Clinical trial • Ophthalmology

diclofenac sodium for Primary open-angle glaucoma | Pseudoexfoliation syndrome | Pigment dispersion syndrome | Ocular hypertension

Clinical trial of diclofenac sodium for Primary open-angle glaucoma | Pseudoexfoliation syndrome | Pigment dispersion syndrome | Ocular hypertension.

Overview

Trial Therapeutic Area
Ophthalmology
Trial Disease
Primary open-angle glaucoma | Pseudoexfoliation syndrome | Pigment dispersion syndrome | Ocular hypertension
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
22-09-2025
First CTIS Authorization Date
17-10-2025

Trial design

Randomised, monopex (dexamethasone phosphate) eye drops — comparator; voltaren® ophtha sine (diclofenac sodium) eye drops — test. both administered ocularly. summary data list maxtotaldoseamount 6 (mg/ml) and maxtreatmentperiod 10 days; detailed dosing schedule not specified in the submission summary.-controlled trial across 1 site in Denmark.

Randomised
Yes
Comparator
Monopex (dexamethasone phosphate) eye drops — comparator; Voltaren® ophtha sine (diclofenac sodium) eye drops — test. Both administered ocularly. Summary data list maxTotalDoseAmount 6 (mg/ml) and maxTreatmentPeriod 10 days; detailed dosing schedule not specified in the submission summary.
Target Sample Size
72
Trial Duration For Participant
730

Eligibility

Recruits 72 No vulnerable populations selected. Participants must provide informed consent themselves; inclusion criteria restrict to adults (>50 years) and postmenopausal women. No assent procedures described and no paediatric subjects included..

Pregnancy Exclusion
Pregnancy
Vulnerable Population
No vulnerable populations selected. Participants must provide informed consent themselves; inclusion criteria restrict to adults (>50 years) and postmenopausal women. No assent procedures described and no paediatric subjects included.

Inclusion criteria

  • {"criterion_text":"- Patients with primary open-angle glaucoma (POAG), pseudoexfoliation syndrome (PEX), pigment dispersion syndrome (PDS) and ocular hypertension\n- >50 years\n- Women must be postmenopausal. Women are asked if they have menstruated within the preceding 12 months.\n- Scheduled to undergo trabeculectomy surgery at the Department of Ophthalmology at Rigshospitalet-Glostrup, Denmark\n- Only 1 eye can be included for each participant, but there are no restrictions as to whether it is the eye that undergoes surgery first or last. If both eyes of a participant are eligible, it will be decided by randomization which eye to be included in the study\n- Informed consent to participation and ability to comply with study procedures"}

Exclusion criteria

  • {"criterion_text":"- Known allergy to any of the contents of the pharmaceuticals (active and in-active ingredients) used in the study\n- Prior intraocular surgery, except from cataract surgery\n- Medical history of anterior segment dysgenesis, inflammatory/uveitic glaucoma, angle closure glaucoma, neovascular glaucoma and traumatic glaucoma\n- Steroid responders\n- Pregnancy\n- Fertile women, i.e. women who are not menopausal and women who breastfeed\n- Patients who are excluded due to perioperative complications will not provide data for the study.\n- Patients in systemic treatment with steroid or NSAID"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary outcome is the intraocular pressure 12 months after surgery measured by applanation tonometry.","definition_or_measurement_approach":"Intraocular pressure measured by applanation tonometry at 12 months after surgery."}

Secondary endpoints

  • {"endpoint_text":"- Postoperative intraocular pressure at 24 months","definition_or_measurement_approach":"Intraocular pressure (postoperative) measured at 24 months (method not further specified)."}
  • {"endpoint_text":"- Best corrected visual acuity (logMAR) at 12 and 24 months","definition_or_measurement_approach":"Best corrected visual acuity reported in logMAR at 12 and 24 months."}
  • {"endpoint_text":"- Changes in visual field at 12 and 24 months","definition_or_measurement_approach":"Visual field changes assessed by standard visual field testing at 12 and 24 months (specific test not specified)."}
  • {"endpoint_text":"- Optical nerve damage assessed by measuring retinal nerve fiber layer thickness (RNFL) by peripapillary optical coherence tomography (OCT) at 12 and 24 months","definition_or_measurement_approach":"Retinal nerve fiber layer (RNFL) thickness measured by peripapillary optical coherence tomography (OCT) at 12 and 24 months."}
  • {"endpoint_text":"- Lens evaluation at, 12- and 24 months by pentacam","definition_or_measurement_approach":"Lens evaluated using Pentacam at 12 and 24 months."}
  • {"endpoint_text":"- Bleb morphology at 12 and 24 months","definition_or_measurement_approach":"Bleb morphology assessed at 12 and 24 months (method not specified)."}
  • {"endpoint_text":"- Surgical success at 12 and 24 months","definition_or_measurement_approach":"Surgical success assessed at 12 and 24 months (specific success criteria not provided in summary)."}

Recruitment

Planned Sample Size
72
Recruitment Window Months
83
Consent Approach
Participants provide informed consent themselves; the protocol requires 'Informed consent to participation and ability to comply with study procedures'. Subject information and informed consent form documents are listed (Danish language documents present). No assent procedures for minors described and minors are not included.

Geography

Total Number Of Sites
1
Total Number Of Participants
72

Denmark

Earliest CTIS Part Ii Submission Date
22-09-2025
Latest Decision Or Authorization Date
17-10-2025
Processing Time Days
25
Number Of Sites
1
Number Of Participants
72

Sites

Site Name
Rigshospitalet
Department Name
Ophthalmology
Principal Investigator Name
Afrouz Ahmadzadeh
Principal Investigator Email
afrouz.ahmadzadeh@gmail.com
Contact Person Name
Afrouz Ahmadzadeh
Contact Person Email
afrouz.ahmadzadeh@gmail.com
Number Of Participants
72

Sponsor

Primary sponsor

Full Name
Rigshospitalet
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Denmark

Third parties

  • {"country":"Denmark","full_name":"Frederiksberg Hospital","duties_or_roles":"sponsorDuties codes: 1; 15: Danish GCP unit","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
Voltaren® ophtha sine 1 mg/ml Augentropfen
Active Substance
diclofenac sodium
Modality
Small molecule
Routes Of Administration
OCULAR USE
Route
OCULAR USE
Authorisation Status
Authorised
Maximum Dose
6 mg/ml
Investigational Product Name
Monopex, øjendråber, opløsning, enkeltdosisbeholder
Active Substance
dexamethasone phosphate
Modality
Small molecule
Routes Of Administration
OCULAR USE
Route
OCULAR USE
Authorisation Status
Authorised
Maximum Dose
6 mg/ml
Combination Treatment
Yes

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