Clinical trial • Phase IV • Ophthalmology
Semaglutide for Glaucoma
Phase IV trial of Semaglutide for Glaucoma.
Overview
- Trial Therapeutic Area
- Ophthalmology
- Trial Disease
- Glaucoma
- Trial Stage
- Phase IV
- Drug Modality
- Peptide/protein/enzyme
Key dates
- Initial CTIS Submission Date
- 31-10-2024
- First CTIS Authorization Date
- 15-11-2024
Trial design
Placebo (identical clinic variant tablets) compared with oral semaglutide (Rybelsus) tablets (3 mg, 7 mg, 14 mg). Dosing schedule/frequency not explicitly stated in provided data.-controlled Phase IV trial across 1 site in Denmark.
- Comparator
- Placebo (identical clinic variant tablets) compared with oral semaglutide (Rybelsus) tablets (3 mg, 7 mg, 14 mg). Dosing schedule/frequency not explicitly stated in provided data.
- Target Sample Size
- 126
- Trial Duration For Participant
- 183
Eligibility
Recruits 126 No vulnerable populations selected (isVulnerablePopulationSelected: false). Trial enrols adults (inclusion: 45 years or older). Informed consent and participant information documents for adults are available (documents: L1_ICF adults_2022-004142-35; L2_Participant information_2022-004142-35). No assent procedures described..
- Pregnancy Exclusion
- Pregnant or breast-feeding
- Vulnerable Population
- No vulnerable populations selected (isVulnerablePopulationSelected: false). Trial enrols adults (inclusion: 45 years or older). Informed consent and participant information documents for adults are available (documents: L1_ICF adults_2022-004142-35; L2_Participant information_2022-004142-35). No assent procedures described.
Inclusion criteria
- {"criterion_text":"- Ability to read and speak Danish\n- 45 years or older at the time of inclusion\n- Visual acuity equal to or above 0.5 in the study eye\n- Diagnosis of primary open-angle glaucoma with mean deviation (MD) ≤ 16 dB with repeatable and reliable (false positive less than 15 %) visual field loss measured by standard automated perimetry on at least one eye\n- Receiving intraocular pressure (IOP) lowering glaucoma treatment\n- Nerve fiber layer defects identified by optical coherence tomography (OCT)"}
Exclusion criteria
- {"criterion_text":"- Diabetes or renal impairment\n- Previous history of pancreatitis\n- BMI < 18.5\n- Subjects receiving treatment with: Dipeptidyl peptidase–4 inhibitors, Other GLP-1RAs, Insulin, Insulin analogues, Sulfonylurea, Systemic corticosteroids, or Immunosuppressants\n- Medical history of significant eye disease (including ocular trauma) other than glaucoma\n- Ocular inflammation/infection within three months from inclusion\n- Intraocular surgery 3 months before inclusion\n- Smoker at the time of inclusion\n- Pregnant or breast-feeding\n- Females of childbearing potential who are not using adequate contraceptive\n- Subjects allergic to drug ingredients administered during the trial\n- Subjects with untreated severe systemic disease or malignancies"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Change in the inner retinal function assessed by mean change in the photopic negative response of the electroretinogram between baseline and month 6.","definition_or_measurement_approach":"Assessed by mean change in the photopic negative response of the electroretinogram between baseline and month 6."}
Secondary endpoints
- {"endpoint_text":"- Change in the inner retinal function assessed by mean change in the photopic negative response of the electroretinogram between baseline and month 3.","definition_or_measurement_approach":"Assessed by mean change in the photopic negative response of the electroretinogram between baseline and month 3."}
- {"endpoint_text":"- Functional glaucoma progression assessed using the Pelli-Robson chart contrast sensitivity test.","definition_or_measurement_approach":"Assessed using the Pelli-Robson chart contrast sensitivity test."}
- {"endpoint_text":"- Health-related quality of life (HRQoL) assessed using two standardized validated questionnaires administered in Danish; the European Quality of life – 5 Dimensions – 3 Levels (EQ-5D-3L) questionnaire and the 25-item National Eye Institute Visual Function Questionnaire (NEI VFQ-25).","definition_or_measurement_approach":"Assessed using EQ-5D-3L and NEI VFQ-25 questionnaires administered in Danish."}
- {"endpoint_text":"- Safety and tolerance of oral semaglutide treatment in patients with glaucoma assessed by incidence of treatment emergent adverse events (TEAEs) and changes in safety-related blood analysis.","definition_or_measurement_approach":"Assessed by incidence of TEAEs and changes in safety-related blood analysis."}
Recruitment
- Planned Sample Size
- 126
- Recruitment Window Months
- 46
- Consent Approach
- Informed consent is obtained from adult participants. Subject information and informed consent form for adults are listed (L1_ICF adults_2022-004142-35; L2_Participant information_2022-004142-35). Participants must be able to read and speak Danish, indicating materials are in Danish. No assent procedures described.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 126
Denmark
- Earliest CTIS Part Ii Submission Date
- 08-11-2024
- Latest Decision Or Authorization Date
- 15-11-2024
- Processing Time Days
- 7
- Number Of Sites
- 1
- Number Of Participants
- 126
Sites
- Site Name
- Rigshospitalet
- Department Name
- Department of Ophthalmology
- Principal Investigator Name
- Miriam Kolko
- Principal Investigator Email
- miriamk@sund.ku.dk
- Contact Person Name
- Miriam Kolko
- Contact Person Email
- miriamk@sund.ku.dk
- Number Of Participants
- 126
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":"GCP-enheden ved Københavns Universitetshospital","duties_or_roles":"sponsorDuties code: 1","organisation_type":"Health care"}
Investigational products
- Investigational Product Name
- Rybelsus 3 mg tablets
- Active Substance
- Semaglutide
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- EU marketing authorisation (marketingAuthNumber: EU/1/20/1430/004)
- Dose Levels
- 3 mg
- Maximum Dose
- 3 mg (maxDailyDoseAmount)
- Investigational Product Name
- Rybelsus 7 mg tablets
- Active Substance
- Semaglutide
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- EU marketing authorisation (marketingAuthNumber: EU/1/20/1430/012)
- Dose Levels
- 7 mg
- Maximum Dose
- 7 mg (maxDailyDoseAmount)
- Investigational Product Name
- Rybelsus 14 mg tablets
- Active Substance
- Semaglutide
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- EU marketing authorisation (marketingAuthNumber: EU/1/20/1430/009)
- Dose Levels
- 14 mg
- Maximum Dose
- 14 mg (maxDailyDoseAmount)
- Investigational Product Name
- Placebo (clinic variant identical tablets)
- Modality
- Other
- Authorisation Status
- Not applicable / clinical trial supply (no marketing authorisation)
- Dose Levels
- Placebo
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