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Also known as: 1254032-66-0, Ar-11324 free base, Rhopressa, Netarsudil [usan], Netarsudil free base, W6i5qdt7qi
Molecular Formula
C28H27N3O3
Molecular Weight
453.5  g/mol
InChI Key
OURRXQUGYQRVML-AREMUKBSSA-N
FDA UNII
W6I5QDT7QI

Netarsudil
Netarsudil is an amino-isoquinoline amide and inhibitor of Rho kinase (ROCK) and norepinephrine transporter (NET), with potential intraocular pressure (IOP)-lowering activity. Upon ocular administration, netarsudil inhibits ROCK and the Rho pathway, increases aqueous humor (AH) outflow via the trabecular pathway, and lowers IOP. In addition, netarsudil may lower IOP by decreasing episcleral venous pressure and decreasing the production of aqueous humor through inhibition of NET.
Netarsudil is a Rho Kinase Inhibitor. The mechanism of action of netarsudil is as a Rho Kinase Inhibitor.
1 2D Structure

Netarsudil

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
[4-[(2S)-3-amino-1-(isoquinolin-6-ylamino)-1-oxopropan-2-yl]phenyl]methyl 2,4-dimethylbenzoate
2.1.2 InChI
InChI=1S/C28H27N3O3/c1-18-3-10-25(19(2)13-18)28(33)34-17-20-4-6-21(7-5-20)26(15-29)27(32)31-24-9-8-23-16-30-12-11-22(23)14-24/h3-14,16,26H,15,17,29H2,1-2H3,(H,31,32)/t26-/m1/s1
2.1.3 InChI Key
OURRXQUGYQRVML-AREMUKBSSA-N
2.1.4 Canonical SMILES
CC1=CC(=C(C=C1)C(=O)OCC2=CC=C(C=C2)C(CN)C(=O)NC3=CC4=C(C=C3)C=NC=C4)C
2.1.5 Isomeric SMILES
CC1=CC(=C(C=C1)C(=O)OCC2=CC=C(C=C2)[C@@H](CN)C(=O)NC3=CC4=C(C=C3)C=NC=C4)C
2.2 Other Identifiers
2.2.1 UNII
W6I5QDT7QI
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Ar-13324

2.3.2 Depositor-Supplied Synonyms

1. 1254032-66-0

2. Ar-11324 Free Base

3. Rhopressa

4. Netarsudil [usan]

5. Netarsudil Free Base

6. W6i5qdt7qi

7. Ar-13324

8. [4-[(2s)-3-amino-1-(isoquinolin-6-ylamino)-1-oxopropan-2-yl]phenyl]methyl 2,4-dimethylbenzoate

9. (4-((1s)-1-(aminomethyl)-2-(isoquinolin-6-ylamino)-2-oxoethyl)phenyl)methyl 2,4- Dimethylbenzoate

10. Benzoic Acid, 2,4-dimethyl-, (4-((1s)-1-(aminomethyl)-2-(6-isoquinolinylamino)-2-oxoethyl)phenyl)methyl Ester

11. Rhokiinsa

12. Unii-w6i5qdt7qi

13. Netarsudil [mi]

14. Netarsudil [inn]

15. Netarsudil (usan/inn)

16. Netarsudil [usan:inn]

17. Netarsudil [who-dd]

18. Gtpl9322

19. Chembl4594250

20. Schembl16036278

21. Dtxsid001027774

22. Bdbm50546247

23. Zinc113149554

24. Ar11324

25. Db13931

26. Ac-31227

27. Ar-11324

28. Ester 60 [pmid: 27072905]

29. D11030

30. Q27292390

2.4 Create Date
2012-11-30
3 Chemical and Physical Properties
Molecular Weight 453.5 g/mol
Molecular Formula C28H27N3O3
XLogP34.6
Hydrogen Bond Donor Count2
Hydrogen Bond Acceptor Count5
Rotatable Bond Count8
Exact Mass453.20524173 g/mol
Monoisotopic Mass453.20524173 g/mol
Topological Polar Surface Area94.3 Ų
Heavy Atom Count34
Formal Charge0
Complexity678
Isotope Atom Count0
Defined Atom Stereocenter Count1
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Indication

Netarsudil is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension.


FDA Label


Reduction of elevated intraocular pressure (IOP) in adult patients with primary open-angle glaucoma or ocular hypertension.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Aqueous humour flows out of the eye via two pathways: 1) the conventional trabecular pathway and 2) the unconventional uveoscleral pathway. And, although it has been shown that the conventional trabecular pathway accounts for most aqueous outflow due to various pathologies, most medications available for treating glaucoma target the uveoscleral pathway for treatment and leave the diseased trabecular pathway untreated and unhindered in its progressive deterioration and dysfunction. Netarsudil is subsequently a novel glaucoma medication that is both a rho kinase and norepinephrine transport (NATs)s inhibitor that specifically targets and inhibits rho kinase and NATS found in the conventional trabecular pathway while many of its contemporaries offer therapy that focuses on cell and muscle tissue remodelling


5.2 FDA Pharmacological Classification
5.2.1 Active Moiety
NETARSUDIL
5.2.2 FDA UNII
W6I5QDT7QI
5.2.3 Pharmacological Classes
Rho Kinase Inhibitors [MoA]; Rho Kinase Inhibitor [EPC]
5.3 ATC Code

S01EX05


S - Sensory organs

S01 - Ophthalmologicals

S01E - Antiglaucoma preparations and miotics

S01EX - Other antiglaucoma preparations

S01EX05 - Netarsudil


5.4 Absorption, Distribution and Excretion

Absorption

The systemic exposure of netarsudil and its active metabolite, AR-13503, after topical ocular administration of netarsudil opthalmic solution 0.02% once daily (one drop bilaterally in the morning) for eight days in 18 healthy subjects demonstrated no quantifiable plasma concentrations of netarsudil (lower limit of quantitation [LLOQ] 0.100 ng/mL) post dose on Day 1 and Day 8. Only one plasma concentration at 0.11 ng/mL for the active metabolite was observed for one subject on Day 8 at 8 hours post dose.


Route of Elimination

Clinical studies assessing the *in vitro* metabolism of netarsudil using corneal tissue from humans, human plasma, and human liver microsomes and microsomal S9 fractions demonstrated that netarsudil metabolism occurs through esterase activity. Subsequent metabolism of netarsudil's esterase metabolite, AR-13503, was not detectable. In fact, esterase metabolism in human plasma was not detected during a 3 hour incubation.


Volume of Distribution

As netarsudil and its active metabolite demonstrate a high degree of protein binding, it is expected to exhibit a low volume of distribution.


Clearance

The clearance of netarsudil is strongly influenced by its low plasma concetrations following topical administration and absorption and high protein binding in human plasma inn.


5.5 Metabolism/Metabolites

After topical ocular dosing, netarsudil is metabolized by esterases in the eye to its active metabolite, netarsudil-M1 (or AR-13503).


5.6 Biological Half-Life

The half-life of netarsudil incubated *in vitro

with human corneal tissue is 175 minutes.


5.7 Mechanism of Action

The medical condition glaucoma is a leading cause of progressive visual impairment and blindness across the world with primary open-angle glaucoma (POAG) being the major type of glaucoma. Elevated intraocular pressure (IOP) resulting from increased resistance to aqueous humor outflow is considered a major risk for the development and progression of POAG, but various clinical studies have demonstrated that the reduction and tight control of IOP can delay or prevent POAG and the vision loss associated with it. Ordinary physiological IOP results from aqueous humor produced by the ocular ciliary body and its outflow through two main outflow pathways: the conventional (trabecular) and the unconventional (uveoscleral) pathways. Under ordinary physiological conditions, diagnostic tracers have shown that the conventional trabecular pathway accounts for up to 90% of aqueous humor outflow. Through this pathway, aqueous humor drains from the anterior chamber sequentially through the uveal and corneoscleral meshwork beams, juxtacanalicular connective tissue (JCT) region, and inner wall (IW) endothelial cells of Schlemm's canal (SC) until finally entering the lumen of SC. From there aqueous humor drains into the collector channels, intravascular plexus, epscleral veins, and finally into the blood circulation. In glaucomatous eyes, elevated IOP is the result of abnormally increased resistance to aqueous outflow in the conventional trabecular pathway due to apparent increases in the contractile tone and stiffness of the trabecular pathway meshwork (TM), changes in extracellular matrix composition, and/or a decrease in the conductance of the IW endothelial cells of SC. Subsequently, as a rho kinase inhibitor, the novelty of netarsudil lies in its ability or specificity to apply its mechanism of action directly and specifically at the diseased TM of the conventional trabecular outflow pathway. In particular, rho kinases are serine/threonine kinases that function as important downstream effectors of Rho GTPase. Such activity in the TM and SC drives actomysin contraction, promotes extracellular matrix production, and increases cell stiffness. Acting as an inhibitor of rho kinase, netarsudil consequently reduces cell contraction, decreases the expression of fibrosis-related proteins, and reduces cell stiffness in the TM and SC cells. As a result, netarsudil has been able to demonstrate increases in trabecular outflow facility, increases in the effective filtration area of the TM, cause expansion of the TM tissue, and dilate episcleral veins. Furthermore, netarsudil is also believed to possess inhibitory action against the norepinephrine transporter (NET). Such inhibition of the NET prevents reuptake of norepinephrine at noradrenergic synapses, which results in an increase in the strength and duration of endogenous norepinephrine signaling. As a consequence of this enhanced signaling, norepinephrine-induced vasoconstriction that can reduce blood flow to the ciliary body may subsequently be responsible for a mechanism in which the formation of aqueous humor may be delayed, prolonged, or reduced as well.


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15-May-2021
08-Nov-2024
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Drugs in Development

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Details:

Alcon will add Rocklatan (netarsudil and latanoprost ophthalmic solution) and Rhopressa (netarsudil ophthalmic solution), as well as AR-15512, a Phase 3 candidate for dry eye disease, and a pipeline of several clinical and preclinical ophthalmic pharmaceutical candidates.


Lead Product(s): Netarsudil,Latanoprost

Therapeutic Area: Ophthalmology Brand Name: Rocklatan

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: Alcon Inc

Deal Size: $930.0 million Upfront Cash: Undisclosed

Deal Type: Acquisition December 22, 2022

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01

Alcon Inc

U.S.A
arrow
Biotech Digital Meet
Not Confirmed

Alcon Inc

U.S.A
arrow
Biotech Digital Meet
Not Confirmed

Details : Alcon will add Rocklatan (netarsudil and latanoprost ophthalmic solution) and Rhopressa (netarsudil ophthalmic solution), as well as AR-15512, a Phase 3 candidate for dry eye disease, and a pipeline of several clinical and preclinical ophthalmic pharmace...

Product Name : Rocklatan

Product Type : Small molecule

Upfront Cash : Undisclosed

December 22, 2022

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Details:

Through the transaction, Alcon has added the commercial products Rocklatan (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% and Rhopressa (netarsudil ophthalmic solution) 0.02%, as well as AR-15512, a Phase 3 product candidate for dry eye disease.


Lead Product(s): Netarsudil,Latanoprost

Therapeutic Area: Ophthalmology Brand Name: Rocklatan

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: Alcon Inc

Deal Size: Undisclosed Upfront Cash: Undisclosed

Deal Type: Acquisition November 22, 2022

blank

02

Alcon Inc

U.S.A
arrow
Biotech Digital Meet
Not Confirmed

Alcon Inc

U.S.A
arrow
Biotech Digital Meet
Not Confirmed

Details : Through the transaction, Alcon has added the commercial products Rocklatan (netarsudil and latanoprost ophthalmic solution) 0.02%/0.005% and Rhopressa (netarsudil ophthalmic solution) 0.02%, as well as AR-15512, a Phase 3 product candidate for dry eye di...

Product Name : Rocklatan

Product Type : Small molecule

Upfront Cash : Undisclosed

November 22, 2022

blank

Details:

Alcon will add Rocklatan (netarsudil and latanoprost ophthalmic solution) and Rhopressa (netarsudil ophthalmic solution), as well as AR-15512, a Phase 3 candidate for dry eye disease, and a pipeline of several clinical and preclinical ophthalmic pharmaceutical candidates.


Lead Product(s): Netarsudil,Latanoprost

Therapeutic Area: Ophthalmology Brand Name: Rocklatan

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: Alcon Inc

Deal Size: $930.0 million Upfront Cash: Undisclosed

Deal Type: Acquisition August 22, 2022

blank

03

Alcon Inc

U.S.A
arrow
Biotech Digital Meet
Not Confirmed

Alcon Inc

U.S.A
arrow
Biotech Digital Meet
Not Confirmed

Details : Alcon will add Rocklatan (netarsudil and latanoprost ophthalmic solution) and Rhopressa (netarsudil ophthalmic solution), as well as AR-15512, a Phase 3 candidate for dry eye disease, and a pipeline of several clinical and preclinical ophthalmic pharmace...

Product Name : Rocklatan

Product Type : Small molecule

Upfront Cash : Undisclosed

August 22, 2022

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Details:

Rocklatan (netarsudil and latanoprost), indicated for reduction of elevated IOP in patients with glaucoma or ocular hypertension, demonstrated consistent IOP reduction of ~9.5 mmHg and an average IOP reduction of 37% from baseline in European Phase 3B clinical trial.


Lead Product(s): Netarsudil

Therapeutic Area: Ophthalmology Brand Name: Rocklatan

Study Phase: Phase IIIProduct Type: Small molecule

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable April 20, 2022

blank

04

Alcon Inc

U.S.A
arrow
Biotech Digital Meet
Not Confirmed

Alcon Inc

U.S.A
arrow
Biotech Digital Meet
Not Confirmed

Details : Rocklatan (netarsudil and latanoprost), indicated for reduction of elevated IOP in patients with glaucoma or ocular hypertension, demonstrated consistent IOP reduction of ~9.5 mmHg and an average IOP reduction of 37% from baseline in European Phase 3B cl...

Product Name : Rocklatan

Product Type : Small molecule

Upfront Cash : Not Applicable

April 20, 2022

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Details:

Santen will be responsible for all development and commercialization costs and activities related to the products in the territories covered by the agreement with the exception of a post-marketing clinical study to be conducted by Aerie in Europe for Rhopressa and Rocklatan.


Lead Product(s): Netarsudil

Therapeutic Area: Ophthalmology Brand Name: Rhopressa

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: Santen Pharmaceutical

Deal Size: $168.0 million Upfront Cash: $88.0 million

Deal Type: Expanded Collaboration December 07, 2021

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05

Alcon Inc

U.S.A
arrow
Biotech Digital Meet
Not Confirmed

Alcon Inc

U.S.A
arrow
Biotech Digital Meet
Not Confirmed

Details : Santen will be responsible for all development and commercialization costs and activities related to the products in the territories covered by the agreement with the exception of a post-marketing clinical study to be conducted by Aerie in Europe for Rho...

Product Name : Rhopressa

Product Type : Small molecule

Upfront Cash : $88.0 million

December 07, 2021

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Details:

THC-VHS-NEC (SBI-100) + Rhopressa® (netarsudil) a Rho-Kinase Inhibitor combination , Produces Superior IOP Lowering Activity.THCVHS a synthetic molecule, developed to treat glaucoma.


Lead Product(s): 9-delta-Tetrahydrocannabinol-valine-hemisuccinate,Netarsudil

Therapeutic Area: Ophthalmology Brand Name: THC-VHS

Study Phase: PreclinicalProduct Type: Small molecule

Sponsor: Not Applicable

Deal Size: Not Applicable Upfront Cash: Not Applicable

Deal Type: Not Applicable October 21, 2021

blank

06

Biotech Digital Meet
Not Confirmed
Biotech Digital Meet
Not Confirmed

Lead Product(s) : 9-delta-Tetrahydrocannabinol-valine-hemisuccinate,Netarsudil

Therapeutic Area : Ophthalmology

Highest Development Status : Preclinical

Partner/Sponsor/Collaborator : Not Applicable

Deal Size : Not Applicable

Deal Type : Not Applicable

Details : THC-VHS-NEC (SBI-100) + Rhopressa® (netarsudil) a Rho-Kinase Inhibitor combination , Produces Superior IOP Lowering Activity.THCVHS a synthetic molecule, developed to treat glaucoma.

Product Name : THC-VHS

Product Type : Small molecule

Upfront Cash : Not Applicable

October 21, 2021

blank

Details:

Santen will look after sales, marketing and pricing decisions relating to Rhopressa® and Rocklatan®. Aerie and Santen will collaborate for the first Phase 3 study for Rhopressa® in Japan.


Lead Product(s): Netarsudil

Therapeutic Area: Ophthalmology Brand Name: Rhopressa

Study Phase: ApprovedProduct Type: Small molecule

Sponsor: Santen Pharmaceutical

Deal Size: $149.0 million Upfront Cash: $50.0 million

Deal Type: Licensing Agreement October 28, 2020

blank

07

Alcon Inc

U.S.A
arrow
Biotech Digital Meet
Not Confirmed

Alcon Inc

U.S.A
arrow
Biotech Digital Meet
Not Confirmed

Details : Santen will look after sales, marketing and pricing decisions relating to Rhopressa® and Rocklatan®. Aerie and Santen will collaborate for the first Phase 3 study for Rhopressa® in Japan.

Product Name : Rhopressa

Product Type : Small molecule

Upfront Cash : $50.0 million

October 28, 2020

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ABOUT THIS PAGE

Looking for 1254032-66-0 / Netarsudil API manufacturers, exporters & distributors?

Netarsudil manufacturers, exporters & distributors 1

73

PharmaCompass offers a list of Netarsudil API manufacturers, exporters & distributors, which can be sorted by GMP, USDMF, JDMF, KDMF, CEP (COS), WC, Price,and more, enabling you to easily find the right Netarsudil manufacturer or Netarsudil supplier for your needs.

Send us enquiries for free, and we will assist you in establishing a direct connection with your preferred Netarsudil manufacturer or Netarsudil supplier.

PharmaCompass also assists you with knowing the Netarsudil API Price utilized in the formulation of products. Netarsudil API Price is not always fixed or binding as the Netarsudil Price is obtained through a variety of data sources. The Netarsudil Price can also vary due to multiple factors, including market conditions, regulatory modifications, or negotiated pricing deals.

API | Excipient name

Netarsudil

Synonyms

1254032-66-0, Ar-11324 free base, Rhopressa, Netarsudil [usan], Netarsudil free base, W6i5qdt7qi

Cas Number

1254032-66-0

Unique Ingredient Identifier (UNII)

W6I5QDT7QI

About Netarsudil

Netarsudil is an amino-isoquinoline amide and inhibitor of Rho kinase (ROCK) and norepinephrine transporter (NET), with potential intraocular pressure (IOP)-lowering activity. Upon ocular administration, netarsudil inhibits ROCK and the Rho pathway, increases aqueous humor (AH) outflow via the trabecular pathway, and lowers IOP. In addition, netarsudil may lower IOP by decreasing episcleral venous pressure and decreasing the production of aqueous humor through inhibition of NET.

Netarsudil Manufacturers

A Netarsudil manufacturer is defined as any person or entity involved in the manufacture, preparation, processing, compounding or propagation of Netarsudil, including repackagers and relabelers. The FDA regulates Netarsudil manufacturers to ensure that their products comply with relevant laws and regulations and are safe and effective to use. Netarsudil API Manufacturers are required to adhere to Good Manufacturing Practices (GMP) to ensure that their products are consistently manufactured to meet established quality criteria.

click here to find a list of Netarsudil manufacturers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PhamaCompass.

Netarsudil Suppliers

A Netarsudil supplier is an individual or a company that provides Netarsudil active pharmaceutical ingredient (API) or Netarsudil finished formulations upon request. The Netarsudil suppliers may include Netarsudil API manufacturers, exporters, distributors and traders.

click here to find a list of Netarsudil suppliers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PharmaCompass.

Netarsudil GMP

Netarsudil Active pharmaceutical ingredient (API) is produced in GMP-certified manufacturing facility.

GMP stands for Good Manufacturing Practices, which is a system used in the pharmaceutical industry to make sure that goods are regularly produced and monitored in accordance with quality standards. The FDA’s current Good Manufacturing Practices requirements are referred to as cGMP or current GMP which indicates that the company follows the most recent GMP specifications. The World Health Organization (WHO) has its own set of GMP guidelines, called the WHO GMP. Different countries can also set their own guidelines for GMP like China (Chinese GMP) or the EU (EU GMP).

PharmaCompass offers a list of Netarsudil GMP manufacturers, exporters & distributors, which can be sorted by USDMF, JDMF, KDMF, CEP (COS), WC, API price, and more, enabling you to easily find the right Netarsudil GMP manufacturer or Netarsudil GMP API supplier for your needs.

Netarsudil CoA

A Netarsudil CoA (Certificate of Analysis) is a formal document that attests to Netarsudil's compliance with Netarsudil specifications and serves as a tool for batch-level quality control.

Netarsudil CoA mostly includes findings from lab analyses of a specific batch. For each Netarsudil CoA document that a company creates, the USFDA specifies specific requirements, such as supplier information, material identification, transportation data, evidence of conformity and signature data.

Netarsudil may be tested according to a variety of international standards, such as European Pharmacopoeia (Netarsudil EP), Netarsudil JP (Japanese Pharmacopeia) and the US Pharmacopoeia (Netarsudil USP).

Inform the supplier about your product requirements, specifying if you need a product with particular monograph like EP (Ph. Eur.), USP, JP, BP, or any other quality. In addition, clarify whether you need hydrochloride (HCl), anhydricum, base, micronisatum or a specific level of purity. To find reputable suppliers, utilize the filters and select those certified by GMP, FDA, or any other certification as per your requirement.
For your convenience, we have listed synonyms and CAS numbers to help you find the best supplier. The use of synonyms and CAS numbers can be helpful in identifying potential suppliers, but it is crucial to note that they might not always indicate the exact same product. It is important to confirm the product details with the supplier before making a purchase to ensure that it meets your requirements.
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