Could an implant replace daily eye drops for glaucoma?
NCT ID NCT04499248
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests an implant called AGN-193408 SR that is placed inside the eye to lower pressure in people with open-angle glaucoma or ocular hypertension. About 100 participants will receive the implant, and some will also get standard eye drops for comparison. The goal is to see if the implant is safe and effective at reducing eye pressure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- AGN-193408 SR implant
- What this could lead to
- If successful, this implant could provide a longer-lasting way to lower eye pressure, reducing the need for daily eye drops.
- What could go wrong
- This is an early-phase trial with only 100 participants, so results may not apply to everyone. Risks include side effects from the implant procedure or the drug itself.
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
-
Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
-
100 people
The number who actually took part.
- Started
-
Nov 2020
- Expected to finish
-
Apr 2029
An estimate. End dates often move.
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
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: * Participant is willing to withhold his/her IOP (Intraocular Pressure) treatments according to the study requirements, and in the opinion of the investigator, can do so without significant risk. * Diagnosis of either OAG \[open-angle glaucoma\] (ie, \[POAG\], pseudoexfoliation glaucoma,pigmentary glaucoma) or OHT (ocular hypertension) in both eyes. * Must be pseudophakic (at least 4 months postcataract surgery prior to treatment administration \[Cycle 1 Day 1 Administration visit\]) (Cohort 3 only). Exclusion Criteria: * Known allergy or sensitivity to any study medication or its components, any component of the delivery vehicle, procedure-related materials, or diagnostic agents used during the study (eg, topical anesthetic, dilating drops, fluorescein, povidone-iodine). * Concurrent or anticipated enrollment in an investigational drug or device study or participation in such a study within 2 months prior to the Baseline visit through the final study visit. * History of intracameral implant in the study eye (eg, Bimatoprost SR, OTX-TIC, ENV515 Travoprost XR). * History of laser trabeculoplasty within 6 months prior to screening in the study eye. * History or evidence of clinically relevant, substantial ocular trauma (eg, a traumatic cataract, traumatic angle recession, etc.) in the study eye. * History or evidence of complicated cataract/lens surgery, as stated in the protocol. * Intraocular surgery (including cataract surgery) in the study eye within the 4 months prior to treatment administration. * Any history of corneal graft, including partial grafts (eg, Descemet's Stripping Endothelial Keratoplasty \[DSEK\], Descemet's Membrane Endothelial Keratoplasty \[DMEK\]); or incisional refractive surgery (eg, radial keratotomy), other than astigmatic keratotomy or limbal relaxing incisions in the study eye. * History of herpetic ocular diseases in either eye (including herpes simplex virus and varicella zoster virus). * Anticipated need for any incisional or laser ocular surgery in either eye during the study. * History of anatomically narrow angle resulting in evidence of angle changes or any history or closed angle glaucoma in the study eye. * History or evidence of a peripheral iridotomy/iridectomy in the inferior iris in the study eye. * Any history of trabeculectomy or other types of incisional glaucoma surgery, including a glaucoma seton or aqueous bypass stents in either eye, or minimally invasive glaucoma surgery (MIGS) type trabecular meshwork surgeries in the study eye. * Anticipated use of corticosteroids in either eye except for permitted interventions or systemically during the study, or historical use prior to Baseline within: * 3 years: intraocular fluocinolone acetonide * 6 months: intraocular corticosteroid(s) other than fluocinolone; any injectable periocular or sub-Tenon's/subconjunctival corticosteroid * 2 months: systemic (eg, oral, intramuscular, intravenous) or topical ocular corticosteroids * 2 weeks: dermal corticosteroids applied to skin of the eyelid(s), around the eye, or adnexa. * Anticipated use of other topical ocular medications in either eye except for permitted interventions. * The anticipated wearing of contact lenses in the study eye (Cohort 1) and both eyes (Cohorts 2 and 3) during the study that deviates from the following (contact lens wear is allowed during the study, but is to be temporarily discontinued before study visits, and before and after an Administration Day according to the following): * Use of soft lenses should be discontinued at least 3 days prior to Baseline, and use of rigid gas permeable or hard contact lenses should be discontinued at least 1 week prior to Baseline * Use of soft lenses should be discontinued at least 3 days and use of rigid gas permeable or hard contact lenses should be discontinued at least 1 week prior to a scheduled study visit or Administration Day visit * Use of contact lenses of any kind should be discontinued for 1 week following any AGN-193408 SR administration * Central corneal thickness of \< 480 or \> 620 micrometers in both eyes. * Visual field loss in the study eye that, in the opinion of the investigator, is functionally significant (eg, split fixation, field defect within the central 10 degrees that is visually significant or likely to cause central visual impairment upon progression) or shows evidence of progressive visual field loss within the year prior to Baseline. * Evidence of macular edema in either eye during screening or in participant's medical history. * At Screening, evidence of posterior synechia behind the iris inferiorly in the study eye that in the investigator's opinion may inhibit the ability to safely receive at least 1 AGN-193408 SR implant (Cohort 3 only).
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Ocular hypertension are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
Advanced Research, LLC /ID# 276987
Deerfield Beach, Florida, 33064-1346, United States
-
Advancing Vision Research /ID# 236683
Smyrna, Tennessee, 37167, United States
-
Asheville Eye Associates /ID# 234963
Asheville, North Carolina, 28803, United States
-
Brandon Eye Associates - Brandon /ID# 276600
Brandon, Florida, 33511, United States
-
Coastal Research Associates /ID# 234649
Roswell, Georgia, 30076, United States
-
Connecticut Eye Consultants P.C. /ID# 235862
Danbury, Connecticut, 06810, United States
-
Drs Fine Hoffman & Sims LLC /ID# 235919
Eugene, Oregon, 97401, United States
-
Duplicate_Shimane University Hospital /ID# 238641
Izumo-shi, Shimane, 693-8501, Japan
-
East Florida Eye Institute /ID# 235762
Stuart, Florida, 34994, United States
-
Eye Specialty Group /ID# 252201
Memphis, Tennessee, 38120, United States
-
Fraser Eye Care Center /ID# 267100
Fraser, Michigan, 48026, United States
-
Global Research Management /ID# 241699
Glendale, California, 91204-2500, United States
-
Hayashi eye hospital /ID# 267604
Fukuoka, 812-0011, Japan
-
Horizon Eye Specialists & Lasik Center - Sun City /ID# 252153
Sun City, Arizona, 85351, United States
-
Indiana University - Glick Eye Institute /ID# 235887
Indianapolis, Indiana, 46202, United States
-
Kitasato University Hospital /ID# 238880
Sagamihara-shi, Kanagawa, 252-0375, Japan
-
Lakeside Vision Center /ID# 241698
Irvine, California, 92604, United States
-
Logan Ophthalmic Research Inc. /ID# 252087
Tamarac, Florida, 33321, United States
-
Macro Trials (SMO/Network/Consortium) /ID# 266772
Austin, Texas, 78731, United States
-
Midwest Medical Advisors Inc /ID# 235845
Carmel, Indiana, 46290, United States
-
Midwest Vision Research Foundation at Pepose Vision Institute /ID# 267094
Chesterfield, Missouri, 63017, United States
-
National Hospital Organization Saitama Hospital /ID# 266953
Wako, Saitama, 351-0102, Japan
-
Nature Coast Clinical Research - Crystal River /ID# 237781
Crystal River, Florida, 34429, United States
-
Nippon Medical School Tama Nagayama Hospital /ID# 273428
Tama-shi, Tokyo, 206-8512, Japan
-
Northern New Jersey Eye Institute /ID# 241545
South Orange, New Jersey, 07079, United States
-
Nv Eye Surgery - Henderson /ID# 276925
Henderson, Nevada, 89052, United States
-
Oklahoma Eye Surgeons /ID# 252089
Oklahoma City, Oklahoma, 73112, United States
-
Ophthalmic Consultants of Boston /ID# 236535
Boston, Massachusetts, 02129, United States
-
Piedmont Eye Center /ID# 246455
Lynchburg, Virginia, 24502, United States
-
Premiere Practice Management LLC /ID# 235957
Torrance, California, 90505, United States
-
Private Practice - Dr. James D. Branch /ID# 234560
Winston-Salem, North Carolina, 27101, United States
-
Rutgers New Jersey Medical School Campus, Doctors Office Center /ID# 234365
Newark, New Jersey, 07103-2425, United States
-
Sacramento Eye Consultants /ID# 241697
Sacramento, California, 95815, United States
-
San Antonio Eye Center /ID# 272087
San Antonio, Texas, 78215, United States
-
Scott and Christie and Associates /ID# 252284
Cranberry Township, Pennsylvania, 16066, United States
-
Silverstein Eye Centers /ID# 266767
Kansas City, Missouri, 64133, United States
-
St. George Eye Center /ID# 236200
St. George, Utah, 84790, United States
-
Tekwani Vision Center /ID# 235149
St Louis, Missouri, 63128, United States
-
The Eye Research Foundation /ID# 234528
Newport Beach, California, 92663-3637, United States
-
The Ohio State University /ID# 267590
Columbus, Ohio, 43210, United States
-
The University of Tokyo Hospital /ID# 238871
Bunkyo-ku, Tokyo, 113-8655, Japan
-
Thomas Eye Group PC /ID# 266775
Sandy Springs, Georgia, 30328, United States
-
United Medical Research Institute /ID# 241701
Inglewood, California, 90301, United States
-
University of Florida Health Ophthalmology - Jacksonville /ID# 243122
Jacksonville, Florida, 32209-6533, United States
-
University of Illinois Hospital and Health Sciences System /ID# 253630
Chicago, Illinois, 60607, United States
-
University of Yamanashi Hospital /ID# 238642
Chuo-shi, Yamanashi, 409-3898, Japan
-
Vanderbilt Eye Institute /ID# 266915
Nashville, Tennessee, 37232-0025, United States
-
Vistar Eye Center /ID# 234811
Roanoke, Virginia, 24011, United States
-
Wolstan & Goldberg Eye Associates /ID# 241700
Torrance, California, 90505, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- The 20-Minute squeeze: how eye injections push pressure up
- Can a tiny eye implant replace daily glaucoma drops?
- Personalized coaching may boost glaucoma treatment adherence
- Can a gene therapy shield the Eye's nerves from glaucoma?
- Can a new eye test match the gold standard for glaucoma?
- Which laser best tames glaucoma pressure?