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Recruiting NCT05206877

Topical Insulin for Glaucoma

Phase I Interventional Glaucoma

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Insulin, 4 units, Insulin, 20 units, insulin, 4 units twice daily, insulin, 20 units twice daily.
Who it may be relevant to
Registry conditions: Glaucoma. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Topical Insulin for Glaucoma and Optic Neuropathies

Overview

The purpose of this Phase 1 trial is to determine the safety over 1-2 months of topic sterile human recombinant insulin on subjects with optic neuropathies (glaucoma, ischecmic optic neuropathy, and optic disc drusen).

Interventions

  • Drug Insulin, 4 units
    Topical insulin 100 U/ml, 1 drop per day
  • Drug Insulin, 20 units
    Topical insulin 500 U/ml, 1 drop per day
  • Drug insulin, 4 units twice daily
    1 drop of low dose insulin twice daily.
  • Drug insulin, 20 units twice daily
    1 drop of high dose insulin twice daily
  • Drug insulin, 4 units three times daily
    1 drop of low dose insulin three times daily.
  • Drug insulin, 20 units three times daily
    1 drop of high dose insulin three times daily.

Primary outcome measures

  • Number of Participants with Treatment-Related Adverse Events [Time frame: During treatment period, difference from baseline to post-treatment up to 2 months]
Secondary outcome measures (2)
  • Change in retinal thickness measured in microns by spectral domain optical coherence tomography (sdOCT) [Time frame: During treatment period, difference from baseline to post-treatment up to 2 months]
  • The change in visual field as measured by mean deviation [Time frame: During treatment period, difference from baseline to post-treatment up to 2 months]

Eligibility criteria

Inclusion criteria

  • Capable to provide informed consent
  • Diagnosis of optic neuropathy either glaucoma or NAION or optic disc drusen.
  • Only one eye per patient will be selected as the study eye - if both eyes meet the inclusion criteria, the eye with the worse acuity and /or visual field will be selected. The contralateral eye will be left untouched.

Exclusion criteria

  • Pregnant or breastfeeding woman
  • Presence of any ocular pathologies other than glaucoma that contributes to the severe vision loss (retinopathy / maculopathy, severe uveitis, keratopathy, etc.)
  • Diagnosis of glucose intolerance, type 1 or 2 diabetes mellitus
  • Inability to perform reliable visual field
  • Unable to provide informed consent
  • Unable to complete the tests and follow-ups required by the study

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Single group
Masking
Single blind
Primary purpose
Treatment

Study locations

United States · 1 center
  • Byers Eye Institute at Stanford University — Palo Alto

Identifiers

NCT: NCT05206877 · 63337

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗