NCT07074782Not yet recruiting
Retinal Ganglion Cell Neuroprotection Under Prostaglandin Analogues
Retinal Ganglion Cell Neuroprotection Under Prostaglandin Analogues: NEUROPA - a Retrospective Cohort Study
Source: ClinicalTrials.gov · Last updated 6 May 2026
Brief summary (registry, in English)
The goal of this observational study is to evaluate whether prostaglandin analogue eye drops have a direct neuroprotective effect on retinal ganglion cells - beyond their intraocular pressure (IOP)-lowering effect - in adult patients with glaucoma or ocular hypertension. The study includes individuals diagnosed with glaucoma (any sex/gender, adult age groups) undergoing standard clinical treatment. The main questions it aims to answer are: * Do prostaglandin analogues provide a neuroprotective effect on retinal ganglion cells that is independent of their IOP-lowering properties? * Should prostaglandin analogues be promoted/favoured over other IOP-lowering compounds for long-term glaucoma management? Researchers will compare an interventional group, which consist of 750 eyes treated with prostaglandin analogues (e.g., latanoprost, travoprost, tafluprost, bimatoprost, unoprostone), with a control group, which consist of 750 eyes treated with non-prostaglandin IOP-lowering compounds (e.g., timolol, dorzolamide, brimonidine, netarsudil) to see if treatment with prostaglandin analogues is associated with better retinal ganglion cell survival over a period of 3 years (36 months). Data will be collected from individuals who had at least 36 months of documented follow-up, with clinical data available at approximately 3, 6, 12, 24, and 36 months. Eligible individuals must have been treated with either prostaglandin analogues or other intraocular pressure (IOP)-lowering agents as part of routine clinical care. The data to be obtained from medical records will include at least: * Intraocular pressure readings * Visual field testing * OCT measures * Visual acuity * Adverse events * Treatment adherence/compliance * Additional glaucoma interventions
- Status (registry)
- Not yet recruiting
- Study type
- Observational
- Enrollment
- 1500 (estimated)
- First submitted
- 1 Jul 2025
- Start date
- May 2026
- Primary completion date
- Jun 2026
- Lead sponsor
- Association for Innovation and Biomedical Research on Light and Image
- Diseases
- Glaucoma
- NCT number
- NCT07074782
What you commit to
- Study type: Observational
- Planned participants: 1500
- From May 2026 to the primary completion date, Jun 2026
- 10 sites in 5 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Low compliance/therapy interruption
- Beginning of combination therapy of prostaglandin analogues and other IOP lowering eye drops during the observation period
- Additional glaucoma intervention during the observational period other than laser trabeculoplasty and/or cataract surgery
Age
- Follow-up period \< 3 years
Other
- Number of patient visits \<6 visits
- Number of OCT, visual field readings during the observation period \< 6
- In case of glaucoma diagnosis in both eyes: different topical IOP-lowering treatment regimes (e.g. prostaglandin analogues in one eye and beta-adrenergic blocking agents in the fellow eye)
Who the study is looking for
- Age 18+ years
- Established glaucoma diagnosis (primary open-angle glaucoma, normal tension Glaucoma, pseudoexfoliation glaucoma, pigmentary dispersion glaucoma) in either eye
- Visual field mean deviation (MD; location-weighted mean difference from average age-corrected visual field sensitivity) of 2 visual fields differing by no more than 3 dB, for a mean deviation of better than -6.0 dB, or by no more than 4 dB, for a mean deviation worse than -6.0 dB, as measured using Humphrey perimetry (or equivalent Haag-Streit / Octopus; in at least one eye; analogous to The United Kingdom Glaucoma Treatment Study)
- Treatment with either prostaglandin analogues only or another topically applied IOP-lowering compound only for at least 3 years
- Documented follow-up period of at least 3 years
- At least 6 patient visits documented over the follow-up period with readings of IOP, visual field, OCT
- No additional glaucoma intervention apart from laser trabeculoplasty and/or cataract surgery during the observational period
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (10)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| University Hospital Basel Coordinator of this site? Confirm its status | Basel | Switzerland | Unknown status |
| Department of Ophthalmology University of Bonn Coordinator of this site? Confirm its status | Bonn | Germany | Unknown status |
| University Eye Hospital Leipzig Coordinator of this site? Confirm its status | Leipzig | Germany | Unknown status |
| Centro de Oftalmologia Barraquer Coordinator of this site? Confirm its status | Barcelona | Spain | Unknown status |
| Retina Unit, Department of Ophthalmology, Bellvitge University Hospital Coordinator of this site? Confirm its status | Barcelona | Spain | Unknown status |
| Clinical Eye Research Centre - St. Paul's Eye Unit, Royal Liverpool University Hospital Coordinator of this site? Confirm its status | Liverpool | United Kingdom | Unknown status |
| NIHR Moorfields Clinical Research Facility, Moorfields Eye Hospital, NHS Foundation Trust Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| ICORG - Imperial College Ophthalmologic Research Group Coordinator of this site? Confirm its status | London | United Kingdom | Unknown status |
| Centre for Clinical Trials at San Paolo Hospital University of Milan Coordinator of this site? Confirm its status | Milan | Italy | Unknown status |
| Eye Unit, University Hospital Maggiore della Carità Coordinator of this site? Confirm its status | Novara | Italy | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.