Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C25H37NO4 |
Molecular Weight | 415.5656 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 5 / 5 |
E/Z Centers | 2 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CCNC(=O)CCC\C=C/C[C@H]1[C@@H](O)C[C@@H](O)[C@@H]1\C=C\[C@@H](O)CCC2=CC=CC=C2
InChI
InChIKey=AQOKCDNYWBIDND-FTOWTWDKSA-N
InChI=1S/C25H37NO4/c1-2-26-25(30)13-9-4-3-8-12-21-22(24(29)18-23(21)28)17-16-20(27)15-14-19-10-6-5-7-11-19/h3,5-8,10-11,16-17,20-24,27-29H,2,4,9,12-15,18H2,1H3,(H,26,30)/b8-3-,17-16+/t20-,21+,22+,23-,24+/m0/s1
Bimatoprost (marketed in the US, Canada and Europe by Allergan, under the trade name Lumigan) ophthalmic solution is a topical medication used for controlling the progression of glaucoma or ocular hypertension, by reducing intraocular pressure. It is a prostaglandin analogue that works by increasing the outflow of aqueous fluid from the eyes. It binds to the prostanoid FP receptor. It selectively mimics the effects of naturally occurring substances, prostamides. Bimatoprost is believed to lower intraocular pressure (IOP) in humans by increasing outflow of aqueous humor through both the trabecular meshwork and uveoscleral routes. Elevated IOP presents a major risk factor for glaucomatous field loss. The higher the level of IOP, the greater the likelihood of optic nerve damage and visual field loss. Bimatoprost is the major circulating species in the blood once it reaches the systemic circulation following ocular dosing. Bimatoprost then undergoes oxidation, N-deethylation and glucuronidation to form a diverse variety of metabolites. In human blood, bimatoprost resides mainly in the plasma. Approximately 12% of bimatoprost remains unbound in human plasma.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1987 Sources: https://www.ncbi.nlm.nih.gov/pubmed/14733708 |
681.0 nM [EC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Palliative | LUMIGAN Approved UseLUMIGAN® (bimatoprost ophthalmic solution) 0.01% is indicated for the reduction of elevated intraocular pressure in patients with open angle glaucoma or ocular hypertension. Launch Date2010 |
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Primary | LUMIGAN Approved UseLUMIGAN® (bimatoprost ophthalmic solution) 0.01% is indicated for the reduction of elevated intraocular pressure in patients with open angle glaucoma or ocular hypertension. Launch Date2010 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.08 ng/mL |
1 drop 1 times / day steady-state, topical dose: 1 drop route of administration: Topical experiment type: STEADY-STATE co-administered: |
BIMATOPROST plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
12.2 ng/mL |
3.12 μg/kg bw single, intravenous dose: 3.12 μg/kg bw route of administration: Intravenous experiment type: SINGLE co-administered: |
BIMATOPROST plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.09 ng × h/mL |
1 drop 1 times / day steady-state, topical dose: 1 drop route of administration: Topical experiment type: STEADY-STATE co-administered: |
BIMATOPROST plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
45 min |
3.12 μg/kg bw single, intravenous dose: 3.12 μg/kg bw route of administration: Intravenous experiment type: SINGLE co-administered: |
BIMATOPROST plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
12% |
1 drop 1 times / day steady-state, topical dose: 1 drop route of administration: Topical experiment type: STEADY-STATE co-administered: |
BIMATOPROST plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
0.3 mg/mL 1 times / day multiple, ophthalmic Recommended Dose: 0.3 mg/mL, 1 times / day Route: ophthalmic Route: multiple Dose: 0.3 mg/mL, 1 times / day Sources: Page: p. 52 |
unhealthy, adult n = 137 Health Status: unhealthy Age Group: adult Population Size: 137 Sources: Page: p. 52 |
Disc. AE: Eczema, Dry eye... AEs leading to discontinuation/dose reduction: Eczema (1 patient) Sources: Page: p. 52Dry eye (1 patient) Eye inflammation (1 patient) Contact dermatitis (1 patient) |
0.01 % 1 times / day multiple, ophthalmic Dose: 0.01 %, 1 times / day Route: ophthalmic Route: multiple Dose: 0.01 %, 1 times / day Sources: Page: p. 28 |
unhealthy, adult n = 186 Health Status: unhealthy Age Group: adult Population Size: 186 Sources: Page: p. 28 |
Disc. AE: Conjunctival hyperemia, Headache... AEs leading to discontinuation/dose reduction: Conjunctival hyperemia (3 patients) Sources: Page: p. 28Headache (1 patient) Blurred vision (1 patient) Nausea (1 patient) |
0.0125 % 1 times / day multiple, ophthalmic Dose: 0.0125 %, 1 times / day Route: ophthalmic Route: multiple Dose: 0.0125 %, 1 times / day Sources: Page: p. 28 |
unhealthy, adult n = 188 Health Status: unhealthy Age Group: adult Population Size: 188 Sources: Page: p. 28 |
Disc. AE: Eye irritation, Eye pruritus... AEs leading to discontinuation/dose reduction: Eye irritation (1 patient) Sources: Page: p. 28Eye pruritus (1 patient) Ocular discomfort (1 patient) Conjunctival hyperemia (1 patient) Maculopathy (1 patient) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Contact dermatitis | 1 patient Disc. AE |
0.3 mg/mL 1 times / day multiple, ophthalmic Recommended Dose: 0.3 mg/mL, 1 times / day Route: ophthalmic Route: multiple Dose: 0.3 mg/mL, 1 times / day Sources: Page: p. 52 |
unhealthy, adult n = 137 Health Status: unhealthy Age Group: adult Population Size: 137 Sources: Page: p. 52 |
Dry eye | 1 patient Disc. AE |
0.3 mg/mL 1 times / day multiple, ophthalmic Recommended Dose: 0.3 mg/mL, 1 times / day Route: ophthalmic Route: multiple Dose: 0.3 mg/mL, 1 times / day Sources: Page: p. 52 |
unhealthy, adult n = 137 Health Status: unhealthy Age Group: adult Population Size: 137 Sources: Page: p. 52 |
Eczema | 1 patient Disc. AE |
0.3 mg/mL 1 times / day multiple, ophthalmic Recommended Dose: 0.3 mg/mL, 1 times / day Route: ophthalmic Route: multiple Dose: 0.3 mg/mL, 1 times / day Sources: Page: p. 52 |
unhealthy, adult n = 137 Health Status: unhealthy Age Group: adult Population Size: 137 Sources: Page: p. 52 |
Eye inflammation | 1 patient Disc. AE |
0.3 mg/mL 1 times / day multiple, ophthalmic Recommended Dose: 0.3 mg/mL, 1 times / day Route: ophthalmic Route: multiple Dose: 0.3 mg/mL, 1 times / day Sources: Page: p. 52 |
unhealthy, adult n = 137 Health Status: unhealthy Age Group: adult Population Size: 137 Sources: Page: p. 52 |
Blurred vision | 1 patient Disc. AE |
0.01 % 1 times / day multiple, ophthalmic Dose: 0.01 %, 1 times / day Route: ophthalmic Route: multiple Dose: 0.01 %, 1 times / day Sources: Page: p. 28 |
unhealthy, adult n = 186 Health Status: unhealthy Age Group: adult Population Size: 186 Sources: Page: p. 28 |
Headache | 1 patient Disc. AE |
0.01 % 1 times / day multiple, ophthalmic Dose: 0.01 %, 1 times / day Route: ophthalmic Route: multiple Dose: 0.01 %, 1 times / day Sources: Page: p. 28 |
unhealthy, adult n = 186 Health Status: unhealthy Age Group: adult Population Size: 186 Sources: Page: p. 28 |
Nausea | 1 patient Disc. AE |
0.01 % 1 times / day multiple, ophthalmic Dose: 0.01 %, 1 times / day Route: ophthalmic Route: multiple Dose: 0.01 %, 1 times / day Sources: Page: p. 28 |
unhealthy, adult n = 186 Health Status: unhealthy Age Group: adult Population Size: 186 Sources: Page: p. 28 |
Conjunctival hyperemia | 3 patients Disc. AE |
0.01 % 1 times / day multiple, ophthalmic Dose: 0.01 %, 1 times / day Route: ophthalmic Route: multiple Dose: 0.01 %, 1 times / day Sources: Page: p. 28 |
unhealthy, adult n = 186 Health Status: unhealthy Age Group: adult Population Size: 186 Sources: Page: p. 28 |
Conjunctival hyperemia | 1 patient Disc. AE |
0.0125 % 1 times / day multiple, ophthalmic Dose: 0.0125 %, 1 times / day Route: ophthalmic Route: multiple Dose: 0.0125 %, 1 times / day Sources: Page: p. 28 |
unhealthy, adult n = 188 Health Status: unhealthy Age Group: adult Population Size: 188 Sources: Page: p. 28 |
Eye irritation | 1 patient Disc. AE |
0.0125 % 1 times / day multiple, ophthalmic Dose: 0.0125 %, 1 times / day Route: ophthalmic Route: multiple Dose: 0.0125 %, 1 times / day Sources: Page: p. 28 |
unhealthy, adult n = 188 Health Status: unhealthy Age Group: adult Population Size: 188 Sources: Page: p. 28 |
Eye pruritus | 1 patient Disc. AE |
0.0125 % 1 times / day multiple, ophthalmic Dose: 0.0125 %, 1 times / day Route: ophthalmic Route: multiple Dose: 0.0125 %, 1 times / day Sources: Page: p. 28 |
unhealthy, adult n = 188 Health Status: unhealthy Age Group: adult Population Size: 188 Sources: Page: p. 28 |
Maculopathy | 1 patient Disc. AE |
0.0125 % 1 times / day multiple, ophthalmic Dose: 0.0125 %, 1 times / day Route: ophthalmic Route: multiple Dose: 0.0125 %, 1 times / day Sources: Page: p. 28 |
unhealthy, adult n = 188 Health Status: unhealthy Age Group: adult Population Size: 188 Sources: Page: p. 28 |
Ocular discomfort | 1 patient Disc. AE |
0.0125 % 1 times / day multiple, ophthalmic Dose: 0.0125 %, 1 times / day Route: ophthalmic Route: multiple Dose: 0.0125 %, 1 times / day Sources: Page: p. 28 |
unhealthy, adult n = 188 Health Status: unhealthy Age Group: adult Population Size: 188 Sources: Page: p. 28 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no [IC50 >133 uM] | ||||
no [IC50 >133 uM] | ||||
no [IC50 >133 uM] | ||||
yes [IC50 40.4 uM] |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
no | ||||
no | ||||
yes | ||||
yes | ||||
yes | ||||
yes |
PubMed
Title | Date | PubMed |
---|---|---|
Topical bimatoprost: a review of its use in open-angle glaucoma and ocular hypertension. | 2002 |
|
One-year, randomized study comparing bimatoprost and timolol in glaucoma and ocular hypertension. | 2002 Oct |
|
Hydrolysis of bimatoprost (Lumigan) to its free acid by ocular tissue in vitro. | 2003 Feb |
|
Pharmacological characterization of a novel antiglaucoma agent, Bimatoprost (AGN 192024). | 2003 May |
|
The comparative cardiovascular, pulmonary, ocular blood flow, and ocular hypotensive effects of topical travoprost, bimatoprost, brimonidine, and betaxolol. | 2004 Aug |
|
Mechanism of ocular hypotensive action of bimatoprost (Lumigan) in patients with ocular hypertension or glaucoma. | 2004 Sep |
|
Bimatoprost: mechanism of ocular surface hyperemia associated with topical therapy. | 2005 Fall |
|
Decreased high-density lipoprotein serum levels associated with topical bimatoprost therapy. | 2006 Apr |
|
Prospective comparative switch study from timolol 0.5% and latanoprost 0.005% to bimatoprost 0.03%. | 2006 Jan-Feb |
|
Effects of bimatoprost 0.03% on ocular hemodynamics in normal tension glaucoma. | 2006 Jun |
|
[Cystoid macular edema in a pseudophakic patient after several glaucoma procedures. Is local therapy with bimatoprost the reason?]. | 2006 Jun |
|
Comparison of the effects of bimatoprost and a fixed combination of latanoprost and timolol on circadian intraocular pressure. | 2007 Dec |
|
Bimatoprost, prostamide activity, and conventional drainage. | 2007 Sep |
|
Bimatoprost, the prodrug of a prostaglandin analogue. | 2008 Jun |
|
Outcome of raised intraocular pressure in uveitic eyes with and without a corticosteroid-induced hypertensive response. | 2009 Aug |
|
Bimatoprost - a review. | 2009 Nov |
Patents
Sample Use Guides
One drop in the affected eye(s) once daily in the evening
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/23395963
Curator's Comment: To examine the protective effects of bimatoprost, cultured retinal ganglion cells (RGC) with various concentrations of bimatoprost (in both free acid and amide form) were exposed to l-buthionin-(S,R)-sulfoximine (BSO) plus glutamate or serum depletion in vitro and intravitreal injection of N-methyl-D-aspartate (NMDA) was used to induce retinal damage in vivo. To elucidate the protective mechanism of bimatoprost, we used western blot analysis to investigate the phosphorylation of Akt and extracellular signal-regulated kinase (ERK). Bimatoprost significantly reduced BSO plus glutamate- and serum deprivation-induced death in concentration-dependent manners. Bimatoprost induced activation of Akt and ERK, and a phosphatidylinositol 3-kinase inhibitor, LY294002, attenuated the protective effect of bimatoprost.
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Classification Tree | Code System | Code | ||
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NDF-RT |
N0000007706
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WHO-ATC |
S01EE03
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NDF-RT |
N0000007706
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NCI_THESAURUS |
C78568
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N0000007706
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NCI_THESAURUS |
C29705
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WHO-VATC |
QS01EE03
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EMA ASSESSMENT REPORTS |
LUMIGAN (AUTHORIZED: GLAUCOMA, OPEN-ANGLE)
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EMA ASSESSMENT REPORTS |
GANFORT (AUTHORIZED: OCULAR HYPERTENSION0
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EMA ASSESSMENT REPORTS |
BIMATOPROST (AUTHORIZED: OCULAR HYPERTENSION)
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LUMIGAN (AUTHORIZED: OCULAR HYPERTENSION)
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NDF-RT |
N0000175454
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ACTIVE MOIETY