Evidence map›Paper›PMID 39855651›Full record

ArticleBMJ open2025

Characteristics and publication status of minimally invasive glaucoma surgery trials registered in ClinicalTrials.gov, 2007-2024: a cross-sectional study.

Chuzhi Peng, Hongyan Jia, Jianping Hu, Yonghong Jiao

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

4 authors.

Chuzhi PengCapital Medical University, Beijing, China.ORCID http://orcid.org/0009-0007-9260-8556
Hongyan JiaCapital Medical University, Beijing, China.
Jianping HuDepartment of Ophthalmology, Beijing Tongren Hospital, Beijing, China.
Yonghong JiaoCapital Medical University, Beijing, China yhjiao2001@aliyun.com.ORCID http://orcid.org/0000-0001-6332-457X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the characteristics and publication status of minimally invasive glaucoma surgery (MIGS) clinical trials registered on ClinicalTrials.gov.

designA cross-sectional study.

methodsAll 1212 interventional glaucoma trials registered on ClinicalTrials.gov with start dates between 1 October 2007 and 30 April 2024 were included. All trials were categorised into 'MIGS trials' and 'other interventional glaucoma trials'. Based on the anatomical site of action and the research content, MIGS trials were classified into different groups, and intergroup comparisons were conducted. The characteristics and publication status of MIGS trials were comprehensively analysed.

resultsCompared with all other interventional glaucoma trials, MIGS trials had a higher proportion of single-arm trials (p<0.001) and industry funding (p<0.001), but a lower proportion of randomisation and blinding (p<0.001). The majority of MIGS trials were not overseen by a Data Monitoring Committee (DMC) (71.4%) and enrolled fewer than 200 participants (85.2%). MIGS trials targeting Schlemm's canal (SC) (60.2%) were significantly more prevalent than those targeting subconjunctival space (24.6%) and suprachoroidal/supraciliary space (15.3%). Trials focused on stand-alone MIGS (48.4%) or its combination with cataract surgery (32.0%) significantly outnumbered those investigating MIGS with other antiglaucoma surgeries (12.3%), MIGS with laser treatments (4.1%) and MIGS with medications (3.3%). A total of 34 MIGS trials (27.0%) published their results, of which 20 trials focused on stand-alone MIGS.

conclusionsMost MIGS trials were industry-funded, non-randomised, non-blinded and not overseen by a DMC. Researchers tend to focus on stand-alone MIGS or its combination with cataract surgery. The efficacy and safety of MIGS targeting SC remain a prominent focus of the field. Currently, the publication rate of MIGS clinical trials is relatively low. It remains difficult for ophthalmologists to choose among different MIGS procedures. Overcoming the design limitations of trials will be essential for generating more robust evidence to guide clinical practice and policy decisions.

Indexed as

Clinical Trials as TopicGlaucomaMinimally Invasive Surgical ProceduresCross-Sectional StudiesHumansClinical TrialClinical trialsGlaucomaOphthalmology

Identifiers

PMID39855651
PMCPMC11759882

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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.