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

Tanihara 2015a.

Study characteristics
Methods Study design: randomized controlled trial
Study grouping: cross‐over
Unit of randomization: participant
Total number of participants (eyes) randomized: 28 participants
Number of participants (eyes) randomized per group: 28 participants
Total number of participants (eyes) lost to follow‐up: 0 participants 
Number of participants (eyes) lost to follow‐up per group: 0 participants 
Power calculation and sample size consideration reported: no
Planned length of follow‐up: 24 hours
Actual length of follow‐up: 24 hours
How missing outcome data were handled: NA
Was the trial single/double/triple‐masked: open‐label
Was the trial an equivalence/superiority/non‐inferiority study: equivalence
Extracted outcome results were based on ITT/mITT/CC/PP/PT analysis: ITT
Duration of washout for each drug class before interventions began: 4 weeks for prostaglandin and BBs; 2 weeks for other IOP‐lowering agents; 5–30 days between cross‐over periods
Participants Baseline characteristics
Group C
  • Female, n (%): 14 (50%)

  • Age, mean: 47 (SD 12) years

  • POAG, n (%): 7 (25%)

  • Number of participants randomized: 8


Inclusion criteria: Japanese men or non‐pregnant women diagnosed with POAG or OHT, aged 20–64 years; untreated or post‐washout IOP levels ≥ 21 mmHg in 1 or both eyes at the screening visit
Exclusion criteria: people with ocular disease (other than POAG or OHT) or ocular surgery (other than eyelid surgery performed < 120 days prior to screening); severe visual field defects or with a corrected visual acuity of worse than decimal visual acuity 0.3 (commensurate with 0.5 logMAR); people with IOP ≥ 30 mmHg excluded in terms of safety concerns
During the study, participants were prohibited from receiving other IOP‐lowering medications, any ophthalmic medications or steroids, wearing contact lenses and changing dosages of any systemic medications
Pretreatment characteristics between groups: not relevant
Interventions Intervention characteristics
  • Placebo, twice per day (9 a.m. and 9 p.m.)

  • K115 (ripasudil) 0.2%, twice per day (9 a.m. and 9 p.m.)

Outcomes Primary outcome reported (time points assessed and reported)
  • IOP reduction


Other outcomes reported (time points assessed and reported)
  • Safety (ophthalmologic findings and physiologic parameters)

Identification Sponsorship source: sponsored by Kowa Company, Ltd, Nagoya, Japan. Sponsor participated in study design, conducting the study, data collection, data management, data analysis, review and approval of the manuscript 
Country: Japan
Setting: 3 clinical pharmacology facilities
Online trial registration site: www.clinicaltrials.jp
Trial registration #: study no. 090708
Phase of the trial (phase 2/phase 3/unclear): phase 2
Current publication reported findings from > 1 trial: no
Year of publication accepted: 2014
Year of study initiation (participants screening, enrollment and treatment): 2009
Notes A phase 2, cross‐over, 3‐arm trial of ripasudil 0.2%, 0.4% vs placebo. Only data from group C in dosing period 1 (placebo) and 2 (0.2%) are eligible for inclusion.