An update on ripasudil for the treatment of glaucoma and ocular hypertension

被引:16
|
作者
Testa, V [1 ,2 ]
Desideri, L. Ferro [1 ,2 ]
Della Giustina, P. [1 ,2 ]
Traverso, C. E. [1 ,2 ]
Iester, M. [1 ,2 ]
机构
[1] IRCCS Osped Policlin San Martino, Univ Eye Clin Genoa, Genoa, Italy
[2] Univ Genoa, Dept Neurosci Rehabil Ophthalmol Genet Maternal &, Genoa, Italy
关键词
Ripasudil; Rho-associated protein kinase (ROCK) inhibitors; Glaucoma; Ocular hypertension; Ophthalmic drugs; RHO-KINASE INHIBITOR; OPEN-ANGLE GLAUCOMA; FUCHS ENDOTHELIAL DYSTROPHY; EYE DROP RIPASUDIL; INTRAOCULAR-PRESSURE; ROCK INHIBITOR; TRABECULAR MESHWORK; K-115; H-7; CONTRACTION;
D O I
10.1358/dot.2020.56.9.3178110
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Ripasudil (K-115) is a novel Rho-associated protein kinase (ROCK) inhibitor. The Rho-ROCK pathway regulates key downstream effectors involved in many cellular functions, in particular in the actin cytoskeleton activity. The clinical effects of ripasudil expected on the eye include an intraocular pressure-lowering effect and a wound-healing activity on corneal endothelial cells, but many other functions are currently under investigation. To date, ripasudil has been approved in Japan (2014) for the treatment of glaucoma and ocular hypertension, and several clinical trials are currently investigating its role in the treatment of Fuchs' corneal dystrophy. In this review, we will discuss its pharmacokinetics, pharmacodynamics and clinical efficacy, focusing also on its safety and tolerability profile.
引用
收藏
页码:599 / 608
页数:10
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