timolol
Trade name: blocadren
Approved
Aug 17, 1978
Timolol is the non-selective Beta antagonist used as eye drops to treat increased pressure inside the eye such as in ocular hypertension and glaucoma. Timolol is also used for high blood pressure, chest pain due to insufficient blood flow to the heart, to prevent further complications after a heart attack, and to prevent migraines. Timolol is a beta1 and beta2 (non-selective) adrenergic receptor antagonist that does not have significant intrinsic sympathomimetic, direct myocardial depressant, or local anesthetic (membrane-stabilizing) activity. Timolol, when applied topically on the eye, has the action of reducing elevated, as well as normal intraocular pressure, whether or not accompanied by glaucoma. Elevated intraocular pressure is a major risk factor in the pathogenesis of glaucomatous visual field loss and optic nerve damage. The precise mechanism of the ocular hypotensive action of Timolol is not clearly established at this time. Tonography and fluorophotometry studies of the timolol maleate ophthalmic solution in man suggest that its predominant action may be related to the reduced aqueous formation. However, in some studies, a slight increase in outflow facility was also observed. In a study of plasma drug concentration in six subjects, the systemic exposure to timolol was determined following once daily administration of Timolol Maleate Ophthalmic Gel Forming Solution 0.5% in the morning. The mean peak plasma concentration following this morning dose was 0.28 ng/mL. Side effects, when given in the eye, include burning sensation, eye redness, superficial punctate keratopathy, corneal numbness. — NCATS
Clinical trial activity
293 trials · 163 clinical orgs · 54 marketing orgs
Earliest trial started Nov 1, 1992 (NCT00751062)
Timeline
1970s
- Aug 17, 1978
Earliest FDA Approval
- Aug 17, 1978
Bausch Health Companies — NDA Secondary Org
- Aug 17, 1978
Bausch & Lomb — Marketing Organization
1980s
- Nov 25, 1981
Merck — First NDA Organization
- Nov 25, 1981
Merck — NDA Organization
- Apr 13, 1989
Fosun — Marketing Organization
- Apr 13, 1989
Chartwell Pharmaceuticals — Marketing Organization
1990s
- Jun 8, 1990
Mylan — Marketing Organization
- Jul 31, 1991
Ani Pharmaceuticals — Marketing Organization
- Jul 31, 1991
Watson Pharmaceuticals — Marketing Organization
- Jan 1, 1992
Earliest Phase 3 Sponsor(trial)
- Mar 31, 1995
Thea Pharma — NDA Secondary Org
- Mar 31, 1995
Akorn, Inc. — NDA Secondary Org
- Apr 28, 1995
Sandoz — NDA Secondary Org
- Mar 25, 1997
Akorn, Inc. — Marketing Organization
- Mar 25, 1997
Fougera — Marketing Organization
- Mar 25, 1997
Pacific Pharmaceuticals — Marketing Organization
- Mar 25, 1997
Bausch & Lomb — NDA Secondary Org
- Mar 25, 1997
Sciegen Pharmaceticals — Marketing Organization
- Mar 25, 1997
Saptalis Pharmaceuticals — Marketing Organization
- Jan 1, 1998
Earliest Phase 2 Sponsor(trial)
- Oct 21, 1998
Novartis — NDA Secondary Org
2000s
- Sep 8, 2000
Apotex — Marketing Organization
- Sep 10, 2002
Hi Tech Pharmaceuticals — Marketing Organization
- Sep 10, 2002
Hikma — Marketing Organization
- Oct 30, 2007
Allergan — Marketing Organization
- Oct 30, 2007
AbbVie — NDA Secondary Org
- Jan 1, 2008
Earliest Phase 1 Sponsor(trial)
- Apr 30, 2008
FDC — Marketing Organization
- Oct 28, 2008
Rubicon Research — Marketing Organization
- Nov 6, 2008
Sandoz — Marketing Organization
- Nov 6, 2008
Novartis — Marketing Organization
- Sep 28, 2009
MannKind Corp — Marketing Organization
- Sep 28, 2009
Wockhardt — Marketing Organization
- Sep 28, 2009
Mankind Pharma — Marketing Organization
2010s
- Aug 3, 2010
Alcon — Marketing Organization
- Aug 3, 2010
Nestle — Marketing Organization
- Dec 4, 2013
Zambon — Marketing Organization
- Sep 3, 2014
Indoco Remedies — Marketing Organization
- Sep 22, 2014
Epic Pharma Llc — Marketing Organization
- Dec 17, 2014
Lannett Company, Inc. — Marketing Organization
- Jul 24, 2018
Aurobindo Pharma — Marketing Organization
- Jul 24, 2018
Eugia Pharma — Marketing Organization
- May 2, 2019
Elysium Health — Marketing Organization
- May 2, 2019
Invatech — Marketing Organization
- May 2, 2019
Rising Pharmaceuticals — Marketing Organization
- Jun 25, 2019
Somerset Pharmaceuticals — Marketing Organization
- Jun 25, 2019
ANDA Repository — Marketing Organization
2020s
- May 28, 2020
Micro Labs Ltd India — Marketing Organization
- Oct 22, 2020
Alembic — Marketing Organization
- Dec 13, 2021
Identirx Pharms — Marketing Organization
- Dec 13, 2021
Amring Pharmaceticals — Marketing Organization
- Jun 24, 2022
Gland Pharma Ltd — Marketing Organization
- Sep 13, 2022
Ingenus Pharmaceuticals — Marketing Organization
- Sep 22, 2022
Dr. Reddy's Laboratories — Marketing Organization
- Oct 4, 2022
Teva — Marketing Organization
- Oct 4, 2022
Lachman Consultants — Marketing Organization
- Oct 31, 2022
SENTISS — Marketing Organization
- Dec 12, 2022
Upsher-Smith Laboratories — Marketing Organization
- May 16, 2024
Glenmark Pharmaceuticals — Marketing Organization
- May 23, 2024
Amneal Pharmaceuticals — Marketing Organization
- Aug 7, 2024
Caplin Point Laboratories — Marketing Organization
Indications
Approved for
Studied for
- Acne Vulgaris · Phase 1
- Anaplastic Lymphoma Kinase · Phase 3
- Blood Pressure · Phase 4
- Burns · Phase 2
- Cataract · Phase 3
- Corneal Diseases · Phase 4
- Corneal Edema · Phase 3
- Dermatology · Phase 2/Phase 3
- Diabetes Mellitus · Phase 3
- Epidermal Growth Factor · Phase 3
- Esophageal and Gastric Varices · Phase 3
- Exfoliation Syndrome · Phase 4
- Eye Diseases · Phase 4
- Glaucoma, Angle-Closure · Phase 4
- Graves Ophthalmopathy · Phase 4
- Healthy Volunteers · Phase 4
- Hemangioma · Phase 4
- Hypertension · Phase 4
- Hypertension, Portal · Phase 3
- Infant · Early Phase 1
- Leg Ulcer · Phase 2
- Live Birth · Phase 1
- Liver Cirrhosis · Phase 3
- Low Tension Glaucoma · Phase 4
- Macular Degeneration · Phase 2/Phase 3
- Macular Edema · Phase 4
- Melanoma · Phase 3
- Migraine Disorders · Phase 2
- Mohs Surgery · Phase 1
- Neoplasms · Phase 4
- Ophthalmic Solutions · Early Phase 1
- Optic Neuropathy, Ischemic · Phase 1
- Paronychia · Phase 3
- Pediatrics · Phase 3
- Retinal Vein Occlusion · Phase 2
- Rosacea · Phase 1
- Sturge-Weber Syndrome · Phase 1
- Surgical Wound · Phase 2/Phase 3
- Telangiectasia, Hereditary Hemorrhagic · Phase 2
- Ulcer · Phase 2
- Uveitis, Anterior · Phase 4
- Visual Acuity · Phase 3
- Wet Macular Degeneration · Phase 2/Phase 3
- Wound Healing · Phase 3
- Wounds and Injuries · Phase 2/Phase 3
Mechanism of action
- Beta-1 adrenergic receptorANTAGONIST
ADRB1 antagonist
- Beta-2 adrenergic receptorANTAGONIST
ADRB2 antagonist
Combination products
combigan
with brimonidine
cosopt
with dorzolamide
Also known as cosopt pf
timolide
with hydrochlorothiazide
Approval history
- approvedPriority reviewAug 17, 1978
Chemistry & pharmacology
SMILES
CC(C)(C)NC[C@H](O)COc1nsnc1N1CCOCC1- Mol. weight
- 316.43 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Topical
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
Yes
Sources
- ChEMBLCHEMBL499 ↗
- WikipediaTimolol ↗
- NCATS5JKY92S7BR ↗
- ChEMBLCHEMBL1200870 ↗
Also known as
- agn-207281
- arutimol
- betim
- betim
- betimol
- betimol
- bimatoprost / timolol
- bimatoprost / timolol
- blocadren
- blocadren
- blocarden
- brinzolamide / timolol maleate
- glaucol
- glau-opt
- istalol
- istalol
- istalol
- l-timolol
- nyogel
- pro-122
- (s)-1-(tert-butylamino)-3-[(4-morpholin-4-yl-1,2,5-thiadiazol-3-yl)oxy]propan-2-ol
- (s)-1-(tert-butylamino)-3-[(4-morpholin-4-yl-1,2,5-thiadiazol-3-yl)oxy]propan-2-ol
- (s)-timolol
- timolol
- timolol
- timolol
- timolol
- timolol
- timolol
- timolol
- timolol
- timolol
- timolol
- timolol
- (-)-timolol
- timolol anhydrous
- timolol anhydrous
- timolol hemihydrate
- timolol maleate
- timolol maleate
- timolol maleate
- timolol maleate
- timolol maleate
- timolol maleate salt
- timololo
- timololo
- timololum
- timololum
- timoptic
- timoptic
- timoptic in ocudose
- timoptic in ocudose
- timoptic xe
- timoptic xe
- timoptic-xe
- timoptic-xe
- timoptic-xe
- tiopex
- travoprost / timolol
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07218796 | Phase 3 | Oct 28, 2025 | SpyGlass Pharma, Inc. |
| NCT07168902 | Phase 2 | Oct 24, 2025 | Bausch & Lomb |
| NCT07218783 | Phase 3 | Oct 15, 2025 | SpyGlass Pharma, Inc. |
| NCT06833788 | Phase 4 | Sep 30, 2025 | Assistance Publique - Hôpitaux de Paris |
| NCT07075718 | Phase 2/Phase 3 (Phase 3) | Jun 12, 2025 | Glaukos Corporation |
| NCT07036510 | Phase 1 | Jun 12, 2025 | EyeD Pharma |
| NCT06941467 | Phase 1 | Jan 3, 2025 | Icahn School of Medicine at Mount Sinai |
| NCT06643416 | Phase 3 | Oct 9, 2024 | The University of Hong Kong |
| NCT06813807 | Phase 1 | Jun 15, 2024 | Auson Pharmaceuticals Inc. |
| NCT06369077 | Phase 4 | Apr 22, 2024 | CT Glaucoma Associates |
| NCT06177678 | Phase 2 | Feb 29, 2024 | Kukje Pharma |
| NCT06016972 | Phase 2 | Jan 29, 2024 | Qlaris Bio, Inc. |
| NCT06152861 | Phase 2 | Nov 15, 2023 | Glaukos Corporation |
| NCT06120842 | Phase 1/Phase 2 (Phase 2) | Oct 13, 2023 | SpyGlass Pharma, Inc. |
| NCT05913232 | Phase 2 | Aug 28, 2023 | D. Western Therapeutics Institute, Inc. |
| NCT06140186 | Phase 3 | Apr 1, 2023 | The University of Hong Kong |
| NCT05857267 | Phase 4 | Mar 7, 2023 | Laboratorios Poen |
| NCT06321562 | Phase 1 | Mar 1, 2023 | EyeD Pharma |
| NCT05479123 | Phase 4 | Jun 23, 2022 | University of Texas at Houston |
| NCT05165082 | N/A | Dec 31, 2021 | Taipei Medical University |
Organizations
Research & Development (163)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Alcon | For profit | 55 | 50 | 3 | 2001 |
| Allergan | For profit | 35 | 32 | 5 | 1999 |
| Pfizer | For profit | 15 | 14 | 3 | 1992 |
| Santen Inc. | For profit | 13 | 12 | 4 | 2009 |
| Aristotle University of Thessaloniki | Academic/Hospital | 12 | 12 | 2 | 2006 |
| Merck | For profit | 10 | 7 | 4 | 2005 |
| Aerie Pharmaceuticals | For profit | 8 | 7 | 3 | 2011 |
| Glaukos Corporation | For profit | 6 | 6 | 3 | 2009 |
| Mati Therapeutics Inc. | For profit | 6 | 6 | 1 | 2008 |
| PRN Pharmacuetical Research Network, LLC | For profit | 6 | 5 | 1 | 2005 |
| Bausch & Lomb | For profit | 5 | 4 | 3 | 2012 |
| Laboratorios Sophia S.A de C.V. | For profit | 5 | 5 | 4 | 2006 |
| Thomas Jefferson University | Academic/Hospital | 5 | 4 | 5 | 2011 |
| Harvard University | Academic/Hospital | 4 | 4 | 2 | 2009 |
| Novelion Therapeutics | For profit | 4 | 0 | 1 | 2009 |
| Tel Aviv University | Academic/Hospital | 4 | 4 | 2 | 2008 |
| University of Vienna | Academic/Hospital | 4 | 4 | 2 | 1999 |
| Auson Pharmaceuticals Inc. | For profit | 3 | 3 | 2 | 2018 |
| ForSight Vision 5 | For profit | 3 | 3 | 1 | 2013 |
| Laboratoires Thea | For profit | 3 | 3 | 2 | 2008 |
Marketing (70)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| ANDA Repository | For profit | MKTG | Jun 25, 2019 |
| AbbVie | For profit | NDA2 | Oct 30, 2007 |
| Akorn, Inc. | For profit | MKTG | Mar 25, 1997 |
| Akorn, Inc. | For profit | SYN | Sep 22, 2014 |
| Akorn, Inc. | For profit | NDA2 | Mar 31, 1995 |
| Alcon | For profit | MKTG | Aug 3, 2010 |
| Alembic | For profit | MKTG | Oct 22, 2020 |
| Alembic | For profit | SYN | Oct 22, 2020 |
| Allergan | For profit | MKTG | Oct 30, 2007 |
| Amneal Pharmaceuticals | For profit | MKTG | May 23, 2024 |
| Amring Pharmaceticals | For profit | MKTG | Dec 13, 2021 |
| Ani Pharmaceuticals | For profit | MKTG | Jul 31, 1991 |
| Ani Pharmaceuticals | For profit | SYN | Jul 31, 1991 |
| Apotex | For profit | MKTG | Sep 8, 2000 |
| Apotex | For profit | SYN | Apr 17, 2015 |
| Aurobindo Pharma | For profit | MKTG | Jul 24, 2018 |
| Bausch & Lomb | For profit | MKTG | Aug 17, 1978 |
| Bausch & Lomb | For profit | NDA2 | Mar 25, 1997 |
| Bausch Health Companies | For profit | NDA2 | Aug 17, 1978 |
| Bausch Health Companies | For profit | SYN | Nov 4, 1993 |
| Caplin Point Laboratories | For profit | MKTG | Aug 7, 2024 |
| Chartwell Pharmaceuticals | For profit | MKTG | Apr 13, 1989 |
| Chartwell Pharmaceuticals | For profit | MKTG | Dec 17, 2014 |
| Dr. Reddy's Laboratories | For profit | MKTG | Sep 22, 2022 |
| Elysium Health | For profit | MKTG | May 2, 2019 |
| Epic Pharma Llc | For profit | MKTG | Sep 22, 2014 |
| Eugia Pharma | For profit | MKTG | Jul 24, 2018 |
| FDC | For profit | MKTG | Apr 30, 2008 |
| Fosun | For profit | MKTG | Apr 13, 1989 |
| Fougera | For profit | MKTG | Mar 25, 1997 |
| Gland Pharma Ltd | For profit | MKTG | Jun 24, 2022 |
| Glenmark Pharmaceuticals | For profit | MKTG | May 16, 2024 |
| Hi Tech Pharmaceuticals | For profit | MKTG | Sep 10, 2002 |
| Hi Tech Pharmaceuticals | For profit | SYN | Apr 6, 2011 |
| Hikma | For profit | MKTG | Sep 10, 2002 |
| Identirx Pharms | For profit | MKTG | Dec 13, 2021 |
| Indoco Remedies | For profit | MKTG | Sep 3, 2014 |
| Ingenus Pharmaceuticals | For profit | MKTG | Sep 13, 2022 |
| Invatech | For profit | MKTG | May 2, 2019 |
| Lachman Consultants | For profit | MKTG | Oct 4, 2022 |
| Lannett Company, Inc. | For profit | MKTG | Dec 17, 2014 |
| Mankind Pharma | For profit | MKTG | Sep 28, 2009 |
| MannKind Corp | For profit | MKTG | Sep 28, 2009 |
| Merck | For profit | NDA | Nov 25, 1981 |
| Micro Labs Ltd India | For profit | MKTG | May 28, 2020 |
| Mylan | For profit | MKTG | Jun 8, 1990 |
| Nestle | For profit | MKTG | Aug 3, 2010 |
| Novartis | For profit | NDA2 | Oct 21, 1998 |
| Novartis | For profit | MKTG | Nov 6, 2008 |
| Pacific Pharmaceuticals | For profit | MKTG | Mar 25, 1997 |
| Quantum Pharmaceutical | For profit | MKTG | — |
| Rising Pharmaceuticals | For profit | MKTG | May 2, 2019 |
| Rubicon Research | For profit | MKTG | Oct 28, 2008 |
| SENTISS | For profit | MKTG | Oct 31, 2022 |
| SENTISS | For profit | SYN | May 8, 2023 |
| Sandoz | For profit | NDA2 | Apr 28, 1995 |
| Sandoz | For profit | MKTG | Nov 6, 2008 |
| Saptalis Pharmaceuticals | For profit | MKTG | Mar 25, 1997 |
| Sciegen Pharmaceticals | For profit | MKTG | Mar 25, 1997 |
| Somerset Pharmaceuticals | For profit | SYN | Jun 25, 2019 |
| Somerset Pharmaceuticals | For profit | MKTG | Jun 25, 2019 |
| Teva | For profit | MKTG | Oct 4, 2022 |
| Teva | For profit | MKTG | Jun 16, 1993 |
| Teva | For profit | SYN | Sep 28, 2009 |
| Thea Pharma | For profit | NDA2 | Mar 31, 1995 |
| Upsher-Smith Laboratories | For profit | MKTG | Dec 12, 2022 |
| Watson Pharmaceuticals | For profit | MKTG | Jul 31, 1991 |
| Watson Pharmaceuticals | For profit | SYN | Sep 3, 2014 |
| Wockhardt | For profit | MKTG | Sep 28, 2009 |
| Zambon | For profit | MKTG | Dec 4, 2013 |