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. 2015 Jul 14;2015(7):CD008671. doi: 10.1002/14651858.CD008671.pub3

NCT01818115.

Trial name or title A Prospective, Multi‐Center, Randomized Controlled Trial to Evaluate the Safety and Effectiveness of the Hydrus Implant for Lowering Intraocular Pressure in Glaucoma Patients Undergoing Cataract Surgery
Methods Study design: parallel‐group RCT
Unit of randomization: not reported
Number randomized: 100 total; per group not reported
Unit of analysis: not reported
Number analyzed: not reported
Exclusions and losses to follow‐up: not reported
Power calculation: none reported
Participants Country: Germany (2 sites), Italy (2 sites), Netherlands, Spain (2 sites)
Age: not reported; 21 to 80 years eligible
Gender: not reported, both genders eligible
Ethnicity: not reported
Inclusion criteria:
  1. POAG or PEXG

  2. operable, age‐related cataract eligible for phacoemulsification


Exclusion criteria:
  1. closed‐angle and narrow angle forms of glaucoma

  2. secondary glaucoma, such as neovascular, uveitic, traumatic, steroid‐induced, or lens‐induced

  3. glaucoma associated with increased episcleral venous pressure

  4. congenital or developmental glaucoma


Equivalence of baseline characteristics: not reported
Diagnoses in participants: POAG or PEXG and cataract
Interventions Intervention 1: combined cataract surgery (phacoemulsification) with IOL implantation and Hydrus Implant implantation
Intervention 2: cataract surgery (phacoemulsification) with IOL implantation alone
Study follow‐up: 24 months
Outcomes Primary outcome: difference in proportion of participants with 20% reduction in mean diurnal IOP at 24 months following the wash‐out of all glaucoma medications
Secondary outcomes:
  1. reduction in mean washed out IOP at 24 months

  2. change in BCVA from baseline to 12 months as measured by Early Treatment Diabetic Retinopathy Study (ETDRS) eye chart

  3. proportion of eyes with IOP > 5 mmHg to ≤ 19 mmHg following terminal washout

  4. diurnal IOP at 12 months following washout


Adverse events assessed: not reported
Intervals at which outcomes assessed: annual follow‐up up to 5 years
Starting date January 2011
Contact information Principal Investigator: Norbert Pfeiffer, MD (Universitatsmedizin Mainz)
Notes Type of study: ongoing
Study period: January 2011 to November 2014
Funding source: Ivantis, Inc.
Disclosures of interest: affiliation with Ivantis, Inc.
Publication language: English
Subgroup analysis: none reported

IOL: intraocular lens; IOP: intraocular pressure; PEXG: pseudoexfoliation glaucoma; POAG: primary open‐angle glaucoma.