PMID- 19601697 OWN - NLM STAT- MEDLINE DCOM- 20090916 LR - 20181201 IS - 1744-7666 (Electronic) IS - 1465-6566 (Linking) VI - 10 IP - 11 DP - 2009 Aug TI - Switching from concomitant latanoprost 0.005% and timolol 0.5% to a fixed combination of travoprost 0.004%/timolol 0.5% in patients with primary open-angle glaucoma and ocular hypertension: a 6-month, multicenter, cohort study. PG - 1705-11 LID - 10.1517/14656560903061283 [doi] AB - PURPOSE: To assess the usefulness and tolerability of systematically switching glaucoma patients from latanoprost 0.005% and timolol 0.5% (Lat + Tim) to a fixed combination of travoprost 0.004%/timolol 0.5% (TTFC), and to record the effects of this switch on tear-film break-up time (TBUT). MAIN OUTCOME MEASURES: Intraocular pressure (IOP) reduction, patients reaching IOP < 18 mmHg; the rate of discontinuation; TBUT; and the onset of adverse events (AEs). METHODS: Multicenter, observational cohort, 6-month study: 309 patients on concomitant Lat + Tim were switched to TTFC (evening dosage). IOP, TBUT, and AEs were recorded at baseline and after 1 and 6 months. RESULTS: IOP was significantly decreased (from 18.3 +/- 2.9 to 16.6 +/- 2.7 mmHg) after substitution (p < 0.0001). Many patients (82%) reached an IOP < 18 mmHg (p < 0.0001). TBUT improved significantly (from 8.4 +/- 3.6 to 9.2 +/- 3.8 s, p < 0.0001). A few patients reported AEs (8.7%), which caused discontinuation in a low percentage (4.5%). CONCLUSION: TTFC appeared useful in this selected population. In this study, patients who underwent a regimen modification to TTFC obtained further reduction in IOP with a lower exposition to preservative toxicity. The low discontinuation rate at 6 months indicates a good tolerability profile. FAU - Rossi, Gemma Cm AU - Rossi GC AD - University Eye Clinic of Pavia UO Oculistica, AO Bolognini di Seriate, Italy. gemma.rossi.md@gmail.com FAU - Pasinetti, Gian Maria AU - Pasinetti GM FAU - Bracchino, Maurizio AU - Bracchino M FAU - Bucarelli, Massimo AU - Bucarelli M FAU - Franchin, Stefano AU - Franchin S FAU - Cerqueti, Piera AU - Cerqueti P FAU - Bellini, Rosa AU - Bellini R FAU - Caravati, Cleofe AU - Caravati C FAU - Celesia, Laura AU - Celesia L FAU - Clemente, Antonella AU - Clemente A FAU - Tinelli, Carmine AU - Tinelli C LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Multicenter Study PL - England TA - Expert Opin Pharmacother JT - Expert opinion on pharmacotherapy JID - 100897346 RN - 0 (Antihypertensive Agents) RN - 0 (Drug Combinations) RN - 0 (Preservatives, Pharmaceutical) RN - 0 (Prostaglandins F, Synthetic) RN - 4208238832 (Cloprostenol) RN - 6Z5B6HVF6O (Latanoprost) RN - 817W3C6175 (Timolol) RN - WJ68R08KX9 (Travoprost) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antihypertensive Agents/administration & dosage/adverse effects MH - Cloprostenol/administration & dosage/adverse effects/*analogs & derivatives MH - Cohort Studies MH - Drug Combinations MH - Drug Therapy, Combination MH - Female MH - Follow-Up Studies MH - Glaucoma, Open-Angle/*drug therapy MH - Humans MH - Intraocular Pressure/drug effects MH - Latanoprost MH - Male MH - Middle Aged MH - Ocular Hypertension/drug therapy MH - Preservatives, Pharmaceutical/adverse effects MH - Prostaglandins F, Synthetic/*administration & dosage/adverse effects MH - Tears/drug effects MH - Time Factors MH - Timolol/*administration & dosage/adverse effects MH - Travoprost EDAT- 2009/07/16 09:00 MHDA- 2009/09/17 06:00 CRDT- 2009/07/16 09:00 PHST- 2009/07/16 09:00 [entrez] PHST- 2009/07/16 09:00 [pubmed] PHST- 2009/09/17 06:00 [medline] AID - 10.1517/14656560903061283 [doi] PST - ppublish SO - Expert Opin Pharmacother. 2009 Aug;10(11):1705-11. doi: 10.1517/14656560903061283.