Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 18 and up

Rocklatan added after DSLT for open-angle glaucoma

Official title: Outcomes of Direct Selective Laser Trabeculoplasty With the Post-treatment Addition of Combination Netarsudil and Latanoprost vs Latanoprost Monotherapy

Run by Eye Centers of Southeast Texas · NCT07465913 · Data updated 2026-11-12

This trial tests whether adding Rocklatan to latanoprost after a laser treatment helps lower eye pressure more than latanoprost alone in people with mild to moderate open-angle glaucoma.

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment36 (estimated)
SponsorEye Centers of Southeast Texas
Academic / other
Locations1 site (Beaumont, Texas)
StatusRecruiting
StartedMay 14, 2026
Main results expectedMay 6, 2027
Study endsMay 6, 2027
Registry record updatedMay 22, 2026
Trial IDNCT07465913 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with mild to moderate bilateral POAG/OAG on three glaucoma medications (one must be a prostaglandin analog) and suitable post-DSLT IOP levels.

Probably not a fit

Patients who do not respond to either Rocklatan or latanoprost after DSLT, or who do not meet washout/I​OP criteria, may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized, double-masked study conducted at a single site to compare two treatment strategies after Direct Selective Laser Trabeculoplasty (DSLT). Participants receive either the combination eye drop Rocklatan plus latanoprost or latanoprost alone, with outcomes measured mainly by changes in diurnal intraocular pressure. Key visits occur at screening/DSLT, a post-washout baseline, and a follow-up at week 12, including IOP measurements, visual field, and OCT imaging. The study enrollment targets adults with bilateral mild to moderate POAG or OAG who are on three glaucoma medications at screening and have suitable IOP after DSLT and washout.

Why it matters

Potential benefit: If successful, patients may experience greater reduction in daily eye pressure, potentially slowing glaucoma progression.

How similar studies have gone: Randomized trials in glaucoma have shown that combination therapies can provide additional IOP lowering; this specific post-DSLT combination approach is novel but builds on established therapies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adults (≥18 years) with a diagnosis of mild to moderate bilateral primary open-angle glaucoma (POAG) or open-angle glaucoma (OAG).
* On 3 topical glaucoma medications at screening, one of which must be a prostaglandin analog.
* Post-DSLT and post-washout, baseline intraocular pressure (IOP) 16-36 mmHg in both eyes.
* Best-corrected visual acuity (BCVA) ≥20/60 in both eyes.
* Ability and willingness to provide informed consent.

Exclusion Criteria:

* Ocular hypertension only (no glaucomatous damage).
* Inability or medical ineligibility for washout of ocular hypotensive medications.
* Prior selective laser trabeculoplasty (SLT) within 12 months of screening.
* History of glaucoma surgery (trabeculectomy, tube shunt, minimally invasive glaucoma surgery \[MIGS\] affecting outflow).
* Narrow or closed angles with gonioscopy (Shaffer grading ≤2).
* Active ocular infection, uveitis, or severe dry eye.
* Corneal pathology interfering with IOP measurement.
* Advanced glaucoma (threat to fixation).
* Known hypersensitivity to Rocklatan, latanoprost, or study medication components.
* Pregnancy or lactation.

Where it's running

  • Eye Centers of Southeast Texas
    Beaumont, Texas, United States
    Recruiting

Study contacts

  • Principal investigator: Kevin Talbot, MD — Eye Centers of Southeast Texas

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.