PMID- 38348139 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240214 IS - 1177-5467 (Print) IS - 1177-5483 (Electronic) IS - 1177-5467 (Linking) VI - 18 DP - 2024 TI - Latanoprostene Bunod 0.024% in Patients with Open-Angle Glaucoma Switched from Prior Pharmacotherapy: A Retrospective Chart Review. PG - 409-422 LID - 10.2147/OPTH.S442940 [doi] AB - INTRODUCTION: Latanoprostene bunod 0.024% (LBN, Vyzulta((R))) is a nitric oxide-donating prostaglandin analog (PGA). We investigated the real-world efficacy and safety of LBN in patients with open-angle glaucoma (OAG) or ocular hypertension (OHT) who switched their existing intraocular pressure (IOP)-lowering treatment(s) to LBN. METHODS: This non-interventional, multicenter (United States), retrospective chart review included patients aged >/=18 years with OHT and/or mild-to-moderate OAG diagnoses taking 1-2 IOP-lowering treatments at the time of switch to LBN (index visit). Chart-extracted data included demographics, diagnoses, IOP and ocular assessments, other IOP-lowering treatments, adverse events (AEs), and reasons for discontinuation. The main study outcome was IOP change from the index visit to each of the next 2 chart-recorded follow-up visits. Analysis groups included the overall dataset and 2 subgroups of patients switched from PGA therapy to LBN: "PGA-all" subgroup [all patients previously on a PGA with/without another IOP-lowering product] and "PGA-monotherapy" subgroup [patients previously on a PGA alone]). Additional ocular outcomes (eg, visual acuity) were examined, if available. RESULTS: The overall dataset included 49 patients (46 had OAD alone, 2 had OHT alone, and 1 had both). The PGA-all subgroup and PGA-monotherapy subgroups had 41 and 32 patients, respectively. Switching to LBN led to a ~25% IOP reduction from the index visit to Visit 1 that was sustained at Visit 2. IOP findings in the PGA-all and PGA-monotherapy subgroups were consistent with the overall dataset. No meaningful changes in other ocular outcomes were found. Of 14 ocular AEs, 3 were recorded as such (mild in severity, considered unrelated to treatment), and 11 were identified through review of interval ocular histories (no severity/relatedness information); none led to discontinuation. CONCLUSION: In this short-term retrospective chart review of mild-to-moderate OAG/OHT, switching prior IOP-lowering therapy to LBN produced an additional ~25% IOP reduction and appeared to be well tolerated. CI - (c) 2024 Okeke et al. FAU - Okeke, Constance O AU - Okeke CO AD - Virginia Eye Consultants/CVP, Norfolk, VA, USA. FAU - Cothran, Nora Lee AU - Cothran NL AUID- ORCID: 0009-0007-1645-1796 AD - The Eye Institute of West Florida, Largo, FL, USA. FAU - Brinkley, Desirae A AU - Brinkley DA AD - Eye Specialty Group, Memphis, TN, USA. FAU - Rahmatnejad, Kamran AU - Rahmatnejad K AD - Eastern Virginia Medical School, Norfolk, VA, USA. FAU - Rodino, Frank J AU - Rodino FJ AD - Churchill Outcomes Research, Red Bank, NJ, USA. FAU - Deom, James E AU - Deom JE AD - Hazleton Eye Specialists, Hazle Township, PA, USA. LA - eng PT - Journal Article DEP - 20240207 PL - New Zealand TA - Clin Ophthalmol JT - Clinical ophthalmology (Auckland, N.Z.) JID - 101321512 PMC - PMC10859762 OTO - NOTNLM OT - IOP OT - LBN OT - OAG OT - OHT OT - PGA OT - intraocular pressure OT - latanoprostene bunod OT - ocular hypertension OT - open-angle glaucoma OT - prostaglandin analog COIS- Constance O. Okeke and Nora Lee Cothran report serving as consultants, researchers, and speakers for Bausch + Lomb. Nora Lee Cothran reports personal fees from Aerie, Alcon, Allergan/ AbbVie, Glaukos, Sight Sciences, outside the submitted work. Frank J. Rodino is an employee of Churchill Outcomes Research that supported the study. James E. Deom reports serving as a consultant for Bausch + Lomb. Desirae A. Brinkley and Kamran Rahmatnejad have no conflicts to report. EDAT- 2024/02/13 06:44 MHDA- 2024/02/13 06:45 PMCR- 2024/02/07 CRDT- 2024/02/13 03:43 PHST- 2023/10/19 00:00 [received] PHST- 2024/01/15 00:00 [accepted] PHST- 2024/02/13 06:45 [medline] PHST- 2024/02/13 06:44 [pubmed] PHST- 2024/02/13 03:43 [entrez] PHST- 2024/02/07 00:00 [pmc-release] AID - 442940 [pii] AID - 10.2147/OPTH.S442940 [doi] PST - epublish SO - Clin Ophthalmol. 2024 Feb 7;18:409-422. doi: 10.2147/OPTH.S442940. eCollection 2024.