Composition for treating ocular hyperemia and a method for treating ocular hyperemia with the same
A composition for use in the treatment of ocular hyperemia includes an anti-angiogenic agent and an α adrenergic receptor agonist. A method for treating ocular hyperemia for a patient includes inhibiting a plurality of kinase receptors of the patient with an MKI; and activating α adrenergic receptor of the patient with an agonist of the receptor.
1. A method for treating ocular hyperemia in a patient comprising administering to an affected eye of the patient (a) a multi-kinase inhibitor (MKI) that inhibits one or more kinase receptors selected from Vascular Endothelial Growth Factor Receptors (VEGFR) 1, 2, and 3, platelet-derived growth factor receptors (PDGFR) α and β, and Lyn, and (b) an α adrenergic receptor agonist.
2. The method of claim 1 , wherein the MKI is selected from the group consisting of afatinib, amuvatinib, axitinib, cabozantinib, canertinib, cediranib, ceritinib, crenolanib, crizotinib, dabrafenib, dacomitinib, dasatinib, erlotinib, foretinib, gefitinib, golvatinib, ibrutinib, icotinib, idelalisib, imatinib, lapatinib, lenvatinib, linifanib, motesanib, neratinib, nilotinib, nintedanib, palbociclib, pazopanib, ponatinib, quizartinib, regorafenib, ruxolitinib, sorafenib, sunitinib, tandutinib, tivantinib, tivozanib, trametinib, vandetanib, vatalanib, and vemurafenib; and
wherein the α adrenergic receptor agonist is selected from the group consisting of naphazoline, tetrahydrozoline, oxymetazoline, methoxamine, phenylephrine, xylometazoline, oxedrine, Apraclonidine, mivaZerol, clonidine, brimonidine, alpha methyl dopa, guanfacine, dexemeditomidine, (+)-(S)-4-1-(2,3-dimethyl-phenyl)-ethyl-1,3-dihydro-imidazole-2-thione, 1-(imidazolidin-2-yl)iminolindazole, methoxamine, phenylephrine, tizanidine, xylazine, guanabenz, and amitraz.
3. The method of claim 1 , wherein the MKI and the α adrenergic receptor agonist are administered to the affected eye in the form of a topical ocular formulation, an ointment, a gel, a sustained release semi-solid formulation, a sustained release solid formulation or an ocular implant.
4. The method of claim 3 , wherein the sustained release semi-solid formulation, the sustained release solid formulation, or the ocular implant is injected into the affected eye.
5. The method of claim 1 , wherein the MKI is nintedanib or axitinib.
6. The method of claim 1 , wherein the α adrenergic receptor agonist is brimonidine.
7. The method of claim 1 , comprising administering a composition comprising 0.001%-1% (w/w) nintedanib and 0.001%-1% (w/w) brimonidine.