Tiny tube could tame glaucoma without daily drops
NCT ID NCT07235592
First seen Jun 25, 2026 · Last updated Jul 17, 2026 · Updated 3 times
Summary
This study tests a small implant called the PRESERFLO™ MicroShunt XI in people with primary open-angle glaucoma whose eye pressure remains high despite maximum medication. The implant is placed under the eye's surface to drain fluid and lower pressure. Researchers will check if it safely reduces pressure by at least 20% and keeps it in a healthy range for 12 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- PRESERFLO™ MicroShunt XI implant (a tiny tube placed in the eye to drain fluid and lower pressure)
- What this could lead to
- If it works, this could offer a safe, long-term way to control eye pressure in glaucoma patients, possibly reducing the need for daily eye drops.
- What could go wrong
- This is a mid-stage study with only 112 participants, so results may not apply to everyone. The implant is a surgical device, so risks include infection, scarring, or the device not working as expected.
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.
- Participants
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About 112 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2026
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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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.
Who is studied
This study will include adult patients with primary open angle glaucoma where IOP remains uncontrollable while on maximum tolerated medical therapy and/or where glaucoma progression warrants surgery. At the time of a scheduled clinic visit, eligible patients will be invited to participate in the study and willing patients will be requested to sign an informed consent form. Once informed consent is obtained, the subject is included in the study and relevant data will be recorded during scheduled clinical visits. Participation in this study is entirely voluntary;
- Ages
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18 to 85 years
- Sex
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Anyone
- Healthy volunteers
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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: 1. Male or female, age 18 to 85 years, inclusive 2. Patient diagnosed with primary open glaucoma where the IOP is not adequately controlled on maximum tolerated medical therapy and has intraocular pressure ≥18 mmHg and ≤35 mmHg while on glaucoma medications 3. Patient willing to comply with study requirements 4. Patient who has signed an approved informed consent form Exclusion Criteria: 1. Angle closure glaucoma 2. Presence of conjunctival scarring, previous incisional ophthalmic surgery involving the conjunctiva or conjunctival pathologies (e.g., thin conjunctiva, pterygium) 3. Active iris neovascularization 4. Active inflammation (e.g., blepharitis, conjunctivitis, scleritis, keratitis, uveitis) 5. Vitreous in the anterior chamber 6. Presence of an anterior chamber intraocular lens (ACIOL) 7. Intraocular silicone oil 8. Need for glaucoma surgery combined with other ocular procedures (e.g., cataract surgery with IOL implantation) or anticipated need for additional ocular surgery during the investigational period 9. Central corneal thickness that is less than 450 microns or greater than 620 microns 10. Previous cilioablative procedure 11. Neovascular glaucoma 12. Uveitic Glaucoma 13. Pseudoexfoliative or pigmentary glaucoma 14. Chronic inflammation 15. Previous incisional ophthalmic surgery within 6 months prior to study 16. Enrolled in this or another study (only one eye can participate in this study) or completed their participation in another study within 30 calendar days of the screening exam 17. Ocular pathology or medical condition for which, in the investigator's judgment, the following factors would either place the patient at increased risk of complications or contraindicate device implantation or interfere with compliance to elements of the Protocol
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
11 sites in 8 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AKH Wien
RECRUITINGVienna, Austria
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Glaucoma Clinic, UZ Leuven
RECRUITINGLeuven, Belgium
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Guy's and St. Thomas' NHS Foundation Trust
RECRUITINGLondon, United Kingdom
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Hospital Clinico San Carlos
NOT_YET_RECRUITINGSan Carlos, Spain
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Internationale Innovative Opthalmochirurgie GbR
RECRUITINGDüsseldorf, Germany
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Irccs Fondazione G. B. Bietti
RECRUITINGRome, Italy
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Moorfields Eye Hospital NHS Foundation Trust
NOT_YET_RECRUITINGLondon, United Kingdom
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Policlinico Universitario Molinette
NOT_YET_RECRUITINGTurin, Italy
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ULS Santa Maria, Lisboa
NOT_YET_RECRUITINGLisbon, Portugal
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Universiteitskliniek voor Oogheelkunde Maastricht
NOT_YET_RECRUITINGMaastricht, Netherlands
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Universitätsklinikum Tübingen, Department für Augenheilkunde
NOT_YET_RECRUITINGTübingen, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- One operation for cataract and glaucoma? eye surgeons test a Two-in-One approach
- Home Eye-Pressure checks could slow glaucoma vision loss
- Can a simple eye drop protect the optic nerve in glaucoma?
- Can a One-Time gene edit stop glaucoma in its tracks?
- Zapping the brain to steady the steps of glaucoma patients?
- Can a tiny eye implant replace glaucoma drops?