Ocular hypertension
diseaseOn this page
Summary
Ocular hypertension (MONDO:0006875) is a disease with 40 GWAS associations across 1 studies and 537 clinical trials. Top therapeutic interventions include timolol, latanoprost, and brimonidine. A subtype of hypertensive disorder — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- GWAS associations: 40
- Clinical trials: 537
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | ocular hypertension |
| Mondo ID | MONDO:0006875 |
| EFO | EFO:1001069 |
| MeSH | D009798 |
| DOID | DOID:9282 |
| ICD-10-CM | H40.05 |
| ICD-11 | 535283437 |
| SNOMED CT | 4210003 |
| UMLS | C0028840 |
| MedGen | 10423 |
| MedDRA | 10030043 |
| Is cancer (heuristic) | no |
Data availability: 40 GWAS associations (1 study).
Disease family
This is a subtype of hypertensive disorder. Genetic, therapeutic, and trial evidence is largely curated at the broader-term level — see the parent page for the associated-gene cohort and molecular evidence.
Classification path: disease › human disease › disease by body system or component › cardiovascular disorder › vascular disorder › arterial disorder › hypertensive disorder › ocular hypertension
Related subtypes (11): essential hypertension, secondary hypertension, pulmonary hypertension, early onset hypertension, chemotherapy-induced hypertension, intracranial hypertension, malignant hypertension, kallikrein hypertension, hypertension, pregnancy-induced, resistant hypertension, hypertensive urgency
Genetics & variants
GWAS landscape
40 GWAS associations across 1 studies. Top hits map to 42 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs117463710 | 7e-13 | DENND5A | ? | |
| rs748271861 | 7e-13 | SLC2A9 | ? | |
| rs144616051 | 7e-13 | TTLL3, RPUSD3 | ? | |
| rs551190813 | 7e-13 | IL17RC | ? | |
| rs141625803 | 7e-13 | CRPPA, CRPPA-AS1 | ? | |
| rs115515551 | 7e-13 | CFAP61 | ? | |
| rs117925699 | 7e-13 | DDOST | ? | |
| rs143711869 | 7e-13 | TRIM38 | ? | |
| rs569158630 | 7e-13 | BACH1, GRIK1 | ? | |
| rs371361977 | 7e-13 | VARS1 | ? | |
| rs371849030 | 7e-13 | CHD9 | ? | |
| rs79514658 | 7e-13 | CES5A | ? | |
| rs141827944 | 7e-13 | TIMELESS | ? | |
| rs565653032 | 7e-13 | MARCHF9 | ? | |
| rs145976111 | 7e-13 | ITGB4 | ? | |
| rs41286007 | 7e-13 | GCFC2 | ? | |
| rs146746341 | 7e-13 | COL24A1 | ? | |
| rs529420813 | 7e-13 | TUT7 | ? | |
| rs144377752 | 7e-13 | KIF20B | ? | |
| rs369680601 | 7e-13 | ZNRF4 | ? | |
| rs11544610 | 7e-13 | ANGPTL4 | ? | |
| rs546725617 | 6e-07 | STX10 | ? | |
| rs560105020 | 6e-07 | RIOK3 | ? | |
| rs115649468 | 6e-07 | LDLRAD2 | ? | |
| rs145881217 | 6e-07 | KRTAP1-5 | ? | |
| rs61744914 | 6e-07 | RIMOC1 | ? | |
| rs148540655 | 6e-07 | SERHL2, RRP7BP, RRP7BP | ? | |
| rs35551271 | 6e-07 | TEX14 | ? | |
| rs577899157 | 6e-07 | GDPD1 | ? | |
| rs554938323 | 6e-07 | CDH23 | ? |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90244659 | Badrinarayanan L | 2022 | 0 | 0 | Whole-genome sequencing unravels novel genetic determinants and regulatory pathways associated with triamcinolone acetonide-induced ocular hypertension. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 35 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 5 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 5 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 35 |
Functional consequences
| Consequence | Count |
|---|---|
| missense_variant | 34 |
| intergenic_variant | 4 |
| stop_gained | 1 |
| intron_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs117463710 | 11 | 9180793 | T>A,C | stop_gained | DENND5A | 7e-13 | Tier 1: coding | |
| rs748271861 | 4 | 9834915 | T>C,G | missense_variant | SLC2A9 | 7e-13 | Tier 1: coding | |
| rs144616051 | 3 | 9842025 | C>T | missense_variant | TTLL3, RPUSD3 | 7e-13 | Tier 1: coding | |
| rs551190813 | 3 | 9933319 | T>C | missense_variant | IL17RC | 7e-13 | Tier 1: coding | |
| rs141625803 | 7 | 16216097 | A>G | missense_variant | CRPPA, CRPPA-AS1 | 7e-13 | Tier 1: coding | |
| rs115515551 | 20 | 20341899 | G>A | missense_variant | CFAP61 | 7e-13 | Tier 1: coding | |
| rs117925699 | 1 | 20653676 | C>G,T | missense_variant | DDOST | 7e-13 | Tier 1: coding | |
| rs143711869 | 6 | 25983173 | C>A,T | missense_variant | TRIM38 | 7e-13 | Tier 1: coding | |
| rs569158630 | 21 | 29561789 | C>A,T | missense_variant | BACH1, GRIK1 | 7e-13 | Tier 1: coding | |
| rs371361977 | 6 | 31784644 | C>G,T | missense_variant | VARS1 | 7e-13 | Tier 1: coding | |
| rs371849030 | 16 | 53304341 | T>G | missense_variant | CHD9 | 7e-13 | Tier 1: coding | |
| rs79514658 | 16 | 55873887 | G>A,T | missense_variant | CES5A | 7e-13 | Tier 1: coding | |
| rs141827944 | 12 | 56428264 | C>A,G,T | missense_variant | TIMELESS | 7e-13 | Tier 1: coding | |
| rs565653032 | 12 | 57758772 | C>A,T | missense_variant | MARCHF9 | 7e-13 | Tier 1: coding | |
| rs145976111 | 17 | 75742728 | C>A,T | missense_variant | ITGB4 | 7e-13 | Tier 1: coding | |
| rs41286007 | 2 | 75702387 | C>A,T | missense_variant | GCFC2 | 7e-13 | Tier 1: coding | |
| rs146746341 | 1 | 85823690 | G>A,T | missense_variant | COL24A1 | 7e-13 | Tier 1: coding | |
| rs529420813 | 9 | 86301593 | C>T | missense_variant | TUT7 | 7e-13 | Tier 1: coding | |
| rs144377752 | 10 | 89743821 | G>A,T | missense_variant | KIF20B | 7e-13 | Tier 1: coding | |
| rs369680601 | 19 | 5455976 | G>A | missense_variant | ZNRF4 | 7e-13 | Tier 1: coding | |
| rs11544610 | 19 | 8366002 | G>A | missense_variant | ANGPTL4 | 7e-13 | Tier 1: coding | |
| rs546725617 | 19 | 13145320 | G>A,C | missense_variant | STX10 | 6e-07 | Tier 1: coding | |
| rs560105020 | 18 | 23477012 | C>G,T | missense_variant | RIOK3 | 6e-07 | Tier 1: coding | |
| rs115649468 | 1 | 21814781 | C>A | missense_variant | LDLRAD2 | 6e-07 | Tier 1: coding | |
| rs145881217 | 17 | 41026813 | G>A,C | missense_variant | KRTAP1-5 | 6e-07 | Tier 1: coding | |
| rs61744914 | 5 | 41912079 | A>G,T | missense_variant | RIMOC1 | 6e-07 | Tier 1: coding | |
| rs148540655 | 22 | 42560223 | G>A,C | missense_variant | SERHL2, RRP7BP, RRP7BP | 6e-07 | Tier 1: coding | |
| rs35551271 | 17 | 58616233 | G>C | missense_variant | TEX14 | 6e-07 | Tier 1: coding | |
| rs577899157 | 17 | 59267083 | C>A | missense_variant | GDPD1 | 6e-07 | Tier 1: coding | |
| rs554938323 | 10 | 71740922 | C>T | missense_variant | CDH23 | 6e-07 | Tier 1: coding |
Genes & proteins
No associated-gene cohort resolved for this disease. Atlas builds the molecular and therapeutic sections — associated genes, protein families, druggability, pathways, interactions, and drug associations — by aggregating over a disease’s associated genes (resolved via GWAS / GenCC / ClinVar / CIViC), and none resolved here. This is expected for antibody-mediated, autoimmune, or otherwise non-gene-defined conditions; the curated evidence for this disease is its clinical features, GWAS susceptibility, and clinical trials (above).
Function
No pathway enrichment — requires an associated-gene cohort.
Therapeutics
Drugs indicated for this disease
9 approved, 6 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|---|
| Bimatoprost | Approved (phase 4) |
| Brinzolamide | Approved (phase 4) |
| Latanoprost | Approved (phase 4) |
| Latanoprostene Bunod | Approved (phase 4) |
| Omidenepag Isopropyl | Approved (phase 4) |
| Pilocarpine | Approved (phase 4) |
| Tafluprost | Approved (phase 4) |
| Timolol | Approved (phase 4) |
| Travoprost | Approved (phase 4) |
| Betaxolol | Phase 3 (in late-stage trials) |
| Brimonidine | Phase 3 (in late-stage trials) |
| Dorzolamide | Phase 3 (in late-stage trials) |
| Ofloxacin | Phase 3 (in late-stage trials) |
| Prednisolone | Phase 3 (in late-stage trials) |
| Trabodenoson | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): AMA0076, Piclidenoson.
Clinical trials & evidence
Clinical trials
Clinical trials: 537.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| PHASE3 | 137 |
| Not specified | 136 |
| PHASE4 | 106 |
| PHASE2 | 102 |
| PHASE1/PHASE2 | 27 |
| PHASE1 | 27 |
| PHASE2/PHASE3 | 2 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04957329 | PHASE4 | RECRUITING | Effect of Benzalkonium Chloride Preserved and Preservative-free Latanoprost Eye Drops on Conjunctival Goblet Cells |
| NCT06498440 | PHASE4 | NOT_YET_RECRUITING | Efficacy of NSAID vs. Steroid-NSAID Combo Post-Selective Laser Trabeculoplasty: Phase 4, Single-Center RCT |
| NCT06848946 | PHASE4 | RECRUITING | Safety and Efficacy of iDose® TR With Cataract Surgery vs. Cataract Surgery Alone |
| NCT07217678 | PHASE4 | RECRUITING | Biomarkers of Ocular Surface Damage in the Setting of Topical Ocular Hypotensive Medication Use |
| NCT07325240 | PHASE4 | RECRUITING | 24-hour Effect of Rocklatan Compared With Latanoprost in Open Angle Glaucoma and Ocular Hypertension Patients |
| NCT07588152 | PHASE4 | NOT_YET_RECRUITING | Imaging the Effects of Netarsudil (Rhopressa) on the Trabecular Meshwork in Glaucoma and Ocular Hypertension |
| NCT00047606 | PHASE4 | TERMINATED | Phase 4 Study Comparing IOP Lowering in OAG or OH in Caucasian or Japanese Subjects C-02-32 |
| NCT00061503 | PHASE4 | COMPLETED | Mechanism of Action of TRAVATAN 0.004% in Subjects With Glaucoma or Ocular Hypertension |
| NCT00140049 | PHASE4 | COMPLETED | A 12week, Randomized, Evaluator-Masked, Parallel Group Comparing Evening Dosing Of Xalacom Vs Cosopt In Subj W/ Glaucoma |
| NCT00140062 | PHASE4 | COMPLETED | Efficacy And Safety Of Xalatan Compared To Usual Care In Patients With Open Angle Glaucoma Or Ocular Hypertension. |
| NCT00143208 | PHASE4 | COMPLETED | Evaluation Of Intraocular Pressure Lowering-Effect Of Xalacom In Patients With Poag Or Oh. |
| NCT00273429 | PHASE4 | COMPLETED | Cosopt Versus Xalatan |
| NCT00273442 | PHASE4 | COMPLETED | Assessing Cosopt Switch Patients |
| NCT00273481 | PHASE4 | COMPLETED | Cosopt Versus Xalacom |
| NCT00300079 | PHASE4 | COMPLETED | Study of the Intraocular Pressure (IOP)-Lowering Efficacy of Azopt 1.0% Compared to Timolol 0.5% in Patients With Glaucoma or Ocular Hypertension |
| NCT00304785 | PHASE4 | COMPLETED | Latanoprost Versus Fotil |
| NCT00329095 | PHASE4 | COMPLETED | An Evaluation of Use of Topical Ocular Hypotensive Medication by Compliance |
| NCT00330577 | PHASE4 | COMPLETED | 24-Hour Intraocular Pressure (IOP) And Blood Pressure Control In Glaucoma And Ocular Hypertension Patients |
| NCT00372827 | PHASE4 | COMPLETED | Study of Brinzolamide and Timolol When Added to Travoprost in Primary Open-angle Glaucoma or Ocular Hypertension |
| NCT00440011 | PHASE4 | COMPLETED | Bimatoprost 0.03% Versus Travoprost 0.004% in Patients Currently on Latanoprost 0.005% |
| NCT00440141 | PHASE4 | COMPLETED | Brimonidine 0.1% Versus Brinzolamide 1% as Adjunctive Therapy to Latanoprost 0.005% |
| NCT00457795 | PHASE4 | COMPLETED | 24-hour IOP-lowering Effect of Brimonidine 0.1% |
| NCT00471068 | PHASE4 | TERMINATED | Study of Travatan and Cosopt in Primary Open-Angle Glaucoma or Ocular Hypertension |
| NCT00471380 | PHASE4 | COMPLETED | A Phase IV Study of Travoprost + Brinzolamide to Treat Glaucoma or Ocular Hypertension |
| NCT00508469 | PHASE4 | COMPLETED | Adherence Assessment With Travalert Dosing Aid |
| NCT00527592 | PHASE4 | COMPLETED | A Single Dose Comfort Comparison of Travatan Z in One Eye Versus Xalatan in the Opposite Eye in Patients With Primary Open-Angle Glaucoma or Ocular Hypertension |
| NCT00539526 | PHASE4 | COMPLETED | Evaluation of Hyperemia With the Use of Ocular Prostaglandin Analogues |
| NCT00541242 | PHASE4 | COMPLETED | Safety and Efficacy of Bimatoprost Compared With Latanoprost in Patients With Glaucoma or Ocular Hypertension |
| NCT00545064 | PHASE4 | COMPLETED | Dry Eye Study With Cosopt® Over 8 Weeks in Patients With Open-Angle Glaucoma or Ocular Hypertension (0507A-152)(COMPLETED) |
| NCT00647101 | PHASE4 | COMPLETED | A Study to Assess the Efficacy of 3 Months of Latanoprost Treatment in Reducing the Intraocular Pressure in Patients With Ocular Hypertension or Open-angle Glaucoma |
| NCT00675207 | PHASE4 | COMPLETED | Comparison of Brimonidine Purite, Dorzolamide, and Brinzolamide as Adjunctive Therapy to Prostaglandin Analogs |
| NCT00698945 | PHASE4 | COMPLETED | Comparison of Istalol™ 0.5% QD (Timolol Maleate/Sorbitol Complex, ISTA Pharmaceutical) to Brimonidine Tartrate 0.1% BID as Adjunctive Therapy to Latanoprost 0.005% in Adults With Ocular Hypertension (OHT) or Open-Angle Glaucoma (OAG) |
| NCT00708422 | PHASE4 | COMPLETED | Effects of Travatan Z and Xalatan on Ocular Surface Health |
| NCT00735449 | PHASE4 | COMPLETED | Comparing Efficacy and Safety of Combigan With Timolol Adjunctive to Xalatan in Glaucoma or Ocular Hypertension Subjects |
| NCT00744666 | PHASE4 | UNKNOWN | IntraVitreal Triamcinolone Acetonide: Preventing Raised Eye-pressure by Tracking Elevations After Topical Steroids |
| NCT00759239 | PHASE4 | COMPLETED | Phase IV Randomised Double-masked Clinical Trial: Assessing Morning Versus Evening Dosing of a Fixed Dose Combination of Travoprost 0.004% / Timolol Maleate 0.5% in Patients With Primary Open-angle Glaucoma or Ocular Hypertension |
| NCT00761995 | PHASE4 | COMPLETED | Safety and Efficacy of Brinzolamide Dosed TID With Dorzolamide Dosed TID in Reducing Intraocular Pressure in Patients With Open Angle Glaucoma or Ocular Hypertension |
| NCT00781300 | PHASE4 | COMPLETED | Intraocular Pressure With Loteprednol and Dexamethasone |
| NCT00798759 | PHASE4 | COMPLETED | Examination of Ocular Surface Effects With Administration of Travatan Z and XALATAN |
| NCT00804648 | PHASE4 | COMPLETED | Patient Satisfaction With Timolol in Subjects With Open-Angle Glaucoma or Ocular Hypertension |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| TIMOLOL | 4 | 136 |
| LATANOPROST | 4 | 86 |
| BRIMONIDINE | 4 | 59 |
| TRAVOPROST | 4 | 59 |
| BIMATOPROST | 4 | 57 |
| BRINZOLAMIDE | 4 | 36 |
| DORZOLAMIDE | 4 | 18 |
| TAFLUPROST | 4 | 10 |
| NETARSUDIL | 4 | 7 |
| LATANOPROSTENE BUNOD | 4 | 5 |
| APRACLONIDINE | 4 | 3 |
| HYPROMELLOSE | 4 | 2 |
| LOTEPREDNOL ETABONATE | 4 | 2 |
| BETAMETHASONE | 4 | 1 |
| DEXAMETHASONE | 4 | 1 |
| PILOCARPINE | 4 | 1 |
| PREDNISOLONE | 4 | 1 |
| PREDNISOLONE ACETATE | 4 | 1 |
| TRABODENOSON | 3 | 4 |
| AMA0076 | 3 | 3 |
| RIPASUDIL | 3 | 2 |
| SEPETAPROST | 3 | 2 |
| ANECORTAVE ACETATE | 3 | 1 |
| EPIGALOCATECHIN GALLATE | 3 | 1 |
| PICLIDENOSON | 3 | 1 |
| VEROSUDIL | 2 | 4 |
| BAMOSIRAN | 2 | 3 |
| DE-104 | 2 | 2 |
| AL-12182 | 2 | 1 |
| EVODENOSON | 2 | 1 |
Related Atlas pages
- Drugs: Timolol, Latanoprost, Brimonidine, Travoprost, Bimatoprost, Brinzolamide, Dorzolamide, Tafluprost, Netarsudil, Latanoprostene Bunod, Apraclonidine, Hypromellose, Loteprednol Etabonate, Betamethasone, Dexamethasone, Pilocarpine, Prednisolone, Prednisolone Acetate, Trabodenoson, AMA0076, Ripasudil, Sepetaprost, Anecortave Acetate, Epigalocatechin Gallate, Piclidenoson