Evidence map›Paper›PMID 39886357›Full record

ArticleOphthalmology science

Short-term Assessment of Glaucoma Progression in Clinical Trials Using Trend-based Visual Field Progression Analysis.

Ryo Asaoka, Makoto Nakamura, Masaki Tanito, Yuri Fujino, Akira Obana, Shiro Mizoue, Kazuhiko Mori, Katsuyoshi Suzuki, Takehiro Yamashita, Kazunori Hirasawa and 2 more

Abstract read
In one paragraph

Article in Ophthalmology science. 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. 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

12 authors.

Ryo AsaokaDepartment of Ophthalmology, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan.
Makoto NakamuraDivision of Ophthalmology, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Masaki TanitoDepartment of Ophthalmology, Shimane University, Izumo, Shimane, Japan.
Yuri FujinoDepartment of Ophthalmology, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan.
Akira ObanaDepartment of Ophthalmology, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan.
Shiro MizoueDepartment of Ophthalmology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan.
Kazuhiko MoriDepartment of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Katsuyoshi SuzukiDepartment of Ophthalmology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan.
Takehiro YamashitaDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Kazunori HirasawaDepartment of Ophthalmology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Nobuyuki ShojiDepartment of Ophthalmology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Hiroshi MurataDepartment of Ophthalmology, National Center for Global Health and Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the effect of disease stage, frequency and clustering of visual field (VF) tests, inclusion of 1 or both eyes, and 1 (1 arm; before and after a treatment) or 2 groups (2 arms; treatment and control arm) on sample size calculation in clinical trials. Design: Clinical cohort study. Participants: A series of VFs were simulated based on test-retest VF data in the early, moderate, and advanced stages of glaucoma with 231, 204, and 226 eyes, respectively. Methods: The mean of mean deviation (MD) slope was -0.75 decibels (dB)/year before treatment initiation in the 1-arm trial, and in the control group in the 2-arm trial. Visual field measurements were scheduled as 8 times in 2 years. Main Outcome Measures: Sample size calculation in clinical trials. Results: In the 1-arm trial, when only 1 eye was used in each patient, the 80% probability of significance in the moderate stage was observed with sample size = 70 eyes. Disease in the early stage and inclusion of both eyes decreased this number to 30 eyes; these decreasing effects were significantly larger than performing 1 or 2 additional VFs at the beginning and end of the observation. Conversely, a greater number of eyes was necessary in advanced stage than in moderate stage. In the 2-arm trial (80% probability of significance, and 1 eye per patient), the 80% probability of significance was observed with sample size = 80 eyes in each arm, a tendency that was similar to what observed for the 1-arm trial. Similar tendency was observed in the simulations with much slower VF progression (mean MD slope = -0.25 dB/year). Conclusions: The present study highlights the importance of considering disease stage when planning a clinical trial. Financial Disclosures: Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

Indexed as

Disease stageGlaucomaProgressionVisual field

Identifiers

PMID39886357
PMCPMC11780079

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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.