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Clinical data | |
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Trade names | Vyzulta |
Other names | BOL-303259-X |
AHFS/Drugs.com | Monograph |
License data | |
Drug class | Prostaglandin analog |
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ECHA InfoCard | 100.251.571 |
Chemical and physical data | |
Formula | C27H41NO8 |
Molar mass | 507.624 g·mol−1 |
3D model (JSmol) | |
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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]
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]
Latanoprostene bunod is indicated for the reduction of intraocular pressure in people with open-angle glaucoma or ocular hypertension. [2]
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]