Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C23H22N6O4S |
| Molecular Weight | 478.524 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
OC(=O)CNC1=CC=CC(CN(CC2=CC=C(C=C2)N3C=CC=N3)S(=O)(=O)C4=CC=CN=C4)=N1
InChI
InChIKey=YHGSTSNEOJUIRN-UHFFFAOYSA-N
InChI=1S/C23H22N6O4S/c30-23(31)15-25-22-6-1-4-19(27-22)17-28(34(32,33)21-5-2-11-24-14-21)16-18-7-9-20(10-8-18)29-13-3-12-26-29/h1-14H,15-17H2,(H,25,27)(H,30,31)
Omidenepag isopropyl, a prodrug, is hydrolyzed in the eye to the active form (Omidenepag) which functions as a selective, nonprostaglandin, prostanoid EP2 agonist, has been developed by Ube Industries and Santen Pharmaceutical as an ophthalmic solution (EYBELIS®) for the treatment of glaucoma and ocular hypertension. Omidenepag isopropyl increases the outfow of aqueous humor via both the uveoscleral outfow and the trabecular outfow pathways, resulting in potent and stable reduction in intraocular pressure (IOP). In September 2018, omidenepag isopropyl ophthalmic solution 0.002% was approved in Japan for the treatment of glaucoma and ocular hypertension. On September 22, 2022, the FDA approved Santen’s Omlonti (omidenepag isopropyl), for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension.
Approval Year
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | Omlonti Approved UseOmlonti (omidenepag isopropyl ophthalmic solution) 0.002%, is a relatively selective prostaglandin E2 (EP2) receptor agonist, indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Launch Date2022 |
|||
| Primary | Omlonti Approved UseOmlonti (omidenepag isopropyl ophthalmic solution) 0.002%, is a relatively selective prostaglandin E2 (EP2) receptor agonist, indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. Launch Date2022 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
34.36 pg/mL |
1 drop 1 times / day multiple, ocular dose: 1 drop route of administration: Ocular experiment type: MULTIPLE co-administered: |
OMIDENEPAG ISOPROPYL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
21.54 pmol × h/mL |
1 drop 1 times / day multiple, ocular dose: 1 drop route of administration: Ocular experiment type: MULTIPLE co-administered: |
OMIDENEPAG ISOPROPYL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
0.449 h |
1 drop 1 times / day multiple, ocular dose: 1 drop route of administration: Ocular experiment type: MULTIPLE co-administered: |
OMIDENEPAG ISOPROPYL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
2.2% |
1 drop 1 times / day multiple, ocular dose: 1 drop route of administration: Ocular experiment type: MULTIPLE co-administered: |
OMIDENEPAG ISOPROPYL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
0.002 % 1 times / day steady, ophthalmic Studied dose Dose: 0.002 %, 1 times / day Route: ophthalmic Route: steady Dose: 0.002 %, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Disc. AE: Photophobia, Uveitis... AEs leading to discontinuation/dose reduction: Photophobia (1 patient) Sources: Uveitis (1 patient) Iritis (1 patient) Foreign body (1 patient) |
0.002 % 1 times / day steady, ophthalmic Studied dose Dose: 0.002 %, 1 times / day Route: ophthalmic Route: steady Dose: 0.002 %, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: unknown Food Status: UNKNOWN Sources: |
Other AEs: Conjunctival hyperemia, Photophobia... Other AEs: Conjunctival hyperemia (9.7%) Sources: Photophobia (3.2%) Ocular hyperemia (1.6%) Vision blurred (1.1%) Eye pain (1.6%) Corneal thickening (3.8%) Dry eye (1.1%) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Foreign body | 1 patient Disc. AE |
0.002 % 1 times / day steady, ophthalmic Studied dose Dose: 0.002 %, 1 times / day Route: ophthalmic Route: steady Dose: 0.002 %, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
| Iritis | 1 patient Disc. AE |
0.002 % 1 times / day steady, ophthalmic Studied dose Dose: 0.002 %, 1 times / day Route: ophthalmic Route: steady Dose: 0.002 %, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
| Photophobia | 1 patient Disc. AE |
0.002 % 1 times / day steady, ophthalmic Studied dose Dose: 0.002 %, 1 times / day Route: ophthalmic Route: steady Dose: 0.002 %, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
| Uveitis | 1 patient Disc. AE |
0.002 % 1 times / day steady, ophthalmic Studied dose Dose: 0.002 %, 1 times / day Route: ophthalmic Route: steady Dose: 0.002 %, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
| Dry eye | 1.1% | 0.002 % 1 times / day steady, ophthalmic Studied dose Dose: 0.002 %, 1 times / day Route: ophthalmic Route: steady Dose: 0.002 %, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: unknown Food Status: UNKNOWN Sources: |
| Vision blurred | 1.1% | 0.002 % 1 times / day steady, ophthalmic Studied dose Dose: 0.002 %, 1 times / day Route: ophthalmic Route: steady Dose: 0.002 %, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: unknown Food Status: UNKNOWN Sources: |
| Eye pain | 1.6% | 0.002 % 1 times / day steady, ophthalmic Studied dose Dose: 0.002 %, 1 times / day Route: ophthalmic Route: steady Dose: 0.002 %, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: unknown Food Status: UNKNOWN Sources: |
| Ocular hyperemia | 1.6% | 0.002 % 1 times / day steady, ophthalmic Studied dose Dose: 0.002 %, 1 times / day Route: ophthalmic Route: steady Dose: 0.002 %, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: unknown Food Status: UNKNOWN Sources: |
| Photophobia | 3.2% | 0.002 % 1 times / day steady, ophthalmic Studied dose Dose: 0.002 %, 1 times / day Route: ophthalmic Route: steady Dose: 0.002 %, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: unknown Food Status: UNKNOWN Sources: |
| Corneal thickening | 3.8% | 0.002 % 1 times / day steady, ophthalmic Studied dose Dose: 0.002 %, 1 times / day Route: ophthalmic Route: steady Dose: 0.002 %, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: unknown Food Status: UNKNOWN Sources: |
| Conjunctival hyperemia | 9.7% | 0.002 % 1 times / day steady, ophthalmic Studied dose Dose: 0.002 %, 1 times / day Route: ophthalmic Route: steady Dose: 0.002 %, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: unknown Food Status: UNKNOWN Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 28 | 11 |
no | |||
Page: 28 | 11 |
no | |||
Page: 28 | 11 |
no | |||
Page: 26 | 11 |
no | |||
Page: 26 | 11 |
no | |||
Page: 26 | 11 |
no | |||
Page: 26 | 11 |
no | |||
Page: 26 | 11 |
no | |||
Page: 28 | 11 |
no | |||
Page: 28 | 11 |
no | |||
Page: 28 | 11 |
no | |||
Page: 28 | 11 |
no | |||
Page: 28 | 11 |
no | |||
Page: 28 | 11 |
no | |||
Page: 28 | 11 |
no | |||
Page: 28 | 11 |
weak [IC50 >5 uM] | |||
Page: 28 | 11 |
weak [IC50 >5 uM] | |||
Page: 28 | 11 |
yes [IC50 1.8 uM] | |||
Page: 28 | 11 |
yes [IC50 1.89 uM] | |||
Page: 28 | 11 |
yes [IC50 2.26 uM] | |||
Page: 26 | 11 |
yes [IC50 5.04 uM] | |||
Page: 28 | 11 |
yes [IC50 7.13 uM] | |||
Page: 28 | 11 |
yes [IC50 8.96 uM] | |||
Page: 28 | 11 |
yes [IC50 <=5 uM] | |||
Page: 28 | 11 |
yes [IC50 >5 uM] | |||
Page: 28 | 11 |
yes [IC50 >5 uM] | |||
Page: 28 | 11 |
yes [IC50 >5 uM] | |||
Page: 28 | 11 |
yes [IC50 >5 uM] | |||
Page: 26 | 11 |
yes |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 25.0 |
major | |||
Page: 25.0 |
minor | |||
Page: 25.0 |
minor | |||
Page: 25.0 |
minor | |||
Page: 25.0 |
minor | |||
Page: 25.0 |
minor | |||
Page: 25.0 |
minor | |||
Page: 25.0 |
minor | |||
Page: 25.0 |
minor | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 24.0 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 28 | 10 |
no | |||
Page: 24.0 |
yes | |||
Page: 28 | 10 |
yes | |||
Page: 28 | 10 |
yes | |||
Page: 28 | 10 |
yes | |||
Page: 28 | 10 |
yes |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 10.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Omidenepag Isopropyl Versus Latanoprost in Primary Open-Angle Glaucoma and Ocular Hypertension: The Phase 3 AYAME Study. | 2020-12 |
|
| Omidenepag isopropyl for the treatment of glaucoma and ocular hypertension. | 2019-06 |
|
| Omidenepag Isopropyl Ophthalmic Solution 0.002%: First Global Approval. | 2018-12 |
|
| Omidenepag Isopropyl Ophthalmic Solution 0.002%: First Global Approval. | 2018-12 |
| Name | Type | Language | ||
|---|---|---|---|---|
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Official Name | English | ||
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Preferred Name | English | ||
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Systematic Name | English | ||
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Systematic Name | English | ||
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Systematic Name | English | ||
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Common Name | English | ||
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Common Name | English | ||
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Common Name | English |
| Classification Tree | Code System | Code | ||
|---|---|---|---|---|
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WHO-ATC |
S01EX06
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ACTIVE MOIETY
PRODRUG (METABOLITE ACTIVE)