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Safety of Fixed-Combination Bimatoprost 0.03%/Timolol 0.5% Ophthalmic Solution at 6 Months in Chinese Patients with Open-Angle Glaucoma or Ocular Hypertension

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单位: [1]Fudan Univ, Eye & ENT Hosp, 83 Fenyang Rd, Shanghai, Peoples R China [2]Zhejiang Univ, Eye Ctr, Affiliated Hosp 2, Sch Med, Hangzhou, Zhejiang, Peoples R China [3]Jiangsu Prov Hosp, Nanjing, Peoples R China [4]Huazhong Univ Sci & Technol, Tongji Hosp Tongji Med Coll, Wuhan, Peoples R China [5]Tianjin Med Univ, Eye Hosp, Tianjin, Peoples R China [6]Wenzhou Med Univ, Eye Hosp, Wenzhou, Peoples R China [7]Cent South Univ, Xiangya Hosp 2, Changsha, Peoples R China [8]Sun Yat Sen Univ, Zhongshan Ophthalm Ctr, Guangzhou, Peoples R China [9]Allergan, Irvine, CA USA [10]Perfuse Therapeut Inc, Perfuse Therapeutics, CA USA
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关键词: Bimatoprost Fixed combination Glaucoma Intraocular pressure Ocular hypertension Safety Timolol

摘要:
Introduction: Fixed-combination bimatoprost 0.03%/timolol 0.5% ophthalmic solution (FCBT; Ganfort (R), Allergan, an AbbVie company) effectively reduces intraocular pressure (IOP) via complementary mechanisms of action of the agents, but long-term (> 12 weeks) safety evaluations of FCBT remain limited. FCBT safety is evaluated herein, with particular focus on hyperemia and eyelash growth, at 24 weeks in Chinese patients with open-angle glaucoma (OAG) or ocular hypertension (OHT). Methods: In this multicenter, open-label, non-comparative, phase 4 study conducted in China, patients diagnosed with OAG or OHT having insufficient response to beta-blocker- or prostaglandin analogue/prostamide (PGA)-based IOP-lowering monotherapy in one or both eyes were switched from their current IOP-lowering treatment to FCBT (one drop per eye every evening) without prior washout. Assessment visits were scheduled at baseline and weeks 4, 12, and 24 (or study exit). The primary outcome measure was adverse event (AE) incidence through 24 weeks. Results: Of 725 patients enrolled, 632 (87.2%) completed the study; 93 (12.8%) patients discontinued, including 29 (4.0%) due to AEs. Of 1326 FCBT-treated eyes (total), 594 (44.8%) experienced >= 1 ocular treatment-related AE during the study. Conjunctival hyperemia (the most common AE overall) and eyelash growth were reported in 269 (20.3%) and 54 (4.1%) FCBT-treated eyes, respectively. The incidence of other known PGA-related AEs (including blepharal pigmentation and erythema of eyelid) was < 10% each. Most conjunctival hyperemia reports were mild in severity (214/259; 82.6%) and only 1/259 (0.4%) was severe. Similarly, most cases of eyelash growth were mild (46/52; 88.5%); none were severe. One (< 0.1%) FCBT-treated eye had a serious ocular AE (OAG) considered FCBT-related. Conclusions: The frequency and severity of FCBT-related AEs, including conjunctival hyperemia and eyelash growth, are consistent with previously published findings. No new safety concerns were raised. This prospective study reaffirms that once-daily FCBT is a safe and well-tolerated therapy for OAG and OHT.

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出版当年[2022]版:
大类 | 3 区 医学
小类 | 3 区 眼科学
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大类 | 3 区 医学
小类 | 3 区 眼科学
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Q1 OPHTHALMOLOGY
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Q2 OPHTHALMOLOGY

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第一作者单位: [1]Fudan Univ, Eye & ENT Hosp, 83 Fenyang Rd, Shanghai, Peoples R China
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