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Completed

NCT Number: NCT05179460

A Study of Pentosan Polysulfate Sodium and the Development of Pigmentary Maculopathy and Pigmentary Retinopathy

The purpose of this study is to evaluate incidence and prevalence rates of the study endpoints (pigmentary maculopathy [PM]/ pigmentary retinopathy [PR]/Any, PM/PR/ pentosan polysulfate sodium [PPS], and PM/PR/Non-PPS) in relation to PPS exposure, and in participants with interstitial cystitis (IC) but not exposed to PPS; changes in visual acuity (VA) over time; participant treatment journey leading to PPS treatment, and potential risk factors associated with the occurrence of PM/PR/PPS.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participants must have at least 6 months baseline information prior to index date (this may apply to the relevant databases, if the study participants are identified and the outcomes are ascertained via multiple linked data source) For the pentosan polysulfate sodium (PPS) Cohort
  • Participants must have records in both the intelligent research in sight (IRIS) database and the closed claims portion of the Komodo claims database and have at least one record of PPS dispensing For the interstitial cystitis (IC) Cohort not exposed to PPS
  • Participants must have records in both the IRIS database and the closed claims portion of the claims database; have at least one diagnosis of IC; and have no record of PPS dispensing

Exclusion criteria

  • Evaluated based on the Komodo database. Participants will be excluded from the study if they have no information on age or sex (or both)

Treatment and study plan

Primary outcomes

  1. Clean Cohort: Incidence Rate of Pigmentary Maculopathy (PM)/ Pigmentary Retinopathy (PR)/Any Cases

    Time frame: Data analysed retrospectively from 22-May-2018 to 31-Mar-2021 will be examined

    Incidence rate is defined as number of incident cases per number of all participants at risk (that is, number of all participants exposed to pentosan polysulfate sodium [PPS]). Incidence rate is calculated by using formula: incidence rate (per 100 person-years)= number of incidence cases divided by number of person-years time at risk.

  2. Clean Cohort: Incidence Rate of PM/PR/PPS

    Time frame: Data analysed retrospectively from 22-May-2018 to 31-Mar-2021 will be examined

    Incidence rate is defined as number of incident cases per number of all participants at risk (that is, number of all participants exposed to PPS). Incidence rate is calculated by using formula: incidence rate (per 100 person-years)= number of incidence cases divided by number of person-years time at risk.

  3. Clean Cohort: Incidence Rate of PM/PR/Non-PPS

    Time frame: Data analysed retrospectively from 22-May-2018 to 31-Mar-2021 will be examined

    Incidence rate is defined as number of incident cases per number of all participants at risk (that is, number of all participants not exposed to PPS). Incidence rate is calculated by using formula: incidence rate (per 100 person-years)= number of incidence cases divided by number of person-years time at risk.

  4. Clean Cohort: Prevalence Rate of PM/PR/Any Cases

    Time frame: Data analysed retrospectively from 22-May-2018 to 31-Mar-2021 will be examined

    Prevalence rate is defined as number of prevalent cases per number of target cohort assessed (example, number of participants exposed to PPS).

  5. Clean Cohort: Prevalence Rate of PM/PR/PPS

    Time frame: Data analysed retrospectively from 22-May-2018 to 31-Mar-2021 will be examined

    Prevalence rate is defined as number of prevalent cases per number of target cohort assessed (example, number of participants exposed to PPS).

  6. Clean Cohort: Prevalence Rate of PM/PR/Non-PPS

    Time frame: Data analysed retrospectively from 22-May-2018 to 31-Mar-2021 will be examined

    Prevalence rate is defined as number of prevalent cases per number of target cohort assessed (example, number of participants not exposed to PPS).

  7. Overall Cohort: Incidence Rate of PM/PR/Any Cases

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Incidence rate is defined as number of incident cases per number of all participants at risk (that is, number of all participants exposed to pentosan polysulfate sodium [PPS]). Incidence rate is calculated by using formula: incidence rate (per 100 person-years)= number of incidence cases divided by number of person-years time at risk.

  8. Overall Cohort: Prevalence Rate of PM/PR/Any Cases

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Prevalence rate is defined as number of prevalent cases per number of target cohort assessed (example, number of participants exposed to PPS).

  9. Overall Cohort: Incidence Rate of PM/PR/PPS

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Incidence rate is defined as number of incident cases per number of all participants at risk (that is, number of all participants exposed to pentosan polysulfate sodium [PPS]). Incidence rate is calculated by using formula: incidence rate (per 100 person-years)= number of incidence cases divided by number of person-years time at risk.

  10. Overall Cohort: Prevalence Rate of PM/PR/PPS

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Prevalence rate is defined as number of prevalent cases per number of target cohort assessed (example, number of participants exposed to PPS).

  11. Overall Cohort: Number of PM/PR/PPS Cases Among the PM/PR/Any Cases

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Number of PM/PR/PPS cases among the PM/PR/any cases will be reported.

  12. Clean Cohort: Change in Visual Acuity (VA) in Relation to PPS Dose

    Time frame: Data analysed retrospectively from 22-May-2018 to 31-Mar-2021 will be examined

    Change in VA in relation to PPS dose will be reported. It will be assessed based on the following categories: a) No change (refers to less than [<] 1 line of worsening or improvement, considered not clinically meaningful); b) 1 to <3 lines of worsening; c) greater than or equal to (>=) 3 lines of worsening; d) 1 to <3 lines of improvement; e) >= 3 lines of improvement.

  13. Clean Cohort: Change in VA in Relation to PM/PR/Any Cases

    Time frame: Data analysed retrospectively from 22-May-2018 to 31-Mar-2021 will be examined

    Change in VA in relation to study endpoint (PM/PR/Any) will be reported. It will be assessed based on the following categories: a) No change (refers to <1 line of worsening or improvement, considered not clinically meaningful); b) 1 to <3 lines of worsening; c) >= 3 lines of worsening; d) 1 to <3 lines of improvement; e) >= 3 lines of improvement.

  14. Clean Cohort: Change in VA in Relation to PM/PR/PPS

    Time frame: Data analysed retrospectively from 22-May-2018 to 31-Mar-2021 will be examined

    Change in VA in relation to study endpoint (PM/PR/PPS) will be reported. It will be assessed based on the following categories: a) No change (refers to <1 line of worsening or improvement, considered not clinically meaningful); b) 1 to <3 lines of worsening; c) >= 3 lines of worsening; d) 1 to <3 lines of improvement; e) >= 3 lines of improvement.

  15. Clean Cohorts: Change in VA in Relation to PM/PR/Non-PPS

    Time frame: Data analysed retrospectively from 22-May-2018 to 31-Mar-2021 will be examined

    Change in VA in relation to study endpoint (PM/PR/Non-PPS) will be reported. It will be assessed based on the following categories: a) No change (refers to <1 line of worsening or improvement, considered not clinically meaningful); b) 1 to <3 lines of worsening; c) >= 3 lines of worsening; d) 1 to <3 lines of improvement; e) >= 3 lines of improvement.

  16. Overall Cohort: Change in Visual Acuity (VA) in Relation to PPS Dose

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Change in VA in relation to PPS dose will be reported. It will be assessed based on the following categories: a) No change (refers to less than [<] 1 line of worsening or improvement, considered not clinically meaningful); b) 1 to <3 lines of worsening; c) greater than or equal to (>=) 3 lines of worsening; d) 1 to <3 lines of improvement; e) >= 3 lines of improvement.

  17. Overall Cohort: Change in VA in Relation to PM/PR/Any Cases

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Change in VA in relation to study endpoint (PM/PR/Any) will be reported. It will be assessed based on the following categories: a) No change (refers to <1 line of worsening or improvement, considered not clinically meaningful); b) 1 to <3 lines of worsening; c) >= 3 lines of worsening; d) 1 to <3 lines of improvement; e) >= 3 lines of improvement.

  18. Overall Cohort: Change in VA in Relation to PM/PR/PPS

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Change in VA in relation to study endpoint (PM/PR/PPS) will be reported. It will be assessed based on the following categories: a) No change (refers to <1 line of worsening or improvement, considered not clinically meaningful); b) 1 to <3 lines of worsening; c) >= 3 lines of worsening; d) 1 to <3 lines of improvement; e) >= 3 lines of improvement.

  19. Overall Cohort: Change in VA in Relation to PM/PR/Non-PPS

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Change in VA in relation to study endpoint (PM/PR/Non-PPS) will be reported. It will be assessed based on the following categories: a) No change (refers to <1 line of worsening or improvement, considered not clinically meaningful); b) 1 to <3 lines of worsening; c) >= 3 lines of worsening; d) 1 to <3 lines of improvement; e) >= 3 lines of improvement.

  20. Interstitial Cystitis (IC) Cohort: Incidence Rate of PM/PR/Any Cases Among the Participants with IC and No-Exposure to PPS

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Incidence rate is defined as number of incident cases per number of all participants at risk (that is, number of all participants not exposed to PPS). Incidence rate is calculated by using formula: incidence rate (per 100 person-years)= number of incidence cases per number of person-years time at risk.

  21. IC Cohort: Change in VA in Relation to PM/PR/Any Cases

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Change in VA in relation to study endpoint (PM/PR/Any) will be reported. It will be assessed based on the following categories: a) No change (refers to <1 line of worsening or improvement, considered not clinically meaningful); b) 1 to <3 lines of worsening; c) >= 3 lines of worsening; d) 1 to <3 lines of improvement; e) >= 3 lines of improvement.

  22. IC Cohort: Change in VA Based on Age

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Change in VA based on age among participants exposed to PPS and without exposure to PPS will be reported. It will be assessed based on the following categories: a) No change (refers to <1 line of worsening or improvement, considered not clinically meaningful); b) 1 to <3 lines of worsening; c) >= 3 lines of worsening; d) 1 to <3 lines of improvement; e) >= 3 lines of improvement.

  23. IC Cohort: Change in VA Based on Sex

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Change in VA based on sex among participants exposed to PPS and without exposure to PPS will be reported. It will be assessed based on the following categories: a) No change (refers to <1 line of worsening or improvement, considered not clinically meaningful); b) 1 to <3 lines of worsening; c) >= 3 lines of worsening; d) 1 to <3 lines of improvement; e) >= 3 lines of improvement.

  24. IC Cohort: Change in VA Based on Time Between the First and Last VA Measurement in Matched Cohorts

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Change in VA based on time between the first and last VA measurement in matched cohorts among participants exposed to PPS and without exposure to PPS will be reported. It will be assessed based on the following categories: a) No change (refers to <1 line of worsening or improvement, considered not clinically meaningful); b) 1 to <3 lines of worsening; c) >= 3 lines of worsening; d) 1 to <3 lines of improvement; e) >= 3 lines of improvement.

Secondary outcomes

  1. Demographic characteristics of Cohorts: Age

    Time frame: Baseline

    Demographic characteristics of cohorts (age) will be reported.

  2. Demographic characteristics of Cohorts: Sex

    Time frame: Baseline

    Demographic characteristics of cohorts (sex) will be reported.

  3. Demographic characteristics of Cohorts: Race

    Time frame: Baseline

    Demographic characteristics of cohorts (race including Asian, black or African American, other, White or Caucasian) will be reported.

  4. Demographic characteristics of Cohorts: Ethnicity

    Time frame: Baseline

    Demographic characteristics of cohorts (ethnicity including Hispanic and non-Hispanic) will be reported.

  5. Number of Participants with Comorbidities

    Time frame: Baseline

    Number of participants with general comorbidities (diabetes, hypertension, hypercholesterolemia, vaginitis, urinary tract infection [UTI], detrusor instability, urge incontinence, and overactive bladder, autoimmune disease, Malignant tumor(s) of head and neck [plus documentation of radiation therapy] and Radiation cystitis) and ocular comorbidities (diabetic retinopathy, diabetic macular edema, optic neuropathy, glaucoma, glaucoma-related procedure, cataract [diagnosis], cataract [procedure]) will be reported.

  6. Number of Participants who had Provider Characteristics

    Time frame: Baseline

    Number of participants who had provider characteristics (treating provider specialty [retina specialist, non-retina specialist, general ophthalmologist, optometrist]; rural or non-rural location of index practice [rural/non-rural; United States Department of Agriculture Economic research service 2010 classification]) will be reported.

  7. Overall Cohort: Distribution of International Classification of Diseases (ICD)-9/10 Codes

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    ICD-9/10 codes are compared among the participants who are exposed to PPS will be reported.

  8. Participant's Journey to PPS

    Time frame: Data analysed retrospectively from 01-Jan-2015 to 31-Mar-2021 will be examined

    Participant's journey to PPS is defined as the sequence of medications and other interventions the participant received before and after receiving PPS.

Sponsors and collaborators

Lead sponsor

Janssen Research & Development, LLC

Industry

Registry information

Official study title

Post-authorization Safety Study and Real-world Evaluation of the Use of Pentosan Polysulfate Sodium and the Development of Pigmentary Maculopathy and Pigmentary Retinopathy

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Jan 5, 2022
Registry last updated
Jun 26, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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