dorzolamide
Trade name: trusopt
Approved
Dec 9, 1994
Dorzolamide is a sulfonamide and a highly specific carbonic anhydrase II (CA-II) inhibitor, which is the main CA isoenzyme involved in aqueous humor secretion. Dorzolamide is marketed under the trade name Trusopt, indicated in the treatment of elevated intraocular pressure in patients with ocular hypertension or open-angle glaucoma. Carbonic anhydrase (CA) is an enzyme found in many tissues of the body including the eye. It catalyzes the reversible reaction involving the hydration of carbon dioxide and the dehydration of carbonic acid. In humans, carbonic anhydrase exists as a number of isoenzymes, the most active being carbonic anhydrase II (CA-II), found primarily in red blood cells (RBCs), but also in other tissues. Inhibition of carbonic anhydrase in the ciliary processes of the eye decreases aqueous humor secretion, presumably by slowing the formation of bicarbonate ions with subsequent reduction in sodium and fluid transport. The result is a reduction in intraocular pressure (IOP). TRUSOPT Ophthalmic Solution contains dorzolamide hydrochloride, an inhibitor of human carbonic anhydrase II. Following topical ocular administration, TRUSOPT reduces elevated intraocular pressure. Elevated intraocular pressure is a major risk factor in the pathogenesis of optic nerve damage and glaucomatous visual field loss. — NCATS
Clinical trial activity
74 trials · 63 clinical orgs · 31 marketing orgs
Earliest trial started May 1, 1999 (NCT00991822)
Timeline
1990s
- Dec 9, 1994
Merck — Earliest FDA Approval
- Dec 9, 1994
Merck — NDA Organization
- Dec 9, 1994
Merck — Marketing Organization
- Apr 7, 1998
Akorn, Inc. — NDA Secondary Org
- Apr 7, 1998
Thea Pharma — NDA Secondary Org
- Jan 1, 1999
Earliest Phase 2 Sponsor(trial)
2000s
- Jan 1, 2005
- Oct 28, 2008
Apotex — Marketing Organization
- Oct 28, 2008
Hi Tech Pharmaceuticals — Marketing Organization
- Oct 28, 2008
Rubicon Research — Marketing Organization
- Oct 28, 2008
Hikma — Marketing Organization
- Nov 6, 2008
Sandoz — Marketing Organization
- Nov 6, 2008
Novartis — Marketing Organization
- Dec 4, 2008
Teva — Marketing Organization
- Jun 25, 2009
Bausch & Lomb — Marketing Organization
- Nov 18, 2009
Sankyo — Marketing Organization
- Nov 18, 2009
Lutipold — Marketing Organization
- Nov 18, 2009
Daiichi Sankyo — Marketing Organization
2010s
- Dec 4, 2013
Zambon — Marketing Organization
- Sep 3, 2014
Indoco Remedies — Marketing Organization
- Sep 3, 2014
Watson Pharmaceuticals — Marketing Organization
- Sep 22, 2014
Akorn, Inc. — Marketing Organization
- Sep 22, 2014
Epic Pharma Llc — Marketing Organization
- Dec 17, 2014
Lannett Company, Inc. — Marketing Organization
- Dec 17, 2014
Chartwell Pharmaceuticals — Marketing Organization
- Jan 1, 2016
Earliest Phase 1 Sponsor(trial)
- Jul 24, 2018
Aurobindo Pharma — Marketing Organization
- Jul 24, 2018
Eugia Pharma — Marketing Organization
- Jan 24, 2019
FDC — Marketing Organization
- Jun 25, 2019
Somerset Pharmaceuticals — Marketing Organization
- Jun 25, 2019
ANDA Repository — Marketing Organization
- Jun 25, 2019
Mylan — Marketing Organization
- Aug 9, 2019
Alembic — Marketing Organization
- Nov 8, 2019
Micro Labs Ltd India — Marketing Organization
2020s
- Jan 27, 2022
Gland Pharma Ltd — Marketing Organization
- Jan 27, 2022
Fosun — Marketing Organization
- May 1, 2023
Ingenus Pharmaceuticals — Marketing Organization
Indications
Approved for
Studied for
- Blood Pressure · Phase 2
- Corneal Diseases · Phase 4
- Exfoliation Syndrome · Phase 4
- Eye Diseases · Phase 4
- Macular Degeneration · Phase 2/Phase 3
- Macular Edema · Phase 2/Phase 3
- Ocular Hypertension · Phase 4
- Retinal Degeneration · Phase 4
- Retinal Vein Occlusion · Phase 2
- Wet Macular Degeneration · Phase 2/Phase 3
Mechanism of action
- Carbonic anhydrase IIINHIBITOR
CA2 inhibitor
Combination products
cosopt
with timolol
Also known as cosopt pf
Approval history
- approvedPriority reviewDec 9, 1994
Chemistry & pharmacology
SMILES
CCN[C@H]1C[C@H](C)S(=O)(=O)c2sc(S(N)(=O)=O)cc21- Mol. weight
- 324.45 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Topical
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
Yes
Sources
- ChEMBLCHEMBL218490 ↗
- WikipediaDorzolamide ↗
- NCATS9JDX055TW1 ↗
- ChEMBLCHEMBL1201162 ↗
Also known as
- 4-ethylamino-5,6-dihydro-6-methyl-7,7-dioxide-4h-thieno(2,3-b)thiopyran-2-sulfonamide
- 4-ethylamino-6-methyl-7,7-dioxo-4,5,6,7-tetrahydro-7lambda*6*-thieno[2,3-b]thiopyran-2-sulfonic acid amide
- 4-ethylamino-6-methyl-7,7-dioxo-4,5,6,7-tetrahydro-7lambda*6*-thieno[2,3-b]thiopyran-2-sulfonic acid amide
- 4-ethylamino-6-methyl-7,7-dioxo-4,5,6,7-tetrahydro-7lambda6-thieno[2,3-b]thiopyran-2-sulfonic acid amide
- 4-ethylamino-6-methyl-7,7-dioxo-4,5,6,7-tetrahydro-7lambda6-thieno[2,3-b]thiopyran-2-sulfonic acid amide
- (4s,6s)-4-ethylamino-6-methyl-7,7-dioxo-4,5,6,7-tetrahydro-7lambda*6*-thieno[2,3-b]thiopyran-2-sulfonic acid amide
- (4s,6s)-4-ethylamino-6-methyl-7,7-dioxo-4,5,6,7-tetrahydro-7lambda*6*-thieno[2,3-b]thiopyran-2-sulfonic acid amide
- 4s,6s-dorzolamide
- 4s,6s-dorzolamide
- (4s-trans)-4-(ethylamino)-5,6-dihydro-6-methyl-4h-thieno(2,3-b)thiopyran-2-sulfonamide-7,7-dioxide
- (4s-trans)-4-(ethylamino)-5,6-dihydro-6-methyl-4h-thieno(2,3-b)thiopyran-2-sulfonamide-7,7-dioxide
- (4s,trans)-4-(ethylamino)-6-methyl-5,6-dihydro-4h-thieno[2,3-b]thiopyran-2-sulfonamide 7,7-dioxide
- (4s,trans)-4-(ethylamino)-6-methyl-5,6-dihydro-4h-thieno[2,3-b]thiopyran-2-sulfonamide 7,7-dioxide
- 5,6-dihydro-4-ethylamino-6-methyl-4h-thieno(2,3-b)thiopyran-2-sulfonamide-7,7-dioxide
- cosopt
- cosopt
- cosopt pf
- de-111
- dorzant
- dorzolamid
- dorzolamid
- dorzolamida
- dorzolamida
- dorzolamide
- dorzolamide
- dorzolamide
- dorzolamide
- dorzolamide
- dorzolamide
- dorzolamide
- dorzolamide
- dorzolamide
- dorzolamide
- dorzolamide chibret
- dorzolamide hcl
- dorzolamide hcl
- dorzolamide hcl
- dorzolamide hydrochloride
- dorzolamide hydrochloride
- dorzolamide hydrochloride
- dorzolamide hydrochloride
- dorzolamide hydrochloride
- dorzolamide hydrochloride
- dorzolamide maleate
- dorzolamide, (trans)-isomer
- dorzolamidum
- dorzolamidum
- l 671152
- l-671,152
- mk0507
- mk 507
- mk-507
- mk-507
- mk-507
- trusopt
- trusopt
- trusopt
- trusopt
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06883123 | Phase 4 | May 14, 2025 | Prairie Eye Center, Sengi |
| NCT06369077 | Phase 4 | Apr 22, 2024 | CT Glaucoma Associates |
| NCT06177678 | Phase 2 | Feb 29, 2024 | Kukje Pharma |
| NCT05857267 | Phase 4 | Mar 7, 2023 | Laboratorios Poen |
| NCT05083689 | Phase 2/Phase 3 (Phase 3) | Oct 6, 2021 | Shahid Beheshti University of Medical Sciences |
| NCT04702789 | Phase 4 | May 1, 2021 | Laboratorios Sophia S.A de C.V. |
| NCT04676126 | Phase 4 | Jan 31, 2021 | Guardion Health Sciences, Inc., Sponsel Foundation, University of the Incarnate Word |
| NCT04448223 | Phase 2 | Jun 11, 2020 | Chong Kun Dang Pharmaceutical, Seoul National University |
| NCT03193333 | Phase 3 | Aug 4, 2017 | Laboratorios Sophia S.A de C.V. |
| NCT02852057 | Phase 1 | May 1, 2017 | University of Florida |
| NCT05973318 | Phase 3 | Apr 10, 2017 | Government of Tatarstan, University Hospital, Rijeka |
| NCT05973305 | Phase 3 | Apr 5, 2017 | Government of Tatarstan, University Hospital, Rijeka |
| NCT03034772 | Phase 2/Phase 3 (Phase 3) | Feb 8, 2017 | Mid-Atlantic Retina Consultations, Inc., Thomas Jefferson University |
| NCT02967614 | Phase 1 | Dec 1, 2016 | Kukje Pharma, Seoul National University |
| NCT02802137 | Phase 4 | Mar 1, 2015 | Aristotle University of Thessaloniki |
| NCT02325518 | Phase 4 | Dec 1, 2014 | Alcon, Novartis |
| NCT02571972 | Phase 2 | Oct 1, 2014 | J. Arch McNamara Research Fund, Mid-Atlantic Retina Consultations, Inc., Thomas Jefferson University |
| NCT02390284 | Phase 3 | Sep 1, 2014 | National Eye Institute (NEI), University of Miami |
| NCT02522039 | N/A | May 1, 2014 | University of Copenhagen |
| NCT03966560 | Phase 4 | Jan 31, 2014 | Afyon Kocatepe University |
Organizations
Research & Development (63)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Alcon | For profit | 11 | 10 | 2 | 2005 |
| Merck | For profit | 9 | 5 | 4 | 2005 |
| Allergan | For profit | 4 | 3 | 2 | 2005 |
| PRN Pharmacuetical Research Network, LLC | For profit | 4 | 4 | 1 | 2005 |
| Aristotle University of Thessaloniki | Academic/Hospital | 3 | 3 | 1 | 2006 |
| Laboratorios Sophia S.A de C.V. | For profit | 3 | 3 | 3 | 2006 |
| Mid-Atlantic Retina Consultations, Inc. | Academic/Hospital | 3 | 1 | 3 | 2010 |
| Santen Inc. | For profit | 3 | 3 | 1 | 2011 |
| Thomas Jefferson University | Academic/Hospital | 3 | 2 | 3 | 2011 |
| Government of Tatarstan | Government | 2 | 0 | 1 | 2017 |
| Johannes Gutenburg University | Academic/Hospital | 2 | 1 | 2 | 2009 |
| Kukje Pharma | For profit | 2 | 2 | 2 | 2016 |
| Seoul National University | Academic/Hospital | 2 | 0 | 2 | 2016 |
| University Hospital, Rijeka | Academic/Hospital | 2 | 2 | 1 | 2017 |
| University of Vienna | Academic/Hospital | 2 | 2 | 2 | 1999 |
| Aarhus University | Academic/Hospital | 1 | 1 | 1 | 2007 |
| Advanced Glaucoma Specialists | Academic/Hospital | 1 | 1 | 1 | 2006 |
| Afyon Kocatepe University | Academic/Hospital | 1 | 1 | 1 | 2014 |
| Alfred E. Tiefenbacher (GmbH & Co. KG) | For profit | 1 | 1 | 1 | 2009 |
| Alleanza Pharmaceuticals, Inc. | For profit | 1 | 1 | 1 | 2013 |
Marketing (38)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| ANDA Repository | For profit | MKTG | Jun 25, 2019 |
| Akorn, Inc. | For profit | SYN | Apr 7, 1998 |
| Akorn, Inc. | For profit | MKTG | Sep 22, 2014 |
| Akorn, Inc. | For profit | NDA2 | Apr 7, 1998 |
| Alembic | For profit | MKTG | Aug 9, 2019 |
| Alembic | For profit | SYN | Aug 9, 2019 |
| Apotex | For profit | MKTG | Oct 28, 2008 |
| Aurobindo Pharma | For profit | MKTG | Jul 24, 2018 |
| Bausch & Lomb | For profit | MKTG | Jun 25, 2009 |
| Chartwell Pharmaceuticals | For profit | MKTG | Dec 17, 2014 |
| Daiichi Sankyo | For profit | MKTG | Nov 18, 2009 |
| Epic Pharma Llc | For profit | MKTG | Sep 22, 2014 |
| Eugia Pharma | For profit | MKTG | Jul 24, 2018 |
| FDC | For profit | MKTG | Jan 24, 2019 |
| Fosun | For profit | MKTG | Jan 27, 2022 |
| Gland Pharma Ltd | For profit | MKTG | Jan 27, 2022 |
| Hi Tech Pharmaceuticals | For profit | MKTG | Oct 28, 2008 |
| Hikma | For profit | MKTG | Oct 28, 2008 |
| Indoco Remedies | For profit | MKTG | Sep 3, 2014 |
| Ingenus Pharmaceuticals | For profit | MKTG | May 1, 2023 |
| Lannett Company, Inc. | For profit | MKTG | Dec 17, 2014 |
| Lutipold | For profit | MKTG | Nov 18, 2009 |
| Merck | For profit | SYN | Dec 9, 1994 |
| Merck | For profit | NDA | Dec 9, 1994 |
| Merck | For profit | MKTG | Dec 9, 1994 |
| Micro Labs Ltd India | For profit | MKTG | Nov 8, 2019 |
| Mylan | For profit | MKTG | Jun 25, 2019 |
| Novartis | For profit | MKTG | Nov 6, 2008 |
| Rubicon Research | For profit | MKTG | Oct 28, 2008 |
| Sandoz | For profit | MKTG | Nov 6, 2008 |
| Sandoz | For profit | SYN | Nov 6, 2008 |
| Sankyo | For profit | MKTG | Nov 18, 2009 |
| Somerset Pharmaceuticals | For profit | MKTG | Jun 25, 2019 |
| Somerset Pharmaceuticals | For profit | SYN | Jun 25, 2019 |
| Teva | For profit | MKTG | Dec 4, 2008 |
| Thea Pharma | For profit | NDA2 | Apr 7, 1998 |
| Watson Pharmaceuticals | For profit | MKTG | Sep 3, 2014 |
| Zambon | For profit | MKTG | Dec 4, 2013 |