Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
Healthy Volunteers
NCT05275738

The Glaucoma Nicotinamide Trial

Led by Umeå University · Updated on 2023-07-27

660

Participants Needed

2

Research Sites

241 weeks

Total Duration

On this page

Sponsors

U

Umeå University

Lead Sponsor

C

Center for Eye Research Australia

Collaborating Sponsor

AI-Summary

What this Trial Is About

The Glaucoma Nicotinamide Trial (TGNT) is a prospective, randomized, placebo-controlled double-masked clinical trial composed of two cohorts; The Swedish Glaucoma Nicotinamide Trial (SGNT) and the Vitamin B3 In Glaucoma Study (VBIGS). Patients with open-angle glaucoma (OAG) will be randomized to receive either Nicotinamide or placebo through block randomization stratified by glaucoma subtype with a 1:1 allocation.

CONDITIONS

Official Title

The Glaucoma Nicotinamide Trial

Who Can Participate

Age: 18Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult participants (>18 years) with newly diagnosed and untreated primary open-angle glaucoma or pseudoexfoliation glaucoma in one or both eyes (SGNT)
  • Visual acuity of Snellen ≥ 6/12 (0.5) or better (SGNT)
  • Performed at least two reliable visual fields with <33% fixation losses and <15% false positives (SGNT)
  • Patients aged 18 years or older with treated primary open-angle glaucoma including normal tension glaucoma or pseudoexfoliation glaucoma in both eyes (VBIGS)
  • Best-corrected visual acuity ≥ 6/18 (VBIGS)
  • Visual field loss with mean deviation between -3 and -18 dB (VBIGS)
  • Performed at least two reliable visual fields with <33% fixation losses and <15% false positives (VBIGS)
  • Previous selective laser trabeculoplasty allowed if done 3 or more months prior with normal liver function tests (VBIGS)
  • Participants taking nicotinamide must undergo a 1-month washout before starting the study (VBIGS)
Not Eligible

You will not qualify if you...

  • Visual field damage worse than -10 dB in the best eye or -16 dB in the worse eye, or a paracentral spot with -10 dB or less in any eye (SGNT)
  • Intraocular pressure >35 mmHg in any eye or mean intraocular pressure of 30 mmHg or higher (SGNT)
  • Inability to perform visual field tests (SGNT)
  • Pregnancy or breastfeeding (SGNT)
  • Unwillingness to abstain from nicotinamide supplements (SGNT)
  • Allergy to nicotinamide or niacin (SGNT)
  • Cancer diagnosis in the last 5 years except treated basal or squamous cell carcinoma (SGNT)
  • History of liver disease or stomach ulcers (SGNT)
  • Diseases preventing long-term follow-up (SGNT)
  • Neurologic or non-glaucomatous conditions affecting visual fields except cataract (SGNT)
  • Inability to understand and speak Swedish or English (SGNT)
  • History of intraocular surgery except uncomplicated cataract surgery (SGNT)
  • Diseases affecting retinal function such as more than mild age-related macular degeneration or more than stage I diabetic retinopathy (SGNT)
  • History of hepatic disease, gout, visually significant cataracts, other conditions affecting visual field results (VBIGS)
  • Cataract surgery in the last 3 months or glaucoma filtration surgery in the last 6 months (VBIGS)

AI-Screening

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Trial Site Locations

Total: 2 locations

1

S:t Eriks Eye Hospital

Stockholm, Sweden

Actively Recruiting

2

Umeå University

Umeå, Sweden

Actively Recruiting

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Research Team

G

Gauti Jóhannesson

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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The Glaucoma Nicotinamide Trial | DecenTrialz