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NCT06822738PHASE3Recruiting

A Study to Assess Adverse Events and Effectiveness of Gel Stent (XEN63) Implantation Using Ab Interno and Ab Externo Approaches in Adult Participants With Glaucoma

AbbVie

Start Date

2/11/2025

Completion Date

11/1/2028

Summary

Glaucoma is the second most common cause of blindness in the world, second only to cataracts. This study will assess how safe and effective a glaucoma gel stent is when implanted using the ab interno (inside the eye) and ab externo (outside the eye) approach. Adverse events and intraocular pressure will be assessed. XEN63 is an investigational device for the treatment of intraocular pressure (IOP) in patients with glaucoma when both medical and conventional surgical treatments have failed (for US approval) and when medical treatments have failed (for outside US \[OUS\] approval). Participants will be placed in one of two groups called study arms. One group will receive the XEN63 gel stent ab interno (inside the eye) and the other group will receive the XEN63 gel stent ab externo (outside the eye). Approximately 130 participants aged 45 years or older with glaucoma will be enrolled in this study at approximately 32 sites in the United States. Participants will receive XEN63 implanted using either the ab interno approach or the ab externo approach on Day 1 and will be followed for 12 months. Participants will attend regular visits during the study at a hospital or clinic. The safety and effect of the gel stent on your glaucoma will be checked by medical assessments and eye examinations.

Eligibility Criteria

Age Range: 45 years to No maximum

Inclusion Criteria: * Diagnosis of glaucoma in the study eye (SE) (meeting criterion a or b) 1. That meets the following refractory glaucoma criteria of eyes diagnosed with glaucoma uncontrolled by maximal medical therapy (four or more classes of intraocular pressure (IOP)-lowering medications, or fewer in cases where it has been documented that certain medication classes cannot be tolerated or are contraindicated), and failed one or more incisional intraocular glaucoma surgeries (e.g., glaucoma filtering surgery, tube shunt) 2. Uncontrolled by medical therapy (to meet out-of-US \[OUS\] requirements) with participants who only have glaucoma uncontrolled by medical therapy (non-refractory glaucoma), a maximum of 10 participants who meet only criterion b (and not a) will be enrolled in each cohort. Exclusion Criteria: * History of angle-closure glaucoma where the angle has not been surgically opened in the SE. * History of secondary open-angle glaucoma (e.g., neovascular, pigmentary, pseudoexfoliative, uveitic, angle recession/traumatic glaucoma, etc.) in the SE. * Active inflammation (e.g., blepharitis, conjunctivitis, keratitis, uveitis) in the SE.

Interventions

DEVICE

XEN63 Glaucoma Treatment System

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Conditions

Primary Open Angle Glaucoma

Locations

Arizona Advanced Eye Research Institute /ID# 268363

Glendale, Arizona 85306

United States

LA Glaucoma Group /ID# 268444

Culver City, California 90232

United States

North Bay Eye Associates /ID# 277071

Petaluma, California 94954

United States

University Of Colorado - Anschutz Medical Campus /ID# 269947

Aurora, Colorado 80045

United States

Colorado Eye Institute /ID# 277072

Colorado Springs, Colorado 80924

United States

Eye Center of Northern Colorado /ID# 281798

Fort Collins, Colorado 80528

United States

Brandon Eye Associates - Brandon /ID# 277074

Brandon, Florida 33511

United States

East Coast Institute for Research /ID# 280411

Jacksonville, Florida 32256

United States

New Vision Eye Center /ID# 269955

Vero Beach, Florida 32960

United States

Coastal Research Associates - Roswell /ID# 268458

Roswell, Georgia 30076

United States

Illinois Eye Center - Peoria Location /ID# 277127

Peoria, Illinois 61615

United States

Stiles Eyecare Excellence & Glaucoma Institute /ID# 268451

Overland Park, Kansas 66213

United States

Tulane Center for Clinical Research /ID# 277486

New Orleans, Louisiana 70112-2703

United States

Fraser Eye Care Center /ID# 281837

Fraser, Michigan 48026

United States

Minnesota Eye Consultants - Minneapolis /ID# 272445

Minneapolis, Minnesota 55431

United States

Vance Thompson Vision - Omaha /ID# 271599

Omaha, Nebraska 68137

United States

Cincinnati Eye Institute /ID# 279773

Cincinnati, Ohio 45242

United States

Oklahoma Eye Surgeons /ID# 269174

Oklahoma City, Oklahoma 73112

United States

Ophthalmic Partners of PA /ID# 276059

Bala-Cynwyd, Pennsylvania 19004

United States

Wills Eye Hospital /ID# 268569

Philadelphia, Pennsylvania 19107

United States

Glaucoma Associates Of Texas /ID# 268745

Dallas, Texas 75231

United States

UT Southwestern Medical Center /ID# 268571

Dallas, Texas 75390

United States

El Paso Eye Surgeons /ID# 268356

El Paso, Texas 79902

United States

Berkeley Eye Center - Houston Greenway Plaza /ID# 277078

Houston, Texas 77027

United States

University of Virginia /ID# 277487

Charlottesville, Virginia 22908

United States

Vistar Eye Center - Roanoke - South Jefferson Street /ID# 276119

Roanoke, Virginia 24016

United States

The Eye Centers of Racine and Kenosha /ID# 271266

Kenosha, Wisconsin 53142

United States