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Details

Stereochemistry ABSOLUTE
Molecular Formula C28H27N3O3.2ClH
Molecular Weight 526.454
Optical Activity UNSPECIFIED
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of NETARSUDIL DIHYDROCHLORIDE

SMILES

Cl.Cl.CC1=CC(C)=C(C=C1)C(=O)OCC2=CC=C(C=C2)[C@@H](CN)C(=O)NC3=CC=C4C=NC=CC4=C3

InChI

InChIKey=LDKTYVXXYUJVJM-FBHGDYMESA-N
InChI=1S/C28H27N3O3.2ClH/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);2*1H/t26-;;/m1../s1

HIDE SMILES / InChI

Molecular Formula ClH
Molecular Weight 36.461
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C28H27N3O3
Molecular Weight 453.5323
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 1 / 1
E/Z Centers 0
Optical Activity UNSPECIFIED

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Rhopressa

Approved Use

RHOPRESSA® (netarsudil ophthalmic solution) 0.02% is a Rho kinase inhibitor indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension.

Launch Date

2017
Primary
Rhopressa

Approved Use

RHOPRESSA® (netarsudil ophthalmic solution) 0.02% is a Rho kinase inhibitor indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension.

Launch Date

2017
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
1.51 ng/mL
0.53 mg/kg 1 times / day multiple, intravenous
dose: 0.53 mg/kg
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
NETARSUDIL METABOLITE AR-13503 unknown
Canis lupus
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
3004 ng × h/mL
12.5 mg/kg single, intravenous
dose: 12.5 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
NETARSUDIL METABOLITE AR-13503 plasma
Canis lupus
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
19.5 h
unknown, unknown
NETARSUDIL METABOLITE AR-13503 plasma
Oryctolagus cuniculus
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
0.02 % 2 times / day multiple, ophthalmic
Highest studied dose
Dose: 0.02 %, 2 times / day
Route: ophthalmic
Route: multiple
Dose: 0.02 %, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
0.02 % 1 times / day multiple, ophthalmic
Recommended
Dose: 0.02 %, 1 times / day
Route: ophthalmic
Route: multiple
Dose: 0.02 %, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
Other AEs: Conjunctival hyperemia, Eye disorders NEC...
Other AEs:
Conjunctival hyperemia (53%)
Eye disorders NEC (20%)
Ocular signs and symptoms NEC (5 - 10)
Sources:
AEs

AEs

AESignificanceDosePopulation
Eye disorders NEC 20%
0.02 % 1 times / day multiple, ophthalmic
Recommended
Dose: 0.02 %, 1 times / day
Route: ophthalmic
Route: multiple
Dose: 0.02 %, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
Ocular signs and symptoms NEC 5 - 10
0.02 % 1 times / day multiple, ophthalmic
Recommended
Dose: 0.02 %, 1 times / day
Route: ophthalmic
Route: multiple
Dose: 0.02 %, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
Conjunctival hyperemia 53%
0.02 % 1 times / day multiple, ophthalmic
Recommended
Dose: 0.02 %, 1 times / day
Route: ophthalmic
Route: multiple
Dose: 0.02 %, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer


Drug as perpetrator​

Drug as perpetrator​

Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
no
PubMed

PubMed

TitleDatePubMed
Two Phase 3 Clinical Trials Comparing the Safety and Efficacy of Netarsudil to Timolol in Patients With Elevated Intraocular Pressure: Rho Kinase Elevated IOP Treatment Trial 1 and 2 (ROCKET-1 and ROCKET-2).
2018-02
Discovery and Preclinical Development of Netarsudil, a Novel Ocular Hypotensive Agent for the Treatment of Glaucoma.
2017-06-14
Netarsudil Increases Outflow Facility in Human Eyes Through Multiple Mechanisms.
2016-11-01
Visualization of conventional outflow tissue responses to netarsudil in living mouse eyes.
2016-09-15
Patents

Sample Use Guides

RHOPRESSA® (netarsudil ophthalmic solution) 0.02%, for topical ophthalmic use. One drop into the affected eye(s) once daily in the evening.
Route of Administration: Topical
In Vitro Use Guide
Curator's Comment: At 10 uM, Netarsudil (AR-13324) inhibits NET by 96% and SERT by 94%. In a kinase screening panel 0.5 uM AR-13324 inhibited 11 kinases by >90%. https://www.ncbi.nlm.nih.gov/pubmed/27072905
Netarsudil inhibited kinases ROCK1 and ROCK2 with a Ki of 1 nM each, disrupted actin stress fibers and focal adhesions in TM cells with IC50s of 79 and 16 nM, respectively, and blocked the profibrotic effects of TGF-β2 in HTM cells.
Substance Class Chemical
Created
by admin
on Mon Mar 31 23:28:23 GMT 2025
Edited
by admin
on Mon Mar 31 23:28:23 GMT 2025
Record UNII
SE030PF6VE
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
BENZOIC ACID, 2,4-DIMETHYL-, (4-((1S)-1-(AMINOMETHYL)-2-(6-ISOQUINOLINYLAMINO)-2-OXOETHYL)PHENYL)METHYL ESTER, HYDROCHLORIDE (1:2)
Preferred Name English
NETARSUDIL DIHYDROCHLORIDE
Common Name English
Code System Code Type Description
SMS_ID
100000178117
Created by admin on Mon Mar 31 23:28:23 GMT 2025 , Edited by admin on Mon Mar 31 23:28:23 GMT 2025
PRIMARY
CAS
1253952-02-1
Created by admin on Mon Mar 31 23:28:23 GMT 2025 , Edited by admin on Mon Mar 31 23:28:23 GMT 2025
PRIMARY
FDA UNII
SE030PF6VE
Created by admin on Mon Mar 31 23:28:23 GMT 2025 , Edited by admin on Mon Mar 31 23:28:23 GMT 2025
PRIMARY
DRUG BANK
DBSALT002598
Created by admin on Mon Mar 31 23:28:23 GMT 2025 , Edited by admin on Mon Mar 31 23:28:23 GMT 2025
PRIMARY
PUBCHEM
66599892
Created by admin on Mon Mar 31 23:28:23 GMT 2025 , Edited by admin on Mon Mar 31 23:28:23 GMT 2025
PRIMARY
Related Record Type Details
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