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This is a multicenter, open-label, dose escalation (Cohort 1) to masked, randomized, parallel-groups (Cohort 2) and (Cohort 3) study to evaluate the safety and efficacy of AGN-193408 SR in participants with open-angle glaucoma or ocular hypertension
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 -Dose A | Experimental | Single dose of AGN-193408 SR Dose A administered in the study eye on Day 1. One drop of Lumigan 0.01% administered in the non-study eye once daily every evening starting on Day 1. |
|
| Cohort 1 - Dose B | Experimental | Single dose of AGN-193408 SR Dose B administered in the study eye on Day 1. One drop of Lumigan 0.01% administered in the non-study eye once daily every evening starting on Day 1. |
|
| Cohort 2 - Dose A | Experimental | AGN-193408 SR Dose A (single dose on Day 1) + vehicle eye drops (once daily in the evening starting on Day 1) administered in the study eye. Lumigan (once daily in the evening starting on Day 1) + Sham AGN-193408 SR (single administration on Day 1) administered in the non-study eye. |
|
| Cohort 2 - Dose B | Experimental | AGN-193408 SR Dose B (single dose on Day 1) + vehicle eye drops (once daily in the evening starting on Day 1) administered in the study eye. Lumigan (once daily in the evening starting on Day 1) + Sham AGN-193408 SR (single administration on Day 1) administered in the non-study eye. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AGN-193408 SR | Drug | An implant containing preservative-free AGN-193408 dispersed in a biodegradable polymer matrix. Implants are preloaded into an applicator to facilitate insertion of the implant into the anterior chamber of the study eye. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Hour 0 Intraocular Pressure (IOP) in the Study Eye | IOP is a measurement of the fluid pressure inside the study eye. A negative change from baseline indicates an improvement and a positive change from baseline indicates a worsening. | Baseline to Month 36 |
| Number of participants experiencing treatment emergent adverse events | Baseline to Month 36 |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Rescue Treatment or Re-Treatment in the Study Eye | Time to rescue treatment or the second treatment is defined as the time between the first treatment and the second treatment in the study eye. | Baseline to Month 36 |
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Inclusion Criteria:
Exclusion Criteria:
Known allergy or sensitivity to any study medication or its components, any component of the delivery vehicle, procedure-related materials, or diagnostic agents used during the study (eg, topical anesthetic, dilating drops, fluorescein, povidone-iodine).
Concurrent or anticipated enrollment in an investigational drug or device study or participation in such a study within 2 months prior to the Baseline visit through the final study visit.
History of intracameral implant in the study eye (eg, Bimatoprost SR, OTX-TIC, ENV515 Travoprost XR).
History of laser trabeculoplasty within 6 months prior to screening in the study eye.
History or evidence of clinically relevant, substantial ocular trauma (eg, a traumatic cataract, traumatic angle recession, etc.) in the study eye.
History or evidence of complicated cataract/lens surgery, as stated in the protocol.
Intraocular surgery (including cataract surgery) in the study eye within the 4 months prior to treatment administration.
Any history of corneal graft, including partial grafts (eg, Descemet's Stripping Endothelial Keratoplasty [DSEK], Descemet's Membrane Endothelial Keratoplasty [DMEK]); or incisional refractive surgery (eg, radial keratotomy), other than astigmatic keratotomy or limbal relaxing incisions in the study eye.
History of herpetic ocular diseases in either eye (including herpes simplex virus and varicella zoster virus).
Anticipated need for any incisional or laser ocular surgery in either eye during the study.
History of anatomically narrow angle resulting in evidence of angle changes or any history or closed angle glaucoma in the study eye.
History or evidence of a peripheral iridotomy/iridectomy in the inferior iris in the study eye.
Any history of trabeculectomy or other types of incisional glaucoma surgery, including a glaucoma seton or aqueous bypass stents in either eye, or minimally invasive glaucoma surgery (MIGS) type trabecular meshwork surgeries in the study eye.
Anticipated use of corticosteroids in either eye except for permitted interventions or systemically during the study, or historical use prior to Baseline within:
Anticipated use of other topical ocular medications in either eye except for permitted interventions.
The anticipated wearing of contact lenses in the study eye (Cohort 1) and both eyes (Cohorts 2 and 3) during the study that deviates from the following (contact lens wear is allowed during the study, but is to be temporarily discontinued before study visits, and before and after an Administration Day according to the following):
Central corneal thickness of < 480 or > 620 micrometers in both eyes.
Visual field loss in the study eye that, in the opinion of the investigator, is functionally significant (eg, split fixation, field defect within the central 10 degrees that is visually significant or likely to cause central visual impairment upon progression) or shows evidence of progressive visual field loss within the year prior to Baseline.
Evidence of macular edema in either eye during screening or in participant's medical history.
At Screening, evidence of posterior synechia behind the iris inferiorly in the study eye that in the investigator's opinion may inhibit the ability to safely receive at least 1 AGN-193408 SR implant (Cohort 3 only).
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| Name | Affiliation | Role |
|---|---|---|
| ABBVIE INC. | AbbVie | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Horizon Eye Specialists & Lasik Center - Sun City /ID# 252153 | Sun City | Arizona | 85351 | United States | ||
AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.
For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
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| Cohort 3 - Dose A | Experimental | AGN-193408 SR Dose A (single dose on Day 1) + vehicle eye drops (once daily in the evening starting on Day 1) administered in the study eye. Lumigan (once daily in the evening starting on Day 1) + Sham AGN-193408 SR (single administration on Day 1) administered in the non-study eye. |
|
| Cohort 3 - Dose B | Experimental | AGN-193408 SR Dose B (single dose on Day 1) + vehicle eye drops (once daily in the evening starting on Day 1) administered in the study eye. Lumigan (once daily in the evening starting on Day 1) + Sham AGN-193408 SR (single administration on Day 1) administered in the non-study eye. |
|
| Lumigan | Other | Control Treatment in Fellow Eye Lumigan 0.01% is a topical eye drop that is a solution containing 0.1 mg/mL bimatoprost |
|
|
| Sham Administration | Other | Needleless applicator contacting similar intracameral insertion location on eye as AGN-193408 SR. |
|
| Lumigan Vehicle | Other | Vehicle eye drops (for masking) will be administered once daily in the evening starting on Day 1 in the study eye during Cohort 2. |
|
|
| AGN-193408 SR | Drug | An implant containing preservative-free AGN-193408 dispersed in a biodegradable polymer matrix. Implants are preloaded into an applicator to facilitate insertion of the implant in the study eye. |
|
| Sham Administration | Other | Needleless applicator contacting similar insertion location on eye as AGN-193408 SR. |
|
| Lumigan Vehicle | Other | Vehicle eye drops (for masking) will be administered once daily in the evening starting on Day 1 in the study eye during Cohort 3. |
|
|
| Global Research Management /ID# 241699 |
| Glendale |
| California |
| 91204-2500 |
| United States |
| United Medical Research Institute /ID# 241701 | Inglewood | California | 90301 | United States |
| Lakeside Vision Center /ID# 241698 | Irvine | California | 92604 | United States |
| The Eye Research Foundation /ID# 234528 | Newport Beach | California | 92663-3637 | United States |
| Sacramento Eye Consultants /ID# 241697 | Sacramento | California | 95815 | United States |
| Premiere Practice Management LLC /ID# 235957 | Torrance | California | 90505 | United States |
| Wolstan & Goldberg Eye Associates /ID# 241700 | Torrance | California | 90505 | United States |
| Connecticut Eye Consultants P.C. /ID# 235862 | Danbury | Connecticut | 06810 | United States |
| Brandon Eye Associates - Brandon /ID# 276600 | Brandon | Florida | 33511 | United States |
| Nature Coast Clinical Research - Crystal River /ID# 237781 | Crystal River | Florida | 34429 | United States |
| Advanced Research, LLC /ID# 276987 | Deerfield Beach | Florida | 33064-1346 | United States |
| University of Florida Health Ophthalmology - Jacksonville /ID# 243122 | Jacksonville | Florida | 32209-6533 | United States |
| East Florida Eye Institute /ID# 235762 | Stuart | Florida | 34994 | United States |
| Logan Ophthalmic Research Inc. /ID# 252087 | Tamarac | Florida | 33321 | United States |
| Coastal Research Associates /ID# 234649 | Roswell | Georgia | 30076 | United States |
| Thomas Eye Group PC /ID# 266775 | Sandy Springs | Georgia | 30328 | United States |
| University of Illinois Hospital and Health Sciences System /ID# 253630 | Chicago | Illinois | 60607 | United States |
| Midwest Medical Advisors Inc /ID# 235845 | Carmel | Indiana | 46290 | United States |
| Indiana University - Glick Eye Institute /ID# 235887 | Indianapolis | Indiana | 46202 | United States |
| Ophthalmic Consultants of Boston /ID# 236535 | Boston | Massachusetts | 02129 | United States |
| Fraser Eye Care Center /ID# 267100 | Fraser | Michigan | 48026 | United States |
| Midwest Vision Research Foundation at Pepose Vision Institute /ID# 267094 | Chesterfield | Missouri | 63017 | United States |
| Silverstein Eye Centers /ID# 266767 | Kansas City | Missouri | 64133 | United States |
| Tekwani Vision Center /ID# 235149 | St Louis | Missouri | 63128 | United States |
| Nv Eye Surgery - Henderson /ID# 276925 | Henderson | Nevada | 89052 | United States |
| Rutgers New Jersey Medical School Campus, Doctors Office Center /ID# 234365 | Newark | New Jersey | 07103-2425 | United States |
| Northern New Jersey Eye Institute /ID# 241545 | South Orange | New Jersey | 07079 | United States |
| Asheville Eye Associates /ID# 234963 | Asheville | North Carolina | 28803 | United States |
| Private Practice - Dr. James D. Branch /ID# 234560 | Winston-Salem | North Carolina | 27101 | United States |
| The Ohio State University /ID# 267590 | Columbus | Ohio | 43210 | United States |
| Oklahoma Eye Surgeons /ID# 252089 | Oklahoma City | Oklahoma | 73112 | United States |
| Drs Fine Hoffman & Sims LLC /ID# 235919 | Eugene | Oregon | 97401 | United States |
| Scott and Christie and Associates /ID# 252284 | Cranberry Township | Pennsylvania | 16066 | United States |
| Eye Specialty Group /ID# 252201 | Memphis | Tennessee | 38120 | United States |
| Vanderbilt Eye Institute /ID# 266915 | Nashville | Tennessee | 37232-0025 | United States |
| Advancing Vision Research /ID# 236683 | Smyrna | Tennessee | 37167 | United States |
| Macro Trials (SMO/Network/Consortium) /ID# 266772 | Austin | Texas | 78731 | United States |
| San Antonio Eye Center /ID# 272087 | San Antonio | Texas | 78215 | United States |
| St. George Eye Center /ID# 236200 | St. George | Utah | 84790 | United States |
| Piedmont Eye Center /ID# 246455 | Lynchburg | Virginia | 24502 | United States |
| Vistar Eye Center /ID# 234811 | Roanoke | Virginia | 24011 | United States |
| Kitasato University Hospital /ID# 238880 | Sagamihara-shi | Kanagawa | 252-0375 | Japan |
| National Hospital Organization Saitama Hospital /ID# 266953 | Wako | Saitama | 351-0102 | Japan |
| Duplicate_Shimane University Hospital /ID# 238641 | Izumo-shi | Shimane | 693-8501 | Japan |
| The University of Tokyo Hospital /ID# 238871 | Bunkyo-ku | Tokyo | 113-8655 | Japan |
| Nippon Medical School Tama Nagayama Hospital /ID# 273428 | Tama-shi | Tokyo | 206-8512 | Japan |
| University of Yamanashi Hospital /ID# 238642 | Chuo-shi | Yamanashi | 409-3898 | Japan |
| Hayashi eye hospital /ID# 267604 | Fukuoka | 812-0011 | Japan |
| ID | Term |
|---|---|
| D005902 | Glaucoma, Open-Angle |
| D009798 | Ocular Hypertension |
| ID | Term |
|---|---|
| D005901 | Glaucoma |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D000069580 | Bimatoprost |
| ID | Term |
|---|---|
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D003008 | Cloprostenol |
| D011461 | Prostaglandins F, Synthetic |
| D011465 | Prostaglandins, Synthetic |
| D011453 | Prostaglandins |
| D015777 | Eicosanoids |
| D005231 | Fatty Acids, Unsaturated |
| D005227 | Fatty Acids |
| D008055 | Lipids |
| D012898 | Autacoids |
| D018836 | Inflammation Mediators |
| D001685 | Biological Factors |
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