor, V.G.Vaze College campus, Mithagar Road, Mulund(E), Mumbai-400 081  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  PATIENTS WITH PRIMARY OPEN ANGLE GLAUCOMA OR OCULAR HYPERTENSION,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  AZOPTâ„¢ (BRINZOLAMIDE 1% OPHTHALMIC SUSPENSION)  Brinzolamide belongs to a new class of heterocyclic sulfonamide CAIs that is topically active for reducing IOP. It has high affinity and inhibitory potency against human CA II, an isoenzyme of carbonic anhydrase found in the ciliary epithelia, which are involved with aqueous humor secretion. Brinzolamide is formulated as an aqueous suspension and at physiologic pH. The optimum concentration of brinzolamide for lowering elevated IOP is 1.0%, based on dose-response studies over the concentration range of 0.3% to 3.0%, when administered twice daily (b.i.d.) 
Intervention  GENERIC BRINZOLAMIDE 1% OPHTHALMIC SUSPENSION  Brinzolamide belongs to a new class of heterocyclic sulfonamide CAIs that is topically active for reducing IOP. It has high affinity and inhibitory potency against human CA II, an isoenzyme of carbonic anhydrase found in the ciliary epithelia, which are involved with aqueous humor secretion Dosage: One drop topically instilled into each eye three times a day for the period of 12 weeks.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Male and females 18 years of age or older, diagnosed with primary open-angle glaucoma or ocular hypertension (including pigment dispersion syndrome).
2. If of child bearing potential -
• Must use a reliable means of contraception for the duration of the study or surgically sterilized.
• Must have a negative pregnancy test.
• Must be non-lactating
3. 9 am IOP measurements ≥ 24 ≤ 36 mmHg, inclusive, in at least one eye, at two eligibility visits separated by one week
4. The IOP criteria to be met by the same eye
5. Visual Acuity of 6/24 or better(or its equivalent by logMAR) in both eyes
6. Gonioscopy angle of ≥ 3 in both eyes
7. Patients with a level of understanding and willingness to fully comply with all visits and study procedures scheduled by the study site as evidenced by written informed consent
 
 
ExclusionCriteria 
Details  1. Patients with any form of glaucoma other than open-angle glaucoma
2. Patients with Schaffer angle grade 3 (overall, however occludable angles treated with patent iridectomy are allowed )
3. Patients with a cup/disc ratio greater than 0.8
4. Patients with severe central visual field loss
5. Best corrected VA score worse than 20/200 Snellen (equivalent to +1.0 log Mar)
6. Chronic, recurrent or severe inflammatory eye disease (blepharitis or clinically non-significant conjunctival hyperaemia allowed)
7. Clinically significant or progressive retinal disease or optic nerve disease from any cause apart from glaucoma
8. Other ocular pathology especially Fuch’s endothelial dystrophy, moderate to severe guttata, subjectively low endothelial cell count by slit lamp biomicrscopy or any abnormality preventing reliable applanation tonometry
9. Recent, current, or anticipated treatment with any medication that augments adrenergic
responses, or precludes use of an alpha-adrenergic agonist like MAO inhibitors.
10. History of hypersensitivity to oral or topical CAIs, sulfonamide drugs or to any
component of these medications or the study medications or ingredients
11. Contact lens use during the active treatment portion of the trial. However if patient agrees to avoid use of contact lens use 15 minutes before and after drug administration, such patient can be included
12. Active ocular allergies.
13. Conventional ocular surgery or laser surgery within the 3 months prior to visit 1.
14. Any concurrent infectious/non infectious conjunctivitis, keratitis or uveitis.
15. Active ocular diseases or uncontrolled systemic disease. Patients requiring concomitant aggressive therapy with antihypertensives or steroids or patients on oral CAIs like acetazolamide or methazolamide. However patients on stable dose of antihypertensive therapy or stable doses of dermal or inhaled steroids can be allowed
16. Pregnant or nursing mothers and females of childbearing potential not practicing a
reliable and medically acceptable method of birth control

17. Participation in any study during past 30 days

18. Relative or employee of the treating investigator
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To establish that the generic Brinzolamide 1% ophthalmic suspension from InnoPharma Inc is therapeutically equivalent to the currently marketed Azoptâ„¢ (Brinzolamide 1% ophthalmic suspension).  To establish that the generic Brinzolamide 1% ophthalmic suspension from InnoPharma Inc is therapeutically equivalent to the currently marketed Azoptâ„¢ (Brinzolamide 1% ophthalmic suspension). 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the safety and efficacy of Brinzolamide 1% ophthalmic suspension in patients with primary open angle glaucoma or ocular hypertension  NA 
 
Target Sample Size   Total Sample Size="286"
Sample Size from India="72" 
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)   07/05/2012 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  20/02/2012 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Other (Terminated) 
Publication Details   The publication policy will be at the discretion of the Sponsor. If published the patients identity will not be revealed. 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

A multicenter, double-masked, randomized, parallel assignment, study to determine the therapeutic equivalence of generic Brinzolamide 1% ophthalmic suspension manufactured by InnoPharma Inc with respect to Azoptâ„¢ (Brinzolamide 1% ophthalmic suspension) in patients with primary open angle glaucoma or ocular hypertension

Phase III therapeutic equivalence trial

Male and female patients 18 years of age or older, diagnosed with open-angle glaucoma or ocular hypertension.

286 evaluable patients with primary open angle glaucoma or ocular hypertension with provision for approximate drop-out rate of 20 %.

Multiple centers each across US, India, Singapore, Malaysia and Srilanka  are planned

Primary objective :

·         To establish that the generic Brinzolamide 1% ophthalmic suspension from InnoPharma Inc is therapeutically equivalent to the currently marketed Azoptâ„¢ (Brinzolamide 1% ophthalmic suspension).

 Secondary objective:

To evaluate the safety and efficacy of Brinzolamide 1% ophthalmic suspension in patients with primary open angle glaucoma or ocular hypertension

Primary Outcome Measures:

·          Intraocular pressure (IOP) at baseline and at 4, 8 and 12 weeks after treatment.

 

Secondary Outcome Measures:

  • Reduction in intraocular pressure (IOP) from baseline at the end of 4, 8 and 12 weeks of treatment.
  • Occurrence of adverse events during the study

 

 
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