Latanoprostene bunod

Last updated

Latanoprostene bunod
Latanoprostene bunod.svg
Clinical data
Trade names Vyzulta
Other namesBOL-303259-X
AHFS/Drugs.com Monograph
License data
Drug class Prostaglandin analog
ATC code
Legal status
Legal status
Identifiers
  • 4-Nitrooxybutyl (Z)-7-[(1R,2R,3R,5S)-3,5-dihydroxy-2-[(3R)-3-hydroxy-5-phenylpentyl]cyclopentyl]hept-5-enoate
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard 100.251.571 OOjs UI icon edit-ltr-progressive.svg
Chemical and physical data
Formula C27H41NO8
Molar mass 507.624 g·mol−1
3D model (JSmol)
  • C1[C@H]([C@@H]([C@H]([C@H]1O)C/C=C\CCCC(=O)OCCCCO[N+](=O)[O-])CC[C@H](CCC2=CC=CC=C2)O)O
  • InChI=1S/C27H41NO8/c29-22(15-14-21-10-4-3-5-11-21)16-17-24-23(25(30)20-26(24)31)12-6-1-2-7-13-27(32)35-18-8-9-19-36-28(33)34/h1,3-6,10-11,22-26,29-31H,2,7-9,12-20H2/b6-1-/t22-,23+,24+,25-,26+/m0/s1
  • Key:LOVMMUBRQUFEAH-UIEAZXIASA-N

Latanoprostene bunod, sold under the brand name Vyzulta, is an ophthalmic medication used for the reduction of intraocular pressure in people with open-angle glaucoma or ocular hypertension. [2] [3] It is a prostaglandin analog [2] which, when broken down by esterases and other metabolism, produces latanoprost acid and eventually nitrous oxide. Latanoprost increases uveoscleral outflow while the nitrous oxide increases outflow via the trabecular meshwork. [3]

Contents

The most common side effects include conjunctival (eye) redness, eye irritation, and eye discomfort (pain). [4] Latanoprostene bunod may cause the iris (colored part of the eye) to become darker in color. [4]

Latanoprostene bunod was approved for medical use in the United States in November 2017. [2] [4] [5]

Medical uses

Latanoprostene bunod is indicated for the reduction of intraocular pressure in people with open-angle glaucoma or ocular hypertension. [2]

History

The US Food and Drug Administration (FDA) approved latanoprostene bunod based on evidence from two clinical trials that enrolled 840 participants with open angle glaucoma or ocular hypertension. [4] The trials evaluated the benefits and side effects of latanoprostene bunod. [4] In each trial, participants were randomly assigned to receive either latanoprostene bunod or an approved drug timolol (ophthalmic solution) every day for three months. [4] Neither the participants nor the health care providers knew which treatment was being given until after the trials were completed. [4] The trials were conducted in the United States, the United Kingdom, Germany, Italy, Bulgaria, the Czech Republic, and Japan. [4]

References

  1. "Regulatory Decision Summary for Vyzulta". Health Canada. 27 December 2018.
  2. 1 2 3 4 5 "Vyzulta- latanoprostene bunod solution/ drops". DailyMed. 1 May 2019. Archived from the original on 7 June 2022. Retrieved 7 June 2022.
  3. 1 2 Hoy SM (May 2018). "Latanoprostene Bunod Ophthalmic Solution 0.024%: A Review in Open-Angle Glaucoma and Ocular Hypertension". Drugs. 78 (7): 773–780. doi: 10.1007/s40265-018-0914-6 . PMC   5976683 . PMID   29761382.
  4. 1 2 3 4 5 6 7 8 "Vyzulta". U.S. Food and Drug Administration (FDA). 2 November 2017. Archived from the original on 11 July 2024. Retrieved 11 July 2024.PD-icon.svg This article incorporates text from this source, which is in the public domain .
  5. "Bausch + Lomb And Nicox Announce FDA Approval Of Vyzulta (Latanoprostene Bunod Ophthalmic Solution), 0.024%" (Press release). Valeant Pharmaceuticals. 2 November 2017. Archived from the original on 11 July 2024. Retrieved 11 July 2024 via PR Newswire.