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AR-2475 is a sustained-release (SR) intracameral implant containing a potent Rho kinase (ROCK) inhibitor, currently under development for the treatment of open-angle glaucoma and ocular hypertension. Developed by Aerie Pharmaceuticals (now a subsidiary of Alcon), the implant is designed to provide continuous intraocular pressure (IOP) reduction over several months, addressing the significant challenge of patient non-compliance with daily topical eye drops. The active pharmaceutical ingredient inhibits both ROCK1 and ROCK2 isoforms, which enhances aqueous humor outflow through the trabecular meshwork—the primary drainage pathway of the eye—and may also reduce aqueous humor production and episcleral venous pressure. This long-acting formulation utilizes a biodegradable polymer matrix to deliver the drug directly to the target tissues in the anterior chamber.
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