TheraRadar
Data updated: May 26, 2026

XDEMVY (lotilaner)

Trial Activity: Expansion 2 active trials
First-in-Class
Ophthalmology Approved 2023-07-24

XDEMVY is an anti-parasitic medication that treats Demodex blepharitis. It helps patients with this specific eyelid condition by targeting the microscopic mites that cause the inflammation. This medication is used for individuals who need to eliminate these parasites to improve their ocular health.

Source: FDA Label • TARSUS • Ectoparasiticide

How XDEMVY Works

This drug works by blocking GABA-gated chloride channels specifically within mites. This inhibition causes a paralytic effect in the parasites, which leads to their death. The medication is designed to be selective for these mite channels and does not interfere with mammalian GABA-mediated processes.

Development Insights

Tarsus Pharmaceuticals, Inc. conducting 1 trials (33%)
3 indications explored (Focused)
ocular rosacea (1 trials)
blepharitis (1 trials)
demodex blepharitis (1 trials)
1
Indication
--
Phase 3 Trials
2
Years on Market

Details

Status
Prescription
First Approved
2023-07-24
Patent Cliff
2038

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Routes
OPHTHALMIC
Dosage Forms
SOLUTION/DROPS

Companies

Active Ingredient: LOTILANER

XDEMVY Approval History

2024
2025
2026
Original
New Indication
New Form
Label Update
1 FDA actions from 2023 to 2023
Jul 2023 ORIGINAL
New Drug · Type 1 - New Molecular Entity

What XDEMVY Treats

1 indications

XDEMVY is approved for 1 conditions since its original approval in 2023. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Demodex Blepharitis
Source: FDA Label
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Clinical Trial Registry

3 trials
Trial Sponsor ID Phase Status Title
NCT07561450 BFS-Xdemvy-01 Ph 4 not yet recruiting Demodex Blepharitis in Scleral Lens Wearers
NCT07443202 TRS-030 Ph 2 enrolling by invitation Study of Lotilaner Ophthalmic Gel in Patients With Ocular Rosacea (KORE)
NCT05629390 LB4001-301 Ph 3 completed Trial to Evaluate the Efficacy and Safety of TP-03, LIBRA Study
🔬

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.

XDEMVY FDA Label Details

Indications & Usage

FDA Label (PDF)

XDEMVY is indicated for the treatment of Demodex Blepharitis.

View full patent landscape →
9 OB patents · 2 families · 107 international docs across 28 countries

XDEMVY Patents & Exclusivity

Latest Patent: Dec 2038
Exclusivity: Jul 2028

Patents (9 active)

US11690827 Expires Dec 14, 2038
US11690826 Expires Dec 14, 2038
US11197847 Expires Dec 14, 2038
US10835517 Expires Dec 14, 2038
US12171750 Expires Dec 14, 2038
US11752137 Expires Dec 14, 2038
US12213964 Expires Dec 14, 2038
US12364685 Expires Dec 14, 2038
US8383659 Expires Jan 17, 2030

Exclusivity

NCE Until Jul 2028
Source: FDA Orange Book

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Deep insights for XDEMVY

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2038
  • 9 active patents

Trial Analysis

  • 3 total trials
  • Stage: Expansion

Competitive Landscape

  • Competitor tracking
  • Same target/indication analysis
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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