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BOL-303259-X

Phase 4

Open-Angle Glaucoma | Small molecule | Ophthalmology |Bausch + Lomb Corporation|Trials Updated: Nov 21, 2018

BOL-303259-X development status

Highest phase Phase 4 (NCT04140279)
Phase scored for BLCOPhase 3
Registered trials 7 across 1 sponsor since Oct 2010

BOL-303259-X target and mechanism

ModalitySmall molecule

Also known as latanoprostene bunod

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials6
Total Enrollment1,432

FDA Designations

No designations recorded

BOL-303259-X clinical trials

BOL-303259-X · 6 trials · 5 indications

Phase 3 3Phase 2 2Phase 1 1
NCT01895972Long-Term Safety of Latanoprostene Bunod Ophthalmic Solution 0.024% in Japanese Subjects With OAG or OHTGlaucoma
COMPLETED130 Analytics
NCT01749904Comparing Safety and Efficacy of BOL-303259-X With Timolol Maleate in Subjects With Open-Angle Glaucoma or Ocular HypertensionOpen-Angle Glaucoma
COMPLETED420 Analytics
NCT01749930Comparing the Safety and Efficacy of BOL-303259-X Ophthalmic Solution With Timolol Maleate Ophthalmic Solution in Subjects With Open-Angle Glaucoma or Ocular HypertensionOpen-Angle Glaucoma
COMPLETED420 Analytics
PHASE3COMPLETED
Long-Term Safety of Latanoprostene Bunod Ophthalmic Solution 0.024% in Japanese Subjects With OAG or OHT
GlaucomaUnlock trial analytics
PHASE3COMPLETED
Comparing Safety and Efficacy of BOL-303259-X With Timolol Maleate in Subjects With Open-Angle Glaucoma or Ocular Hypertension
Open-Angle GlaucomaUnlock trial analytics
PHASE3COMPLETED
Comparing the Safety and Efficacy of BOL-303259-X Ophthalmic Solution With Timolol Maleate Ophthalmic Solution in Subjects With Open-Angle Glaucoma or Ocular Hypertension
Open-Angle GlaucomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Intraocular Pressure
Baseline and week 4,8,12,16,20,24,28,32,36,40,44,48,52

Change from baseline in intraocular pressure (IOP) following treatment with latanoprostene bunod 0.024% (instilled QD in the evening) with IOP assessed every 4 weeks from Week 4 to Week 52.

Clinical Safety
1 year

Ocular adverse events reported over one year of once daily dosing of latanoprostene bunod 0.024%. Below is the percentage of subjects with \>/=1 ocular AE Specifics of AEs are captured in the AE section.

Mean IOP
8 AM, 12 PM, and 4 PM at Visit 4(Week 2), Visit 5 (Week 6), and Visit 6 (Month 3)

Mean intraocular pressure (IOP) in study eye measured at the specified time points: 8 AM, 12 PM, and 4 PM at Visit 4(Week 2), Visit 5 (Week 6), and Visit 6 (Month 3).

24 Hour IOP
after 4 weeks of treatment

Supine intraocular pressure (IOP) measured in the study eye following 4 weeks of treatment

Change in Mean Diurnal IOP at Visit 6 (Day 28)
Baseline and Visit 6 (Day 28)

Determine the most effective drug concentration(s) of BOL-303259-X in the reduction of intraocular pressure (IOP) and compared to latanoprost

intraocular pressure (IOP)
Visit 3 (Day 14/15)

Efficacy of latanoprostene bunod dosed QD in reducing IOP from baseline. IOP to be measured at multiple time points at visit 3.

Secondary Endpoints

Response Rate - IOP ≤ 18 mm Hg
8 AM, 12 PM, and 4 PM at Visit 4(Week 2), Visit 5 (Week 6), and Visit 6 (Month 3).
Response Rate - IOP Reduction ≥ 25%
8 AM, 12 PM, and 4 PM at Visit 4(Week 2), Visit 5 (Week 6), and Visit 6 (Month 3).
IOP ≤ 18 mm Hg
8 AM, 12 PM, and 4 PM at Visit 4 (Week 2), Visit 5 (Week 6), and Visit 6 (Month 3)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Latanoprostene BunodEXPERIMENTALLatanoprostene bunod 0.024% instilled into the eye once daily (QD) over a 1-year treatment period.
BOL-303259-XEXPERIMENTALBOL-303259-X ophthalmic solution QD (PM) and vehicle QD (AM) administered for 3 months (Visit 6) into the study eye(s).
TimololACTIVE_COMPARATORTimolol maleate ophthalmic solution, 0.5%, administered BID for 3 months (Visit 6) into study eye(s).
Timolol MaleateACTIVE_COMPARATORTimolol maleate ophthalmic solution 0.5% administered 1 drop BID once in morning and once in the evening for 4 weeks.
LatanoprostACTIVE_COMPARATORophthalmic solution

Interventions

NameTypeDescription
Latanoprostene bunodDRUG -
BOL-303259-XDRUGTopical ocular BOL-303259-X will be administered QD in the evening and its vehicle administered QD in the morning for 3 months (visit 6).
TimololDRUGTimolol will be administered BID once in the morning and once in the evening for 3 months (Visit 6)
Timolol maleateDRUGTopical ophthalmic solution
LatanoprostDRUG0.005% ophthalmic solution, QD 28 days
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Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Subjects must have a diagnosis of open angle glaucoma (OAG) (including normal-tension glaucoma \[NTG\],pigmentary or pseudoexfoliative glaucoma), or ocular hypertension (OHT) in one or both eyes. * Subjects must meet the following IOP requirements at Visit 3 (Eligibility, Day ...

Countries:United States
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Competitive Landscape -Open-Angle Glaucoma 9 trials

Frequently asked questions about BOL-303259-X

What is BOL-303259-X used for?

BOL-303259-X is an investigational small molecule being developed for the treatment of elevated intraocular pressure, ocular hypertension, and open-angle glaucoma. It is administered as an ophthalmic solution and is currently in clinical development, though it has not been approved by the FDA.

Who makes BOL-303259-X?

BOL-303259-X is being developed by Bausch + Lomb Corporation, a company traded on the stock exchange under the ticker symbol BLCO. The company is conducting clinical trials to evaluate the safety and efficacy of this investigational ophthalmic treatment.

What phase is BOL-303259-X in?

BOL-303259-X is in Phase 2 clinical development. Two Phase 2 trials have been completed, and the drug remains investigational. It has not received FDA approval and is still being studied for its potential use in treating glaucoma and ocular hypertension.

What clinical trials has BOL-303259-X been in?

BOL-303259-X has been studied in two completed Phase 2 trials. NCT01223378 compared the drug to latanoprost in 413 subjects with glaucoma or ocular hypertension. NCT01707381 evaluated the drug in combination with timolol 0.5% in 25 subjects with open-angle glaucoma or ocular hypertension.

Is BOL-303259-X the same as latanoprost or timolol?

No, BOL-303259-X is a distinct investigational drug. In clinical trials, it has been compared against latanoprost and timolol, which are established treatments for glaucoma and ocular hypertension. The trials were designed to assess how BOL-303259-X compares to these existing therapies.