IP Library Granted Patent US 12,564,573
Granted Patent B2
US 12,564,573 · App. 18/907,300 · Granted Mar 3, 2026

Topical ocular delivery of cromakalim

Inventors: Thurein M. Htoo (Westwood, MA); Michael P. Fautsch (Rochester, MN); Gary Allred (Wake Forest, NC); Ralph Casale (Westford, MA); Barbara M. Wirostko (Park City, UT)
Assignees: QLARIS BIO, INC.; MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
A61K31/4025A61K9/0048A61K47/10A61K47/14A61K47/26A61K47/32A61K47/44A61P27/06
View Patent ↗
Loading inventors, assignments & file history…
Monitor This Case
Get email alerts when status or documents change.
Order Certified Copies
Most orders are placed with the USPTO same day — all within 24 business hours.
Order via The Patent Place →
Pre-filled with this patent's details
Quick Facts
Patent No.
US 12,564,573
App. No.
18/907,300
Granted
Mar 3, 2026
Kind
B2
Abstract

An aqueous clear topical ocular solution of levcromakalim, or a pharmaceutically acceptable salt thereof, is provided in an effective therapeutic amount to treat the anterior portion of the human eye without the use of a covalent prodrug approach, a polymeric delivery system or a high level of toxic components, and with at least 4 months of shelf life stability, through the use of specifically discovered combinations of excipient components.

Claims (56)

1 . An aqueous clear ocular topical pharmaceutically acceptable solution comprising:

(a) levcromakalim at a concentration between about 0.05 mM to about 5 mM;

(b) an ethoxylated glycerol ester;

(c) a polyethoxylated furanose fatty acid ester;

(d) a polymeric lactam;

(e) a nonionic tri-block copolymer of a central hydrophobic chain of polyoxypropylene flanked by two hydrophilic chains of polyoxyethylene;

(f) a polyol; and

(g) water and phosphate buffer as aqueous components;

wherein the pH of the pharmaceutical composition is between 6 to 8.

2 . The aqueous clear ocular topical pharmaceutical solution of claim 1 , wherein the concentration of levcromakalim is about 0.075% w/v (about 2.6 mM).

3 . The aqueous clear ocular topical pharmaceutical solution of claim 1 , wherein the concentration of levcromakalim is about 0.03% w/v (about 1 mM).

4 . The aqueous clear ocular topical pharmaceutical solution of claim 1 , wherein the concentration of levcromakalim is about 0.015% w/v (about 0.5 mM).

5 . The aqueous clear ocular topical pharmaceutical solution of claim 1 , wherein the ethoxylated glycerol ester is polyoxyl-ethylated castor oil.

6 . The aqueous clear ocular topical pharmaceutical solution of claim 5 , wherein the concentration of polyoxyl-ethylated castor oil is about 4% w/v.

7 . The aqueous clear ocular topical pharmaceutical solution of claim 1 , wherein the polyethoxylated furanose fatty acid ester is polysorbate 80.

8 . The aqueous clear ocular topical pharmaceutical solution of claim 7 , wherein the concentration of polysorbate 80 is about 1% w/v.

9 . The aqueous clear ocular topical pharmaceutical solution of claim 1 , wherein the nonionic tri-block copolymer of a central hydrophobic chain of polyoxypropylene flanked by two hydrophilic chains of polyoxyethylene is poloxamer 407.

10 . The aqueous clear ocular topical pharmaceutical solution of claim 9 wherein the concentration of poloxamer 407 is about 0.1% w/v.

11 . The aqueous clear ocular topical pharmaceutical solution of claim 1 , wherein the polyol is mannitol.

12 . The aqueous clear ocular topical pharmaceutical solution of claim 11 , wherein the concentration of mannitol is about 3.3% w/v.

13 . The aqueous clear ocular topical pharmaceutical solution of claim 1 , wherein the polymeric lactam is polyvinylpyrrolidone (PVP).

14 . The aqueous clear ocular topical pharmaceutical solution of claim 13 , wherein the polyvinylpyrrolidone (PVP) is povidone K-30.

15 . The aqueous clear ocular topical pharmaceutical solution of claim 14 , wherein the concentration of povidone K-30 is about 2% w/v.

16 . The aqueous clear ocular topical pharmaceutical solution of claim 1 , wherein the phosphate buffer is a sodium phosphate monobasic buffer, sodium phosphate dibasic buffer, or a mixture thereof.

17 . The aqueous clear ocular topical pharmaceutical solution of claim 16 , wherein the concentration of sodium phosphate monobasic buffer is about 0.09% w/v.

18 . The aqueous clear ocular topical pharmaceutical solution of claim 16 , wherein the concentration of sodium phosphate dibasic buffer is about 0.09% w/v.

19 . The aqueous clear ocular topical pharmaceutical solution of claim 1 , wherein the composition further comprises a pH adjusting agent.

20 . The aqueous clear ocular topical pharmaceutical solution of claim 19 , wherein the pH adjusting agent is hydrochloric acid.

21 . The aqueous clear ocular topical pharmaceutical solution of claim 1 , wherein the pH of the composition is about 6.5.

22 . An aqueous clear ocular topical pharmaceutical solution comprising:

(a) levcromakalim at a concentration of about 0.015% w/v;

(b) polyoxyl-ethylated castor oil at a concentration of about 4% w/v;

(c) polysorbate 80 at a concentration of about 1% w/v;

(d) polyvinylpyrrolidone (PVP) at a concentration of about 2% w/v;

(e) poloxamer 407 at a concentration of about 0.1% w/v;

(f) mannitol at a concentration of about 3.3% w/v; and

further comprising water and phosphate buffer as aqueous components;

wherein the pharmaceutical composition has a pH of about 6.5.

23 . An aqueous clear ocular topical pharmaceutical solution comprising:

(a) levcromakalim at a concentration of about 0.030% w/v;

(b) polyoxyl-ethylated castor oil at a concentration of about 4% w/v;

(c) polysorbate 80 at a concentration of about 1% w/v;

(d) polyvinylpyrrolidone (PVP) at a concentration of about 2% w/v;

(e) poloxamer 407 at a concentration of about 0.1% w/v;

(f) mannitol at a concentration of about 3.3% w/v; and

further comprising water and phosphate buffer as aqueous components;

wherein the pharmaceutical composition has a pH of about 6.5.

24 . An aqueous clear ocular topical pharmaceutical solution comprising:

(a) levcromakalim at a concentration of about 0.075% w/v;

(b) polyoxyl-ethylated castor oil at a concentration of about 4% w/v;

(c) polysorbate 80 at a concentration of about 1% w/v;

(d) polyvinylpyrrolidone (PVP) at a concentration of about 2% w/v;

(e) poloxamer 407 at a concentration of about 0.1% w/v;

(f) mannitol at a concentration of about 3.3% w/v; and

further comprising water and phosphate buffer as aqueous components;

wherein the pharmaceutical composition has a pH of about 6.5.

Assignments (4)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 3, 2025
From: HTOO, THUREIN M.; CASALE, RALPH; WIROSTKO, BARBARA M.
To: QLARIS BIO, INC.
Reel/Frame 070729/0576 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 3, 2025
From: FAUTSCH, MICHAEL P.
To: MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
Reel/Frame 070729/0583 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 3, 2025
From: ALLRED, GARY
To: SYNTHONIX, INC.
Reel/Frame 070729/0587 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 3, 2025
From: SYNTHONIX, INC.
To: QLARIS BIO, INC.
Reel/Frame 070729/0591 →
Continuity (5)
Continuation PCTUS2023078754 · Nov 3, 2023
Provisional Application 63523616 · Jun 27, 2023
Provisional Application 63424434 · Nov 10, 2022
Provisional Application 63422805 · Nov 4, 2022
Related Publication 20250108002A1 · Apr 3, 2025
References Cited (87)
US 2986573A · Topliss et al. · 1961 [cited by applicant]
US 3361816A · Topliss et al. · 1968 [cited by applicant]
US 4200640A · Nagano et al. · 1980 [cited by applicant]
US 4409222A · Arrigoni-Martelli · 1983 [cited by applicant]
US 5013853A · Gericke et al. · 1991 [cited by applicant]
US 5965620A · Sorgente et al. · 1999 [cited by applicant]
US 5985856A · Stella et al. · 1999 [cited by applicant]
US 7186707B2 · Prokai et al. · 2007 [cited by applicant]
US 8063054B2 · Lazdunski et al. · 2011 [cited by applicant]
US 8980839B2 · Mitra et al. · 2015 [cited by applicant]
US 9937225B2 · Mitra et al. · 2018 [cited by applicant]
US 10441630B2 · Mitra et al. · 2019 [cited by applicant]
US 10918694B2 · Weiss et al. · 2021 [cited by applicant]
US 20050244339A1 · Jauernig et al. · 2005 [cited by applicant]
US 20130023550A1 · Gupta et al. · 2013 [cited by applicant]
US 20140206626A1 · Acheampong et al. · 2014 [cited by applicant]
US 20190060397A1 · Weiss et al. · 2019 [cited by applicant]
US 20200306218A1 · Valdivia · 2020 [cited by applicant]
US 20210299046A1 · Chang et al. · 2021 [cited by applicant]
EP 0120428A1 · 1984 [cited by applicant]
WO WO198910757A1 · 1989 [cited by applicant]
WO WO2008027341A2 · 2008 [cited by applicant]
WO WO2009120656A1 · 2009 [cited by applicant]
WO WO2015117024A1 · 2015 [cited by applicant]
WO WO2020139525A1 · 2020 [cited by applicant]
WO WO2021119503A1 · 2021 [cited by applicant]
WO WO2021158992A1 · 2021 [cited by examiner]
WO WO2021213512A1 · 2021 [cited by examiner]
WO WO2021262916A1 · 2021 [cited by applicant]
WO WO2022207773A1 · 2022 [cited by applicant]
WO WO2023018958A1 · 2023 [cited by applicant]
Călugăru D, Călugăru M. Etiology, pathogenesis, and diagnosis of neovascular glaucoma. Int J Ophthalmol. Jun. 18, 2022;15(6): 1005-1010. doi: 10.18240/ijo.2022.06.20. (Year: 2022). [cited by examiner]
Roy Chowdhury U, Viker KB, Stoltz KL, Holman BH, Fautsch MP, Dosa PI. Analogs of the ATP-Sensitive Potassium (KATP) Channel Opener Cromakalim with in Vivo Ocular Hypotensive Activity. J Med Chem. Jul. 14, 2016;59(13):62… [cited by examiner]
Ashwood et al., “Synthesis and Antihypertensive Activity of 4-(Cyclic Amido)-2H-1-benzopyrans” J. Med. Chem. 29, 2194, 1986. [cited by applicant]
Attwood et al., “Synthesis of Homochiral Potassium Channel Openers: Role of the Benzopyranyl 3-Hydroxyl Group in Cromakalim and Pyridine N-Oxides in Determining the Biological Activities of Enantiomers” Bioorg. Med. Che… [cited by applicant]
Brayden, J.E. et al., “Role of potassium channels in the vascular response to endogenous and pharmacological vasodilators” Journal of Vascular Research 28.1-3 147-153, 1991. [cited by applicant]
Călugăru, D., “Etiology, pathogenesis, and diagnosis of neovascular glaucoma” [cited by applicant]
Cequa Prescribing information, Available from https://cequapro.com/CequaPI.pdf, revised Jul. 2022. [cited by applicant]
Chiang and Lin, “Effects of Cromakalim and Nicorandil on Intraocular Pressure After Topical Administration in Rabbit Eyes” J. Ocular Pharmacology; vol. 11(3), 195-202, 1995. [cited by applicant]
Chowdhury et al., “ATP-Sensitive Potassium (KATP) Channel Activation Decreases Intraocular Pressure in the Anterior Chamber of the Eye” IOVS., 52(9):6435-6442, Aug. 2011. [cited by applicant]
Chowdhury, et al., “ATP-Sensitive Potassium (KATP) Channel Openers Diazoxide and Nicorandil Lower Intraocular Pressure in Vivo” Investigative Ophthalmology and Visual Science, 54, 7, 4892-4899, Jul. 2013. [cited by applicant]
Chowdhury et al., “Ocular Hypotensive Effects of the ATP-Sensitive Potassium Channel Opener Cromakalim in Human and Murine Experimental Model Systems” PLOS One, 10, e0141783, 2015. [cited by applicant]
Chowdhury et al., “Analogs of the ATP-Sensitive Potassium (KATP) Channel Opener Cromakalim with in Vivo Ocular Hypotensive Activity” J. Med. Chem. 59, 6221, 2016. [cited by applicant]
Chowdhury et al., “Effect of Cromakalim Prodrug 1 (CKLP1) on Aqueous Humor Dynamics and Feasibility of Combination Therapy with Existing Ocular Hypotensive Agents” IOVS, 58, 5731-5742, 2017. [cited by applicant]
Chowdhury et al., “Pharmacological and Pharmacokinetic Profile of the Novel Ocular Hypotensive Prodrug CKLP1 in Dutch-belted Pigmented Rabbits” PLoS One, 15, e0231841, 2020. [cited by applicant]
Chowdhury, U. R. et al., “Preclinical Pharmacokinetic Profile of Topical Ophthalmic and Intravenous Delivery of QLS-101, a Novel ATP-Sensitive Potassium Channel Opening Ocular Hypotensive Agent” Journal of Ocular Pharma… [cited by applicant]
Fautsch et al., “Effect of ATP-Sensitive Potassium (K [cited by applicant]
Fautsch et al., “Effect of ATP-sensitive potassium channel openers on intraocular pressure in ocular hypertensive animal models” Pharmacology abstract—TM Society, Dec. 11, 2021. [cited by applicant]
Hamilton et al., “Levcromakalim” Cardiovascular Drug Reviews, vol. 11, No. 2 pp. 199-222, 1993. [cited by applicant]
Kaplan et al., “Emerging drugs for the treatment of glaucoma: a review of phase II & III trials” [cited by applicant]
Mandal et al., “Polymeric micelles for ocular drug delivery: From structural frameworks to recent preclinical studies” Journal of Controlled Release 248: 96-116, 2017. [cited by applicant]
NCT04830397—Study to Evaluate QLS-101 Compared to Timolol Maleate Eye Drops in Subjects With High Eye Pressure (Glaucoma or Ocular Hypertension), ClinicalTrials.gov, first posted Apr. 1, 2021, last update posted Jan. 17… [cited by applicant]
NCT04857827—A Study to Evaluate Safety and Tolerability of QLS-101 in NTG, ClinicalTrials.gov, first posted Apr. 22, 2021, last update posted Jan. 20, 2025. [cited by applicant]
NCT04947124—A Study to Determine the Safety and Tolerability of 2 Concentrations of QLS-101, ClinicalTrials.gov, first posted Jun. 23, 2021, last update posted Jan. 20, 2025. [cited by applicant]
NCT05495269—Safety and Tolerability Study of QLS-101 in Adolescents With Sturge-Weber Syndrome (SWS)-Related Glaucoma Due to Elevated Episcleral Venous Pressure (EVP), ClinicalTrials.gov, first posted Aug. 8, 2022, last… [cited by applicant]
NCT06016972 (Osprey)—Qlaris Phase 2 Study of QLS-111 in POAG And/or OHT Patients, ClinicalTrials.gov, first posted Aug. 29, 2023, last update posted Jan. 20, 2025. [cited by applicant]
NCT06030193—Qlaris Phase 2 Study in NTG Patients, ClinicalTrials.gov, first posted Sep. 6, 2023, last update posted Jan. 17, 2025. [cited by applicant]
NCT06249152 (Apteryx)—Qlaris Study of QLS-111 in Combination With a PGA for OAG and/or OHT Patients, ClinicalTrials.gov, first posted Jan. 31, 2024, last update posted Jan. 20, 2025. [cited by applicant]
Noma, A., “ATP-regulated K [cited by applicant]
Patel, A. et al., “Ocular drug delivery systems: An overview” World J. Pharmacol. vol. 2, Issue 2, pp. 47-64. Available from: https://www.ncbi.plm.nih.gov/pmc/articles/PMC4289909/pdf/nibms641436.pdf, 2013, Accessed Jul.… [cited by applicant]
Popov, “Mucus-Penetrating Particles and the Role of Ocular Mucus as a Barrier to Micro- and Nanosuspensions” J. Ocul Pharmacol Ther, 36(6): 366-375, 2020. [cited by applicant]
Qlaris Bio, Inc., “Qlaris Bio Enrolls First Patient in Phase 1/2 Studies of QLS-101” Press release, Apr. 15, 2021, accessed Mar. 12, 2025. [cited by applicant]
Qlaris Bio, Inc., “Qlaris Bio Reports Phase 2 Clinical Trial Results Demonstrating Favorable Safety and Tolerability Profile and Positive Efficacy Signal for QLS-101” Press release, May 18, 2022, accessed Mar. 12, 2025. [cited by applicant]
Qlaris Bio, Inc., “Qlaris Bio Named 2022 Scrip Awards Finalist for Biotech Company of the Year” Press release, Oct. 4, 2022, accessed Mar. 12, 2025. [cited by applicant]
Qlaris Bio, Inc., “Qlaris Bio's Novel IOP-Lowering Product, QLS-111, Is Dosed In Phase II Trials” Press release, Apr. 2, 2024, accessed Mar. 12, 2025. [cited by applicant]
Qlaris Bio, Inc., “Qlaris Bio Completes $24 Million Series B Financing Round to Advance QLS-111, a First-in-class IOP-lowering Drug Candidate for Glaucoma” Press release, Apr. 30, 2024, accessed Mar. 12, 2025. [cited by applicant]
Qlaris Bio, Inc., “Qlaris Bio Announces Positive Topline Data From Two Phase II Trials Of QLS-111 In Patients With Primary Open Angle Glaucoma And Ocular Hypertension” Press release, Feb. 5, 2025, accessed Mar. 12, 2025. [cited by applicant]
Quast, U. et al., “In vitro and in vivo comparison of two K + channel openers, diazoxide and cromkalim, and their inhibition by glibenclamide” Journal of Pharmacology and Experimental Therapeutics, 250, 261, 1989. [cited by applicant]
Singh and Verma, “Preparation and characterization of nanomicelle for ocular delivery of fluoroquinolone derivative” Journal of Drug Delivery and Therapeutics 9.2-s: 355-365, 2019. [cited by applicant]
Steel, C. L., “Preclinical Efficacy and Safety Profile of QLS-101, a Novel ATP-Sensitive Potassium Channel Opener for the Reduction of IOP” AOPT Talk, Qlaris Bio, Inc., Feb. 24, 2021. [cited by applicant]
Steel, C. L. et al., “Preclinical Efficacy and Safety Profile of a Novel Episcleral Venous Pressure (EVP)-Lowering Agent” American Glaucoma Society—Poster, 1 page, Feb. 28, 2021. [cited by applicant]
Steel, C. L. et al., “Ocular Tissue Conversion and Activity Profile of QLS-101, a Novel Topical IOP-Lowering Therapeutic” Association for Research in Vision and Ophthalmology (ARVO), Qlaris Bio, Inc. Poster, 1 page, Apr… [cited by applicant]
Steel, C. L. et al., “Ocular Hypotensive Properties and Biochemical Profile of QLS-101, a Novel ATP-Sensitive Potassium (K [cited by applicant]
Trinh et al., “Clear, aqueous topical drop of triamcinolone acetonide” AAPS PharmSciTech 18: 2466-2478, Feb. 9, 2017. [cited by applicant]
Vadlamudi and Dhanaraj, “Significance of excipients to enhance the bioavailability of poorly water-soluble drugs in oral solid dosage forms: A Review” IOP Conference Series: Materials Science and Engineering. vol. 263. … [cited by applicant]
Vyzulta Prescribing information revised May 2019, available from https://www.bausch.com/globalassets/pdf/packageinserts/pharma/vyzulta-prescribing-information.pdf. [cited by applicant]
WebPage: Unique NCELL® Technology and formulation provide superior delivery over cyclosporine emulsion 0.05% https://cequapro.com/ncell-technology, Accessed: Sep. 27, 2022. [cited by applicant]
Whidden, M. A. et al., “Altered potassium ATP channel signaling in mesenteric arteries of old high salt-fed rats” J Exerc Nutri Biochem. 20(2), 58-64, 2016. [cited by applicant]
Wirostko, B. M. et al., “Systemic and Ocular Toxicology and Pharmacokinetic Profiles of QLS-101, a Novel topical IOP-Lowering Therapeutic” Association for Research in Vision and Ophthalmology Qlaris Poster—In vivo precl… [cited by applicant]
U.S. Pat. No. 10,981,951, B2, U.S. Appl. No. 15/113,773, Fautsch et al., Apr. 20, 2021. [cited by applicant]
U.S. Pat. No. 11,505,572, B2, U.S. Appl. No. 17/077,859, Fautsch et al., Nov. 22, 2022. [cited by applicant]
U.S. Pat. No. 12,209,140, B2, U.S. Appl. No. 17/991,558, Fautsch et al., Jan. 28, 2025. [cited by applicant]
2022/0324890, A1, U.S. Appl. No. 17/836,871, Htoo et al., Oct. 13, 2022. [cited by applicant]
2022/0387457, A1, U.S. Appl. No. 17/882,270, Htoo et al., Dec. 8, 2022. [cited by applicant]
2023/0381343, A1, U.S. Appl. No. 18/343,437, Fautsch et al., Nov. 30, 2023. [cited by applicant]
2024/0285580, A1, U.S. Appl. No. 18/439,552, Htoo et al., Aug. 29, 2024. [cited by applicant]
2025/0108035, A1, U.S. Appl. No. 18/907,296, Htoo et al., Apr. 3, 2025. [cited by applicant]