Scientists probe eye fluid secrets to personalize glaucoma treatment
NCT ID NCT04412096
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at how the eye produces and drains fluid to understand why glaucoma medications lower eye pressure more in some people than others. Researchers measured eye fluid production, drainage, and pressure in 59 adults with glaucoma or high eye pressure before and after treatment with timolol or latanoprost eye drops. The goal is to find factors that predict a patient's response to these drugs, moving away from a trial-and-error approach.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Timolol 0.5% eye drops and Latanoprost 0.005% eye drops
- What this could lead to
- If successful, this could help doctors predict which glaucoma drug will work best for each patient, leading to more personalized and effective treatment.
- What could go wrong
- This is a small, completed study focused on understanding eye pressure factors, not on proving a new treatment works. The findings may not lead to immediate changes in clinical practice.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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59 people
The number who actually took part.
- Started
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Nov 2020
- Finished
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May 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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30 years and older
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Any self-declared ethnicity-race * Open-angle with one of the following: 1. Untreated OHT ≥ 21mmHg 2. Treated OHT with history of IOP ≥ 21 mmHg on 2 prior clinic visits or IOP ≥ 21 mmHg at screening 3. Mild-to-moderate stage open-angle glaucoma based on history of untreated IOP ≥ 21 mmHg * Reliable Humphrey visual field test result within previous 1 year * Open on gonioscopy within previous 1 year * At least one eye must be phakic * Able to cooperate for aqueous humor dynamic procedures * Able to participate on site over the multi-visit study period * Contact lenses must be removed before topical fluorescein instillation and remain out until study testing the following day is completed. * Contact lenses must be removed for the entire duration of the study visits. * All study medication must be used without contact lenses in the eyes. Exclusion Criteria: * Women who are pregnant or breastfeeding * IOP ≥ 38 in study eye(s) or at discretion of the clinician * Refusal to remove contact lenses * Advanced visual field loss (MD ≤ -16 dB) or threat to fixation in study eye(s) or at discretion of the clinician * Study eye(s) with any sign of Fuchs cornea dystrophy as noted clinically with guttae and corneal edema * Narrow angle of ≤ Shaffer grade 2 for 180 degrees, peripheral synechiae, or peripheral iridotomy in either eye * History of acute angle closure crisis in either eye * History of glaucoma incisional surgery (e.g., trabeculectomy, glaucoma drainage implant, Xen gel stent) in study eye(s) * History of minimally invasive glaucoma surgery (MIGS, e.g., angle surgery, Cypass) in study eye(s) * History of any cycloablation surgery (e.g., micropulse or diode transcleral or endoscopic cyclophotocoagulation) in study eye(s) * Study eye cannot have history of any past SLT or ALT glaucoma laser treatments. * Study eye(s) cannot have any history of refractive surgery * Study eye(s) cannot have any history of herpetic infection of the cornea * Study eye(s) cannot have chronic or recurrent inflammatory eye disease * Study eye(s) cannot have ocular trauma within the past 6 months, other than uncomplicated cornea abrasion * Study eye(s) cannot have ocular infection in the past 3 months * Study eye(s) cannot have clinically significant retinal disease that includes proliferative diabetic retinopathy, vein occlusion, cystoid macular edema, wet age-related macular degeneration * History of intraocular or peri-ocular injections in study eye(s) within 3 months * History of oral steroid use within 30 days of screening Visit 1 * Any abnormality preventing reliable fluorophotometry (e.g., corneal scarring or severe dry eye with fluorescein staining) * Serious hypersensitivity to any components of study medications or risk from treatment (e.g., sulfa drug allergy, bradycardia, severe asthma, or emphysema) * Participants must be on minimum 30-day stable regimen prior to Visit 1 for a systemic medication that may affect IOP (i.e., sympathomimetics, beta-blockers, alpha-adrenergic agonists and blockers, calcium channel blockers, angiotensin converting enzyme inhibitors, etc.). Any change of such medication during the study will result in exclusion. * Prohibited meds during study: cannabis products, brimonidine 0.025% (Lumify), bimatoprost 0.03% for eyelash growth (Latisse), topical ocular and peri-ocular steroids, oral steroids
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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The Ohio State University
Columbus, Ohio, 43212, United States
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University of Nebraska Medical Center
Omaha, Nebraska, 68105, United States
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Other studies related to the condition(s) this trial covers.
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