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This is a randomized, double blind, two-arm, parallel group, active controlled bioequivalence study, at multiple clinical trial sites designed to demonstrate bioequivalence of Brinzolamide 1% ophthalmic suspension (manufactured by Indoco Remedies Ltd. for Watson Pharma Pvt Ltd.), to Brinzolamide (Azopt®) 1% ophthalmic suspension of Alcon Laboratories, Inc. in the treatment of chronic open angle glaucoma or ocular hypertension in both eyes.
Study will be conducted in adult subjects, above 18 years inclusive, males and non pregnant females, diagnosed with chronic open angle glaucoma or ocular hypertension in both eyes. Qualifying Intra Ocular Pressure (IOPs) following wash-out, at baseline (Day 0/hour 0 i.e., 8:00 am) should be ≥ 22 milli meter mercury (mm Hg) and ≤ 34 mm Hg in each eye and any asymmetry of IOP between the eyes no greater than 5 mm Hg.
Each study subject will use one drop of test or reference Ophthalmic Suspension in both the eyes three times daily at approximately 8:00am, 04:00 pm and 10:00 pm for 42 days (6 weeks). The dose and mode of treatment chosen in this study is the dosage approved by United States Food and Drug administration (US FDA) for use in treatment of patients of Chronic Open Angle Glaucoma.
The study subjects will undergo clinical evaluations throughout the study in order to assess efficacy and safety. Study subject primary endpoint evaluation will be assessed after 2 weeks (14 days) and 6 weeks (42 days) of treatment for each study subject deemed eligible for evaluation, (i.e., at Visit III - Day 14 ± 2 days and Visit IV - Day 42 ± 3 days).
The primary bioequivalence comparison is between the test and reference products for the mean difference in intraocular pressure (IOP) of both eyes at four time points, i.e., at approximately 8:00 am and 10:00 am at the Day 14 (± 2 days) and Day 42 (± 3 days) visits.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Brinzolamide 1% Ophthalmic suspension | Experimental | Brinzolamide Pharmaceutical dosage form: Ophthalmic suspension Strength: 1% Manufactured by: Indoco Remedies, Ltd for Watson Pharma Pvt. Ltd |
|
| Azopt® 1% Ophthalmic suspension | Active Comparator | Azopt® (Contains Brinzolamide) Pharmaceutical dosage form: Ophthalmic suspension Strength: 1% Manufactured by: Alcon Laboratories, Inc |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Test-Brinzolamide 1% Ophthalmic suspension | Drug |
| ||
| Reference-Brinzolamide 1% Ophthalmic suspension |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Difference in Intraocular Pressure (IOP) of Both Eyes Between the Two Treatment Groups at Four Time Points | The primary efficacy end point is the mean difference in intraocular pressure (IOP) of both eyes between the two treatment groups at four time points, i.e., at approximately 8:00 am (hour 0; before the morning drop) and 10:00 am (hour 2; after the morning drop) at the Day 14 (week 2) and Day 42 (week 6) visits | Day 14 and 42 at 8AM and 10AM |
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Inclusion Criteria:
Male or non-pregnant females aged 18 years and above with a Body Mass Index (BMI) of 18.5 to 35 Kg/m2, with chronic open angle glaucoma or ocular hypertension in both eyes on stable ocular hypotensive treatment regimen.
Subjects requiring treatment of both eyes and are able to discontinue use of all ocular hypotensive medication(s) or switch ocular hypotensive medications and undergo appropriate washout period.
Adequate wash-out period prior to baseline of any ocular hypotensive medication. In order to minimize potential risk to subjects due to IOP elevations during the washout period, investigator may choose to substitute a parasympathomimetic or carbonic anhydrase inhibitor in place of a sympathomimetic, alpha-agonist, beta-adrenergic blocking agent, or prostaglandins. However, subjects must have discontinued all ocular hypotensive medication for the minimum washout period.
Baseline (Day 0/hour 0) IOP ≥ 22 mm Hg and ≤ 34 mm Hg in each eye and any asymmetry of IOP between the eyes no greater than 5 mm Hg.
Baseline best corrected visual acuity equivalent to 20/200 or better in each eye.
Study subjects must have provided IRB approved written informed consent using the latest version of the IRB informed consent form. In addition, study subjects must sign a Health Insurance Portability and Accountability Act (HIPAA) authorization, if applicable.
Study subjects should be literate and willing to complete the subject diary regularly as directed.
Study subjects must be in good health and free from any clinically significant disease apart from indication under study.
Females of child bearing potential (WOCBP*) must not be pregnant or lactating at baseline visit (as documented by a negative serum pregnancy test with a minimum sensitivity of 25 IU/L or equivalent units of beta-human chorionic gonadotropin (Beta-HCG) at screening and urine pregnancy at baseline.
*All female subjects will be considered to be of childbearing potential unless they are postmenopausal. Female subjects of childbearing potential (WOCBP) are defined as sexually mature women without prior hysterectomy, or who have had any evidence of menses in the past 12 months. However, women who have been amenorrheic for the past 12 or more months are still considered to be of childbearing potential, if the amenorrhea is possibly due to other causes, including prior chemotherapy, anti-estrogens, or ovarian suppression. Postmenopausal women (defined as women who have been amenorrheic for at least 12 consecutive months, in the appropriate age group, without other known or suspected primary cause) or women who have been sterilized surgically or who are otherwise proven sterile (i.e., total hysterectomy, or bilateral oophorectomy with surgery at least 4 weeks prior to randomization) are not considered WOCBP. Subjects who have undergone tubal ligation are NOT considered as surgically sterile.
Female subjects of childbearing potential must be willing to use an acceptable form of birth control from the day of the first dose administration to 30 days after the last administration of IP. For the purpose of this study the following are considered acceptable methods of birth control: oral or injectable contraceptives, contraceptive patches, Depo-Provera® (Medroxyprogesterone acetate- stabilized for at least 3 months); vaginal contraceptive; contraceptive implant; double barrier methods (e.g. condom and spermicide); Nuvaring vaginal hormonal birth control, IUD, or abstinence with a second method of birth control should the subject become sexually active. A sterile sexual partner is NOT considered an adequate form of birth control.
All male subjects must agree to use accepted methods of birth control with their partners, from the day of the first dose administration (to 30 days after the last administration of study drug). Please see acceptable forms for "Female" birth control above. Abstinence is an acceptable method of birth control for males.
Study subjects must be willing and able to understand and comply with the requirements of the protocol, including attendance at the required scheduled study visits.
Study subjects must be willing to refrain from using any other treatments for Chronic Open Angle Glaucoma (COAG), other than the investigational product.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| David Wirta, MD | Newport Beach | California | 92663 | United States | ||
| Shettle Eye Research, Inc. |
The populations for this study included the Randomized Population, Safety Population and Per Protocol Population.
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| ID | Title | Description |
|---|---|---|
| FG000 | Generic Brinzolamide Ophthalmic Suspension USP 1% | Study subjects used one drop in both eyes three times daily for 42 days. |
| FG001 | Azopt® (Brinzolomide Ophthalmic Suspension USP 1%) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Drug |
|
| Largo |
| Florida |
| 33773 |
| United States |
| AMB Research Center, Inc. | Miami | Florida | 33144 | United States |
| Eye Care Centers Management, Inc. | Morrow | Georgia | 30260 | United States |
| Coastal Research Associates, LLC | Roswell | Georgia | 30076 | United States |
| Heart of America Eye Care PA | Shawnee Mission | Kansas | 66204 | United States |
| Ophthalmology Associates | St Louis | Missouri | 63131 | United States |
| Las Vegas Physicians Research Group | Henderson | Nevada | 89074 | United States |
| Keystone Research Ltd. | Austin | Texas | 78731 | United States |
| Keystone Research Ltd. | San Antonio | Texas | 78240 | United States |
Study subjects used one drop in both eyes three times daily for 42 days.
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Generic Brinzolamide 1% Ophthalmic Suspension | Study subjects used one drop in both eyes three times daily for 42 days. |
| BG001 | Azopt® 1% Ophthalmic Suspension | Study subjects used one drop in both eyes three times daily for 42 days. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Iris Colour | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Mean Difference in Intraocular Pressure (IOP) of Both Eyes Between the Two Treatment Groups at Four Time Points | The primary efficacy end point is the mean difference in intraocular pressure (IOP) of both eyes between the two treatment groups at four time points, i.e., at approximately 8:00 am (hour 0; before the morning drop) and 10:00 am (hour 2; after the morning drop) at the Day 14 (week 2) and Day 42 (week 6) visits | Participants in Per Protocol Population who met inclusion/exclusion criteria, instilled a pre-specified proportion of the scheduled doses for the specified duration of the study, who did not miss scheduled applications for more than 3 days, and completed evaluations at Day 14 and Day 42 within the visit window. | Posted | Mean | Standard Deviation | mmHg | Day 14 and 42 at 8AM and 10AM |
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|
Baseline up to 45 days
Adverse events were collected from participants who were randomized and received the study drug.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Generic Brinzolamide 1% Ophthalmic Suspension | Study subjects used one drop in both eyes three times daily for 42 days. | 0 | 489 | 55 | 489 | ||
| EG001 | Azopt® 1% Ophthalmic Suspension | Study subjects used one drop in both eyes three times daily for 42 days. | 0 | 475 | 57 | 475 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Palpitations | Cardiac disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Sinus bradycardia | Cardiac disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Asthenopia | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Blepharospasm | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Cataract nuclear | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Chalazion | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Conjunctival disorder | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Conjunctival haemorrhage | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Conjunctival hyperaemia | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Dry eye | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Excessive eye blinking | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Eye discharge | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Eye inflammation | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Eye irritation | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Eye pain | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Eye pruritus | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Eyelid dermatochalasis | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Eyelid irritation | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Eyelid margin crusting | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Foreign body sensation in eyes | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Keratitis | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Lacrimation increased | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Ocular hyperaemia | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Photophobia | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Punctuate keratitis | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Vision blurred | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Visual acuity reduced | Eye disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Abdominal discomfort | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Dry mouth | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Hyperchlorhydria | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
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| Oral discomfort | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
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| Stomatitis | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Toothache | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
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| Asthenia | General disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Face oedema | General disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Diverticulitis | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| |
| Lower respiratory tract infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| |
| Nasopharyngitic | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| |
| Sinusitis | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| |
| Viral infection | Infections and infestations | MedDRA (19.0) | Systematic Assessment |
| |
| Muscle strain | Injury, poisoning and procedural complications | MedDRA (19.0) | Systematic Assessment |
| |
| Hepatic enzyme increased | Investigations | MedDRA (19.0) | Systematic Assessment |
| |
| Mycobacterium tuberculosis complex test positive | Investigations | MedDRA (19.0) | Systematic Assessment |
| |
| Vital dye staining cornea present | Investigations | MedDRA (19.0) | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (19.0) | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (19.0) | Systematic Assessment |
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| Dysgeusia | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Migraine | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Nephrolithiasis | Renal and urinary disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Hiccups | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Rhinitis allergic | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Throat irritation | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA (19.0) | Systematic Assessment |
|
The results of the study may be published or presented by the Investigator(s) after the review by, and in consultation and agreement with the Sponsor, and such that confidential or proprietary information is not disclosed.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, CE Studies | Teva Pharmaceuticals USA, Inc. | 1-888-483-8279 | USMedinfo@tevapharm.com |
| ID | Term |
|---|---|
| D005901 | Glaucoma |
| ID | Term |
|---|---|
| D009798 | Ocular Hypertension |
| D005128 | Eye Diseases |
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| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Green |
|
| Grey |
|
| Hazel |
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| Brown |
|
| Black |
|
| 8AM Visit Day 42 |
|
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| 10AM Visit Day 14 |
|
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| 10AM Visit Day 42 |
|
|
| Mean Difference (Net) |
| -0.11 |
| 2-Sided |
| 95 |
| -0.43 |
| 0.22 |
| Equivalence |
The limits of each two-sided 95% confidence interval of the treatment difference (test-reference) for mean IOP of both eyes at approximately 8:00 hour on Day 42 should be within +/-1.5mm Hg, and should be within +/- 1.0mm Hg for majority of time points using the PP population. |
| Mean Difference (Net) | -0.40 | 2-Sided | 95 | -0.71 | -0.09 | Equivalence | The limits of each two-sided 95% confidence interval of the treatment difference (test-reference) for mean IOP of both eyes at approximately 10:00 hour on Day 14 should be within +/-1.5mm Hg, and should be within +/-1.0mm Hg for majority of time points using the PP population. |
| Mean Difference (Net) | -0.19 | 2-Sided | 95 | -0.50 | 0.13 | Equivalence | The limits of each two-sided 95% confidence interval of the treatment difference (test-reference) for mean IOP of both eyes at approximately 10:00 hour on Day 42 should be within +/-1.5mm Hg, and should be within +/-1.0mm Hg for majority of time points using the PP population |