Additive effects and safety of fixed combination therapy with 1% brinzolamide and 0.5% timolol versus 1% dorzolamide and 0.5% timolol in prostaglandin-treated glaucoma patients.

Autor: Aihara M; Department of Ophthalmology, University of Tokyo, Tokyo, Japan., Adachi M; Eye Rose Clinic, Tokyo, Japan., Matsuo H; Matsuo Eye Clinic, Tokyo, Japan., Togano T; Department of Ophthalmology, Niigata University Medical and Dental Hospital, Niigata, Japan., Fukuchi T; Department of Ophthalmology, Niigata University Medical and Dental Hospital, Niigata, Japan., Sasaki N; Alcon Japan Ltd., Tokyo, Japan.
Jazyk: angličtina
Zdroj: Acta ophthalmologica [Acta Ophthalmol] 2017 Dec; Vol. 95 (8), pp. e720-e726. Date of Electronic Publication: 2017 Apr 03.
DOI: 10.1111/aos.13401
Abstrakt: Purpose: To compare the additive effects and safety of 1% brinzolamide/0.5% timolol fixed combination (BTFC) versus the low-dose regimen of 1% dorzolamide/0.5% timolol fixed combination (DTFC) in patients with open-angle glaucoma and ocular hypertension (OAG/OH) following treatment with prostaglandin analogues (PGAs).
Methods: A prospective, randomized, double-masked, multicentre, parallel-group and active-controlled study included 201 Japanese OAG/OH patients who had been treated with PGA. Efficacy was assessed as the change in intra-ocular pressure (IOP) from baseline after weeks 4 and 8. Safety was assessed with adverse event rates, ocular discomfort score, blur scale, blood pressure and heart rates, best-corrected visual acuity (BCVA) and slit lamp examinations.
Results: Intra-ocular pressure (IOP) change from baseline at 9 AM/11 AM pooled over the 8 weeks was -3.3/-3.3 mmHg in the BTFC group and -2.9/-3.4 mmHg in the DTFC group, demonstrating non-inferiority of BTFC to DTFC. Ocular irritation was frequently seen in DTFC group. Although blurred vision was frequently seen in BTFC group, it was transient and blurring became the equivalent 3 min after instillation between two groups. No noteworthy issue was observed in other safety outcome.
Conclusion: Non-inferiority of BTFC to DTFC in IOP reduction was demonstrated after adding onto PGA therapy in Japanese OAG/OH patients. Although the score of blurred vision was transiently higher in BTFC than DTFC, treatment difference decreased and disappeared with time. Thus, BTFC can be considered as a safe and effective agent for glaucoma treatment.
(© 2017 The Authors Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.)
Databáze: MEDLINE
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