ABSTRACT
PURPOSE: To evaluate 24-h efficacy of travoprost/timolol fixed combination (TTFC) vslatanoprost/timolol fixed combination (LTFC) in exfoliative glaucoma (XFG). DESIGN: A prospective, single-masked, crossover, active-controlled, randomized 24-h comparison. METHODS: After up to a 6-week medicine-free period, XFG patients were randomized to either TTFC or LTFC for 3 months, dosed each evening, and then changed to the opposite treatment for another 3 months. At the end of the washout, and both treatment periods, a 24-h intraocular pressure (IOP) curve was measured. RESULTS: In total, 40 patients completed the study. The TTFC group showed a lower mean absolute 24-h IOP (18.7±2.6 vs 19.6±2.6 mm Hg, P<0.001), maximum IOP (20.5±2.6 vs 21.5±2.6 mm Hg, P<0.001) and 24-h IOP range (3.4±1.3 vs 4.1±1.6 mm Hg, P=0.01). At individual time points, TTFC showed reduced IOPs compared with LTFC, after a Bonferroni correction, at 1000, 1800, and 2200 hours (P≤0.04). No statistical differences existed at hours: 0600, 1400, and 0200 (P≥0.05) and for the minimum IOP (P=0.09). CONCLUSIONS: This study suggests that evening-dosed TTFC may provide greater 24-h IOP reduction, primarily at the 1800 hours time point, compared with LTFC in XFG.
Subject(s)
Antihypertensive Agents/therapeutic use , Cloprostenol/analogs & derivatives , Exfoliation Syndrome/drug therapy , Glaucoma/drug therapy , Intraocular Pressure/drug effects , Prostaglandins F, Synthetic/therapeutic use , Timolol/therapeutic use , Aged , Cloprostenol/therapeutic use , Cross-Over Studies , Drug Administration Schedule , Drug Therapy, Combination , Female , Humans , Latanoprost , Male , Middle Aged , Prospective Studies , Single-Blind Method , Time Factors , TravoprostABSTRACT
It has been observed experimentally that the biodegradation of 2,4-dichlorophenoxyacetate (2,4-D) is inhibited by the presence of glucose. However, this effect is masked by the fact that larger concentrations of active biomass are produced when glucose is available. The implication of such a "mixed" growth in a continuous flow system is that much higher dilution rates can be applied for an efficient chlorinated-organic removal when other conventional substrates are present. The mean cell residence time is reduced and the area of stability of the process is extended into higher dilution rates, as well as into higher influent concentrations. Finally, the presence of the mixed substrate changes dramatically the "washout" conditions for both substrates. All these facts point out that the biodegradation of chlorinated organics is more efficient in a mixed substrate environment.
ABSTRACT
Biodegradation of 2,4-dichlorophenoxyacetate (2,4-D) and glucose were studied using a 2,4-D acclimated culture. Biodegradation of glucose by the 2,4-D preacclimated culture follows the typical Monod kinetics after a 20-h lag period in the presence or absence of 2,4-D. Biodegradation of 2,4-D by the same culture follows Andrew's "substrate inhibition" model. When both glucose and 2,4-D are available, mutual inhibition is observed. However, the effect on 2,4-D is masked by the fact that larger concentrations of active biomass are produced when glucose is available. This kind of concurrent utilization and interaction results in a substantial reduction of the mean cell residence time in a continuous flow system. It also extends the area of stability of the process into higher dilution rates as well as into higher influent concentrations.
