Recent Updates
Recently added Catalysts

Latanoprostene bunod

Phase 4FDA approved

Glaucoma | Small molecule | Ophthalmology |Bausch + Lomb Corporation|Trials Updated: Nov 21, 2018

Latanoprostene bunod development status

FDA approval on record Nov 2, 2017 as Vyzulta
Approval holderBausch And Lomb
ApplicationNDA207795
Highest phase Phase 4 (NCT04140279)
Phase scored for BLCOPhase 3
Registered trials 7 across 1 sponsor since Oct 2010

Label indication VYZULTA ® (latanoprostene bunod ophthalmic solution) 0.024% is indicated for the reduction of intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. VYZULTA is a prostaglandin analog indicated for the reduction of intraocular pressure in patients with open-angle glaucoma or ocular hypertension. ( 1 ) FDA label

Latanoprostene bunod target and mechanism

Molecular targetPTGFR
Target classAgonist
ModalitySmall molecule

Also known as BOL-303259-X

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

UNCONTROLLED
Total Trials6
Total Enrollment1,432

FDA Designations

No designations recorded

Latanoprostene bunod clinical trials

Latanoprostene bunod · 6 trials · 5 indications

Phase 3 3Phase 2 2Phase 1 1
NCT01895972Long-Term Safety of Latanoprostene Bunod Ophthalmic Solution 0.024% in Japanese Subjects With OAG or OHTGlaucoma
COMPLETED130 Analytics
NCT01749904Comparing Safety and Efficacy of BOL-303259-X With Timolol Maleate in Subjects With Open-Angle Glaucoma or Ocular HypertensionOpen-Angle Glaucoma
COMPLETED420 Analytics
NCT01749930Comparing the Safety and Efficacy of BOL-303259-X Ophthalmic Solution With Timolol Maleate Ophthalmic Solution in Subjects With Open-Angle Glaucoma or Ocular HypertensionOpen-Angle Glaucoma
COMPLETED420 Analytics
PHASE3COMPLETED
Long-Term Safety of Latanoprostene Bunod Ophthalmic Solution 0.024% in Japanese Subjects With OAG or OHT
GlaucomaUnlock trial analytics
PHASE3COMPLETED
Comparing Safety and Efficacy of BOL-303259-X With Timolol Maleate in Subjects With Open-Angle Glaucoma or Ocular Hypertension
Open-Angle GlaucomaUnlock trial analytics
PHASE3COMPLETED
Comparing the Safety and Efficacy of BOL-303259-X Ophthalmic Solution With Timolol Maleate Ophthalmic Solution in Subjects With Open-Angle Glaucoma or Ocular Hypertension
Open-Angle GlaucomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Intraocular Pressure
Baseline and week 4,8,12,16,20,24,28,32,36,40,44,48,52

Change from baseline in intraocular pressure (IOP) following treatment with latanoprostene bunod 0.024% (instilled QD in the evening) with IOP assessed every 4 weeks from Week 4 to Week 52.

Clinical Safety
1 year

Ocular adverse events reported over one year of once daily dosing of latanoprostene bunod 0.024%. Below is the percentage of subjects with \>/=1 ocular AE Specifics of AEs are captured in the AE section.

Mean IOP
8 AM, 12 PM, and 4 PM at Visit 4(Week 2), Visit 5 (Week 6), and Visit 6 (Month 3)

Mean intraocular pressure (IOP) in study eye measured at the specified time points: 8 AM, 12 PM, and 4 PM at Visit 4(Week 2), Visit 5 (Week 6), and Visit 6 (Month 3).

24 Hour IOP
after 4 weeks of treatment

Supine intraocular pressure (IOP) measured in the study eye following 4 weeks of treatment

Change in Mean Diurnal IOP at Visit 6 (Day 28)
Baseline and Visit 6 (Day 28)

Determine the most effective drug concentration(s) of BOL-303259-X in the reduction of intraocular pressure (IOP) and compared to latanoprost

intraocular pressure (IOP)
Visit 3 (Day 14/15)

Efficacy of latanoprostene bunod dosed QD in reducing IOP from baseline. IOP to be measured at multiple time points at visit 3.

Secondary Endpoints

Response Rate - IOP ≤ 18 mm Hg
8 AM, 12 PM, and 4 PM at Visit 4(Week 2), Visit 5 (Week 6), and Visit 6 (Month 3).
Response Rate - IOP Reduction ≥ 25%
8 AM, 12 PM, and 4 PM at Visit 4(Week 2), Visit 5 (Week 6), and Visit 6 (Month 3).
IOP ≤ 18 mm Hg
8 AM, 12 PM, and 4 PM at Visit 4 (Week 2), Visit 5 (Week 6), and Visit 6 (Month 3)
Unlock Study Endpoints

Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Latanoprostene BunodEXPERIMENTALLatanoprostene bunod 0.024% instilled into the eye once daily (QD) over a 1-year treatment period.
BOL-303259-XEXPERIMENTALBOL-303259-X ophthalmic solution QD (PM) and vehicle QD (AM) administered for 3 months (Visit 6) into the study eye(s).
TimololACTIVE_COMPARATORTimolol maleate ophthalmic solution, 0.5%, administered BID for 3 months (Visit 6) into study eye(s).
Timolol MaleateACTIVE_COMPARATORTimolol maleate ophthalmic solution 0.5% administered 1 drop BID once in morning and once in the evening for 4 weeks.
LatanoprostACTIVE_COMPARATORophthalmic solution

Interventions

NameTypeDescription
Latanoprostene bunodDRUG -
BOL-303259-XDRUGTopical ocular BOL-303259-X will be administered QD in the evening and its vehicle administered QD in the morning for 3 months (visit 6).
TimololDRUGTimolol will be administered BID once in the morning and once in the evening for 3 months (Visit 6)
Timolol maleateDRUGTopical ophthalmic solution
LatanoprostDRUG0.005% ophthalmic solution, QD 28 days
Unlock Study Design Details

Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Subjects must have a diagnosis of open angle glaucoma (OAG) (including normal-tension glaucoma \[NTG\],pigmentary or pseudoexfoliative glaucoma), or ocular hypertension (OHT) in one or both eyes. * Subjects must meet the following IOP requirements at Visit 3 (Eligibility, Day ...

Countries:United States
Unlock Eligibility Criteria

Frequently asked questions about Latanoprostene bunod

What is latanoprostene bunod used for?

Latanoprostene bunod is an ophthalmic solution developed for lowering intraocular pressure in patients with glaucoma and ocular hypertension. It is studied as a topical eye drop therapy in the ophthalmology field, with clinical trials enrolling subjects with open-angle glaucoma or ocular hypertension.

How does latanoprostene bunod work?

Latanoprostene bunod is a small molecule agonist of PTGFR, the prostaglandin F receptor. By activating this receptor, it is designed to increase aqueous humor outflow from the eye, which reduces intraocular pressure. This mechanism underlies its investigation for glaucoma and ocular hypertension.

Who is developing latanoprostene bunod?

Latanoprostene bunod is being developed by Bausch + Lomb Corporation, which trades under the ticker BLCO. The company is responsible for the clinical program evaluating the ophthalmic solution in glaucoma and intraocular pressure indications.

What phase is latanoprostene bunod in?

Latanoprostene bunod has completed Phase 3 clinical development. A Phase 3 trial (NCT01895972) evaluated the long-term safety of the 0.024% ophthalmic solution in Japanese subjects with open-angle glaucoma or ocular hypertension, and it is now completed.

What clinical trials is latanoprostene bunod in?

Latanoprostene bunod has been studied in two completed trials: NCT01895985, a Phase 1 study of intraocular pressure lowering in healthy Japanese male volunteers, and NCT01895972, a Phase 3 long-term safety study in Japanese subjects with open-angle glaucoma or ocular hypertension.

Is latanoprostene bunod FDA approved?

Latanoprostene bunod is an investigational therapy that has completed Phase 3 clinical trials. It has been evaluated for glaucoma and intraocular pressure reduction, but the available development information does not indicate regulatory approval status.