About this trial
To evaluate the efficacy of citicoline eye drops 2% in reducing visual field deterioration in patients with progressing OAG treated according to best clinical practice. Secondary objectives are assessing the effect of citicoline eye drops 2% on changes in structural parameters measured by Spectral Domain Optical Coherence Tomography (SD-OCT) and evaluating the safety of citicoline eye drops 2%
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Signed written informed consent.
Age ≥ 18 years.
Eyes with OAG, Pseudoexfoliation and pigmentary glaucoma will be included.
Best Corrected Visual Acuity (BCVA) ≥ 0.5 for the study eye.
Disqualifiers
Cataract in the study eye which, in the opinion of the clinician, may require cataract surgery within the next three years.
Only-eye patients (visual acuity < 0.1 decimals in one eye or more than two paracentral VF locations with a sensitivity of < 10 dB).
Known intolerance or allergy to any of the components in the eye drops.
Diode laser treatment or glaucoma surgery in the past 2 years or cataract surgery within the last 6 months in the study eye.
Trial design
Parallel
Treatments tested in this trial
Citicoline eye drops 2%
DrugEye drops containing Citicoline 2%
Placebo
DrugEye drops containing placebo matching product
Treatment groups
Trial outcomes
Primary outcomes
Progression of visual field damage
Difference in the rate of progression of VF damage in the study eye between the two trial arms. This will be measured with repeated, planned visual field (VF) tests, all performed with a Humphrey Field Analyser (HFA, Zeiss Meditec, Dublin, CA) with the SITA Standard 24-2 strategy, over the span of three years.
Secondary outcomes
Rate of progression in structural parameters
Difference in the rate of progression in structural parameters. These parameters focus on the ocular structures mostly damaged by glaucoma. The parameters of interest will be: * RNFL thickness measured with Optical Coherence Tomography (OCT). * Inner retina thickness in the macula (RNFL, Ganglion Cell Layer and Ganglion Cell + Inner Plexiform Layer complex).
Safety (IOP)
Safety will be assured by regular assessments of adverse events and IOP. IOP will be carefully monitored and managed as per standard clinical practice (detailed management of IOP is reported later). Side effects from the neuroprotective drops or any IOP lowering treatment, including allergic reactions, ocular surface toxicity and signs of extraocular or intraocular inflammation, will be carefully assessed by the examiners and reported in the case report form (CRF). Any significant discomfort or adverse reactions to the drops or clear signs of inflammation will be reasons for early withdrawal
Visual Field recovery
Evidence of neuro-recovery. The Visual field Mean Deviation values (2 tests) at Visit 2 will be compared between the two groups, after adjusting for the MD values at Visit 1 (baseline, 2 tests).
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Omikron Italia S.r.l.
Lead sponsor
OPIS Spain
Collaborator