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Combined Phacoemulsification With iStent Inject W Versus Hydrus for Mild to Moderate Open Angle Glaucoma

Key facts

Who runs it
Diablo Eye Associates
Where
Walnut Creek, United StatesSee the site
Trial code
Status
Terminated
People taking part
58 people enrolled
Started
1 Oct 2022
Ended
22 Apr 2024
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Combined cataract surgery with Hydrus microstent
  • Combined cataract surgery with iStent Inject W
Record updated
1 November 2024
Why it stopped
Slow enrollment, sites unable to obtain iStent Inject W from manufacturer

Who can take part

Age
60 years and older
Sex
Women and men
Healthy volunteers
Can take part

The registry criteria, word for word

Show all 21 criteriaShow less

Who can take part

  • >60 years or older
  • Visually significant cataract
  • Mild to moderate primary open angle glaucoma controlled on medications
  • undergoing cataract surgery with lens implantation and concurrent microstent placement
  • IOP ≥ 21 mmHg and ≤ 36 mmHg after washout of ocular hypotensive medication(s)
  • CCT 480 to 620μm
  • No prior ocular surgery including corneal refractive surgery
  • No SLT within 6 months of baseline visit, no history of intracameral glaucoma drug eluting implants
  • Visual field mean deviation ≤ -12 dB
  • Optic nerve abnormalities consistent with glaucoma, C/D ratio less than ≤0.8

Who cannot take part

  • Prior intraocular surgery
  • Uncontrolled intraocular pressure on maximum tolerated medical therapy
  • secondary glaucoma including uveitis, traumatic, malignant, neovascular, and congenital glaucoma
  • Glaucoma related to elevated episcleral venous pressure including Sturge-Weber syndrome, thyroid eye disease, orbital tumor, and etc
  • Corneal disease or dystrophy
  • Clinically significant ocular pathology or degenerative diseases that affect vision, visual field, or optical coherence tomography of optic nerve
  • Visual field MD ≥ -12 dB
  • Unable to perform wash-out IOP
  • Anatomic exclusion of narrow anterior chamber angle (Shaffer grade I-II), other angle abnormalities including angle closure glaucoma
  • Pathological myopia with degeneration that affects diagnostic imaging
  • Inability to perform reliable Visual Field and optical coherence tomography

Where in United States

  • Diablo Eye AssociatesWalnut Creek, United States

About the trial

What the trial wants to find out

The goal of the study is to prospectively evaluate and compare Hydrus microstent to the iStent Inject Wide in combination with cataract surgery in patients with mild to moderate open angle glaucoma. Hydrus and iStent are the two FDA approved trabecular meshwork targeting microstents to treat open angle glaucoma in conjunction with cataract surgery.

The 2 groups in the trial

  • Combined cataract surgery with Hydrus microstentExisting treatment, for comparison

    Treatment: Combined cataract surgery with Hydrus microstent and Combined cataract surgery with iStent Inject W

  • Combined cataract surgery with iStent Inject WExisting treatment, for comparison

    Treatment: Combined cataract surgery with Hydrus microstent and Combined cataract surgery with iStent Inject W

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Prospective, Randomized Controlled Study Comparing Combined Phacoemulsification With iStent Inject W Versus Hydrus for Mild to Moderate Open Angle Glaucoma (COMPETE)
Record updated
1 November 2024