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. 2022 Jun 10;2022(6):CD013817. doi: 10.1002/14651858.CD013817.pub2

Sit 2021.

Study characteristics
Methods Study design: randomized controlled trial
Study grouping: parallel group
Unit of randomization: eyes
Total number of participants (eyes) randomized: 40 eyes
Number of participants (eyes) randomized per group: placebo: 20, netarsudil: 20 eyes
Total number of participants (eyes) lost to follow‐up: 4 eyes
Number of participants (eyes) lost to follow‐up per group: placebo: 2, netarsudil: 2 eyes
Power calculation and sample size consideration reported: yes (analysis plan and published study protocol)
Planned length of follow‐up: 7 days
Actual length of follow‐up: 7 days
How missing outcome data were handled: missing data were not imputed
Was the trial single/double/triple‐masked: double‐masked
Was the trial an equivalence/superiority/non‐inferiority study: superiority
Extracted outcome results were based on ITT/mITT/CC/PP/PT analysis: mITT
Duration of washout for each drug class before interventions began: ≥ 4 weeks for prostaglandins and BBs, 2 weeks for alfa‐agonists and 5 days for muscarinic agonists and carbonic anhydrase inhibitors
Participants Baseline characteristics
Overall 
  • Female, n (%): 14 (70%)

  • Age, mean: 63 (SD 12.5) years

  • Age ≥ 65 years, n (%): 11 (55%)

  • POAG, n (%): 5 (25%)

  • Number of eyes randomized: 40

  • Number of eyes analyzed: 36


Inclusion criteria: aged ≥ 18 years; diagnosis of POAG or OHT in both eyes; unmedicated IOP > 20 mmHg and < 30 mmHg in both eyes at first qualification visit; BCVA equivalent to 20/200 Snellen or better; able to give informed consent and follow study instructions
Excluded criteria: clinically significant ocular disease; pseudoexfoliation or pigment dispersion component glaucoma, history of angle closure glaucoma, or narrow angles; IOP ≥ 30 mmHg in either eye; difference in IOP between eyes > 4 mmHg at qualification visit; use of > 2 ocular hypotensive medications within 30 days of screening; known hypersensitivity to any component of the formulation; previous glaucoma surgery or refractive surgery; keratorefractive surgery in either eye; report of ocular injury in either eye within the 6 months prior to screening or ocular or non‐refractive surgery within 3 months prior to screening; recent or current ocular infection or inflammation in either eye; use of ocular medication in either eye of any type within 30 days of screening; mean central corneal thickness > 620 μm in either eye; any abnormality preventing reliable applanation tonometry of either eye; lack of suitable episcleral vein prior to performing episcleral venus pressure measurement (applicable to 1 site only). Systemic: clinically significant abnormalities within 6 weeks prior to screening; clinically significant systemic disease; participation in any investigational study within 60 days prior to screening; use of systemic medication that could have an effect on IOP within 30 days prior to screening; women of child‐bearing potential who were pregnant, breast‐feeding, planning a pregnancy or not using a medically acceptable form of birth control
Pretreatment differences between groups: irrelevant for within‐person study
Interventions
  • Placebo, once per day (8–10 a.m.)

  • Netarsudil 0.02% once per day (8–10 a.m.)

Outcomes Primary outcome reported (time points assessed and reported)
  • Change in mean diurnal trabecular outflow facility on day 8 compared with baseline (day 1) defined as the mean of facility measurements at 1 p.m. and 4 p.m.


Other outcomes reported (time points assessed and reported)
  • Effect of study drug on IOP and episcleral venus pressure compared with vehicle

  • Ocular and systemic safety

Identification Sponsorship source: Aerie Pharmaceuticals
Country: USA
Setting: multicenter, 2 clinical sites
Online trial registration site: ClinicalTrials.gov
Trial registration #: NCT03233308
Phase of the trial (phase 2/phase 3/unclear): phase 2
Current publication reported findings from > 1 trial: no
Year of publication accepted: 2021
Year of study initiation (participants screening, enrollment and treatment): 2017
Notes Within‐person study