Evidence map›Paper›PMID 33108623›Full record

ReviewAdvances in therapy2021

Dorzolamide/Timolol Fixed Combination: Learning from the Past and Looking Toward the Future.

Anastasios G Konstas, Leopold Schmetterer, Andreas Katsanos, Cindy M L Hutnik, Gábor Holló, Luciano Quaranta, Miguel A Teus, Hannu Uusitalo, Norbert Pfeiffer, L Jay Katz

Abstract readReview
In one paragraph

Review in Advances in therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
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

10 authors.

Anastasios G Konstas1st and 3rd University Departments of Ophthalmology, Aristotle University of Thessaloniki, Thessaloniki, Greece. agkonstas@gmail.com.
Leopold SchmettererSingapore Eye Research Institute, Singapore National Eye Centre, Singapore, Singapore.
Andreas KatsanosOphthalmology Department, University of Ioannina, Ioannina, Greece.
Cindy M L HutnikIvey Institute of Ophthalmology and Western University, London, ON, Canada.
Gábor HollóDepartment of Ophthalmology, Semmelweis University, Budapest, Hungary.
Luciano QuarantaDepartment of Surgical and Clinical, Diagnostic and Pediatric Sciences, Section of Ophthalmology, University of Pavia-IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.
Miguel A TeusOphthalmology Department, University of Alcalá, Alcalá de Henares, Madrid, Spain.
Hannu UusitaloSILK, Department of Ophthalmology, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Norbert PfeifferDepartment of Ophthalmology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
L Jay KatzGlaucoma Research Center, Wills Eye Hospital, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The key clinical attributes of preserved dorzolamide/timolol fixed combination (DTFC) and the emerging potential of preservative-free (PF) DTFC are reviewed with published evidence and clinical experience. The indications and role of DTFC in current glaucoma management are critically discussed. Preserved DTFC became the first intraocular pressure (IOP)-lowering fixed combination (FC) approved by the US Food and Drug Administration (FDA) and remains one of most commonly used medications worldwide. The pharmacological properties of DTFC reflect those of its two time-tested constituents, i.e., the carbonic anhydrase inhibitor dorzolamide and the non-selective beta-blocker timolol. In regulatory studies DTFC lowers IOP on average by 9 mmHg (32.7%) at peak and by 7.7 mmHg (27%) at trough. In trials DTFC shows equivalence to unfixed concomitant therapy, but in real-life practice it may prove superior owing to enhanced convenience, elimination of the washout effect from the second drop, improved tolerability, and better adherence. PF DTFC became the first PF FC approved, first in unit-dose pipettes, and more recently in a multidose format. Cumulative evidence has confirmed that PF DTFC is at least equivalent in efficacy to preserved DTFC and provides a tangible clinical benefit to patients with glaucoma suffering from ocular surface disease by improving tolerability and adherence. Finally, we identify areas that warrant further investigation with preserved and PF DTFC.

Indexed as

Ocular HypertensionTimololAntihypertensive AgentsCarbonic Anhydrase InhibitorsDrug CombinationsHumansIntraocular PressureSulfonamidesThiophenesTonometry, OcularAntihypertensive AgentsCarbonic Anhydrase InhibitorsdorzolamideDrug CombinationsSulfonamidesThiophenesTimololBenzalkonium chlorideCosoptCosopt PFDorzolamideDorzolamide/timolol fixed combinationGlaucomaMedical therapyOphthalmologyPreservative-freeTimolol

Identifiers

PMID33108623
PMCPMC7854404

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.