Latanoprost Eluting Contact Lens for Treating Glaucoma and Ocular Hypertension

Trial details

Who runs it

Massachusetts Eye and Ear Infirmary

Trial code

NCT04500574

Record updated

15 October 2025

Original description

In this research study, we will assess the safety, tolerability, comfort, and feasibility of lowering intraocular pressure using a novel Contact Lens Drug Delivery System with latanoprost. Latanoprost is a well-studied medication and has been used to treat glaucoma for decades. Currently, latanoprost is FDA-approved to be administered to patients as eye drops, but using eye drops has challenges (having to remember to take the drop, getting the drop in the eye). This clinical trial is being done to determine the safety, tolerability, and effectiveness of using latanoprost to deliver latanoprost in a new way (through a drug-eluting contact lens).Read full original descriptionShow less

In this research study, we will assess the safety, tolerability, comfort, and feasibility of lowering intraocular pressure using a novel Contact Lens Drug Delivery System with latanoprost. Latanoprost is a well-studied medication and has been used to treat glaucoma for decades. Currently, latanoprost is FDA-approved to be administered to patients as eye drops, but using eye drops has challenges (having to remember to take the drop, getting the drop in the eye). This clinical trial is being done to determine the safety, tolerability, and effectiveness of using latanoprost to deliver latanoprost in a new way (through a drug-eluting contact lens).

The study includes two phases. Phase A is intended to assess safety and tolerability and Phase B to assess safety and effectiveness.

Inclusion: 18 - 85 years of age willing and able to give informed consent and in the investigator's judgment able to follow the study protocol; Ocular hypertension, primary open-angle glaucoma, pigmentary or pseudoexfoliation glaucoma, with mild to moderate glaucoma defined as Mean Deviation on Humphrey Visual Field testing no worse than -10 dB; Patients on latanoprost in the study eye with an adequate IOP control with latanoprost alone.

Exclusion: Use of oral carbonic anhydrase inhibitors; Unstable dose of oral medication during the last 30 days that in the opinion of the Investigator may influence the IOP; Unstable dose of oral steroid at the time of enrollment; Use of immunosuppressants, immunomodulators, antimetabolites and/or alkylating agents within six months before screening or anticipated use at any time during the study; Participation in an investigational drug or device study within the 30 days before screening; Prior treatment-related adverse event or allergy to latanoprost; Use of beta-blocker, alpha agonist, rho kinase inhibitor, or carbonic anhydrase inhibitor drops within 1 month prior to screening; the use of latanoprost must be stable for at least 4 weeks prior to screening; Use of latanoprost for < 4 weeks prior to screening; Use of topical steroids; Intraocular surgery, including cataract surgery, and/or laser of any type in the study eye within 30 days prior to screening; Any prior filtering surgery, including trabeculectomy, glaucoma drainage device, or Xen implant; Known allergy or hypersensitivity to the study medication or its components; Patient has a condition or is in a situation which, in the Investigator's opinion, may put the patient at significant risk, may confound the study results, or may interfere significantly with the patient's participation in the study; Any condition (including the inability to read visual acuity charts or language barrier) which precludes a patient's ability to comply with study requirements including completion of the study; Study Eye; History of complex cataract surgery with vitreous loss; History of cystoid macular edema or uveitis; Any ocular condition in the study eye that in the opinion of the investigator would prevent the eye from wearing a contact lens (e.g., ectropion, lid abnormality, or symblepharon); History of herpetic infection in the study eye or adnexa; Media opacity in the study eye at screening that precludes clinical and photographic evaluation (including but not limited to preretinal or vitreous hemorrhage, lens opacity); History of kerato-refractive surgery; Inability to comfortably wear a commercial contact lens (C-CL) that has the same dimensions as the L-CL during the week-long run-in period; Both Eyes: any active ocular infection (i.e., bacterial, viral, parasitic, or fungal) in either eye at screening; Non-study Eye: Pinhole score < 19 letters (at least 20/400 Snellen equivalent) in the non-study eye at the screening visit; Systemic; Female patients who are pregnant, nursing, or planning a pregnancy, or who are of childbearing potential and not using a reliable means of contraception; Corneal decompensation or edema; Corneal thickness <500 or > 600 μm in the study eye by pachymetry; Evidence of macular edema/intraretinal fluid on screening macula optical coherence tomography (OCT); Active optic disc or retinal neovascularization in the study eye at screening; Presence of rubeosis iridis in the study eye at screening.

ClinicalTrials.gov NCT04500574