On 19 September 2019, the Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion, recommending the granting of a marketing authorisation for the medicinal product Rhokiinsa, intended for the treatment of patients with glaucoma or ocular hypertension. The applicant for this medicinal product is Aerie Pharmaceuticals Ireland Ltd.

Rhokiinsa will be available as a 200 microgram/ml eye drop solution. The active substance of Rhokiinsa is netarsudil, a Rho kinase inhibitor  that is thought to reduce intraocular pressure (IOP) by increasing outflow of aqueous humor through the trabecular outflow pathway and reducing episcleral venous pressure (ATC code: S01EX05).

The benefits with Rhokiinsa are its ability to reduce IOP. The most common side effect is conjunctival hyperaemia.

The full indication is: “Rhokiinsa is indicated for the reduction of elevated intraocular pressure (IOP) in adult patients with primary open-angle glaucoma or ocular hypertension”. It is proposed that treatment with Rhokiinsa should only be initiated by an ophthalmologist or a healthcare professional qualified in ophthalmology.

Detailed recommendations for the use of this product will be described in the summary of product characteristics (SmPC), which will be published in the European public assessment report (EPAR) and made available in all official European Union languages after the marketing authorisation has been granted by the European Commission.

Key facts

Agency product number
International non-proprietary name (INN) or common name
  • netarsudil
Active substance
  • netarsudil mesilate
Therapeutic area
Glaucoma, Open-Angle
Ocular Hypertension
Date opinion adopted
Company name
Aerie Pharmaceuticals Ireland Ltd
Application type
Initial authorisation

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