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Comparison of the Alpha-2 Agonists for Prevention of Intraocular Pressure Elevation After Selective Laser Trabeculoplasty

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ClinicalTrials.gov Identifier: NCT00567411
Recruitment Status : Unknown
Verified November 2007 by Walter Reed Army Medical Center.
Recruitment status was:  Recruiting
First Posted : December 5, 2007
Last Update Posted : December 5, 2007
Sponsor:
Information provided by:
Walter Reed Army Medical Center

Brief Summary:
The purpose of the study is to compare the safety and efficacy of two drops used to lower eye pressure when given prior to a glaucoma laser procedure.

Condition or disease Intervention/treatment
Glaucoma Ocular Hypertension Drug: brimonidine 0.1% Drug: Apraclonidine 0.5%

Detailed Description:
This is a prospective randomized double blind trial of patients undergoing selective laser trabeculoplasty for primary open angle glaucoma and ocular hypertension. Enrolled patients are randomized to receive one drop of brimonidine 0.1% in one eye and one drop of apraclonidine 0.5% in the fellow eye. The trabecular meshwork in both eyes of each enrolled patient is treated 360 degrees at the same sitting. Intraocular pressure is measured in each eye one hour before applying the study medications and at one hour and one week after laser surgery.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 43 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Care Provider)
Primary Purpose: Treatment
Official Title: Comparison of the Alpha-2 Agonists for Prevention of Intraocular Pressure Elevation After Selective Laser Trabeculoplasty
Study Start Date : August 2006
Estimated Study Completion Date : June 2009

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Eye Care Glaucoma
U.S. FDA Resources

Arm Intervention/treatment
Active Comparator: I
Eyes receiving Apraclonidine 0.5% (Iopidine) prior to SLT
Drug: Apraclonidine 0.5%
1 drop applied 1 hour prior to SLT
Active Comparator: A
Eyes receiving Brimonidine 0.1% (Alphagan) prior to SLT
Drug: brimonidine 0.1%
1 drop, 1 hour prior to selective laser trabeculoplasty (SLT)



Primary Outcome Measures :
  1. Postoperative IOP [ Time Frame: 1 hour and 1 week post surgery ]

Secondary Outcome Measures :
  1. Overall IOP reduction post SLT [ Time Frame: 1 month ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • male or female, at least 18 years of age
  • Open Angle Glaucoma with inadequate intraocular pressure (IOP) control or evidence of progression (based on optic nerve head appearance and/or visual field changes) despite current medical therapy
  • Ocular Hypertension requiring lowering of IOP
  • ability to understand and provide informed consent to participate in this study and willingness to follow study instructions and likely to complete all required visits

Exclusion Criteria:

  • inability to understand and provide informed consent to participate in this study
  • inability/unwillingness to follow study instructions and complete all required visits
  • Documented allergy to either brimonidine or iopidine
  • Angle Closure Glaucoma
  • Congenital/Juvenile Glaucoma
  • Neovascular Glaucoma
  • Active uveitis

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00567411


Contacts
Contact: Vladimir S Yakopson, MD 202-782-6965 vladimir.yakopson@na.amedd.army.mil

Locations
United States, District of Columbia
Walter Reed Army Medical Center Recruiting
Washington, District of Columbia, United States, 20307
Contact: Vladimir S Yakopson, MD    202-782-6965    vladimir.yakopson@na.amedd.army.mil   
Sub-Investigator: William Wilson, MD         
Sponsors and Collaborators
Walter Reed Army Medical Center
Investigators
Principal Investigator: Vladimir S Yakopson, MD Walter Reed AMC

Responsible Party: Vladimir S Yakopson, MD, Ophthalmology Service, Department of Surgery, Walter Reed Army Medical Center
ClinicalTrials.gov Identifier: NCT00567411     History of Changes
Other Study ID Numbers: WRAMC WU # 06-23016
First Posted: December 5, 2007    Key Record Dates
Last Update Posted: December 5, 2007
Last Verified: November 2007

Keywords provided by Walter Reed Army Medical Center:
Glaucoma
Laser
laser trabeculoplasty
selective laser trabeculoplasty
intraocular pressure

Additional relevant MeSH terms:
Glaucoma
Ocular Hypertension
Eye Diseases
Brimonidine Tartrate
Apraclonidine
Antihypertensive Agents
Adrenergic alpha-2 Receptor Agonists
Adrenergic alpha-Agonists
Adrenergic Agonists
Adrenergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs