Glaucoma is the second most common cause of blindness in the world, second only to cataracts. This study will assess how safe and effective a glaucoma gel stent is when implanted using the ab interno (inside the eye) and ab externo (outside the eye) approach. Adverse events and intraocular pressure will be assessed. XEN63 is an investigational device for the treatment of intraocular pressure (IOP) in patients with glaucoma when both medical and conventional surgical treatments have failed (for US approval) and when medical treatments have failed (for outside US \[OUS\] approval). Participants will be placed in one of two groups called study arms. One group will receive the XEN63 gel stent ab interno (inside the eye) and the other group will receive the XEN63 gel stent ab externo (outside the eye). Approximately 130 participants aged 45 years or older with glaucoma will be enrolled in this study at approximately 32 sites in the United States. Participants will receive XEN63 implanted using either the ab interno approach or the ab externo approach on Day 1 and will be followed for 12 months. Participants will attend regular visits during the study at a hospital or clinic. The safety and effect of the gel stent on your glaucoma will be checked by medical assessments and eye examinations.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
SINGLE
Enrollment
130
Gel Stent
Arizona Advanced Eye Research Institute /ID# 268363
Glendale, Arizona, United States
RECRUITINGLA Glaucoma Group /ID# 268444
Culver City, California, United States
RECRUITINGNorth Bay Eye Associates /ID# 277071
Petaluma, California, United States
RECRUITINGUniversity Of Colorado - Anschutz Medical Campus /ID# 269947
Aurora, Colorado, United States
Percentage of Participants With Treatment Response of Achieving ≥ 20% Reduction in Intraocular Pressure (IOP) From Baseline on the Same or Fewer Number of IOP-Lowering Medications Compared to Baseline
IOP is a measurement of the fluid pressure inside the study eye. Treatment response is defined as IOP reduction on the same or fewer number of topical IOP-lowering medications.
Time frame: Month 12
Number of Participants with Adverse Events (AEs)
An AE is defined as any untoward medical occurrence in a patient or clinical investigation in which a participant is administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.
Time frame: Month 12
Mean Diurnal IOP
IOP is a measurement of the fluid pressure inside the eye. The mean diurnal IOP was the average of the IOP values of the study eye at Month 12.
Time frame: Month 12
Change From Baseline in Diurnal IOP
IOP is a measurement of the fluid pressure inside the study eye. A negative change from baseline indicates an improvement and a positive change from baseline indicates a worsening.
Time frame: Baseline to Month 12
Change from Baseline in Number of Topical IOP-Lowering Medications
A numerical count by class of drug of topical IOP lowering medications being taken.
Time frame: Baseline to Month 12
Mean Number of Topical IOP-Lowering Medications
A numerical count by class of drug of topical IOP lowering medications being taken.
Time frame: Month 12
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Colorado Eye Institute /ID# 277072
Colorado Springs, Colorado, United States
RECRUITINGBrandon Eye Associates - Brandon /ID# 277074
Brandon, Florida, United States
RECRUITINGEast Coast Institute for Research /ID# 280411
Jacksonville, Florida, United States
RECRUITINGNew Vision Eye Center /ID# 269955
Vero Beach, Florida, United States
COMPLETEDCoastal Research Associates - Roswell /ID# 268458
Roswell, Georgia, United States
RECRUITINGIllinois Eye Center - Peoria Location /ID# 277127
Peoria, Illinois, United States
RECRUITING...and 18 more locations