Evidence map›Paper›PMID 35989070›Full record

SynthesisKorean journal of ophthalmology : KJO2022

Comparison of Netarsudil/Latanoprost Therapy with Latanoprost Monotherapy for Lowering Intraocular Pressure: A Systematic Review and Meta-analysis.

Jong-Wook Lee, Hyeon-Soo Ahn, Jinho Chang, Hye-Young Kang, Dong-Jin Chang, Jae Kyung Suh, Hankil Lee

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Korean journal of ophthalmology : KJO, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 23% 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.

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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. 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

7 authors at 4 institutions in 1 country.

Jong-Wook LeeGraduate Program of Industrial Pharmaceutical Science, Yonsei University, Incheon, Korea.
Hyeon-Soo AhnYonsei Institute of Pharmaceutical Sciences, Yonsei University College of Pharmacy, Incheon, Korea.
Jinho ChangGraduate Program of Industrial Pharmaceutical Science, Yonsei University, Incheon, Korea.
Hye-Young KangYonsei Institute of Pharmaceutical Sciences, Yonsei University College of Pharmacy, Incheon, Korea.
Dong-Jin ChangDepartment of Ophthalmology, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Jae Kyung SuhNational Evidence-based Healthcare Collaboration Agency, Seoul, Korea.
Hankil LeeAjou University College of Pharmacy, Suwon, Korea.
Yonsei University · KRAjou University · KRCatholic University of Korea · KRNational Evidenc- based healthcare Collaborating Agency · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNetarsudil is a Rho kinase inhibitor and the first new class of clinically useful ocular hypotensive agents. In this study, we conducted a systematic literature review and meta-analysis to summarize and synthesize the available evidence on the efficacy and safety of fixed-dose combination (FDC) therapy with netarsudil/latanoprost in patients with glaucoma.

methodsWe identified relevant studies in PubMed, Ovid Medline, Embase, and Cochrane Central until April 2021. The quality of the studies and the level of evidence were assessed using the Risk of Bias tool. Efficacy was measured as the mean difference in reducing intraocular pressure (IOP), and safety was assessed by the risk of conjunctival hyperemia (CH) due to FDC therapy, netarsudil monotherapy, or latanoprost monotherapy.

resultsFour studies met the predefined eligibility criteria and were included in the meta-analysis. The mean difference in the reduction in IOP after 2 weeks and 4 to 6 weeks of drug administration was -2.41 mmHg (95% confidence interval [CI], -2.95 to -1.87) and -1.77 mmHg (95% CI, -2.31 to -1.87), respectively, in patients receiving FDC therapy versus those receiving latanoprost monotherapy. On the other hand, latanoprost monotherapy had a greater effect in reducing IOP than netarsudil monotherapy after 4 to 6 weeks of administration (mean difference, 0.95 mmHg; 95% CI, 0.43 to 1.47). The risk of CH was significantly higher with both FDC therapy and netarsudil monotherapy compared to latanoprost monotherapy in week 12, where the relative ratio was 3.01 (95% CI, 1.95 to 4.66) and 2.33 (95% CI, 1.54 to 3.54), each.

conclusionsNetarsudil/latanoprost FDC therapy has a significantly greater effect on reducing IOP than latanoprost alone. The symptoms of CH were mostly mild, and only a few glaucoma patients discontinued the medication owing to CH in earlier clinical trials. Therefore, it would be beneficial to consider the administration of netarsudil/latanoprost FDC therapy in patients with glaucoma.

Indexed as

GlaucomaGlaucoma, Open-AngleOcular HypertensionProstaglandins F, SyntheticAntihypertensive AgentsBenzoatesbeta-AlanineHumansIntraocular PressureLatanoprostrho-Associated KinasesTimololTreatment OutcomeAntihypertensive AgentsBenzoatesbeta-AlanineLatanoprostnetarsudilProstaglandins F, Syntheticrho-Associated KinasesTimololGlaucomaIntraocular pressureLatanoprostMeta-analysisRho-associated kinases

Identifiers

PMID35989070
PMCPMC9582491
OpenAlexW4292547959

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.