R-Tech Ueno


Our Business

The Manufacturing and Marketing of Rescula® Eye Drops 0.12%, Glaucoma and Ocular Hypertension Drug

 

About MarketingExapanding IndicationsRescula References

R-Tech Ueno's originally developed Rescula® Eye Drops 0.12% is a glaucoma/ocular hypertension treatment drug that was the first in the world to utilize Prostone. Rescula® Eye Drops 0.12% have pharmacological activities as the Prostone-type ion channel openers, giving it the ability to not only lower intraocular pressure, but also sustain optic nerve preservation (in vitro) and improve the ocular blood flow of those suffering normotensive glaucoma. Since it was first put on the market in 1994, over 500 thousand patients have used the drug across 45 different countries, making Rescula® a firm long-seller.

On top of manufacturing and supplying Rescula® Eye Drops 0.12% to Santen Pharmaceuticals with which R-Tech Ueno has the marketing license contracts, we conduct our own corporate MR promotion and marketing activities. By offering the latest information on Rescula® Eye Drops 0.12% from the point of view of the developer, R-Tech Ueno contributes to the evidence-based treatment of glaucoma and ocular hypertension.

About Marketing

R-Tech Ueno has been planning the marketing and promotion of Rescula® Eye Drops 0.12% with Santen Pharmaceutical Corporation. We also make aggressive efforts in disseminating information by our own Medical Representatives. 

Dissemination of Information on New Findings

Taking advantages of being the discoverer and developer of Rescula® Eye Drops 0.12%, we communicate the latest scientific information on Rescula®, contributing to appropriate Glaucoma treatments that depend on new evidence.

Conducting regular seminars on Glaucoma Fundus Image Reading

We hold regular seminars for ophthalmologists and paramedical staff in cooperation with Santen Pharmaceutical Co., Ltd. to provide more physicians with opportunities for introduction of cutting-edge medical information that directly helps your diagnosis/treatment of glaucoma.

Active Participation in the Ophthalmic Meetings

We are active participants in the ophthalmic community (Japanese Ophthalmic Association, Japanese Clinical Ophthalmic Association, Japan Glaucoma Association, etc.); with whom we organize seminars based on the expertise of highly recognized doctors, and disseminate news of the latest professional observations in the medical field.

Advancing Basic Research

We advance basic research on the pharmacological mechanisms of Rescula®. All discoveries are then announced to the clinical field by way of presentations at medical meetings and academic papers.

 

Rescula® Eye Drops, which is a prostone developed for the first time in the world by Dr. Ryuji Ueno, is a drug transferred from Japan to the world for treating glaucoma and ocular hypertension. Although the business environment surrounding Rescula® Eye Drops is still severe, the clinical trial for expanding indications to include retinitis pigmentosa aims to complete data analysis of the study results by the end of this term. In the meantime, Sucampo Pharmaceuticals, Inc., to which we transferred the right of distribution Rescula® Eye Drops in America and Canada, is planning to expand the indications to include atrophic age-related macular degeneration. At R-Tech Ueno, the Medical Affairs Team will cooperate and support this effort to expand the indication in US. We will continue to lay stress on the life cycle management of Rescula® Eye Drops. Since a doctor with good knowledge of medicine in the field is directing the effort from the top, effective strategies can be realized. On the basis of the excellent pharmacological action of Rescula, we shall face the challenge to brighten the future of patients around the world in areas where no effective treatment is available.

1. Neuroprotection
  Cellular and molecular effects of unoprostone as a BK channel activator.
  Cuppoletti J, Malinowska DH, Tewari KP, Chakrabarti J, Ueno R.
  Biochim Biophys Acta. 2007 May;1768(5):1083-92. (Also see Mechanism)
   
  Unoprostone isopropyl rescues retinal progenitor cells from apoptosis in vitro.
  Mukuno H, Nakamura M, Kanamori A, Nagai A, Negi A, Seigel G.
  Curr Eye Res. 2004 Dec;29(6):457-64.
   
  Neuroprotective properties of a synthetic docosanoid, unoprostone isopropyl: clinical benefits in the treatment of glaucoma.
  Melamed S.
  Drugs Exp Clin Res. 2002;28(2-3):63-73. Review.
   
  Photoreceptor protection against constant light-induced damage by isopropyl unoprostone, a prostaglandin F(2alpha) metabolite-related compound.
  Hayami K, Unoki K.
  Ophthalmic Res. 2001 Jul-Aug;33(4):203-9.
   
2. Ocular Blood Flow
  a) Animal eyes
  Effect of unoprostone on topographic and blood flow changes in the ischemic optic nerve head of rabbits.
  Sugiyama T, Mashima Y, Yoshioka Y, Oku H, Ikeda T.
  Arch Ophthalmol. 2009 Apr;127(4):454-9. (Also see Anti-Endothelin Function)
   
  Effects of topical travoprost and unoprostone on optic nerve head circulation in normal rabbits.
  Ohashi M, Mayama C, Ishii K, Araie M.
  Curr Eye Res. 2007 Sep;32(9):743-9.
   
  b) Ex Vivo
  Vasodilatory mechanism of unoprostone isopropyl on isolated rabbit ciliary artery.
  Yoshitomi T, Yamaji K, Ishikawa H, Ohnishi Y.
  Curr Eye Res. 2004 Mar;28(3):167-74.
   
  Comparison of the vasoactive effects of the docosanoid unoprostone and selected prostanoids on isolated perfused retinal arterioles.
  Yu DY, Su EN, Cringle SJ, Schoch C, Percicot CP, Lambrou GN.
  Invest Ophthalmol Vis Sci. 2001 Jun;42(7):1499-504.
   
  Effects of isopropyl unoprostone on rabbit ciliary artery.
  Hayashi E, Yoshitomi T, Ishikawa H, Hayashi R, Shimizu K.
  Jpn J Ophthalmol. 2000 May-Jun;44(3):214-20.
   
  c) Human eyes
  Effect of topical unoprostone isopropyl on optic nerve head circulation in controls and in normal-tension glaucoma patients.
  Kimura I, Shinoda K, Tanino T, Ohtake Y, Mashima Y.
  Jpn J Ophthalmol. 2005 Jul-Aug;49(4):287-93.
   
  Long-term effect of topically applied isopropyl unoprostone on microcirculation in the human ocular fundus.
  Makimoto Y, Sugiyama T, Kojima S, Azuma I.
  Jpn J Ophthalmol. 2002 Jan-Feb;46(1):31-5.
   
  Partial antagonism of endothelin 1-induced vasoconstriction in the human choroid by topical unoprostone isopropyl.
  Polska E, Doelemeyer A, Luksch A, Ehrlich P, Kaehler N, Percicot CL, Lambrou GN, Schmetterer L.
  Arch Ophthalmol. 2002 Mar;120(3):348-52. (Also see Anti-Endothelin Function)
   
  Effect of topical unoprostone on circulation of human optic nerve head and retina.
  Tamaki Y, Araie M, Tomita K, Nagahara M, Sandoh S, Tomidokoro A.
  J Ocul Pharmacol Ther. 2001 Dec;17(6):517-27.
   
3. Mechanism
  a) In Vivo
  Increase in outflow facility with unoprostone treatment in ocular hypertensive patients.
  Toris CB, Zhan G, Camras CB.
  Arch Ophthalmol. 2004 Dec;122(12):1782-7.
   
  Intraocular metabolites of isopropyl unoprostone.
  Numaga J, Koseki N, Kaburaki T, Kawashima H, Tomita G, Araie M.
  Curr Eye Res. 2005 Oct;30(10):909-13.
   
  b) In Vitro
  Effect of bimatoprost, latanoprost, and unoprostone on matrix metalloproteinases and their inhibitors in human ciliary body smooth muscle cells.
  Ooi YH, Oh DJ, Rhee DJ.
  Invest Ophthalmol Vis Sci. 2009 Nov;50(11):5259-65
   
  Cat iris sphincter smooth-muscle contraction: comparison of FP-class prostaglandin analog agonist activities.
  Sharif NA, Kaddour-Djebbar I, Abdel-Latif AA.
  J Ocul Pharmacol Ther. 2008 Apr;24(2):152-63.
   
  Cellular and molecular effects of unoprostone as a BK channel activator.
  Cuppoletti J, Malinowska DH, Tewari KP, Chakrabarti J, Ueno R.
  Biochim Biophys Acta. 2007 May;1768(5):1083-92.
   
  The effects of prostaglandin analogues on prostanoid EP1, EP2, and EP3 receptor-deficient mice.
  Ota T, Aihara M, Saeki T, Narumiya S, Araie M.
  Invest Ophthalmol Vis Sci. 2006 Aug;47(8):3395-9.
   
  The effect of unoprostone isopropyl on Ca2+ release-activated Ca2+ currents in cultured monkey trabecular meshwork cells and ciliary muscle cells.
  Shimura M, Yasuda K, Nakzawa T, Kashiwagi K.
  J Ocul Pharmacol Ther. 2006 Aug;22(4):219-26.
   
  The effects of prostaglandin analogues on IOP in prostanoid FP-receptor-deficient mice.
  Ota T, Aihara M, Narumiya S, Araie M.
  Invest Ophthalmol Vis Sci. 2005 Nov;46(11):4159-63.
   
  Effects of unoprostone and endothelin 1 on L-type channel currents in human trabecular meshwork cells.
  Thieme H, Steinhausen K, Ottlecz A, Lambrou GN, Strauss O, Wiederholt M, Rosenthal R.
  Ophthalmic Res. 2005 Nov-Dec;37(6):293-300.
   
  Human ciliary muscle cell responses to FP-class prostaglandin analogs: phosphoinositide hydrolysis, intracellular Ca2+ mobilization and MAP kinase activation.
  Sharif NA, Crider JY, Husain S, Kaddour-Djebbar I, Ansari HR, Abdel-Latif AA.
  J Ocul Pharmacol Ther. 2003 Oct;19(5):437-55
   
  Comparison between isopropyl unoprostone and latanoprost by prostaglandin E(2)induction, affinity to prostaglandin transporter, and intraocular metabolism.
  Kashiwagi K, Kanai N, Tsuchida T, Suzuki M, Iizuka Y, Tanaka Y, Tsukahara S.
  Exp Eye Res. 2002 Jan;74(1):41-9.
   
  Studies on receptor binding and signal transduction pathways of unoprostone isopropyl.
  Bhattacherjee P, Paterson CA, Percicot C.
  J Ocul Pharmacol Ther. 2001 Oct;17(5):433-41.
   
  Mechanisms of action of unoprostone on trabecular meshwork contractility.
  Thieme H, Stumpff F, Ottlecz A, Percicot CL, Lambrou GN, Wiederholt M.
  Invest Ophthalmol Vis Sci. 2001 Dec;42(13):3193-201
   
4. Anti-Endothelin Function
  Effect of unoprostone on topographic and blood flow changes in the ischemic optic nerve head of rabbits.
  Sugiyama T, Mashima Y, Yoshioka Y, Oku H, Ikeda T.
  Arch Ophthalmol. 2009 Apr;127(4):454-9.
   
  Effects of unoprostone on phosphorylated extracellular signal-regulated kinase expression in endothelin-1-induced retinal and optic nerve damage.
  Munemasa Y, Kitaoka Y, Hayashi Y, Takeda H, Fujino H, Ohtani-Kaneko R, Hirata K, Ueno S.
  Vis Neurosci. 2008 Mar-Apr;25(2):197-208.
   
  Effects of topically instilled bunazosin hydrochloride and other ocular hypotensive drugs on endothelin-1-induced constriction in rabbit retinal arteries.
  Okada Y, Ichikawa M, Ishii K, Hara H.
  Jpn J Ophthalmol. 2004 Sep-Oct;48(5):465-9.
   
  Inhibition of endothelin-1 and KCL-induced increase of [CA2+]i by antiglaucoma drugs in cultured A7r5 vascular smooth-muscle cells.
  Wu KY, Wang HZ, Hong SJ.
  J Ocul Pharmacol Ther. 2004 Jun;20(3):201-9.
   
  Partial antagonism of endothelin 1-induced vasoconstriction in the human choroid by topical unoprostone isopropyl.
  Polska E, Doelemeyer A, Luksch A, Ehrlich P, Kaehler N, Percicot CL, Lambrou GN, Schmetterer L.
  Arch Ophthalmol. 2002 Mar;120(3):348-52.
   
5. Clinical Study
  [Long-term effects of isopropyl unoprostone monotherapy on intraocular pressure and visual field for normal-tension glaucoma and primary open-angle glaucoma patients]
  Saito Y, Saeki T, Sugiyama K.
  Nippon Ganka Gakkai Zasshi. 2006 Sep;110(9):717-22. Japanese.
   
  Rescula as an alternative therapy for beta-blockers with long-term drift effect in glaucoma patients.
  Chen CL, Tseng HY, Wu KY.
  Kaohsiung J Med Sci. 2006 Jun;22(6):266-70.
   
  The efficacy of unoprostone isopropyl as an adjunct to topical beta-blocker in patients with open angle glaucoma: a-6-month study.
  Leelachaikul Y, Euswas A.
  J Med Assoc Thai. 2005 Nov;88 Suppl 9:S100-4.
   
  Blood-aqueous barrier changes after the use of prostaglandin analogues in patients with pseudophakia and aphakia: a 6-month randomized trial.
  Arcieri ES, Santana A, Rocha FN, Guapo GL, Costa VP.
  Arch Ophthalmol. 2005 Feb;123(2):186-92. (Also see Safety and Side Effect)
   
  Brimonidine 0.2% vs unoprostone 0.15% both added to timolol maleate 0.5% given twice daily to patients with primary open-angle glaucoma or ocular hypertension.
  Sharpe ED, Henry CJ, Mundorf TK, Day DG, Stewart JA, Jenkins JN, Stewart WC.
  Eye (Lond). 2005 Jan;19(1):35-40.
   
  The safety and efficacy of unoprostone 0.15% versus brimonidine 0.2%.
  Stewart WC, Stewart JA, Day DG, Jenkins J.
  Acta Ophthalmol Scand. 2004 Apr;82(2):161-5.
   
  Unoprostone isopropyl pretreatment decreases endothelin-1 release and the intra-ocular pressure spike induced by laser trabeculoplasty in the rabbit.
  Holló G, Visontai Z, Lakatos P, Vargha P.
  Ophthalmologica. 2003 May-Jun;217(3):231-6.
   
  Timolol 0.5%/dorzolamide 2% fixed combination vs timolol maleate 0.5% and unoprostone 0.15% given twice daily to patients with primary open-angle glaucoma or ocular hypertension.
  Day DG, Schacknow PN, Wand M, Sharpe ED, Stewart JA, Leech J, Stewart WC.
  Am J Ophthalmol. 2003 Feb;135(2):138-43.
   
  A double-masked randomized comparison of the efficacy and safety of unoprostone with timolol and betaxolol in patients with primary open-angle glaucoma including pseudoexfoliation glaucoma or ocular hypertension. 6 month data.
  Nordmann JP, Mertz B, Yannoulis NC, Schwenninger C, Kapik B, Shams N; Unoprostone Monotherapy Study Group-EU.
  Am J Ophthalmol. 2002 Jan;133(1):1-10.
   
  Additive efficacy of unoprostone isopropyl 0.12% (rescula) to latanoprost 0.005%.
  Stewart WC, Sharpe ED, Stewart JA, Holmes KT, Latham KE.
  Am J Ophthalmol. 2001 Mar;131(3):339-44.
   
6. Safety and Side Effect
  Blood-aqueous barrier changes after the use of prostaglandin analogues in patients with pseudophakia and aphakia: a 6-month randomized trial.
  Arcieri ES, Santana A, Rocha FN, Guapo GL, Costa VP.
  Arch Ophthalmol. 2005 Feb;123(2):186-92.
   
  Low incidence of iris pigmentation and eyelash changes in 2 randomized clinical trials with unoprostone isopropyl 0.15%.
  McCarey BE, Kapik BM, Kane FE; Unoprostone Monotherapy Study Group.
  Ophthalmology. 2004 Aug;111(8):1480-8.
   
  Comparison of iridial pigmentation between latanoprost and isopropyl unoprostone: a long term prospective comparative study.
  Chiba T, Kashiwagi K, Chiba N, Ishijima K, Furuichi M, Kogure S, Abe K, Tsukahara S.
  Br J Ophthalmol. 2003 Aug;87(8):956-9.
   
  Safety of unoprostone isopropyl 0.15% ophthalmic solution in patients with mild to moderate asthma.
  Gunawardena KA, Crame N, Mertz B, Shams N.
  Ophthalmologica. 2003 Mar-Apr;217(2):129-36.
   
  Safety of unoprostone isopropyl as mono- or adjunctive therapy in patients with primary open-angle glaucoma or ocular hypertension.
  de Arruda Mello PA, Yannoulis NC, Haque RM.
  Drug Saf. 2002;25(8):583-97. Review.
   
  Comparison of the cardiovascular effects of unoprostone 0.15%, timolol 0.5% and placebo in healthy adults during exercise using a treadmill test.
  Stewart WC, Stewart JA, Crockett S, Kubilus C, Brown A, Shams N.
  Acta Ophthalmol Scand. 2002 Jun;80(3):272-6.
   
  New glaucoma medications in the geriatric population: efficacy and safety.
  Novack GD, O'Donnell MJ, Molloy DW.
  J Am Geriatr Soc. 2002 May;50(5):956-62. Review.
   
  Effects of topical unoprostone and latanoprost on acute and recurrent herpetic keratitis in the rabbit.
  Kaufman HE, Varnell ED, Toshida H, Kanai A, Thompson HW, Bazan NG.
  Am J Ophthalmol. 2001 May;131(5):643-6.

 

Terminology

Prostone
Prostone is a group of functional fatty acids that was discovered in the early 1980s by R-Tech Ueno founder, Ryuji Ueno, MD. Ph.D., Ph.D. While as a drug it has positive local physiological effects, it is also a chemical compound whose various side effects originally exhibited in Prostaglandin have been isolated. Rescula® (Generic name: Isopropyl Unoprostone) Eye Drops 0.12% was approved in Japan in 1994 as the world's first "Prostone" medicine to treat glaucoma and ocular hypertension, and activates the ion (K+) channel. In January of 2006, Sucampo Pharmaceuticals, Inc. (Bethesda, MD) obtained approval from the Food and Drug Administration (FDA) to market the Chronic Idiopathic Constipation drug, AMITIZA® (Generic name: Lubiprostone). AMITIZA® is the second “Prostone” drug, and activates the ion (Cl-) channel.

Retinitis pigmentosa
Retinitis pigmentosa is a hereditary chorioretinal degenerative disease which presents progressive night blindness and narrowing of visual field as main symptoms, and may lead to loss of vision when the symptoms are severe. To date, no effective treatment for this disease has been established. It is the third cause of visual impairment (No. 1 in the age group under 60 years), and is an important cause of loss of vision.

About Sucampo Pharmaceuticals
Sucampo Pharmaceuticals, Inc., a biopharmaceutical company based in Bethesda, Maryland, focuses on the development and commercialization of medicines based on prostones. The therapeutic potential of prostones, which are bio-lipids that occur naturally in the human body, was first identified by Ryuji Ueno, M.D., Ph.D., Ph.D., Sucampo Pharmaceuticals' Chairman and Chief Executive Officer. Dr. Ueno founded Sucampo Pharmaceuticals in 1996 with Sachiko Kuno, Ph.D., founding Chief Executive Officer and currently Advisor, International Business Development and a Director.
Sucampo markets Amitiza® (lubiprostone) 24 mcg in the U.S. for chronic idiopathic constipation in adults and Amitiza 8 mcg in the U.S. to treat irritable bowel syndrome with constipation in adult women. Sucampo also is developing the drug for additional gastrointestinal disorders with large potential markets. In addition, Sucampo has a robust pipeline of compounds with the potential to target underserved diseases, inclusive of age-related diseases, affecting millions of patients worldwide. Sucampo Pharmaceuticals, Inc. has three wholly owned subsidiaries: Sucampo Pharma Europe, Ltd., located in the UK; Sucampo Pharma, Ltd., located in Japan; and, Sucampo Pharma Americas, Inc., located in Maryland. To learn more about Sucampo Pharmaceuticals and its products, visit http://www.sucampo.com

Age-related macular degeneration
Age-related macular degeneration is a major cause of adventitious vision loss in Europe, America and Japan. In Japan, 1 out of about 100 persons above 50 years of age suffers age-related macular degeneration (Hisayama Study). In America, about 2 million people have severe visual impairment today, and the number is expected to reach 3 million by 2020. The atrophic type without neovascularity is common in Europe and America. The macular area becomes atrophied, thereby leading to severe decreases of vision. At present, oral supplements are prescribed, but effective therapeutic drugs have not been developed.

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