Research Article

Netarsudil as an Adjunctive Therapy: Efficacy and Factors Contributing to a Favorable IOP-Lowering Effect

Table 1

Demographic and ocular data characterized by the responder type.

VariableOverall
N = 2361
Nonresponder
N = 401
Initial responder
N = 651
Long-term responder
N = 731
Robust long-term responder
N = 411
Super responder
N = 171
value2

Demographics
 Female sex, N (%)125 (53)20 (50)35 (54)40 (55)24 (59)6 (35)0.57
Age0.38
  Mean ± SD71.6 ± 14.273.2 ± 13.172.6 ± 15.469.8 ± 12.872.7 ± 15.069.0 ± 16.7
  Range10–9843–9810–9730–9131–9531–88
Ethnicity, N (%)
  White165 (70)25 (62)49 (75)51 (70)27 (66)13 (76)0.36
  Black23 (9.7)6 (15)6 (9.2)9 (12)2 (4.9)
  Asian16 (6.8)3 (7.5)4 (6.2)3 (4.1)3 (7.3)3 (18)
  Hispanic7 (3.0)2 (5.0)3 (4.1)1 (2.4)1 (5.9)
  Other25 (10.6)4 (10)6 (9.2)7 (9.6)8 (20)
Glaucoma stage, N (%)0.024
 Indeterminate19 (8.0)3 (4.6)10 (14)2 (4.9)4 (24)
 Mild31 (13)8 (20)6 (9.2)10 (14)5 (12)2 (12)
 Moderate55 (23)8 (20)18 (28)21 (29)5 (12)2 (12)
 Severe132 (56)24 (60)38 (58)32 (44)29 (71)9 (53)
Glaucoma type, N (%)0.60
 Primary open-angle150 (64)28 (70)42 (65)48 (66)24 (59)8 (47)
 Pseudoexfoliative28 (12)5 (12)9 (14)8 (11)3 (7.3)3 (18)
 Mixed mechanism20 (8.5)2 (5.0)6 (9.2)5 (6.8)5 (12)2 (12)
 Normal tension11 (4.7)1 (2.5)2 (3.1)4 (5.5)4 (9.8)
 Chronic angle-closure10 (4.2)3 (7.5)3 (4.6)1 (1.4)2 (4.9)1 (5.9)
 Pigmentary4 (1.7)1 (2.5)2 (2.7)1 (5.9)
 Uveitic3 (1.3)2 (2.7)1 (2.4)
 Ocular hypertension3 (1.3)1 (1.4)1 (2.4)1 (5.9)
 Aphakic2 (0.8)1 (1.4)1 (5.9)
 Congenital2 (0.8)1 (1.5)1 (1.4)
 Steroid2 (0.8)2 (3.1)
 Neovascular1 (0.4)1 (2.4)
Prior surgery105 (44)20302817100.84
 Phaco89 (85)18 (90)24 (80)25 (89)13 (76)9 (90)
 Trabeculectomy11 (10)1 (5.0)5 (17)2 (7.1)2 (12)1 (10)
 Tube shunt3 (2.9)1 (5.0)1 (3.6)1 (5.9)
 MIGS2 (1.9)1 (3.3)1 (5.9)
Prior laser841629201270.16
 Laser trabeculoplasty61 (73)11 (69)18 (62)16 (80)11 (92)5 (71)
 CPC/ECP15 (18)3 (19)10 (34)1 (5.0)1 (14)
 Iridotomy8 (9.5)2 (12)1 (3.4)3 (15)1 (8.3)1 (14)
Number of agents, N (%)0.74
 2nd agent20 (8.5)3 (7.5)6 (9.2)7 (9.6)4 (9.8)
 3rd agent41 (17)7 (18)10 (15)14 (19)7 (17)3 (18)
 4th agent78 (33)10 (25)20 (31)24 (33)17 (41)7 (41)
 5th agent77 (33)18 (45)23 (35)23 (32)7 (17)6 (35)
6th+ agent20 (8.5)2 (5.0)6 (9.2)5 (6.8)6 (15)1 (5.9)
Baseline IOP (mmHg)
 Mean ± SD18.2 ± 5.217.2 ± 3.717.3 ± 4.918.1 ± 4.817.1 ± 3.426.8 ± 7.1<0.001
 IOP category, N (%)<0.001
 Low (IOP < 15)55 (23)12 (30)18 (28)16 (22)9 (22)
 Medium (15 ≤ IOP < 20)108 (46)17 (42)31 (48)33 (45)26 (63)1 (5.9)
 High (20 ≤ IOP < 25)47 (20)10 (25)10 (15)15 (21)5 (12)7 (41)
 Very high (IOP ≥ 25)26 (11)1 (2.5)6 (9.2)9 (12)1 (2.4)9 (53)

SD = standard deviation; IOP = intraocular pressure; phaco = cataract surgery; MIGS = microinvasive glaucoma surgery; CPC/ECP = diode cyclophotocoagulation/endoscopic cyclophotocoagulation. 1mean (SD); (min-max); median for numerical variables; (% missing), or frequency (%); (% missing) for categorical variables. 2Kruskal–Wallis rank-sum test. Pearson’s Chi-squared test.