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KMID : 0360220230640100939
Journal of the Korean Ophthalmological Society
2023 Volume.64 No. 10 p.939 ~ p.944
Retrospective Analysis of the Efficacy and Safety of Omidenepag Isopropyl 0.002% Ophthalmic Solution in Korean Patients
Lee Han-Sang

Lee Sang-Yeop
Bae Hyoung-Won
Kim Chan-Yun
Choi Wung-Rak
Abstract
Purpose: This study aimed to analyze the clinical efficacy and safety of omidenepag isopropyl (OMDI) 0.002% in Korean patients.

Methods: A retrospective study was conducted involving 306 patients diagnosed with glaucoma or ocular hypertension, who were administered OMDI 0.002% from May 2021 to June 2022. The primary outcomes were the change in intraocular pressure (IOP) at months 1, 3, and 6 compared to the baseline IOP, and the reactions to the OMDI drug.

Results: Out of 235 patients who met the study inclusion criteria, the mean IOP was 16.5 ¡¾ 3.4 mmHg at baseline, 14.5 ¡¾ 3.0 mmHg at month 1, 14.3 ¡¾ 2.7 mmHg at month 3, and 14.7 ¡¾ 3.1 mmHg at month 6. The mean IOP reduction at month 6 was -1.6 ¡¾ 2.8 mmHg (p < 0.001). On analyzing the IOP by types of glaucoma, the mean IOP change at the 6-month point showed statistically significant results in all types, including normal tension glaucoma, primary open-angle glaucoma, and ocular hypertension (p < 0.05). The frequency of side effects in all patients was 29.8%, with the most commonly reported adverse drug reaction being hyperemia in 18.7% of the total patients. There was one case (0.4%) of uveitis after OMDI administration, but no other systemic adverse drug reactions were reported.

Conclusions: Omidenepag isopropyl demonstrated a statistically significant IOP-lowering effect in Korean patients with various types of glaucoma. This suggests that OMDI could potentially serve as a first-line treatment for glaucoma.
KEYWORD
Adverse drug reaction, Glaucoma, IOP-lowering effect, Omidenepag isopropyl, Prostanoid EP2 receptor agonist
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