Evidence map›Paper›PMID 42298273›Full record

Trial reportJapanese journal of ophthalmology2026

Efficacy and safety of sepetaprost in patients with primary open-angle glaucoma or ocular hypertension: results from the randomised, phase 3 ANGEL-J1 study.

Masaru Inatani, Akiyasu Kanamori, Maya Inai, Toshihiro Ikeda, Raymund Angeles

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Japanese journal of ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05495061 (A Phase III, Randomized, Observer-Masked, Active-Controlled, Parallel-Group, Multicenter Study Assessing the Efficacy and Safety of STN1012600 Ophthalmic Solution 0.002% Compared With Latanoprost 0.005% in Subjects With Primary Open Angle Glaucoma or Ocular Hypertension), which is not on this 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.

NCT05495061 phase3completednot on this map

A Phase III, Randomized, Observer-Masked, Active-Controlled, Parallel-Group, Multicenter Study Assessing the Efficacy and Safety of STN1012600 Ophthalmic Solution 0.002% Compared With Latanoprost 0.005% in Subjects With Primary Open Angle Glaucoma or Ocular Hypertension (Angel-J1 Study)

TypeinterventionalSponsorSanten Pharmaceutical Co., Ltd.Ran2022 to 2023Enrolled325ConditionsPrimary Open Angle Glaucoma, Ocular HypertensionArmsSTN1012600 ophthalmic solution 0.002%, Latanoprost ophthalmic solution 0.005%
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

5 authors.

Masaru InataniDepartment of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Yoshida, Japan.ORCID http://orcid.org/0000-0003-0896-996X
Akiyasu KanamoriDivision of Ophthalmology, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID http://orcid.org/0000-0002-2005-1142
Maya InaiSanten Pharmaceutical Co., Ltd., Osaka, Japan.
Toshihiro IkedaSanten Pharmaceutical Co., Ltd., Osaka, Japan.
Raymund AngelesSanten Inc., 2100 Powell Street, Suite 800, Emeryville, CA, 94608, USA. Raymund.Angeles@santen.com.ORCID http://orcid.org/0009-0005-5209-9131

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficacy and safety of sepetaprost, a novel dual FP/EP3 receptor agonist, in patients with primary open-angle glaucoma (POAG) or ocular hypertension (OHT). STUDY

designANGEL-J1 (NCT05495061) was a phase 3, randomised, investigator-masked, active-controlled, parallel-group, non-inferiority study across 49 sites in Japan.

methodsAdults with POAG or OHT were randomised 1:1 to topical sepetaprost 0.002% or latanoprost 0.005%, once daily for 3 months. The primary endpoint was change in mean diurnal intraocular pressure (IOP) from baseline at week 4 (non-inferiority margin, 1.5 mmHg); a key secondary endpoint was mean change in IOP from baseline over 3 months. Safety outcomes included the incidence of adverse drug reactions (ADRs).

resultsIn total, 325 patients were randomised to sepetaprost (n=162) or latanoprost (n=163). In mixed model for repeated measures analyses, ANGEL-J1 met its primary endpoint; the least-squares mean (± standard error) change in mean diurnal IOP from baseline at week 4 was -5.77±0.16 mmHg in the sepetaprost group, which was non-inferior to -6.10±0.16 mmHg in the latanoprost group (least-squares mean difference, 0.32 mmHg [95% confidence interval, -0.12, 0.77]). Non-inferiority for the key secondary endpoint was also established, with comparable mean reductions in IOP between groups maintained over 3 months. ADRs occurred in 59 patients (36.4%) receiving sepetaprost and 33 (20.2%) receiving latanoprost; the most common ADR was conjunctival hyperaemia (29.6% and 8.6%, respectively; mostly mild in severity).

conclusionIn patients with POAG or OHT, sepetaprost demonstrated IOP-lowering efficacy that was non-inferior to latanoprost, and an acceptable safety profile.

Indexed as

Glaucoma, Open-AngleIntraocular PressureOcular HypertensionAdultAgedAntihypertensive AgentsDose-Response Relationship, DrugDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMiddle AgedOphthalmic SolutionsTonometry, OcularTreatment OutcomeAntihypertensive AgentsOphthalmic SolutionsDual FP/EP3 receptor agonistIntraocular pressureOcular hypertensionPrimary open-angle glaucomaSepetaprost

Identifiers

PMID42298273
PMCPMC13452788

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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.