PMID- 33886093 OWN - NLM STAT- MEDLINE DCOM- 20210622 LR - 20211130 IS - 1865-8652 (Electronic) IS - 0741-238X (Print) IS - 0741-238X (Linking) VI - 38 IP - 6 DP - 2021 Jun TI - Treatment of Open-Angle Glaucoma and Ocular Hypertension with Preservative-Free Tafluprost/Timolol Fixed-Dose Combination Therapy: UK and Ireland Results from the VISIONARY Study. PG - 2990-3002 LID - 10.1007/s12325-021-01725-7 [doi] AB - INTRODUCTION: Reducing intraocular pressure (IOP), the only modifiable risk factor for open-angle glaucoma (OAG), is important for the preservation of vision and slowing of disease progression. Preservative-free tafluprost (0.0015%)/timolol (0.5%) fixed combination (PF Taf-T FC) is an approved combination therapy for OAG treatment. The VISIONARY study aimed to evaluate the effectiveness and tolerability of PF Taf-T FC in real-world clinical settings. Here, we present the results from the United Kingdom (UK) and Ireland. METHODS: This observational, multicentre, European, prospective study recorded data during routine clinic appointments on the use of PF Taf-T FC for the treatment of OAG and ocular hypertension (OHT) in patients whose disease was insufficiently controlled on a prostaglandin analogue (PGA) or beta blocker monotherapy or who did not tolerate these medications. Mean change in IOP, symptom severity, changes in clinical signs, and tolerability were investigated over 6 months. RESULTS: Eighty-two patients were recruited in the UK and Ireland. After 6 months of PF Taf-T FC treatment, mean IOP was significantly reduced from 22.0 to 16.2 mmHg in the UK group and from 18.6 to 14.1 mmHg in the Ireland group. In the UK (65 patients), 49 adverse events (AEs) were reported, of which 3 were serious. No AEs were reported in the Ireland group (17 patients). Overall, 91.9% of UK physicians reported PF Taf-T FC treatment to be the same or better than prior medication for improving clinical signs; 90.0% of UK patients reported PF Taf-T FC treatment to have good or very good tolerability. CONCLUSIONS: Treatment with PF Taf-T FC resulted in significant reductions in mean IOP over 6 months. Patients and physicians reported that treatment was well tolerated. These data demonstrate real-world efficacy of PF Taf-T FC for the treatment of OAG and OHT in routine clinical practice in the UK and Ireland. TRIAL REGISTRATION: European Union electronic Register of Post-Authorisation Studies (EU PAS) register number, EUPAS22204. FAU - Ansari, Ejaz AU - Ansari E AUID- ORCID: 0000-0001-8943-8209 AD - Maidstone and Tunbridge Wells NHS Trust, University of Kent at Canterbury, Kent, UK. e.ansari@nhs.net. FAU - Pavicic-Astalos, Jasna AU - Pavicic-Astalos J AD - Institute of Eye Surgery, UPMC Whitfield, Waterford, Ireland. FAU - Ayan, Filis AU - Ayan F AD - Santen UK Ltd, St Albans, UK. FAU - King, Anthony J AU - King AJ AD - Nottingham University Hospitals NHS Trust, Nottingham, UK. FAU - Kinsella, Matthew AU - Kinsella M AD - Buckinghamshire Healthcare NHS Trust, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK. FAU - Ng, Eugene AU - Ng E AD - Institute of Eye Surgery, UPMC Whitfield, Waterford, Ireland. FAU - Nita, Anca AU - Nita A AD - Royal Victoria Infirmary, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK. CN - VISIONARY Group LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20210422 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 - 1O6WQ6T7G3 (tafluprost) RN - 817W3C6175 (Timolol) EIN - Adv Ther. 2022 Jan;39(1):831. PMID: 34846712 MH - Antihypertensive Agents/therapeutic use MH - Drug Combinations MH - *Glaucoma, Open-Angle/drug therapy MH - Humans MH - Intraocular Pressure MH - Ireland MH - *Ocular Hypertension/drug therapy MH - Prospective Studies MH - Prostaglandins F MH - Timolol MH - United Kingdom PMC - PMC8190000 OTO - NOTNLM OT - Fixed-dose combination OT - Ocular hypertension OT - Open-angle glaucoma OT - Ophthalmology OT - Preservative-free topical medication OT - Tafluprost OT - Timolol EDAT- 2021/04/23 06:00 MHDA- 2021/06/23 06:00 PMCR- 2021/04/22 CRDT- 2021/04/22 12:29 PHST- 2021/02/09 00:00 [received] PHST- 2021/03/24 00:00 [accepted] PHST- 2021/04/23 06:00 [pubmed] PHST- 2021/06/23 06:00 [medline] PHST- 2021/04/22 12:29 [entrez] PHST- 2021/04/22 00:00 [pmc-release] AID - 10.1007/s12325-021-01725-7 [pii] AID - 1725 [pii] AID - 10.1007/s12325-021-01725-7 [doi] PST - ppublish SO - Adv Ther. 2021 Jun;38(6):2990-3002. doi: 10.1007/s12325-021-01725-7. Epub 2021 Apr 22.