Alphagan, Mirvaso(brimonidine)
Alphagan P, Brimonidine, Combigan, Lumify, Mirvaso, Qoliana, Simbrinza (brimonidine) is a small molecule pharmaceutical. Brimonidine was first approved as Alphagan on 1996-09-06. It is used to treat open-angle glaucoma in the USA. It has been approved in Europe to treat ocular hypertension, open-angle glaucoma, and skin diseases. The pharmaceutical is active against alpha-2B adrenergic receptor, alpha-2C adrenergic receptor, and alpha-2A adrenergic receptor.
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Commercial
Therapeutic Areas
Therapeutic Area | MeSH |
|---|---|
| eye diseases | D005128 |
| skin and connective tissue diseases | D017437 |
Trade Name
FDA
EMA
Alphagan p, Brimonidine, Lumify, Mirvaso, Qoliana (discontinued: Alphagan, Brimonidine)
CombinationsBrimonidine timolol, Combigan, Simbrinza (discontinued: Brimonidine timolol)
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Brimonidine tartrate
Tradename | Company | Number | Date | Products |
|---|---|---|---|---|
| ALPHAGAN P | AbbVie | N-021770 RX | 2005-08-19 | 1 products, RLD, RS |
| ALPHAGAN P | AbbVie | N-021262 RX | 2001-03-16 | 1 products, RLD, RS |
| LUMIFY | Bausch Health Companies | N-208144 OTC | 2017-12-22 | 1 products, RLD, RS |
| LUMIFY PRESERVATIVE FREE | Bausch Health Companies | N-218424 OTC | 2024-04-19 | 1 products, RLD, RS |
| MIRVASO | Galderma | N-204708 RX | 2013-08-23 | 1 products, RLD, RS |
| QOLIANA | Sandoz | N-021764 RX | 2006-05-22 | 1 products, RLD, RS |
Show 2 discontinued
Brimonidine tartrate
+
Timolol maleate
Brimonidine tartrate
+
Brinzolamide
Tradename | Company | Number | Date | Products |
|---|---|---|---|---|
| SIMBRINZA | Alcon Research | N-204251 RX | 2013-04-19 | 1 products, RLD, RS |
Labels
FDA
EMA
Brand Name | Status | Last Update |
|---|---|---|
| alphagan p | New Drug Application | 2025-09-18 |
| brim-dor pf | unapproved drug other | 2018-05-08 |
| brimonidine | ANDA | 2024-07-31 |
| brimonidine tartrate | ANDA | 2025-10-08 |
| brimonidine tartrate 0.25% / ivermectin 1% / metronidazole 1% / niacinamide 4% | unapproved drug other | 2019-05-15 |
| brimonidine tartrate 0.25% / potassium azeloyl diglycinate 8% | unapproved drug other | 2019-05-15 |
| brimonidine tartrate and timolol maleate | ANDA | 2025-04-25 |
| brimonidine tartrate ophthalmic solution, 0.15% | ANDA | 2023-07-06 |
| brimonidine tartrate/timolol maleate | ANDA | 2024-05-16 |
| brimonidine tartrate/timolol maleate ophthalmic solution | ANDA | 2025-09-16 |
Show 6 more
Agency Specific
FDA
EMA
No data
Patent Expiration
Patent | Expires | Flag | FDA Information |
|---|---|---|---|
| Brimonidine Tartrate, Mirvaso, Galderma Labs Lp | |||
| 8053427 | 2031-06-13 | DP | U-1428 |
| 8163725 | 2031-06-13 | DP | |
| 10201517 | 2031-06-13 | DP | |
| 8513247 | 2031-03-25 | DP | U-1428 |
| 8513249 | 2031-03-25 | DP | U-1428 |
| 9861631 | 2031-03-25 | U-1428 | |
| 9861632 | 2031-03-25 | U-1428 | |
| 7439241 | 2025-08-25 | U-1428 | |
| 8231885 | 2025-05-24 | DP | |
| 8410102 | 2025-05-24 | U-1428 | |
| 8426410 | 2025-05-24 | U-1428 | |
| 8859551 | 2024-05-25 | U-1428 | |
| Brimonidine Tartrate / Brinzolamide, Simbrinza, Alcon Labs Inc | |||
| 9044484 | 2030-10-30 | DP | |
| 9421265 | 2030-06-17 | DP | |
| Brimonidine Tartrate, Lumify, Bausch And Lomb Inc | |||
| 8293742 | 2030-07-14 | U-2222 | |
| 9259425 | 2030-07-14 | U-2222 | |
| 11596600 | 2029-07-27 | U-2222 | |
| 11833245 | 2029-07-27 | U-2222 | |
| Brimonidine Tartrate, Qoliana, Sandoz | |||
| 7265117 | 2025-08-19 | DP | |
ATC Codes
D: Dermatologicals
— D11: Other dermatological preparations in atc
— D11A: Other dermatological preparations in atc
— D11AX: Other dermatological preparations in atc
— D11AX21: Brimonidine
S: Sensory organ drugs
— S01: Ophthalmologicals
— S01E: Antiglaucoma preparations and miotics
— S01EA: Sympathomimetics in glaucoma therapy
— S01EA05: Brimonidine
— S01G: Decongestants and antiallergics
— S01GA: Sympathomimetics used as decongestants
— S01GA07: Brimonidine
HCPCS
No data
Clinical
Clinical Trials
209 clinical trials
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Indications Phases 4
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Glaucoma | D005901 | EFO_0000516 | H40 | 4 | 8 | 18 | 33 | 17 | 80 |
| Ocular hypertension | D009798 | EFO_1001069 | H40.0 | 2 | 6 | 21 | 21 | 9 | 59 |
| Open-angle glaucoma | D005902 | EFO_0004190 | H40.1 | 1 | 8 | 13 | 21 | 7 | 50 |
| Hypertension | D006973 | EFO_0000537 | I10 | 1 | 6 | 13 | 5 | 3 | 28 |
| Rosacea | D012393 | — | L71 | — | 1 | 4 | 4 | 4 | 13 |
| Erythema | D004890 | — | L53.9 | — | 1 | 6 | 2 | 1 | 10 |
| Intraocular pressure | D007429 | — | — | 2 | — | — | 1 | 5 | 8 |
| Low tension glaucoma | D057066 | EFO_1001022 | H40.12 | — | 1 | — | 5 | — | 6 |
| Hyperemia | D006940 | EFO_0003822 | H34.82 | 1 | — | 2 | 1 | — | 4 |
| Angle-closure glaucoma | D015812 | — | — | — | — | 1 | 1 | 1 | 3 |
Show 24 more
Indications Phases 3
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Presbyopia | D011305 | — | H52.4 | 6 | 4 | 6 | — | — | 16 |
| Eye diseases | D005128 | EFO_0003966 | H44 | 2 | 3 | 5 | — | 1 | 11 |
| Miosis | D015877 | — | H57.03 | — | 1 | 4 | — | — | 5 |
| Cataract | D002386 | EFO_0001059 | H26.9 | — | — | 1 | — | 3 | 4 |
| Allergic conjunctivitis | D003233 | EFO_0007141 | H10.44 | — | 1 | 3 | — | — | 4 |
| Refractive errors | D012030 | HP_0000483 | H52.7 | 1 | 2 | 1 | — | — | 4 |
| Diabetic retinopathy | D003930 | EFO_0003770 | — | — | 3 | 1 | — | — | 3 |
| Dry eye syndromes | D015352 | — | H04.12 | 1 | 2 | 1 | — | — | 3 |
| Exfoliation syndrome | D017889 | EFO_0004235 | — | — | — | 1 | — | 1 | 2 |
| Keratoconjunctivitis sicca | D007638 | EFO_1000906 | — | — | 1 | 1 | — | — | 2 |
Show 10 more
Indications Phases 2
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Macular degeneration | D008268 | EFO_0001365 | H35.30 | — | 4 | — | — | — | 4 |
| Syndrome | D013577 | — | — | — | 2 | — | — | 1 | 3 |
| Retinal detachment | D012163 | EFO_0005773 | H33.2 | — | 1 | — | — | 1 | 2 |
| Healthy volunteers/patients | — | — | — | — | 1 | — | — | 1 | 2 |
| Geographic atrophy | D057092 | — | — | — | 2 | — | — | — | 2 |
| Atrophy | D001284 | — | — | — | 2 | — | — | — | 2 |
| Macular edema | D008269 | — | — | — | 1 | — | — | — | 1 |
| Mydriasis | D015878 | — | H57.04 | — | 1 | — | — | — | 1 |
| Hand-foot syndrome | D060831 | EFO_1001893 | — | — | 1 | — | — | — | 1 |
| Meibomian gland dysfunction | D000080343 | — | H02.88 | 1 | 1 | — | — | — | 1 |
Show 5 more
Indications Phases 1
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Flushing | D005483 | — | R23.2 | 1 | — | — | — | 1 | 2 |
| Pseudophakia | D019591 | — | — | 1 | — | — | — | — | 1 |
| Alcohol-related disorders | D019973 | — | F10 | 1 | — | — | — | — | 1 |
| Sjogren-larsson syndrome | D016111 | Orphanet_816 | E71.3 | 1 | — | — | — | — | 1 |
| Vitrectomy | D014821 | — | — | 1 | — | — | — | — | 1 |
Indications Without Phase
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Ultrasonography | D014463 | — | — | — | — | — | — | 3 | 3 |
| Hemorrhage | D006470 | MP_0001914 | R58 | — | — | — | — | 2 | 2 |
| Sarcopenia | D055948 | EFO_1000653 | M62.84 | — | — | — | — | 2 | 2 |
| Myopia | D009216 | EFO_0003927 | H52.1 | — | — | — | — | 1 | 1 |
| Pterygium | D011625 | — | H11.0 | — | — | — | — | 1 | 1 |
| Cataract extraction | D002387 | — | — | — | — | — | — | 1 | 1 |
| Coronavirus infections | D018352 | EFO_0007224 | B34.2 | — | — | — | — | 1 | 1 |
| Coronavirus | D017934 | — | — | — | — | — | — | 1 | 1 |
| Hemophilia a | D006467 | EFO_0007267 | D66 | — | — | — | — | 1 | 1 |
| Hemarthrosis | D006395 | EFO_1001344 | M25.0 | — | — | — | — | 1 | 1 |
Show 19 more
Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
| Drug common name | Brimonidine |
| INN | brimonidine |
| Description | Brimonidine is a quinoxaline derivative, a secondary amine and a member of imidazoles. It has a role as an adrenergic agonist, an antihypertensive agent and an alpha-adrenergic agonist. |
| Classification | Small molecule |
| Drug class | — |
| Image (chem structure or protein) |  |
| Structure (InChI/SMILES or Protein Sequence) | Brc1c(NC2=NCCN2)ccc2nccnc12 |
Identifiers
| PDB | — |
| CAS-ID | 59803-98-4 |
| RxCUI | — |
| ChEMBL ID | CHEMBL844 |
| ChEBI ID | 3175 |
| PubChem CID | 2435 |
| DrugBank | DB00484 |
| UNII ID | E6GNX3HHTE (ChemIDplus, GSRS) |
Target
Agency Approved
ADRA2B
ADRA2B
ADRA2C
ADRA2C
ADRA2A
ADRA2A
Organism
Homo sapiens
Gene name
ADRA2B
Gene synonyms
ADRA2L1, ADRA2RL1
NCBI Gene ID
Protein name
alpha-2B adrenergic receptor
Protein synonyms
ADRA2B adrenergic, alpha-2B-, receptor, Alpha-2 adrenergic receptor subtype C2, alpha-2-adrenergic receptor-like 1, Alpha-2B adrenoceptor, Alpha-2B adrenoreceptor, Alpha-2BAR, G-protein coupled receptor
Uniprot ID
Mouse ortholog
Adra2b (11552)
alpha-2B adrenergic receptor (P30545)
Alternate
No data
Variants
No data
Financial
Revenue by drug
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Estimated US medical usage
Brimonidine
Total medical expenditures per year (USD, in millions)
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Number of persons purchased
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Refill frequency
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Price per prescription (USD)
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Brimonidine
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Timolol
Total medical expenditures per year (USD, in millions)
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Number of persons purchased
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Trends
PubMed Central
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Safety
Black-box Warning
No Black-box warning
Adverse Events
Top Adverse Reactions
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17,600 adverse events reported
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