Actively Recruiting

Phase 4
Age: 45Years +
All Genders
ID06792422

Study of Oral Semaglutide for Neuroprotection in Open-Angle Glaucoma Assessing Retinal Function Improvements Over Six Months

Led by Glostrup University Hospital, Copenhagen · Updated on 2025-01-24

126

Participants Needed

1

Research Sites

204 weeks

Total Duration

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AI-Summary

What this Trial Is About

This research aims to determine if oral semaglutide can safely improve inner retinal function in adults with open-angle glaucoma. The study focuses on measuring changes in the photopic negative response of the electroretinogram over six months to evaluate treatment effects. Participants will be adults aged 45 or older who have primary open-angle glaucoma and are already receiving treatment to lower eye pressure. Participants will be randomly assigned to receive either oral semaglutide or a placebo daily for six months. The semaglutide dosing starts with 3 mg per day for the first month, increases to 7 mg per day for the second month, and then continues with 14 mg per day for the remaining four months. The placebo group will receive matching tablets on a similar schedule. The study includes five clinic visits: at baseline, and after 1, 2, 3, and 6 months. During these visits, participants will undergo tests and interviews to monitor their eye function and safety. Researchers will evaluate the main outcome by comparing the photopic negative response of the electroretinogram from the start to six months. The study will also monitor participants for any side effects and overall health throughout the trial period.

CONDITIONS

Official Title

A Study Investigating Oral Semaglutide in People with Open-Angle Glaucoma

Who Can Participate

Age: 45Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Ability to read and speak Danish
  • 45 years or older at the time of inclusion
  • Visual acuity equal to or above 0.5 in the study eye
  • Diagnosis of primary open-angle glaucoma with mean deviation of 16 dB or less and reliable visual field loss in at least one eye
  • Currently receiving intraocular pressure-lowering glaucoma treatment
  • Nerve fiber layer defects identified by OCT
Not Eligible

You will not qualify if you...

  • Diabetes or renal impairment
  • Significant eye disease other than glaucoma, including ocular trauma
  • Eye inflammation or infection within three months before inclusion
  • Intraocular surgery within three months before inclusion
  • Current smoker
  • Pregnant or breastfeeding
  • Females of childbearing potential not using adequate contraception
  • Allergy to drug ingredients used in the trial
  • Untreated severe systemic diseases or malignancies
  • Previous history of pancreatitis
  • Body mass index below 18.5
  • Current treatment with Dipeptidyl peptidase-4 inhibitors, other GLP-1 receptor agonists, insulin or insulin analogues, sulfonylurea, systemic corticosteroids, or immunosuppressants

AI-Screening

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Trial Site Locations

Total: 1 location

1

Department of Ophthalmology, Rigshospitalet

Glostrup Municipality, Denmark, 2600

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Research Team

M

Miriam Kolko, MD, PhD

A

Anna-Sophie Thein

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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