TY - JOUR
T1 - 24-Month Phase I/II Clinical Trial of Bimatoprost Sustained-Release Implant (Bimatoprost SR) in Glaucoma Patients
AU - for the Bimatoprost SR Study Group
AU - Craven, E. Randy
AU - Walters, Thomas
AU - Christie, William C.
AU - Day, Douglas G.
AU - Lewis, Richard A.
AU - Goodkin, Margot L.
AU - Chen, Michelle
AU - Wangsadipura, Veronica
AU - Robinson, Michael R.
AU - Bejanian, Marina
AU - Aung, Tin
AU - Beck, Allen D.
AU - Branch, James D.
AU - Coote, Michael
AU - Crane, Charles J.
AU - Crichton, Andrew
AU - Day, Steven
AU - Durcan, F. Jane
AU - Evans, Richard M.
AU - Flynn, William J.
AU - Gagné, Sébastien
AU - Goldberg, Damien F.
AU - Greiner, Jack V.
AU - Jeppsen, Paul
AU - Jinapriya, Delan
AU - Johnson, C. Starck
AU - Kurtz, Shimon
AU - Mansberger, Steven L.
AU - Martel, Joseph R.
AU - Perera, Shamira A.
AU - Rotberg, Michael H.
AU - Saltzmann, Robert M.
AU - Schenker, Howard I.
AU - Tepedino, Michael E.
AU - Yap-Veloso, Maria Imelda R.
AU - Uy, Harvey S.
AU - Walters, Thomas R.
N1 - Publisher Copyright:
© 2019, The Author(s).
PY - 2020/2/1
Y1 - 2020/2/1
N2 - Objective: The objective of this study was to evaluate the safety and intraocular pressure (IOP)-lowering effects over 24 months of biodegradable bimatoprost sustained-release implant (Bimatoprost SR) administration versus topical bimatoprost 0.03% in patients with open-angle glaucoma (OAG). Methods: This was a phase I/II, prospective, 24-month, dose-ranging, paired-eye controlled clinical trial. At baseline following washout, adult patients with OAG (N = 75) received Bimatoprost SR (6, 10, 15, or 20 µg) intracamerally in the study eye; the fellow eye received topical bimatoprost 0.03% once daily. Rescue topical IOP-lowering medication or single repeat administration with implant was permitted. The primary endpoint was IOP change from baseline. Safety measures included adverse events (AEs). Results: At month 24, mean IOP reduction from baseline was 7.5, 7.3, 7.3, and 8.9 mmHg in eyes treated with Bimatoprost SR 6, 10, 15, and 20 µg, respectively, versus 8.2 mmHg in pooled fellow eyes; 68, 40, and 28% of pooled study eyes had not been rescued/retreated at months 6, 12, and 24, respectively. AEs in study eyes that occurred ≤ 2 days post-procedure typically were transient. After 2 days post-procedure, overall AE incidence was similar between study and fellow eyes, with some events typically associated with topical prostaglandin analogs having lower incidence in study eyes. Conclusions: Bimatoprost SR showed favorable efficacy and safety profiles up to 24 months, with all evaluated dose strengths demonstrating overall IOP-reducing effects comparable to those of topical bimatoprost. Targeted and sustained delivery of bimatoprost resulted in protracted IOP lowering, suggesting that Bimatoprost SR may represent a transformational new approach to glaucoma therapy.
AB - Objective: The objective of this study was to evaluate the safety and intraocular pressure (IOP)-lowering effects over 24 months of biodegradable bimatoprost sustained-release implant (Bimatoprost SR) administration versus topical bimatoprost 0.03% in patients with open-angle glaucoma (OAG). Methods: This was a phase I/II, prospective, 24-month, dose-ranging, paired-eye controlled clinical trial. At baseline following washout, adult patients with OAG (N = 75) received Bimatoprost SR (6, 10, 15, or 20 µg) intracamerally in the study eye; the fellow eye received topical bimatoprost 0.03% once daily. Rescue topical IOP-lowering medication or single repeat administration with implant was permitted. The primary endpoint was IOP change from baseline. Safety measures included adverse events (AEs). Results: At month 24, mean IOP reduction from baseline was 7.5, 7.3, 7.3, and 8.9 mmHg in eyes treated with Bimatoprost SR 6, 10, 15, and 20 µg, respectively, versus 8.2 mmHg in pooled fellow eyes; 68, 40, and 28% of pooled study eyes had not been rescued/retreated at months 6, 12, and 24, respectively. AEs in study eyes that occurred ≤ 2 days post-procedure typically were transient. After 2 days post-procedure, overall AE incidence was similar between study and fellow eyes, with some events typically associated with topical prostaglandin analogs having lower incidence in study eyes. Conclusions: Bimatoprost SR showed favorable efficacy and safety profiles up to 24 months, with all evaluated dose strengths demonstrating overall IOP-reducing effects comparable to those of topical bimatoprost. Targeted and sustained delivery of bimatoprost resulted in protracted IOP lowering, suggesting that Bimatoprost SR may represent a transformational new approach to glaucoma therapy.
UR - http://www.scopus.com/inward/record.url?scp=85077146689&partnerID=8YFLogxK
U2 - 10.1007/s40265-019-01248-0
DO - 10.1007/s40265-019-01248-0
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C2 - 31884564
AN - SCOPUS:85077146689
SN - 0012-6667
VL - 80
SP - 167
EP - 179
JO - Drugs
JF - Drugs
IS - 2
ER -