Clinical Trials

Several completed clinical trials, encompassing Phase 3 and unassigned phase protocols, evaluate topical timolol maleate across ophthalmic and dermatologic indications. Sponsored by pharmaceutical entities such as Santen Pharmaceutical and government healthcare systems including the VA Office of Research and Development, these studies focus on primary open-angle glaucoma, ocular surface disease, chronic diabetic neuropathic ulcers, and non-healing cutaneous wounds. Together, these investigations highlight the therapeutic utility of timolol formulations in managing intraocular pressure and facilitating tissue repair.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04828057 Completed
Ocular Surface Disease|Primary Open Angle Glaucoma
Santen Pharmaceutical (Taiwan) Co. LTD
2021-09-01 --
NCT03282981 Completed
Chronic Diabetic Foot Ulcers|Diabetic Neuropathic Ulcers|Non Healing Wound
VA Office of Research and Development|VA Northern California Health Care System
2018-06-14 Phase 3
NCT04903366 Completed
Glaucoma Open-Angle|Chronic Wounds
VA Northern California Health Care System
2017-11-21 --

(data from https://clinicaltrials.gov, updated on 2024-05-22)

Check the Timolol Maleate product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Timolol maleate functions as a non-selective antagonist that competitively binds to β1- and β2-adrenergic receptors with Ki values of 1.97 nM and 2.0 nM, respectively, thereby inhibiting catecholamine-stimulated adenylate cyclase activity and downstream cyclic AMP signaling. This molecular blockade reduces aqueous humor secretion in ciliary epithelia to lower intraocular pressure in open-angle glaucoma and modulates localized adrenergic signaling to promote tissue repair in chronic diabetic foot ulcers.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.