TheraRadar
Data updated: May 26, 2026

NETARSUDIL MESYLATE (netarsudil)

Trial Activity: Declining
Ophthalmology

Netarsudil helps patients with open-angle glaucoma or ocular hypertension by lowering elevated pressure within the eye. This medication is used to manage intraocular pressure, which is a key factor in these chronic eye conditions. It provides a therapeutic option for individuals needing to reduce high eye pressure to maintain ocular health.

Source: FDA Label • GLAND PHARMA LTD

How NETARSUDIL MESYLATE Works

As a rho kinase inhibitor, this drug works by increasing the drainage of aqueous humor from the eye. It specifically targets the trabecular meshwork to improve fluid outflow, which results in a reduction of intraocular pressure.

Source: FDA Label

Development Insights

Westlake Eye Specialists conducting 1 trials (33%)
3 indications explored (Focused)
fuchs' endothelial dystrophy (2 trials)
normal tension glaucoma (1 trials)
bullous keratopathy (1 trials)

Details

Status
Prescription
First Approved
N/A
Routes
DROPS
Dosage Forms
SOLUTION

Companies

Active Ingredient: NETARSUDIL

NETARSUDIL MESYLATE Approval History

No approval records found

What NETARSUDIL MESYLATE Treats

2 indications

NETARSUDIL MESYLATE is approved for 2 conditions . These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Open-Angle Glaucoma
  • Ocular Hypertension
Source: FDA Label

NETARSUDIL MESYLATE Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Clinical Trial Registry

3 trials
Trial Sponsor ID Phase Status Title
NCT06449352 ZV-24-01 Ph 4 completed Effect of Netarsudil vs Brimonidine in NTG Patients on Latanoprost
NCT03971357 results posted 2018-009 Ph 2, Ph 3 terminated Trial of Netarsudil for Acceleration of Corneal Endothelial Restoration
NCT03248037 results posted 2017-003 Ph 3 completed Trial of Netarsudil for Prevention of Corticosteroid-induced Intraocular Pressure Elevation
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

NETARSUDIL MESYLATE FDA Label Details

Indications & Usage

NETARSUDIL MESYLATE is indicated for the treatment of Open-Angle Glaucoma; Ocular Hypertension.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment