netarsudil

Trade name: Rhopressa

Small moleculeapproved

Approved

Dec 18, 2017

Netarsudil ophthalmic solution (Rhopressa) is a Rho kinase inhibitor for the treatment of open-angle glaucoma or ocular hypertension. As of December 18, 2017 the FDA approved Aerie Pharmaceutical's Rhopressa (netarsudil ophthalmic solution) 0.02% for the indication of reducing elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension. Acting as both a rho kinase inhibitor and a norepinephrine transport inhibitor, Netarsudil is a novel glaucoma medication in that it specifically targets the conventional trabecular pathway of aqueous humour outflow to act as an inhibitor to the rho kinase and norepinephrine transporters found there as opposed to affecting protaglandin F2-alpha analog like mechanisms in the unconventional uveoscleral pathway that many other glaucoma medications demonstrate. — NCATS

Clinical trial activity

36 trials · 16 clinical orgs · 4 marketing orgs

Phase 1
6
Phase 2
20
Phase 3
13
Phase 4
7

Earliest trial started Mar 1, 2012 (NCT01528787)

Timeline

2010s

  1. Jan 1, 2012

    Aerie Pharmaceuticals — Earliest Phase 2 Sponsor(trial)

  2. Jan 1, 2013

    Aerie Pharmaceuticals — Earliest Phase 1 Sponsor(trial)

  3. Jan 1, 2014

    Aerie Pharmaceuticals — Earliest Phase 3 Sponsor(trial)

  4. Dec 18, 2017

    Aerie Pharmaceuticals — Earliest FDA Approval

  5. Dec 18, 2017

    Aerie Pharmaceuticals — NDA Secondary Org

  6. Dec 18, 2017

    Aerie Pharmaceuticals — NDA Organization

  7. Dec 18, 2017

    Alcon — NDA Secondary Org

  8. Dec 18, 2017

    Nestle — NDA Secondary Org

2020s

  1. Jan 5, 2024

    Gland Pharma Ltd — Marketing Organization

Indications

Mechanism of action

Combination products

Approval history

  • approvedDec 18, 2017

Chemistry & pharmacology

Loading structure…

SMILES

Cc1ccc(C(=O)OCC2=CCC(C=C2)[C@@H](CN)C(=O)Nc3ccc4cnccc4c3)c(C)c1.CS(=O)(=O)O.CS(=O)(=O)O
Mol. weight
647.77 g/mol
Lipinski Ro5
Pass
Rule of 3
No
Chirality
Racemic Mixture
Inorganic
No
Polymer
No
Delivery
Topical
Availability
Prescription Only

Oral

No

Parenteral

No

Topical

Yes

First in class

Sources

Also known as

  • ar-13324
  • ar-13324
  • ar-13324
  • netarsudil
  • netarsudil
  • netarsudil
  • netarsudil
  • netarsudil dimesylate
  • pg324

Clinical trials

NCT IDPhaseStart dateSponsor(s)
NCT07082816Phase 3Sep 2, 2025Alcon
NCT07048886Phase 4Jul 15, 2025Center for Sight
NCT06883123Phase 4May 14, 2025Prairie Eye Center, Sengi
NCT06865144Phase 4Apr 1, 2025East Coast Institute for Research, Novartis
NCT06441643Phase 2Sep 4, 2024Alcon
NCT06394973Phase 2Aug 5, 2024Laboratoires Thea
NCT06449352Phase 4Jun 13, 2024Sengi, Westlake Eye Specialists
NCT06033703Phase 1/Phase 2 (Phase 2)Oct 31, 2023Harvard University
NCT05660447Phase 2/Phase 3 (Phase 3)Dec 19, 2022Thomas Jefferson University
NCT05283395Phase 4Mar 28, 2022Aerie Pharmaceuticals, Alcon
NCT04981886Phase 4Aug 31, 2021Salus University
NCT04752020Early Phase 1 (Phase 1)Mar 28, 2021Harvard University
NCT04620135Phase 3Nov 12, 2020Aerie Pharmaceuticals
NCT04498169Phase 2Sep 17, 2020Aerie Pharmaceuticals
NCT04234932Early Phase 1 (Phase 1)Jan 31, 2020University of the Incarnate Word
NCT04064918N/AOct 31, 2019Aerie Pharmaceuticals, University of California, San Diego
NCT04051463Phase 2/Phase 3 (Phase 3)Aug 5, 2019Price Vision Group
NCT03971357Phase 2/Phase 3 (Phase 3)Jun 30, 2019Cornea Research Foundation of America, Price Vision Group
NCT03844945Phase 2Mar 19, 2019Aerie Pharmaceuticals
NCT03808688Phase 4Dec 27, 2018Aerie Pharmaceuticals
Showing 20 of 36 trials
Page 1 / 2

Organizations

Research & Development (16)

OrganizationOrg typeTrialsAs lead sponsorPhasesEarliest year
Aerie PharmaceuticalsFor profit201952012
AlconFor profit3232022
Harvard UniversityAcademic/Hospital3322018
Price Vision GroupAcademic/Hospital3112017
Cornea Research Foundation of AmericaAcademic/Hospital2212017
SengiFor profit2012024
Center for SightAcademic/Hospital1112025
East Coast Institute for ResearchAcademic/Hospital1112025
Laboratoires TheaFor profit1112024
NovartisFor profit1012025
Prairie Eye CenterAcademic/Hospital1112025
Salus UniversityAcademic/Hospital1112021
Thomas Jefferson UniversityAcademic/Hospital1112022
University of California, San DiegoAcademic/Hospital1112019
University of the Incarnate WordAcademic/Hospital1112020
Westlake Eye SpecialistsAcademic/Hospital1112024
16 organizations
Page 1 / 1

Marketing (5)

OrganizationOrg typeRelationshipDate
Aerie PharmaceuticalsFor profitNDA2Dec 18, 2017
Aerie PharmaceuticalsFor profitNDADec 18, 2017
AlconFor profitNDA2Dec 18, 2017
Gland Pharma LtdFor profitMKTGJan 5, 2024
NestleFor profitNDA2Dec 18, 2017