PMID- 32072493 OWN - NLM STAT- MEDLINE DCOM- 20201204 LR - 20220408 IS - 1865-8652 (Electronic) IS - 0741-238X (Print) IS - 0741-238X (Linking) VI - 37 IP - 4 DP - 2020 Apr TI - Treatment of Open-Angle Glaucoma and Ocular Hypertension with Preservative-Free Tafluprost/Timolol Fixed-Dose Combination Therapy: The VISIONARY Study. PG - 1436-1451 LID - 10.1007/s12325-020-01239-8 [doi] AB - INTRODUCTION: A non-interventional, multicenter, European, prospective evaluation of the effectiveness, tolerability, and safety of a topical preservative-free tafluprost (0.0015%) and timolol (0.5%) fixed-dose combination (PF tafluprost/timolol FC) in adults with open-angle glaucoma (OAG) and ocular hypertension (OHT) demonstrating insufficient response to topical beta-receptor blockers or prostaglandin analogue (PGA) monotherapy. METHODS: Mean intraocular pressure (IOP) change from baseline was measured at study visits following a switch to PF tafluprost/timolol FC. Primary endpoint was absolute mean IOP change at month 6. Change from baseline concerning ocular signs and symptoms was also explored. RESULTS: Analyses included 577 patients (59.6% female). Mean age (SD) was 67.8 (11.67) years. Mean (SD) IOP reduction from baseline was significant at all study visits; 5.4 (3.76) mmHg (23.7%) at week 4, 5.9 (3.90) mmHg (25.6%) at week 12, and 5.7 (4.11) mmHg (24.9%) at month 6 (p < 0.0001 for all visits). At month 6, 69.2%, 53.6%, 40.0%, and 25.8% were responders based on >/= 20%, >/= 25%, >/= 30%, and >/= 35% cutoff values for mean IOP, respectively. Significant reductions were observed concerning corneal fluorescein staining (p < 0.0001), dry eye symptoms, irritation, itching, and foreign body sensation (p < 0.001 for each parameter). Conjunctival hyperemia was significantly reduced at all study visits (p < 0.0001 at each visit). Overall, 69 treatment-related adverse events (AEs) were reported, one of which was serious (status asthmaticus). Most AEs were mild to moderate in severity, and the majority had resolved or were resolving at the end of the study period. CONCLUSION: In clinical practice, PF tafluprost/timolol FC provided statistically and clinically significant IOP reductions in patients with OAG and OHT insufficiently controlled on or intolerant to PGA or beta-receptor blocker monotherapy. The full IOP reduction appeared at week 4 and was maintained over the 6-month study period. Key symptoms of ocular surface health improved. TRIAL REGISTRATION: European Union electronic Register of Post-Authorisation Studies (EU PAS) register number, EUPAS22204. FAU - Oddone, Francesco AU - Oddone F AD - IRCSS-Fondazione Bietti, Rome, Italy. oddone-bietti@gmail.com. FAU - Tanga, Lucia AU - Tanga L AD - IRCSS-Fondazione Bietti, Rome, Italy. FAU - Kothy, Peter AU - Kothy P AD - Department of Ophthalmology, Semmelweis University, Budapest, Hungary. FAU - Hollo, Gabor AU - Hollo G AD - Department of Ophthalmology, Semmelweis University, Budapest, Hungary. CN - VISIONARY Study Group LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20200218 PL - United States TA - Adv Ther JT - Advances in therapy JID - 8611864 RN - 0 (Antihypertensive Agents) RN - 0 (Drug Combinations) RN - 0 (Preservatives, Pharmaceutical) RN - 0 (Prostaglandins F) RN - 0 (Prostaglandins, Synthetic) RN - 1O6WQ6T7G3 (tafluprost) RN - 817W3C6175 (Timolol) EIN - Adv Ther. 2020 Jun 21;:. PMID: 32567020 MH - Aged MH - Aged, 80 and over MH - Antihypertensive Agents/administration & dosage/adverse effects/*therapeutic use MH - Drug Combinations MH - Female MH - Glaucoma, Open-Angle/*drug therapy MH - Humans MH - Intraocular Pressure MH - Male MH - Middle Aged MH - Ocular Hypertension/*drug therapy MH - Preservatives, Pharmaceutical MH - Prospective Studies MH - Prostaglandins F/administration & dosage/adverse effects/*therapeutic use MH - Prostaglandins, Synthetic/administration & dosage/adverse effects/*therapeutic use MH - Timolol/administration & dosage/adverse effects/*therapeutic use MH - Tonometry, Ocular PMC - PMC7140739 OTO - NOTNLM OT - Fixed-dose combination OT - Ocular hypertension OT - Open-angle glaucoma OT - Ophthalmology OT - Preservative-free topical medication OT - Tafluprost OT - Timolol FIR - Faschinger, Christoph IR - Faschinger C FIR - Chen, Enping IR - Chen E FIR - Hollo, Gabor IR - Hollo G FIR - Nemeth, Gabor IR - Nemeth G FIR - Bator, Gyorgy IR - Bator G FIR - Tsorbatzoglou, Alexis IR - Tsorbatzoglou A FIR - Acs, Tamas IR - Acs T FIR - Ferencz, Maria IR - Ferencz M FIR - Sohajda, Zoltan IR - Sohajda Z FIR - Toth, Jeno IR - Toth J FIR - Volner, Veronika IR - Volner V FIR - Vogt, Gabor IR - Vogt G FIR - Biro, Zsolt IR - Biro Z FIR - Facsko, Andrea IR - Facsko A FIR - Nemes, Janos IR - Nemes J FIR - Berta, Andras IR - Berta A FIR - Elek, Ilona IR - Elek I FIR - Ng, Eugene IR - Ng E FIR - Oddone, Francesco IR - Oddone F FIR - Rossi, Gemma IR - Rossi G FIR - Rossetti, Luca IR - Rossetti L FIR - Vetrugno, Michele IR - Vetrugno M FIR - Iester, Michele IR - Iester M FIR - Marchini, Giorgio IR - Marchini G FIR - Scorcia, Vincenzo IR - Scorcia V FIR - Staurenghi, Giovanni IR - Staurenghi G FIR - Cagini, Carlo IR - Cagini C FIR - Salgarello, Tommaso IR - Salgarello T FIR - Bettin, Paolo IR - Bettin P FIR - Figus, Michele IR - Figus M FIR - Scuderi, Gian Luca IR - Scuderi GL FIR - De Cilla, Stefano IR - De Cilla S FIR - Grundmane, Iveta IR - Grundmane I FIR - Linavska, Nora IR - Linavska N FIR - Volksone, Lasma IR - Volksone L FIR - Laganovska, Guna IR - Laganovska G FIR - Baumane, Kristine IR - Baumane K FIR - Lemij, Hans IR - Lemij H FIR - Gundersen, Kjell Gunnar IR - Gundersen KG FIR - Zimina, Marina IR - Zimina M FIR - Erichev, Valery IR - Erichev V FIR - Karlova, Elena IR - Karlova E FIR - Zakharova, Ekaterina IR - Zakharova E FIR - Panova, Irina IR - Panova I FIR - Malyugin, Boris IR - Malyugin B FIR - Aguirrec, Inaki Rodriguez IR - Aguirrec IR FIR - Lopez-Lopez, Fernando IR - Lopez-Lopez F FIR - Valladares, Antonio Moreno IR - Valladares AM FIR - Del Castillo, Javier Benitez IR - Del Castillo JB FIR - Gimenez, Rafael IR - Gimenez R FIR - Vallejo, Maria Parrilla IR - Vallejo MP FIR - Medina, Jose Garcia IR - Medina JG FIR - Lopez, Alfonso Anton IR - Lopez AA FIR - Torregrosa, Sergio IR - Torregrosa S FIR - Loscos, Jorge IR - Loscos J FIR - Kolko, Miriam IR - Kolko M FIR - Ansari, Ejaz IR - Ansari E FIR - Broadway, David IR - Broadway D FIR - Claridge, Katharine IR - Claridge K FIR - Ruben, Simon IR - Ruben S FIR - Kirwan, James IR - Kirwan J FIR - Nita, Anca IR - Nita A FIR - Smith, Micheal IR - Smith M FIR - Moosavi, Areeb IR - Moosavi A FIR - King, Anthony J W IR - King AJW FIR - Kinsella, Matthew IR - Kinsella M EDAT- 2020/02/20 06:00 MHDA- 2020/12/15 06:00 PMCR- 2020/02/18 CRDT- 2020/02/20 06:00 PHST- 2019/12/23 00:00 [received] PHST- 2020/02/20 06:00 [pubmed] PHST- 2020/12/15 06:00 [medline] PHST- 2020/02/20 06:00 [entrez] PHST- 2020/02/18 00:00 [pmc-release] AID - 10.1007/s12325-020-01239-8 [pii] AID - 1239 [pii] AID - 10.1007/s12325-020-01239-8 [doi] PST - ppublish SO - Adv Ther. 2020 Apr;37(4):1436-1451. doi: 10.1007/s12325-020-01239-8. Epub 2020 Feb 18.