Last Updated: June 24, 2026

CLINICAL TRIALS PROFILE FOR COSOPT PF


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All Clinical Trials for COSOPT PF

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00140049 ↗ A 12week, Randomized, Evaluator-Masked, Parallel Group Comparing Evening Dosing Of Xalacom Vs Cosopt In Subj W/ Glaucoma Completed Pfizer Phase 4 2005-07-01 To demonstrate the statistical non inferiority of the combination of latanoprost and timolol given in the evening time once a day vs the combination of dorzamalide and timolol twice a day based on intraocular pressure measurements at 8 AM, 12 noon & 4 PM during a 12 week treatment.
NCT00140049 ↗ A 12week, Randomized, Evaluator-Masked, Parallel Group Comparing Evening Dosing Of Xalacom Vs Cosopt In Subj W/ Glaucoma Completed Pfizer's Upjohn has merged with Mylan to form Viatris Inc. Phase 4 2005-07-01 To demonstrate the statistical non inferiority of the combination of latanoprost and timolol given in the evening time once a day vs the combination of dorzamalide and timolol twice a day based on intraocular pressure measurements at 8 AM, 12 noon & 4 PM during a 12 week treatment.
NCT00273429 ↗ Cosopt Versus Xalatan Completed Pharmaceutical Research Network Phase 4 2005-04-01 To compare the 24-hour efficacy and safety, measured every three hours, of the dorzolamide/timolol fixed combination given twice daily versus latanoprost and placebo each given once daily.
NCT00273442 ↗ Assessing Cosopt Switch Patients Completed Pharmaceutical Research Network Phase 4 2005-11-01 To assess the safety and efficacy of a cohort of patients switched to the dorzolamide/timolol maleate fixed combination because they are insufficiently controlled on latanoprost monotherapy.
NCT00273455 ↗ Lumigan Versus Cosopt Completed Pharmaceutical Research Network Phase 4 2006-01-01 To compare the intraocular pressure effect and safety of the dorzolamide/timolol fixed combination given twice daily versus bimatoprost given once every evening in patients with open-angle glaucoma in patients insufficiently controlled on latanoprost monotherapy
NCT00273481 ↗ Cosopt Versus Xalacom Completed Pharmaceutical Research Network Phase 4 2005-09-01 To compare the intraocular pressure efficacy and safety of the DTFC given twice daily versus the LTFC given once every morning following a run-in period with timolol maleate given twice daily.
NCT00314171 ↗ A Study of a Glaucoma Therapy to Treat Open-Angle Glaucoma or Ocular Hypertension Completed Alcon Research Phase 3 2005-10-01 The purpose of this study is to determine whether a glaucoma therapy is safe and effective in treating patients with open-angle glaucoma or ocular hypertension.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for COSOPT PF

Condition Name

Condition Name for COSOPT PF
Intervention Trials
Ocular Hypertension 19
Glaucoma 15
Open-Angle Glaucoma 10
Open Angle Glaucoma 3
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Condition MeSH

Condition MeSH for COSOPT PF
Intervention Trials
Glaucoma 27
Ocular Hypertension 20
Glaucoma, Open-Angle 16
Hypertension 15
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Clinical Trial Locations for COSOPT PF

Trials by Country

Trials by Country for COSOPT PF
Location Trials
United States 24
Canada 4
Greece 3
Mexico 2
Italy 2
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Trials by US State

Trials by US State for COSOPT PF
Location Trials
Pennsylvania 3
Massachusetts 3
Illinois 3
Michigan 2
Indiana 2
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Clinical Trial Progress for COSOPT PF

Clinical Trial Phase

Clinical Trial Phase for COSOPT PF
Clinical Trial Phase Trials
PHASE4 1
Phase 4 18
Phase 3 5
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Clinical Trial Status

Clinical Trial Status for COSOPT PF
Clinical Trial Phase Trials
Completed 28
Unknown status 4
Terminated 2
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Clinical Trial Sponsors for COSOPT PF

Sponsor Name

Sponsor Name for COSOPT PF
Sponsor Trials
Alcon Research 9
Merck Sharp & Dohme Corp. 6
Pharmaceutical Research Network 4
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Sponsor Type

Sponsor Type for COSOPT PF
Sponsor Trials
Other 25
Industry 24
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Cosopt PF (Dorzolamide Hydrochloride 2% / Timolol Maleate 0.5%) clinical trials update, market analysis, and exclusivity-driven launch projections

Last updated: May 28, 2026

Cosopt PF is the preservative-free fixed-dose ophthalmic solution combining dorzolamide (carbonic anhydrase inhibitor) and timolol (beta-blocker) for intraocular pressure (IOP) reduction in glaucoma and ocular hypertension. Publicly available clinical-trial and commercial datasets at the level needed for a defensible, date-stamped “update” and forward-looking market projection are not present in the provided information, so a complete and accurate analysis cannot be produced.

What is Cosopt PF and how does it differ from Cosopt (preserved) and generic dorzolamide/timolol?

Cosopt PF is the preservative-free formulation of the dorzolamide/timolol combination. The key practical difference versus Cosopt (the older, benzalkonium-chloride-containing product) is tolerability for patients sensitive to preservatives, particularly those with ocular surface disease. This distinction often matters for payer adoption, formulary positioning, and switching behavior, but market impact depends on actual prescribing patterns and local reimbursement, which are not provided here.

Which indications does Cosopt PF target?

Cosopt PF is used to lower IOP in:

  • Open-angle glaucoma
  • Ocular hypertension

What strength and dosing form matters for IP and competition?

  • Fixed-dose ophthalmic solution
  • Preservative-free (“PF”)

What patents protect Cosopt PF in the US and when do they expire?

A complete patent estate map requires Orange Book listings (drug product, active ingredients, dosage form), associated patents (composition, method-of-use, manufacturing, packaging), and their expiration dates by jurisdiction. No Orange Book identifiers or patent numbers are provided, and a defensible schedule cannot be compiled from the prompt alone.

How many patents cover Cosopt PF formulations and methods of use?

A count and structure of listed patents (including formulation, device/packaging, and method-of-use) cannot be produced without the Orange Book patent list and relator information.

When does Cosopt PF lose exclusivity?

Exclusivity timelines differ by whether the product is protected by:

  • Patent term extensions (PTE)
  • Orphan, pediatric, or marketing exclusivity
  • Listed patents with paragraph IV exposure No relevant exclusivity or patent-term data is provided.

What is the Orange Book status of Cosopt PF and what generic entry risks exist?

Orange Book status requires:

  • NDA number and applicant
  • Drug product status (active, discontinued, withdrawn)
  • Listed patent numbers and expiration dates
  • Any associated ANDA filings and litigation history None of that data is included.

Which ANDAs or Para-IV challenges target Cosopt PF?

A credible “who is challenging whom” requires ANDA identifiers (ANDA number), filing dates, and Paragraph IV certifications. Not provided.

What clinical trials data is currently available for Cosopt PF?

A clinical-trials update requires:

  • Trial registry IDs (ClinicalTrials.gov NCT numbers) or publication records
  • Endpoint definitions (IOP at specified timepoints)
  • Study design (randomized, masked, comparator arm)
  • Enrollment and completion status with dates No trial identifiers or results are provided.

Do head-to-head studies compare Cosopt PF to Cosopt or alternative fixed combinations?

Head-to-head conclusions require at least one of:

  • randomized comparator trial results
  • real-world evidence with comparable cohorts and time windows No comparative study data is provided.

How does Cosopt PF compare with other glaucoma fixed combinations on efficacy and tolerability?

Comparison requires published:

  • IOP-lowering efficacy across classes (e.g., dorzolamide/timolol vs alternatives)
  • adverse event rates, especially ocular surface outcomes
  • persistence/adherence differences by preservative-free status None of that supporting dataset is provided.

How do prostaglandin analogs and newer agents shift Cosopt PF demand?

Market share depends on:

  • switching dynamics to prostaglandin analogs and combination prostaglandin products
  • payer step edits and preferred drug lists No payer or market-share inputs are supplied.

What formulation patents protect preservative-free ophthalmic combination therapy like Cosopt PF?

Preservative-free packaging and formulation IP can hinge on:

  • container type (unit-dose)
  • surfactant system
  • stabilization, shelf life, and sterility assurance A formulation-protection analysis requires listed patents tied to Cosopt PF’s NDA and their claims. No patent list is provided.

What patent litigation affects Cosopt PF and what settlement agreements matter?

Patent litigation requires court docket identifiers and dates, typically from:

  • district court filings
  • Federal Circuit outcomes
  • settlement agreement summaries No litigation data is provided.

What is the market size for Cosopt PF and what share does it hold in the glaucoma drops segment?

A defensible market analysis requires:

  • US and ex-US sales by year
  • channel mix (retail vs specialty vs institutional)
  • competitor sales and category growth
  • pricing trends and net-to-gross adjustments None of these numbers are provided, and a projection would be unanchored.

What revenue projection scenarios exist for Cosopt PF after generic or label-competition entry?

A projection requires at minimum:

  • estimated effective date(s) for patent loss and exclusivity end
  • expected ANDA launch timing and formulary uptake
  • pricing compression assumptions and competitive responses No exclusivity dates, patent expiry, or competitor launch timelines are provided.

How should launch risk be modeled for preservative-free ophthalmic fixed combinations?

A model would normally include:

  • regulatory review timeline for ANDAs
  • labeling differences and preservative-free substitution rates
  • court-ordered stays or injunctions No regulatory or litigation constraints are given.

Does Cosopt PF face biosimilar risk or only generic ophthalmic substitution?

Ophthalmic small-molecule fixed combinations have no biosimilar pathway risk. The competitive threat is generic substitution and potential “authorized generics” where applicable. The prompt does not provide any product-specific regulatory or litigation facts to convert this into a timed risk table.

Geographic coverage: where is Cosopt PF most exposed to patent cliffs?

Geographic exposure depends on where patents are filed and where ANDA equivalents or local generic challenges occur. Without a jurisdiction-specific patent filing map and commercial footprint data, geographic cliff analysis cannot be completed.

Key Takeaways

  • Cosopt PF is a preservative-free fixed-dose dorzolamide/timolol ophthalmic solution for lowering IOP in glaucoma and ocular hypertension.
  • A clinical-trials “update,” patent estate, Orange Book status, litigation mapping, and a time-based market projection require product identifiers and datasets that are not present in the prompt.
  • Without NDA-linked patent listings and trial identifiers, no defensible exclusivity and launch timeline can be produced.

FAQs

  1. What is the regulatory pathway for generic Cosopt PF (ANDA) and what certifications are typically required?
  2. How does preservative-free formulation status affect payer switching from Cosopt to Cosopt PF?
  3. What endpoints in glaucoma trials best predict real-world persistence for dorzolamide/timolol fixed combinations?
  4. Which patent categories most often block generic entry for ophthalmic combination products (composition vs method-of-use vs packaging)?
  5. How do net price concessions and rebates change category growth for glaucoma drops around generic entry?

References

(Only sources that can be directly cited from the provided prompt are required; none are included.)

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