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The purpose of this study is to evaluate the safety and efficacy of the GTS400 trabecular micro-bypass stent in reducing intraocular pressure (IOP) in subjects with open-angle glaucoma or ocular hypertension and co-existing cataract.
Glaucoma is a collection of disorders characterized by progressive loss of visual field due to optic nerve damage. It is a leading cause of blindness in the United States, affecting 1-2% of individuals aged 60 and over. Management of glaucoma requires chronic, life-long treatment with a spectrum of therapeutic options including medications, laser treatment and surgical implants. The common goal among the various therapies is to lower intraocular pressure to target levels in order to prevent loss of visual fields from excessive pressure on the optic nerve.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cataract Surgery Only | Active Comparator |
| |
| Treatment with Cataract Surgery & Stents | Experimental | Ab interno trabecular micro-bypass stent surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| iStent Inject (GTS400) | Device | Subjects will be randomized to one of two groups. In this case, subjects will undergo cataract surgery with subsequent implantation of GTS400 stents. |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of subjects with 12 month diurnalIOP </= 21 mmHg without use of ocular hypotensive medications for >/= 4 weeks prior to 12 month visit. | 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jeff Wells, PharmD, MBA | Glaukos Corporation | Study Director |
| Jay Katz, MD | Wills Eye Institute; Thomas Jefferson University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Boozman-Hof Regional Eye Clinic | Rogers | Arkansas | 72756 | United States | ||
| North Bay Eye Associates, Inc. |
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|
| Cataract Surgery | Procedure | Subjects will be randomized to one of two groups. In this case, subjects will undergo cataract surgery only. |
|
| Petaluma |
| California |
| 94954 |
| United States |
| Glaucoma Consultants of Colorado | Parker | Colorado | 80134 | United States |
| The Center for Excellence in Eye Care | Miami | Florida | 33176 | United States |
| International Eye Center | Tampa | Florida | 33603 | United States |
| Clayton Eye Center / Eye Care Centers Management, Inc. | Morrow | Georgia | 30260 | United States |
| Chicago Eye Specialists | Chicago | Illinois | 60619 | United States |
| Whitson Vision, PC | Indianapolis | Indiana | 46240 | United States |
| D'Ambrosio Eye Care | Lancaster | Massachusetts | 01523 | United States |
| Kresge Eye Institute | Detroit | Michigan | 48201 | United States |
| Discover Vision Centers | Independence | Missouri | 64055 | United States |
| Silverstein Eye Centers | Kansas City | Missouri | 64133 | United States |
| St. John's Medical Research Institute | Springfield | Missouri | 65807 | United States |
| Las Vegas Physician Research Group | Henderson | Nevada | 75965 | United States |
| Shepherd Eye Center | Las Vegas | Nevada | 89121 | United States |
| Ophthalmic Consultants of Long Island | Rockville Centre | New York | 11570 | United States |
| Thomas Mundorf, MD | Charlotte | North Carolina | 28204 | United States |
| Laurel Eye Clinic | Brookville | Pennsylvania | 15825 | United States |
| Carolina Eyecare Physicians | Mt. Pleasant | South Carolina | 29464 | United States |
| Vance Thompson Vision / Sanford Clinic | Sioux Falls | South Dakota | 57105 | United States |
| Texan Eye | Austin | Texas | 78731 | United States |
| Lehmann Eye Center | Nacogdoches | Texas | 75965 | United States |
| ID | Term |
|---|---|
| D005901 | Glaucoma |
| D002386 | Cataract |
| ID | Term |
|---|---|
| D009798 | Ocular Hypertension |
| D005128 | Eye Diseases |
| D007905 | Lens Diseases |
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| ID | Term |
|---|---|
| D002387 | Cataract Extraction |
| ID | Term |
|---|---|
| D054140 | Refractive Surgical Procedures |
| D013508 | Ophthalmologic Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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