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Travoprost, 0.004%

Phase 3

Glaucoma | Small molecule | Ophthalmology |Alcon Inc.|Last Updated: May 5, 2017

Target and mechanism

Molecular targetPTGFR
Target classAgonist
ModalitySmall molecule

Also known as Travoprost ophthalmic solution, 0.004% (new formulation), Travoprost, Travoprost ophthalmic solution (new formulation), Travoprost Ophthalmic Solution, 0.00013%, Travoprost, 0.00013%, Travoprost ophthalmic solution, 0.0008%, Travoprost, 0.0008%, Travoprost, Investigational

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials2
Total Enrollment344

FDA Designations

No designations recorded

Clinical trial landscape

Travoprost, 0.004% · 12 trials · 5 indications

Phase 3 7Phase 2 4Phase 1 1
NCT01453855Travoprost 3-Month Safety and Efficacy StudyOpen-Angle Glaucoma
COMPLETED1,099 Analytics
NCT00928590Safety Study of DuoTrav APS in Patients With Open-Angle Glaucoma or Ocular HypertensionOpen-angle Glaucoma
COMPLETED155 Analytics
NCT00333125A Study of Glaucoma Therapy to Treat Open-Angle Glaucoma or Ocular HypertensionGlaucoma
COMPLETED319 Analytics
NCT00293761A Study of Glaucoma Therapy to Treat Open-Angle Glaucoma or Ocular HypertensionOpen-angle Glaucoma
COMPLETED109 Analytics
NCT00051142A Safety and Efficacy Study of Travoprost 0.004% Compared to Latanoprost 0.005% in Patients With Open-Angle Glaucoma (OAG) or Ocular Hypertension (OHT)Glaucoma, Open-Angle
COMPLETED- Analytics
NCT00051155A 6-Week Safety and Efficacy Study of Travatan Compared to Xalcom in Subjects With Open-Angle Glaucoma(OAG) or Ocular Hypertension(OHT)Glaucoma, Open-Angle
COMPLETED- Analytics
NCT00051181A Safety and Efficacy Study of Travoprost 0.004% Compared to Latanoprost 0.005% in Patients With Chronic Angle-Closure GlaucomaGlaucoma, Angle-Closure
COMPLETED- Analytics
PHASE3COMPLETED
Travoprost 3-Month Safety and Efficacy Study
Open-Angle GlaucomaUnlock trial analytics
PHASE3COMPLETED
Safety Study of DuoTrav APS in Patients With Open-Angle Glaucoma or Ocular Hypertension
Open-angle GlaucomaUnlock trial analytics
PHASE3COMPLETED
A Study of Glaucoma Therapy to Treat Open-Angle Glaucoma or Ocular Hypertension
GlaucomaUnlock trial analytics
PHASE3COMPLETED
A Study of Glaucoma Therapy to Treat Open-Angle Glaucoma or Ocular Hypertension
Open-angle GlaucomaUnlock trial analytics
PHASE3COMPLETED
A Safety and Efficacy Study of Travoprost 0.004% Compared to Latanoprost 0.005% in Patients With Open-Angle Glaucoma (OAG) or Ocular Hypertension (OHT)
Glaucoma, Open-AngleUnlock trial analytics
PHASE3COMPLETED
A 6-Week Safety and Efficacy Study of Travatan Compared to Xalcom in Subjects With Open-Angle Glaucoma(OAG) or Ocular Hypertension(OHT)
Glaucoma, Open-AngleUnlock trial analytics
PHASE3COMPLETED
A Safety and Efficacy Study of Travoprost 0.004% Compared to Latanoprost 0.005% in Patients With Chronic Angle-Closure Glaucoma
Glaucoma, Angle-ClosureUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Intraocular Pressure (IOP) at Week 2, Week 6, and Month 3 for Each Assessment Time Point (8 AM, 10 AM, and 4 PM)
Week 2, Week 6, Month 3 (8 AM, 10 AM, 4 PM)

As measured by Goldmann applanation tonometry. One eye from each subject was chosen as the study eye and only the study eye was used in the efficacy analysis. A higher IOP can be a greater risk factor for developing glaucoma or glaucoma progression (leading to optic nerve damage).

Adverse Events (AEs)
12 months
Mean Intra-Ocular Pressure (IOP)
6 weeks
Mean IOP
24-hour Area Under the Curve (AUC) in IOP Reduction
Day 5
Mean change from baseline in intraocular pressure (IOP)
Baseline, Up to Week 4

IOP (fluid pressure inside the eye) was measured by Goldmann applanation tonometry. A higher IOP can be a greater risk for developing glaucoma or glaucoma progression (leading to optic nerve damage). A more negative change indicates a greater amount of improvement.

Mean Intraocular Pressure
Up to 2 weeks
Maximum Observed Travoprost Free Acid Plasma Concentration (Cmax)
Day 7, Up to 80 minutes postdose

Travoprost free acid plasma concentrations at each collection time point (predose, 10, 20, 40, 80 minutes postdose) were quantitated using a high performance liquid chromatography/tandem mass spectrometry method (HPLC/MS/MS). Cmax was calculated for each participant with at least 1 quantifiable time point.

Time to Reach Cmax (Tmax)
Day 7, Up to 80 minutes postdose

Analyte plasma concentrations at each collection time point (predose, 10, 20, 40, 80 minutes postdose) were quantitated using a high performance liquid chromatography/tandem mass spectrometry method (HPLC/MS/MS). Tmax was calculated for each participant with at least 1 quantifiable time point.

Time to Last Measurable Concentration (Tlast)
Day 7, Up to 80 minutes postdose

Analyte plasma concentrations at each collection time point (predose, 10, 20, 40, 80 minutes postdose) were quantitated using a high performance liquid chromatography/tandem mass spectrometry method (HPLC/MS/MS). Tlast was calculated for each participant with at least 1 quantifiable time point.

Area Under the Analyte Plasma Concentration-time Curve to the Last Quantifiable Sampling Time Point [AUC(0-tlast)]
Day 7, Up to 80 minutes postdose

Analyte plasma concentrations at each collection time point (predose, 10, 20, 40, 80 minutes postdose) were quantitated using a high performance liquid chromatography/tandem mass spectrometry method (HPLC/MS/MS). AUC(0-tlast) was calculated for each participant with at least 2 quantifiable time points.

Area Under the Analyte Plasma Concentration-time Curve Over the Dosing Interval (Inf)[AUC(0-∞)]
Day 7, Up to 80 minutes postdose

Analyte plasma concentrations at each collection time point (predose, 10, 20, 40, 80 minutes postdose) were quantitated using a high performance liquid chromatography/tandem mass spectrometry method (HPLC/MS/MS). AUC(0-∞) was calculated for each participant with at least 3 quantifiable time points.

Half-life (t½)
Day 7, Up to 80 minutes postdose

Analyte plasma concentrations at each collection time point (predose, 10, 20, 40, 80 minutes postdose) were quantitated using a high performance liquid chromatography/tandem mass spectrometry method (HPLC/MS/MS). T½ was calculated for each participant with at least 3 quantifiable time points.

Secondary Endpoints

Mean intraocular pressure
Baseline, Up to Week 4
Mean percent change from baseline in IOP
Baseline, Up to Week 4
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Travoprost 0.003%EXPERIMENTALTravoprost ophthalmic solution, 0.003%, one drop instilled in each eye, once daily, for three months
TRAVATANACTIVE_COMPARATORTravoprost ophthalmic solution, 0.004%, one drop instilled in each eye, once daily, for three months
DuoTrav APSEXPERIMENTALTravoprost/Timolol Maleate Fixed Combination solution, 1 drop in the study eye(s) once daily, at 9 AM, for 12 months
Travoprost/TimololEXPERIMENTAL -
Dorzolamide/TimololACTIVE_COMPARATOR -
Travatan, InvestigationalEXPERIMENTAL -
Trav 0.00013%EXPERIMENTALTravoprost Ophthalmic Solution, 0.00013%, 1 drop administered in each eye 12 times per day at 2-hour intervals for 5 days
Trav 0.00033%EXPERIMENTALTravoprost Ophthalmic Solution, 0.00033%, 1 drop administered in each eye 12 times per day at 2-hour intervals for 5 days
Trav 0.001%EXPERIMENTALTravoprost Ophthalmic Solution, 0.001%, 1 drop administered in each eye 12 times per day at 2-hour intervals for 5 days
Trav 0.00267%EXPERIMENTALTravoprost Ophthalmic Solution, 0.00267%, 1 drop administered in each eye 12 times per day at 2-hour intervals for 5 days
VehiclePLACEBO_COMPARATORTravoprost vehicle, 1 drop administered in each eye 12 times per day at 2-hour intervals for 5 days
Travoprost new formulationEXPERIMENTALTravoprost ophthalmic solution (new formulation), 1 of 3 dose levels, 1 drop in the study eye(s) once daily, at 8 PM, for 4 weeks
Travoprost 0.0008%EXPERIMENTALTravoprost ophthalmic solution, 0.0008%, one drop in study eye(s) twice daily (8 AM and 8 PM), for 2 weeks
Travoprost 0.001%EXPERIMENTALTravoprost ophthalmic solution, 0.001%, one drop in study eye(s) twice daily (8 AM and 8 PM), for 2 weeks
Travoprost 0.0012%EXPERIMENTALTravoprost ophthalmic solution, 0.0012%, one drop in study eye(s) twice daily (8 AM and 8 PM), for 2 weeks
TRAVATAN + VehicleACTIVE_COMPARATORTRAVATAN, one drop in study eye(s) once daily (8 PM), and Vehicle, one drop in study eye(s) once daily (8 AM), for two weeks
TravoprostEXPERIMENTALTravoprost ophthalmic solution, 0.004% (new formulation), one drop administered topically in the inferior cul-de-sac of the eye each morning at 9 AM (± 60 minutes) for 7 days

Interventions

NameTypeDescription
Travoprost ophthalmic solution, 0.003%DRUG -
Travoprost ophthalmic solution, 0.004%DRUG -
Travoprost/Timolol Maleate Fixed Combination solutionDRUG -
Travoprost 40 mcg/ml + Timolol 5 mg/ml eye drops, solution (DuoTrav)DRUGOne drop in the study eye(s) once daily, 9 PM, for 6 weeks
Dorzolamide 20 mg/ml + Timolol 5 mg/ml eye drops, solution (Cosopt)DRUGOne drop in the study eye(s) twice daily for 6 weeks
Timolol VehicleOTHEROne drop in the study eye(s) once daily for 6 weeks
Travoprost, InvestigationalDRUGOne drop in study eye once daily for 13 days
Travoprost (TRAVATAN)DRUGOne drop in study eye once daily for 13 days
TravoprostDRUG -
LatanoprostDRUG -
Travoprost (0.004%)DRUG -
Latanoprost (0.005%)/Timolol (0.5%)DRUG -
Latanoprost (0.005%)DRUG -
Travoprost Ophthalmic Solution, 0.00013%DRUGCumulative daily dose is below the travoprost ophthalmic solution, 0.004% once daily dose
Travoprost Ophthalmic Solution, 0.00033%DRUGCumulative daily dose equals the travoprost ophthalmic solution, 0.004% once daily dose
Travoprost Ophthalmic Solution, 0.001%DRUGCumulative daily dose is above the travoprost ophthalmic solution, 0.004% once daily dose
Travoprost Ophthalmic Solution, 0.00267%DRUGCumulative daily dose is above the travoprost ophthalmic solution, 0.004% once daily dose
Travoprost VehicleDRUGInactive ingredients used as an active comparator
Travoprost ophthalmic solution (new formulation)DRUG -
VehicleDRUGInactive ingredients used as a placebo
Travoprost ophthalmic solution, 0.0008%DRUG -
Travoprost ophthalmic solution, 0.0012%DRUG -
TRAVATANDRUG -
Travoprost/brinzolamideDRUG -
Travoprost ophthalmic solution, 0.004% (new formulation)DRUGTravoprost ophthalmic solution, 0.004%, new formulation
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Diagnosis of open-angle glaucoma (including open-angle glaucoma with pseudoexfoliation or pigment dispersion) or ocular hypertension. * Qualifying intraocular pressure at both eligibility visits. * Understand and sign an informed consent form. * Other protocol-defined inclusio...

Countries:United StatesAustralia
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Competitive Landscape -Glaucoma 26 trials

Frequently asked questions about Travoprost, 0.004%

What is travoprost ophthalmic solution, 0.004%?

Travoprost ophthalmic solution, 0.004% is a small molecule eye drop developed by Alcon Inc. (ticker ALC) for glaucoma and ocular hypertension. It is studied in open-angle glaucoma, angle-closure glaucoma, and ocular hypertension. The program is in Phase 3 development, and the clinical trials supporting it have been completed.

What does travoprost target?

Travoprost targets PTGFR, the prostaglandin F receptor, where it acts as an agonist. By activating this receptor, the drug is designed to influence aqueous humor dynamics in the eye. PTGFR agonism is the mechanism described for this ophthalmic small molecule in the glaucoma and ocular hypertension program.

Who makes travoprost ophthalmic solution, 0.004%?

Alcon Inc., which trades under the ticker ALC, is the developer of travoprost ophthalmic solution, 0.004%. Alcon is the company behind the travoprost program across its studied glaucoma and ocular hypertension indications. The asset is a small molecule ophthalmology candidate in the company's eye care portfolio.

What phase is travoprost ophthalmic solution, 0.004% in?

Travoprost ophthalmic solution, 0.004% is in Phase 3 development. It is an investigational asset, and the program's registered trials are all completed, with no active trials at this time. Six trials in total have been conducted, enrolling 1,704 participants overall.

What clinical trials is travoprost ophthalmic solution, 0.004% in?

Registered trials include NCT01453855, a Phase 3 safety and efficacy study in open-angle glaucoma and ocular hypertension with 1,099 participants, and NCT00928590, a Phase 3 safety study of DuoTrav APS in the same conditions. Earlier work includes NCT01298687, a Phase 2 divided-dose study, and NCT01658839, a Phase 1 pediatric pharmacokinetic and safety study.

Is travoprost the same as travoprost ophthalmic solution, 0.004%?

Yes. Travoprost ophthalmic solution, 0.004% is also known as travoprost, and related names include travoprost ophthalmic solution (new formulation), travoprost/brinzolamide, and the travoprost/timolol fixed combination, including DuoTrav. These names refer to the same travoprost program developed by Alcon for glaucoma and ocular hypertension.