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)
Mechanism and Biochemical Profile
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>).