Evidence map›Paper›PMID 32166538›Full record

Trial reportAdvances in therapy2020

Fixed-Dose Combination of Netarsudil and Latanoprost in Ocular Hypertension and Open-Angle Glaucoma: Pooled Efficacy/Safety Analysis of Phase 3 MERCURY-1 and -2.

Sanjay Asrani, Jason Bacharach, Edward Holland, Hayley McKee, Huan Sheng, Richard A Lewis, Casey C Kopczynski, Theresa Heah

3 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Advances in therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
8.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02558400 phase3completednot on this map

A Prospective, Double-masked, Randomized, Multi-center, Active-controlled, Parallel-group 12-month Study Assessing the Safety and Ocular Hypotensive Efficacy of PG324 Ophthalmic Solution Compared to AR-13324 Ophthalmic Solution, 0.02% and Latanoprost Ophthalmic Solution, 0.005% in Subjects With Elevated Intraocular Pressure

TypeinterventionalSponsorAerie PharmaceuticalsRan2015 to 2017Enrolled718ConditionsOpen-angle Glaucoma, Ocular HypertensionArmsPG324 Ophthalmic Solution 0.02%/0.005%, Netarsudil (AR-13324) Ophthalmic Solution 0.02%, Latanoprost Ophthalmic Solution 0.005%
NCT02674854 phase3completednot on this map

A Prospective, Double-masked, Randomized, Multi-center, Active Controlled, Parallel-group, 3-month Study Assessing the Safety and Ocular Hypotensive Efficacy of PG324 Ophthalmic Solution Compared to AR-13324 Ophthalmic Solution 0.02% and Latanoprost Ophthalmic Solution 0.005% in Subjects With Elevated Intraocular Pressure

TypeinterventionalSponsorAerie PharmaceuticalsRan2016 to 2017Enrolled750ConditionsOpen-angle Glaucoma, Ocular HypertensionArmsPG324 Ophthalmic Solution 0.02%/0.005%, Netarsudil (AR-13324) ophthalmic solution 0.02%, Latanoprost ophthalmic solution 0.005%
NCT07325240 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

24-hour Effect Of Rocklatan Compared With Latanoprost In Open Angle Glaucoma And Ocular Hypertension Patients

TypeinterventionalSponsorMayo ClinicRan2025 to 2027Enrolled30ConditionsOpen Angle Glaucoma, Ocular HypertensionArmsNetarsudil 0.02%/latanoprost 0.005% fixed dose combination ophthalmic solution, Latanoprost 0.005% Ophthalmic Solution
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. MERCURY-3: a randomized comparison of netarsudil/latanoprost and bimatoprost/timolol in open-angle glaucoma and ocular hypertension.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Trial
  5. Phase 2b, Randomized, 3-Month, Dose-Finding Study of Sepetaprost in Patients with Primary Open-Angle Glaucoma or Ocular Hypertension: The ANGEL Study.Journal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics · 2022
    Trial
  6. Trial
  7. Observational
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. The Application of Rho Kinase Inhibitors in the Management of Glaucoma.International journal of molecular sciences · 2024
    Review
  15. Review
  16. Review
  17. The Role of Rho Kinase Inhibitors in Corneal Diseases.Drug design, development and therapy · 2024
    Review
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Sanjay AsraniDuke University School of Medicine, Durham, NC, USA. sanjay.asrani@duke.edu.
Jason BacharachNorth Bay Eye Associates, Petaluma, CA, USA.
Edward HollandCincinnati Eye Institute, Cincinnati, OH, USA.
Hayley McKeeAerie Pharmaceuticals, Inc, Durham, NC, USA.
Huan ShengAerie Pharmaceuticals, Inc, Durham, NC, USA.
Richard A LewisAerie Pharmaceuticals, Inc, Durham, NC, USA.
Casey C KopczynskiAerie Pharmaceuticals, Inc, Durham, NC, USA.
Theresa HeahAerie Pharmaceuticals, Inc, Durham, NC, USA.
Aerie Pharmaceuticals (United States) · USBay Medical Center · USCincinnati Eye Institute · USDuke University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNew open-angle glaucoma (OAG) and ocular hypertension (OHT) therapies that reduce treatment burden and improve outcomes relative to currently available agents are needed. Netarsudil, a novel Rho kinase inhibitor approved by the US Food and Drug Administration, reduces intraocular pressure (IOP) by increasing trabecular outflow. Two phase 3 superiority studies compared a fixed-dose combination (FDC) of netarsudil and the prostaglandin latanoprost with each active component for IOP-lowering efficacy.

methodsPooled efficacy and safety data were analyzed from MERCURY-1 and -2 studies in patients with OAG or OHT. Patients instilled one drop of netarsudil (0.02%)/latanoprost (0.005%) FDC (n = 483), netarsudil (0.02%, n = 499), or latanoprost (0.005%, n = 486) into each eye once-daily between 20:00 and 22:00. IOP was measured at 08:00, 10:00, and 16:00 at weeks 2, 6, and the primary endpoint at month 3.

resultsBaseline mean diurnal IOP was 23.6, 23.6, and 23.5 mmHg in netarsudil/latanoprost FDC, netarsudil, and latanoprost groups, respectively. Mean diurnal IOP in each group was 15.3, 18.1, and 17.5 mmHg at week 2, 15.7, 18.4, and 17.4 mmHg at week 6, and 15.8, 18.4, and 17.3 mmHg at week 12. The netarsudil/latanoprost FDC met criteria for superiority compared with each active component (p < 0.0001 for all nine time points). At month 3, among patients randomized to netarsudil/latanoprost FDC or latanoprost, 58.4% vs 37.3% (p < 0.0001) achieved IOP ≤ 16 mmHg. Among patients randomized to netarsudil/latanoprost FDC or netarsudil or latanoprost, 30.9% vs 5.9% (p < 0.0001) vs 8.5% (p < 0.0001) achieved at least a 40% reduction from baseline in mean diurnal IOP. Pooled safety results were consistent with individual MERCURY studies.

conclusionOnce-daily netarsudil/latanoprost FDC produced statistically significant and clinically relevant reductions in mean IOP that were statistically superior to IOP reductions achieved by netarsudil and latanoprost monotherapy. Results of the pooled efficacy and safety analyses were consistent with the individual studies.

trial registrationClinicalTrials.gov identifiers, NCT02558400 and NCT02674854.

Indexed as

AgedAntihypertensive AgentsBenzoatesbeta-AlanineFemaleGlaucoma, Open-AngleHumansIntraocular PressureLatanoprostMaleMiddle AgedOcular HypertensionOphthalmic SolutionsTonometry, OcularUnited StatesUnited States Food and Drug AdministrationAntihypertensive AgentsBenzoatesbeta-AlanineLatanoprostnetarsudilOphthalmic SolutionsClinical trialFixed-dose combinationGlaucomaIntraocular pressureLatanoprostNetarsudilOcular hypertensionProstaglandin analogueRho kinase inhibitor

Identifiers

PMID32166538
PMCPMC7140751
OpenAlexW3012087505

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.