PMID- 29873009 OWN - NLM STAT- MEDLINE DCOM- 20190903 LR - 20210921 IS - 1865-8652 (Electronic) IS - 0741-238X (Linking) VI - 35 IP - 6 DP - 2018 Jun TI - Multicenter, Randomized, Controlled Study Comparing Tafluprost/Timolol Fixed Combination with Latanoprost/Timolol Fixed Combination in Primary Open-Angle Glaucoma and Ocular Hypertension. PG - 796-808 LID - 10.1007/s12325-018-0718-9 [doi] AB - INTRODUCTION: This was the first exploratory randomized controlled study to compare the efficacy and safety of a preserved tafluprost/timolol fixed combination (TAF/TIM) with a preserved latanoprost/timolol fixed combination (LAT/TIM). METHODS: This prospective, randomized, open-label study was conducted in Japanese patients with primary open-angle glaucoma, including normal-tension glaucoma or ocular hypertension. Following a 4-week LAT/TIM run-in period, eligible patients entered a 12-week treatment period, during which they received either LAT/TIM or TAF/TIM. The efficacy endpoint was the change in intraocular pressure (IOP) from baseline to week 12 and the safety endpoints included the changes from baseline to week 12 in superficial punctate keratopathy (SPK) score, tear breakup time (TBUT), and hyperemia score, as well as adverse events (AEs). At week 6, ocular symptoms were evaluated using a questionnaire. RESULTS: In total, 131 patients provided informed consent. Of these, 115 completed the run-in period and were assigned to receive TAF/TIM (n = 60) or LAT/TIM (n = 55). At week 12, there were no significant differences between the TAF/TIM and LAT/TIM groups in the change from baseline in trough IOP and IOP at 4-6 h after instillation. There were no significant differences between the two groups in the change from baseline to week 12 in SPK score, TBUT, and hyperemia score. However, only in the TAF/TIM group, the total SPK score and the inferior cornea SPK score were significantly lower at week 12 compared with baseline. Eye irritation and eye pain were significantly decreased in the TAF/TIM group compared with the LAT/TIM group. Two treatment-related AEs were reported in the TAF/TIM group (3.3%) and none in the LAT/TIM group, while no serious AEs were reported in either group. CONCLUSION: TAF/TIM is as effective as LAT/TIM in terms of IOP-reducing effect, with fewer ocular symptoms. TAF/TIM was associated with a significant improvement in SPK scores. TRIAL REGISTRATION: UMIN Clinical Trials Registry Identifier, UMIN000023862. FUNDING: Santen Pharmaceutical Co., Ltd., Osaka, Japan. FAU - Suzuki, Katsuyoshi AU - Suzuki K AD - Suzuki Eye Clinic, Yamaguchi, Japan. suzuki_eye@grace.ocn.ne.jp. FAU - Otsuka, Naomi AU - Otsuka N AD - Santen Pharmaceutical Co., Ltd., Osaka, Japan. FAU - Hizaki, Hiroko AU - Hizaki H AD - Santen Pharmaceutical Co., Ltd., Osaka, Japan. FAU - Hashimoto, Masayo AU - Hashimoto M AD - Santen Pharmaceutical Co., Ltd., Osaka, Japan. FAU - Kuwayama, Yasuaki AU - Kuwayama Y AD - Fukushima Eye Clinic, Osaka, Japan. CN - Tafluprost/Timolol Versus Latanoprost/Timolol (TTVLT) Study Group LA - eng SI - UMIN-CTR/UMIN000023862 PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20180605 PL - United States TA - Adv Ther JT - Advances in therapy JID - 8611864 RN - 0 (Antihypertensive Agents) RN - 0 (Drug Combinations) RN - 0 (Prostaglandins F) RN - 0 (Prostaglandins F, Synthetic) RN - 6Z5B6HVF6O (Latanoprost) RN - 817W3C6175 (Timolol) EIN - Adv Ther. 2019 Feb;36(2):492-494. PMID: 30617814 MH - Adult MH - Aged MH - Aged, 80 and over MH - Antihypertensive Agents/*therapeutic use MH - Drug Combinations MH - Female MH - Glaucoma, Open-Angle/*drug therapy MH - Humans MH - Intraocular Pressure/drug effects MH - Japan MH - Latanoprost/*therapeutic use MH - Low Tension Glaucoma/*drug therapy MH - Male MH - Middle Aged MH - Ocular Hypertension/*drug therapy MH - Prospective Studies MH - Prostaglandins F/*therapeutic use MH - Prostaglandins F, Synthetic/therapeutic use MH - Timolol/adverse effects/*therapeutic use MH - Tonometry, Ocular MH - Young Adult OTO - NOTNLM OT - *Beta-blocker OT - *Efficacy OT - *Intraocular pressure OT - *Latanoprost OT - *Ocular hypertension OT - *Ophthalmology OT - *Primary open-angle glaucoma OT - *Prostaglandin OT - *Safety OT - *Tafluprost EDAT- 2018/06/07 06:00 MHDA- 2019/09/04 06:00 CRDT- 2018/06/07 06:00 PHST- 2018/04/03 00:00 [received] PHST- 2018/06/07 06:00 [pubmed] PHST- 2019/09/04 06:00 [medline] PHST- 2018/06/07 06:00 [entrez] AID - 10.1007/s12325-018-0718-9 [pii] AID - 10.1007/s12325-018-0718-9 [doi] PST - ppublish SO - Adv Ther. 2018 Jun;35(6):796-808. doi: 10.1007/s12325-018-0718-9. Epub 2018 Jun 5.