proparacaine
Trade name: ophthaine
Approved
Jul 1, 1953
Proparacaine is a topical anesthetic drug of the amino ester group. It is available as its hydrochloride salt in ophthalmic solutions at a concentration of 0.5%. Proparacaine hydrochloride ophthalmic solution is indicated for procedures in which a topical ophthalmic anesthetic is indicated: corneal anesthesia of short duration, e.g. tonometry, gonioscopy, removal of corneal foreign bodies, and for short corneal and conjunctival procedures. Proparacaine stabilizes the neuronal membrane by inhibiting the ionic fluxes required for the initiation and conduction of impulses thereby effecting local anesthetic action. More specifically, proparacaine appears to bind or antagonize the function of voltage gated sodium channels. The exact mechanism whereby proparacaine and other local anesthetics influence the permeability of the cell membrane is unknown; however, several studies indicate that local anesthetics may limit sodium ion permeability through the lipid layer of the nerve cell membrane. Proparacaine may alter epithelial sodium channels through interaction with channel protein residues. This limitation prevents the fundamental change necessary for the generation of the action potential. — NCATS
Clinical trial activity
20 trials · 28 clinical orgs · 13 marketing orgs
Earliest trial started Oct 1, 2005 (NCT00620997)
Timeline
1950s
1960s
- Jan 23, 1961
Allergan — NDA Secondary Org
1970s
- Dec 22, 1971
Alcon — Marketing Organization
- Nov 1, 1974
Johnson and Johnson — Marketing Organization
1980s
- Aug 5, 1982
Optopics — Marketing Organization
- Jun 7, 1983
Pharmafair — Marketing Organization
1990s
- Sep 29, 1995
Bausch & Lomb — Marketing Organization
2000s
- Mar 16, 2000
Akorn, Inc. — Marketing Organization
- Mar 16, 2000
Rising Pharmaceuticals — Marketing Organization
- Jan 1, 2005
Earliest Phase 1 Sponsor(trial)
- Jan 1, 2009
Earliest Phase 3 Sponsor(trial)
2020s
- Aug 9, 2024
Somerset Pharmaceuticals — Marketing Organization
- May 21, 2025
Mankind Pharma — Marketing Organization
- Oct 20, 2025
Micro Labs Ltd India — Marketing Organization
Indications
Approved for
Studied for
- Anesthesia, Local · Phase 3
- Anisocoria · Phase 4
- Astigmatism · Phase 4
- Corneal Injuries · Phase 1
- Dacryocystitis · Phase 4
- Epiretinal Membrane · Phase 4
- Hyperopia · Phase 4
- Lacrimal Apparatus Diseases · Phase 4
- Myopia · Phase 4
- Pain · Phase 3
- Refractive Errors · Phase 4
- Retinal Detachment · Phase 4
- Retinal Perforations · Phase 4
- Tracheal Stenosis · Phase 4
- Vision, Ocular · Phase 4
- Vitrectomy · Phase 4
- Vitreous Detachment · Phase 4
- Vitreous Hemorrhage · Phase 4
Mechanism of action
- Sodium channel alpha subunitBLOCKER
Sodium channel alpha subunit blocker
- Sodium channel protein type 1 subunit alpha (SCN1A) ↗
- Sodium channel protein type 5 subunit alpha (SCN5A) ↗
- Sodium channel protein type 4 subunit alpha (SCN4A) ↗
- Sodium channel protein type 7 subunit alpha (SCN7A) ↗
- Sodium channel protein type 2 subunit alpha (SCN2A) ↗
- Sodium channel protein type 9 subunit alpha (SCN9A) ↗
- Sodium channel protein type 3 subunit alpha (SCN3A) ↗
- Sodium channel protein type 11 subunit alpha (SCN11A) ↗
- Sodium channel protein type 8 subunit alpha (SCN8A) ↗
- Sodium channel protein type 10 subunit alpha (SCN10A) ↗
- Sodium channel protein type I alpha subunit
- Sodium channel protein type V alpha subunit
- Sodium channel protein type IV alpha subunit
- Sodium channel protein type VII alpha subunit
- Sodium channel protein type IX alpha subunit
- Sodium channel protein type II alpha subunit
- Sodium channel protein type III alpha subunit
- Sodium channel protein type XI alpha subunit
- Sodium channel protein type VIII alpha subunit
- Sodium channel protein type X alpha subunit
- Sodium channel alpha subunits; brain (Types I, II, III)
Approval history
- approvedJul 1, 1953
Chemistry & pharmacology
SMILES
CCCOc1ccc(C(=O)OCCN(CC)CC)cc1N- Mol. weight
- 294.39 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Topical
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
Yes
Sources
- ChEMBLCHEMBL1196 ↗
- WikipediaProxymetacaine ↗
- NCATSB4OB0JHI1X ↗
- ChEMBLCHEMBL1200464 ↗
Also known as
- 2-(diethylamino)ethyl 3-amino-4-propoxybenzoate
- 2-(diethylamino)ethyl 3-amino-4-propoxybenzoate monohydrochloride
- 3-amino-4-propoxybenzoic acid 2-(diethylamino)ethyl ester
- ak-taine
- alcaine
- alcaine
- alcaine
- benzoic acid, 3-amino-4-propoxy-, 2-(diethylamino)ethyl ester
- benzoic acid, 3-amino-4-propoxy-, 2-(diethylamino)ethyl ester, monohydrochloride*benzoic acid, 3-amino-4-propoxy-, 2-(diethylamino)ethyl ester, monohydrochloride
- chibro-kerakain
- kainair
- kainair
- kainair
- kéracaine
- minims proxymetacaine hydrochloride
- ocu-caine
- ophthaine
- ophthaine
- ophthaine
- ophthaine
- ophthaine
- ophthetic
- ophthetic
- ophthetic
- paracaine
- paracaine
- parcaine
- proparacaine
- proparacaine
- proparacaine
- proparacaine
- proparacaine
- proparacaine
- proparacaine
- proparacaine
- proparacaine
- proparacaine hcl
- proparacaine hcl
- proparacaine hcl
- proparacaine hcl
- proparacaine hydrochloride
- proparacaine hydrochloride
- proparacaine hydrochloride
- proparacaine hydrochloride
- proparacaine hydrochloride
- proparacaine, ophthaine
- proparakain-pos
- proximetacaina
- proximetacaina
- proxymetacaine
- proxymetacaine
- proxymetacaine
- proxymetacaine
- proxymetacaine
- proxymetacaine
- proxymetacaine
- proxymetacaine hydrochloride
- proxymetacaine monohydrochloride
- proxymetacainum
- proxymetacainum
- proxymethacaine
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06899724 | N/A | Jun 1, 2025 | Dr. John A. Thiel Medical Professional Corporation, University of Saskatchewan |
| NCT05325853 | Phase 3 | Apr 6, 2022 | American Genomics, LLC |
| NCT05238233 | Phase 4 | Apr 1, 2022 | Prisma Health |
| NCT05663684 | Phase 4 | Jun 30, 2020 | Louisiana State University |
| NCT04346095 | Phase 4 | Jun 30, 2020 | Rocky Vista University |
| NCT04229771 | Phase 4 | Mar 1, 2020 | Oakland University |
| NCT04283331 | Phase 4 | Feb 29, 2020 | Thomas Jefferson University |
| NCT02951351 | N/A | Oct 1, 2016 | Mayo Clinic |
| NCT02925832 | N/A | Oct 1, 2016 | Government Medical College, Haldwani |
| NCT03049163 | N/A | Oct 1, 2016 | Wenzhou Medical University |
| NCT02528123 | N/A | Apr 1, 2016 | London Vision Clinic |
| NCT02973581 | N/A | Feb 1, 2016 | Silesian University of Medicine |
| NCT02613013 | N/A | Oct 1, 2015 | Capital Medical University, Central South University, Harbin Medical University, Hebei University, He University, Huazhong University of Science and Technology, People's Liberation Army of China, Sun Yat-Sen University, The Third Hospital of HanDan, Wenzhou Medical University |
| NCT02895074 | N/A | Aug 1, 2014 | Government of China, Sun Yat-Sen University |
| NCT02609997 | N/A | Sep 1, 2012 | Sun Yat-Sen University |
| NCT01640171 | N/A | Jul 1, 2012 | Retina Vitreous Associates of Florida |
| NCT01266824 | N/A | Dec 1, 2010 | University of Pennsylvania |
| NCT01027611 | Phase 3 | Oct 1, 2009 | Illinois Retina Associates |
| NCT00769392 | N/A | Sep 1, 2008 | Tufts University |
| NCT00620997 | Phase 1 | Oct 1, 2005 | University of Western Ontario |
Organizations
Research & Development (28)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Sun Yat-Sen University | Academic/Hospital | 3 | 3 | 1 | 2012 |
| Wenzhou Medical University | Academic/Hospital | 2 | 1 | 1 | 2015 |
| American Genomics, LLC | Academic/Hospital | 1 | 1 | 1 | 2022 |
| Capital Medical University | Academic/Hospital | 1 | 0 | 1 | 2015 |
| Central South University | Academic/Hospital | 1 | 0 | 1 | 2015 |
| Dr. John A. Thiel Medical Professional Corporation | Academic/Hospital | 1 | 1 | 1 | 2025 |
| Government Medical College, Haldwani | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Government of China | Government | 1 | 0 | 1 | 2014 |
| Harbin Medical University | Academic/Hospital | 1 | 0 | 1 | 2015 |
| Hebei University | Academic/Hospital | 1 | 0 | 1 | 2015 |
| He University | Academic/Hospital | 1 | 0 | 1 | 2015 |
| Huazhong University of Science and Technology | Academic/Hospital | 1 | 0 | 1 | 2015 |
| Illinois Retina Associates | Academic/Hospital | 1 | 1 | 1 | 2009 |
| London Vision Clinic | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Louisiana State University | Academic/Hospital | 1 | 1 | 1 | 2020 |
| Mayo Clinic | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Oakland University | Academic/Hospital | 1 | 1 | 1 | 2020 |
| People's Liberation Army of China | Government | 1 | 0 | 1 | 2015 |
| Prisma Health | Academic/Hospital | 1 | 1 | 1 | 2022 |
| Retina Vitreous Associates of Florida | Academic/Hospital | 1 | 1 | 1 | 2012 |
Marketing (15)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Akorn, Inc. | For profit | SYN | Mar 16, 2000 |
| Akorn, Inc. | For profit | MKTG | Mar 16, 2000 |
| Alcon | For profit | MKTG | Dec 22, 1971 |
| Allergan | For profit | NDA2 | Jan 23, 1961 |
| Apothecon | For profit | NDA2 | Jul 1, 1953 |
| Bausch & Lomb | For profit | MKTG | Sep 29, 1995 |
| Bausch & Lomb | For profit | SYN | Sep 29, 1995 |
| Johnson and Johnson | For profit | MKTG | Nov 1, 1974 |
| Mankind Pharma | For profit | MKTG | May 21, 2025 |
| Micro Labs Ltd India | For profit | MKTG | Oct 20, 2025 |
| Optopics | Academic/Hospital | MKTG | Aug 5, 1982 |
| Pharmafair | For profit | MKTG | Jun 7, 1983 |
| Rising Pharmaceuticals | For profit | MKTG | Mar 16, 2000 |
| Somerset Pharmaceuticals | For profit | MKTG | Aug 9, 2024 |
| Squibb | For profit | NDA | Jul 1, 1953 |