What is claimed is:
1. An ophthalmic pharmaceutical composition useful in the treatment of glaucoma and control of intraocular pressure, comprising an effective amount of a compound (I) of the following formula:
in which A is selected from the group consisting of:
where:
n is 1-6;
R 1 , R 2 , R 3 independently=OH or O—NO 2 ;
R 4 , R 5 independently=H, alkyl, or heteroalkyl; or R 4 and R 5 can combine to form cyclic alkyl or cyclic heteroalkyl; and
R 6 independently=H, NO 2 , organic nitrate, organic nitrite, metal —NO complex, sodium nitroprusside (SNP), dinitrosyl iron thiol complex (DNICs), N-nitrosamine, N-hydroxy-N-nitrosamine, N-nitrosimine, nitrosimine, C-nitroso, diazetine dioxide, furoxan, benzofuroxan, oxatriazole-5-imine, sydnonimine, oxime, hydroxylamine, N-hydroxyguanidine, or hydroxyurea; and
a pharmaceutically acceptable vehicle therefor.
2. The composition of claim 1 comprising a pharmaceutically acceptable salt of compound (I).
3. The composition of claim 1 further comprising a compound selected from the group consisting of:
ophthalmologically acceptable preservatives, surfactants, viscosity enhancers, penetration enhancers, gelling agents, hydrophobic bases, vehicles, buffers, sodium chloride, and water.
4. The composition of claim 1 wherein said composition comprises a plurality of glaucoma treatment agents.
5. The composition of claim 4 wherein at least one glaucoma treatment agent is selected from the group consisting of:
β-blockers, prostaglandin analogs, carbonic anhydrase inhibitors, α2 agonists, miotics, rho kinase inhibitors, serotonergic agonists, and neuroprotectants.
6. The composition of claim 1 wherein said composition comprises from about 0.01 percent weight/volume to about 5 percent weight/volume of said compound.
7. The composition of claim 1 wherein said composition comprises from about 0.05 percent weight/volume to about 2 percent weight/volume of said compound.
8. The composition of claim 1 wherein said compound is selected from the group consisting of: Isopropyl (Z)-7-((1R,2R,3R,5S)-3,5-bis(nitrooxy)-2-((R,E)-3-(nitrooxy)-4-(3-(trifluoromethyl)phenoxy)but-1-en-1-yl)cyclopentyl)hept-5-enoate and (Z)-2-((((Z)-7-((1R,2R,3R,5S)-3,5-dihydroxy-2-((R,E)-3-hydroxy-4-(3-(trifluoromethyl)phenoxy)but-1-en-1-yl)cyclopentyl)hept-5-enoyl)oxy)methoxy)-1-(pyrrolidin-1-yl)diazene 1-oxide.
9. A method for lowering intraocular pressure comprising: applying a therapeutically effective amount of an ophthalmic pharmaceutical composition of claim 1 to the affected eye of a human or other mammal in need thereof.
10. The method of claim 9 wherein said applying comprises applying 1 to 2 drops of a composition comprising from about 0.01 percent weight/volume to about 5 percent weight/volume of compound (I) 1 to 4 times daily.
11. The method of claim 9 wherein said composition comprises a plurality of glaucoma treatment agents.
12. The method of claim 11 wherein at least one glaucoma treatment agent is selected from the group consisting of:
β-blockers, prostaglandin analog, carbonic anhydrase inhibitors, α2 agonists, miotics, rho kinase inhibitors, serotonergic agonists, and neuroprotectants.