Latanoprost Eluting Contact Lens for Treating Glaucoma and Ocular Hypertension

Last updated: April 4, 2023
Sponsor: Massachusetts Eye and Ear Infirmary
Overall Status: Active - Recruiting

Phase

1

Condition

Glaucoma

Ocular Hypertension

Vascular Diseases

Treatment

N/A

Clinical Study ID

NCT04500574
2020P001916
2020A000354
  • Ages 18-85
  • All Genders

Study Summary

In this research study, we will assess the safety, tolerability, comfort, and feasibility of lowering intraocular pressure using a novel Contact Lens Drug Delivery System with latanoprost. Latanoprost is a well-studied medication and has been used to treat glaucoma for decades. Currently, latanoprost is FDA-approved to be administered to patients as eye drops, but using eye drops has challenges (having to remember to take the drop, getting the drop in the eye). This clinical trial is being done to determine the safety, tolerability, and effectiveness of using latanoprost to deliver latanoprost in a new way (through a drug-eluting contact lens).

The study includes two phases. Phase A is intended to assess safety and tolerability and Phase B to assess safety and effectiveness.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • 18 - 85 years of age willing and able to give informed consent and in theinvestigator's judgment able to follow the study protocol
  • Ocular hypertension, primary open-angle glaucoma, pigmentary or pseudoexfoliationglaucoma, with mild to moderate glaucoma defined as Mean Deviation on Humphrey VisualField testing no worse than -10 dB
  • Patients on latanoprost in the study eye with an adequate IOP control with latanoprostalone

Exclusion

Exclusion Criteria: Systemic

  • Use of oral carbonic anhydrase inhibitors
  • Unstable dose of oral medication during the last 30 days that in the opinion of theInvestigator may influence the IOP
  • Unstable dose of oral steroid at the time of enrollment
  • Use of immunosuppressants, immunomodulators, antimetabolites and/or alkylating agentswithin six months before screening or anticipated use at any time during the study
  • Known allergy or hypersensitivity to the study medication or its components
  • Female patients who are pregnant, nursing, or planning a pregnancy, or who are ofchildbearing potential and not using a reliable means of contraception
  • Participation in an investigational drug or device study within the 30 days beforescreening
  • Patient has a condition or is in a situation which, in the Investigator's opinion, mayput the patient at significant risk, may confound the study results, or may interferesignificantly with the patient's participation in the study
  • Any condition (including the inability to read visual acuity charts or languagebarrier) which precludes a patient's ability to comply with study requirementsincluding completion of the study Study Eye
  • History of complex cataract surgery with vitreous loss
  • History of cystoid macular edema or uveitis
  • Corneal decompensation or edema
  • Corneal thickness <500 or > 600 μm in the study eye by pachymetry
  • Prior treatment-related adverse event or allergy to latanoprost
  • Evidence of macular edema/intraretinal fluid on screening macula optical coherencetomography (OCT)
  • Any ocular condition in the study eye that in the opinion of the investigator wouldprevent the eye from wearing a contact lens (e.g., ectropion, lid abnormality, orsymblepharon)
  • Use of beta-blocker, alpha agonist, rho kinase inhibitor, or carbonic anhydraseinhibitor drops within 1 month prior to screening; the use of latanoprost must bestable for at least 4 weeks prior to screening
  • Use of latanoprost for < 4 weeks prior to screening
  • Use of topical steroids
  • Active optic disc or retinal neovascularization in the study eye at screening
  • Presence of rubeosis iridis in the study eye at screening
  • History of herpetic infection in the study eye or adnexa
  • Media opacity in the study eye at screening that precludes clinical and photographicevaluation (including but not limited to preretinal or vitreous hemorrhage, lensopacity)
  • Intraocular surgery, including cataract surgery, and/or laser of any type in the studyeye within 30 days prior to screening
  • History of kerato-refractive surgery
  • Any prior filtering surgery, including trabeculectomy, glaucoma drainage device, orXen implant
  • Inability to comfortably wear a commercial contact lens (C-CL) that has the samedimensions as the L-CL during the week-long run-in period Both Eyes: any active ocular infection (i.e., bacterial, viral, parasitic, or fungal) ineither eye at screening Non-study Eye: Pinhole score < 19 letters (at least 20/400 Snellen equivalent) in thenon-study eye at the screening visit

Study Design

Total Participants: 31
Study Start date:
April 03, 2023
Estimated Completion Date:
December 31, 2023

Study Description

In Phase A of this study, five subjects will wear the latanoprost-eluting contact lens (L-CL) for one week. Phase A is designed to assess for safety and tolerability. In Phase B of this research study, we will compare the L-CL to placebo. Patients will be randomized to one of 2 groups. Subjects in Group 1 will receive the contact lens with latanoprost in it (latanoprost contact lens, or "L-CL") and placebo eye drops. Subjects in Group 2 will receive a standard, commercial contact lens (or "C-CL) that contains no latanoprost but will be given latanoprost eye drops. The placebo contact lens (C-CL) is highly similar to the latanoprost-eluting contact lens but contains no latanoprost. The placebo eye drops look just like latanoprost eye drops but contain no latanoprost.

Connect with a study center

  • Massachusetts Eye and Ear

    Boston, Massachusetts 02114
    United States

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.