Evaluating Injection With the Use of Brimonidine Tartrate Ophthalmic 0.025% on Patients Using Netarsudil 0.02%/Latanoprost 0.005% to Treat Glaucoma

Prior treatment

• Use of any other topical ocular medications.
• Concurrent or past use in the last 90 days of vasoconstrictive ocular drops other than brimondine 0.025%
• Have undergone previous incision IOP lowering surgeries.
• Have had intraocular or per-ocular surgery within the past 3 months.
• Advanced glaucoma or c/d ratio greater than 0.8. Are non-responsive to topical treatment with netarsudil 0.02%/latanoprost 0.005%.
• In the judgement of the investigator, have previous or currently active clinically significant systemic or ocular disease in either eye that could affect study outcomes.

Other illness

• Allergy or hypersensitivity to brimonidine or other components of brimonidine tartrate 0.025% or netarsudil 0.02%/latanoprost 0.005%.
• Active ocular infection, inflammation unrelated to glaucoma therapy, uveitis, iritis or congenital aphakia.
• Have pterygium/pinguecula, chemosis, episcleritis, scleritis (or any condition that may affect hyperemia grading) in the opinion of the investigator

Lab values

• Have undergone previous laser surgery for glaucoma (selective laser trabeculoplasty (SLT) or argon laser trabeculoplasty (ALT)), or microinvasive glaucoma surgery (MIGS) with 6 months of screening.

Other

• Have moderate or severe dry eyes.
• Pregnant, plan to become pregnant or breastfeeding.

• 1\. Adult patients 18-65 years old diagnosed with open-angle glaucoma or ocular hypertension.
  • 2\. Currently on netarsudil 0.02%/latanoprost 0.005% monotherapy for a minimum of 2-6 weeks.
  • 3\. Able to move from current topical glaucoma treatment to netarsudil 0.02%/latanoprost 0.005% for a minimum of 4 weeks or longer based on FDA recommended washout per drug classification prior to Visit 3.
  • 4\. Experience conjunctival redness as graded on the Efron scale of at least grade 2 after minimum of 4 weeks on netarsudil 0.02%/latanoprost 0.005% mono-therapy or longer based on recommended washout per drug classification 4. Have a best corrected Visual Acuity by Snellen chart of 20/30 or better in study eye.
  • 5\. Are willing and able to self-administer or have an able person available to assist with administration of study drug.
  • Willing and able to comply with study procedures and attend follow-up visits.