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Loteprednol Etabonate

  • Prescription medicine
  • Prescription only
  • Identity checked
  • Sources last checked 2026-09-04

This page shows what was measured, who it was measured in, and what that does not settle.

What Loteprednol Etabonate does in the body

Loteprednol etabonate ophthalmic gel is a corticosteroid indicated for the treatment of post-operative inflammation and pain following ocular surgery.

From the FDA-approved label: Loteprednol etabonate is a corticosteroid. Corticosteroids have been shown to inhibit the inflammatory response to a variety of inciting agents. They inhibit the edema, fibrin deposition, capillary dilation, leukocyte migration, capillary proliferation, fibroblast proliferation, deposition of collagen, and scar formation associated with inflammation. While glucocorticoids are known to bind to and activate the glucocorticoid receptor, the molecular mechanisms involved in glucocorticoid/glucocorticoid receptor-dependent modulation of inflammation are not clearly established. However, corticosteroids are thought to inhibit prostaglandin production through several independent mechanisms.

Why people take it. Loteprednol etabonate ophthalmic gel is a corticosteroid indicated for the treatment of post-operative inflammation and pain following ocular surgery.

What happened in people

RNAWiki has not yet published a reviewed conclusion for this use.

A fixed RNAWiki sentence

Where this came from

Wording RNAWiki always uses, not a finding about this substance.

No reviewed claim names a result for any goal on this record.

No source is stored against this line.

The limit that matters most

Not recorded.

Where it acts
Not recorded.
Kind of result
No result is published, so no kind of result applies yet
Supervision
RNAWiki has not recorded a supervision or regulatory status for this substance.

What the registries record it as

  • The substance registry classes this as chemical.

    FDA substance registry · YEH1EZ96K6 · read 2026-08-29

  • Its recorded molecular formula is C24H31ClO7.

    US prescribing information · 091a068f-f9b0-b02b-e063-6294a90a95e6 · read 2026-08-30

Where each sentence above came from

The use the label states, quoted from it. No plain-language version of this sentence has been written.

The use the label states, quoted from it. It is written for a clinician, not for a reader without medical training.

No statement of the main limit is recorded.

The four opening statements run to 135 words.

Words this page uses

Four words worth knowing first

Chosen from what this page shows, with each one explained before the word it depends on.

Biomarker

A biomarker is a number from a test that stands in for something about health.

A picture of it, and where the picture fails

A biomarker is like a fuel gauge.

Where that stops being true. A gauge is wired to the tank. Many biomarkers are only loosely tied to health.

What people get wrong. A better number is read as a better life. Several medicines improved a number and helped nobody.

A measurable indicator used as a substitute for a clinical outcome of interest.

Stand-in result

A stand-in result is a number measured because the real result takes too long.

A picture of it, and where the picture fails

It is like judging a journey by the speedometer rather than by arriving.

Where that stops being true. Speed does predict arrival. Many stand-in results do not predict the real one.

What people get wrong. A stand-in result is often reported as the result itself.

A surrogate endpoint substituted for a clinical endpoint, valid only where the substitution has been shown to hold.

What happened in peopleRead from sources, not yet reviewed

What was measured, goal by goal

One row for each goal a registered study measured something for. One column for each kind of thing that could be measured.

Registered studies list 34 outcome measures that RNAWiki could read. A registered study says what someone planned to measure. It does not say what they found. 0 of the matched studies tested this substance, and 0 posted a result.

There is no single score. A strong test result and a weak life result are different facts.

Goals down the side, kinds of measurement across the top. Each cell says what kind of thing was registered, not what was found.
GoalLife outcomeWhat a body can doHow a person feelsA test resultA step in the bodyHarmsHow longWho was studied
PainNothing in the sources checkedNo registered study lists a life outcome for this goal.Nothing in the sources checkedNo registered study lists a performance measure for this goal.Waiting for a reviewer2 registered symptom measure.Nothing in the sources checkedNo registered study lists a test result for this goal.Nothing in the sources checkedNo registered study lists a body-step measure for this goal.Not recordedHarms were not a registered measure for this goal.Not recordedNo finished study window is recorded.Waiting for a reviewerWho was studied is listed further down the page.
Which registered measures put each goal on this table
Pain
grade 0 pain; grade 0 pain in the study eye

Sorted by fixed word lists, version v1. A name the rules do not recognise stays unsorted rather than moving to the nearest column.

What each mark on this table means
Nothing in the sources checked
No registered study lists a life outcome for this goal.
Waiting for a reviewer
2 registered symptom measure.
Not recorded
Harms were not a registered measure for this goal.

What happened in peopleRead from sources, not yet reviewed

What happened in people

Each card is one study: the exact question it asked, who was in it, and whether it showed what it set out to show.

Change From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia at Visit 4 (Day 15)

The study did not show it

Who was studied
NCT02813265
How many people
918
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Ophthalmic

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Change From Baseline/Visit 2 (Day 1) in Bulbar Conjunctival Hyperemia at Visit 4 (Day 15)

The study did not show it

Who was studied
NCT02819284
How many people
909
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Ophthalmic

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Number of Participants With Complete Resolution of Anterior Chamber (AC) Cells at Visit 5 (Postoperative Day 8)

The study did not show it

Who was studied
NCT02786901
How many people
600
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Ophthalmic

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Complete Resolution of Anterior Chamber (AC) Cells at Day 8

The study did not show it

Who was studied
NCT02793817
How many people
520
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Ophthalmic

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Percentage of Participants With Complete Resolution of Anterior Chamber (AC) Cells

The study did not show it

Who was studied
NCT01996839
How many people
514
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Ophthalmic

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Resolution of Anterior Chamber Cells.

The study did not show it

Who was studied
NCT01060072
How many people
407
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Ophthalmic

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot
What we know
RNAWiki holds 6 written-up human studies for this substance, each with the question it asked.
How we know it
Each card names the study, the number of people and what the study set out to measure.
What this does not prove
These summaries were written by a person and have not been signed off as reviewed claims.
Why it matters
A study that failed is as informative as one that worked, and both are here.
What we still do not know
No reviewed claim exists, so no exact population, effect size or interval is published yet.

What happened in peopleRead from sources, not yet reviewed

How close this is to real life

The top step is something a person would feel or care about. The bottom is a guess from software. Filled steps are where evidence exists for this substance.

  1. Living longer, or avoiding a major event No evidence recorded. Death, a heart attack, a stroke, a hospital stay.No registered study measures this.
  2. What a body can do day to day No evidence recorded. Walking, dressing, breathing, recovering.No registered study measures this.
  3. Measured performance No evidence recorded. How much was lifted, how far was run, how fast.No registered study measures this.
  4. Symptoms and quality of life Evidence recorded. Pain, tiredness, mood, sleep, as the person rated it.3 registered measures of this kind.
  5. A number that stands in for health Evidence recorded. Cholesterol, blood sugar, bone density. A stand-in, not the thing itself.1 registered measure of this kind.
  6. A step measured inside a person Evidence recorded. Something measured in human tissue or human cells.A human record sits on the stored organism ladder.
  7. Animals No evidence recorded. Mice, rats, dogs. Useful for ideas, not proof about people.No animal record is stored.
  8. Cells in a dish No evidence recorded. Cells or chemistry on a bench, far from a whole body.No cell or bench record is stored.
  9. A guess from software No evidence recorded. Nobody measured it. RNAWiki never publishes one as a finding.RNAWiki stores no prediction for this record. Software can suggest a link. RNAWiki does not publish one as a finding.

Higher on these steps means closer to something a person would feel. It does not mean better done.

What it would be like to takeRead from sources, not yet reviewed

Felt, measured, or meaningful

Three different things that get called the same word. Registered studies measured all three, and mixing them is how a blood test becomes a health claim.

Felt

Things a person could notice without a test.

  • grade 0 pain
  • ocular surface disease index questionnaire total at week 4
  • grade 0 pain in the study eye

Measured

Things only a test, a scale or a device shows.

  • anterior chamber inflammation

Meaningful

Things that change how a life goes, not only a number.

No registered study measured anything of this kind.

A registered study says what someone planned to measure. It does not say what they found. A number moving is not the same as a life going better. The two are shown apart here.

Felt, but not shown to help. A person notices a change. No study showed it leads anywhere good.

Measured, but not felt. A number moves. The person notices nothing. Both can be true.

Measured, but not shown to matter. A number moves in the good direction. Nobody showed that lives went better.

Matters, but takes years. The result that counts may take longer than anyone would keep watching.

Names that fit none of the three (30)
  • ocular surface disease questionnnaire results
  • lissamine green staining
  • fluorescein staining
  • schirmer testing
  • ocular discomfort during cae exposure
  • ocular itching at baseline
  • ocular itching at day 6
  • ocular itching at day 7
  • ocular itching at day 27
  • ocular itching at day 28
  • ocular redness at baseline
  • ocular redness at day 6
  • ocular redness at day 7
  • ocular redness at day 27
  • ocular redness at day 28
  • intraocular pressure
  • resolution of anterior chamber cells
  • ocular itching
  • conjunctival redness
  • prevention of retinal thickening

These are harms, study-process measures, or names the rules did not recognise. They are shown rather than dropped.

What is missing or unclearRead from sources, not yet reviewed

Were people like you studied?

RNAWiki cannot tell whether a study fits you. It can show who was in it, and where the result stops carrying.

Who was studied

People similar to this profile were included.

  • Loteprednol etabonate ophthalmic suspension is indicated for the treatment of steroid responsive inflammatory conditions of the palpebral and bulbar conjunctiva, cornea and anterior segment of the globe such as allergic conjunctivitis, acne rosacea, superficial punctate keratitis, herpes zoster keratitis, iritis, cyclitis, selected infective conjunctivitides, when the inherent hazard of steroid use is accepted to…

Who is missing from the studies

  • Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What the label states about particular groups

  • On pediatric, the label states: “information is approved for Bausch and Lomb Inc.'s LOTEMAX (loteprednol etabonate) ophthalmic gel.”

    US prescribing information · 091a068f-f9b0-b02b-e063-6294a90a95e6 · read 2026-08-30

  • On older people, the label states: “No overall differences in safety and effectiveness have been observed between elderly and younger patients.”

    US prescribing information · 091a068f-f9b0-b02b-e063-6294a90a95e6 · read 2026-08-30

  • On people who are pregnant, the label states: “Risk Summary There are no adequate and well-controlled studies with loteprednol etabonate in pregnant women.”

    US prescribing information · 091a068f-f9b0-b02b-e063-6294a90a95e6 · read 2026-08-30

  • On people who are breastfeeding, the label states: “There are no data on the presence of loteprednol etabonate in human milk, the effects on the breastfed infant, or the effects on milk production.”

    US prescribing information · 091a068f-f9b0-b02b-e063-6294a90a95e6 · read 2026-08-30

Where the result stopped carrying

  • This is a scope explorer, not a diagnosis engine.
  • It shows who was studied so you can see whether people similar to you were included.

RNAWiki cannot tell whether a study fits you. It can show who was in it.

What it would be like to takeRead from sources, not yet reviewed

Why it might seem to do nothing

A real effect and a noticed effect are different things. These are the recorded reasons the two come apart.

It was studied for a different goal

The studies measured something else entirely.

On this record: Some registered studies measured things that match no goal on this page.

It was studied in different people

The people in the studies were not much like the reader.

On this record: Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

The evidence may simply be wrong

Small early studies often do not hold up.

On this record: RNAWiki has not yet published a reviewed conclusion for this use.

Other reasons RNAWiki checked and found nothing for (10)
A different form was studied
The studied form is not the form on the shelf. Nothing in this record points to this reason.
There was nothing to correct
Where a level is already normal, topping it up may change nothing. Nothing in this record points to this reason.
Something else had to happen too
In the studies it was paired with training, a diet or another treatment. Nothing in this record points to this reason.
The change is too small to feel
A real change can still sit below what a person notices. Nothing in this record points to this reason.
Day-to-day swing hides it
Sleep, food, stress and time of day move most numbers more than this would. Nothing in this record points to this reason.
Not enough time yet
The studies ran longer than the person has waited. Nothing in this record points to this reason.
It was not taken as studied
Missed days change the result, and studies count them. Nothing in this record points to this reason.
Something else changed at the same time
Two changes at once cannot be told apart afterwards. Nothing in this record points to this reason.
The product may not be what it says
Contents of a sold product are not always what the label states. Nothing in this record points to this reason.
No recorded reason
RNAWiki has nothing stored that would explain it. Nothing in this record points to this reason.

None of these is a reason to take more. Taking more is not a step this page ever suggests.

What it would be like to takeRead from sources, not yet reviewed

What taking it involves

The recorded facts about getting hold of it and using it. Nothing here is a suggestion about what you should do.

How it is supplied

Prescription only

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Read from the recorded approval status.

No source is stored against this line.

Form and route

Ophthalmic

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form and route recorded on this substance.

No source is stored against this line.

Who oversees it

RNAWiki has not recorded a supervision or regulatory status for this substance.

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

No register row and no identity class settled the question.

No source is stored against this line.

What is in the pack

Sold as suspension/drops, gel, ointment, suspension/ drops, given by the ophthalmic, topical route.

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

Recorded notes on how this is sold and what that means for what is in the pack.

No source is stored against this line.

Where it is registered

Regulatory records are listed in the technical disclosure at the foot of this page.

Counted from records

Where this came from

A count of rows RNAWiki holds. It describes our records, not your body.

Register entries are stored per jurisdiction and shown with their dates.

No source is stored against this line.

Why people stop

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

No record of why people stopped taking it is stored for this substance.

No source is stored against this line.

What it would be like to takeNothing found in the sources checked

What can go wrong

Sorted by where each line came from. A regulator's label and a report somebody sent in are not the same kind of fact.

Nothing found in the sources checked

No harm is recorded against this substance in the sources RNAWiki checked. Finding nothing is not the same as showing there is nothing.

The sources listed were searched and held nothing. That is not the same as nothing existing.

Reports sent to a regulator

  • These are reports people sent to a regulator. They do not show the medicine caused the reaction.
  • Nobody counted how many people took the medicine and reported nothing.
  • The same event can be reported more than once, and many reports are incomplete.
  • News coverage, lawsuits and new warnings change how often people report.
  • A count is not a rate and not a risk.

Loteprednol Etabonate appears in spontaneous reports to regulators. Across the 10 most-reported reaction terms, 218 reaction mentions were counted. One report can name several reactions.

The recorded terms (10)
  • eye irritation — 46 reaction mentions
  • intraocular pressure increased — 31 reaction mentions
  • eye pain — 29 reaction mentions
  • ocular hyperaemia — 24 reaction mentions
  • vision blurred — 22 reaction mentions
  • photophobia — 16 reaction mentions
  • ulcerative keratitis — 14 reaction mentions
  • eye pruritus — 13 reaction mentions
  • dacryostenosis acquired — 12 reaction mentions
  • corneal oedema — 11 reaction mentions
  • open-targets-adr · recorded 2026-06-24 · a recorded source, not a stored snapshot

Over a long time. No completed tested study window is recorded, so long-term effects are not established by the registry record.

Groups the studies covered thinly. Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What is missing or unclearRead from sources, not yet reviewed

Does the exact form matter?

Evidence belongs to the exact thing that was tested. A different salt, a different mixture or a different preparation is a different question.

The form that was studied

Ophthalmic

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form used in the studies cited on this page.

No source is stored against this line.

What is sold

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

Nothing further is recorded about which forms are sold.

No source is stored against this line.

What is recorded as being sold

  • 44 products list this as an active ingredient in the United States drug directory. 40 of them contain it and nothing else.

    FDA National Drug Code directory · 46439-8743 · read 2026-08-29

  • They are sold as gel, ointment, powder, solution/ drops, suspension and suspension/ drops, taken ophthalmic and topical.

    FDA National Drug Code directory · 46439-8743 · read 2026-08-29

  • The regulator's established pharmacologic class for it is corticosteroid hormone receptor agonists [moa] and corticosteroid [epc].

    FDA National Drug Code directory · 46439-8743 · read 2026-08-29

  • 30 published labels name it as an active ingredient. 26 of them describe this substance alone, which is where its own label text on this page comes from.

    US prescribing information · 3dd9b060-5355-404d-bdf1-09ee8b52a9f5 · read 2026-08-29

  • Those labels are classed as human prescription drug.

    US prescribing information · 3dd9b060-5355-404d-bdf1-09ee8b52a9f5 · read 2026-08-29

  • Loteprednol Etabonate is ophthalmic at 3 DOSAGE FORMS AND STRENGTHS Loteprednol etabonate ophthalmic gel is a sterile preserved ophthalmic gel 0.5% containing 5 mg of loteprednol etabonate per gram of gel., recorded as fda label in effect 2023-10-25 in the United States.

    US prescribing information · 091a068f-f9b0-b02b-e063-6294a90a95e6 · read 2026-08-30

  • Recorded price in US: 10.53158–32.29958 USD per one millilitre, across 22 priced products whose strengths and pack forms differ, as of 2026-08-26, paid by retail pharmacies buying the product, as surveyed by the Centers for Medicare & Medicaid Services. It is not a list price, an insurance price, or what anyone pays at a counter..

    Recorded source · 2026-08-26 · read 2026-08-28

Evidence carries across two names for one substance. It does not carry across a salt, a mirror form or a mixture.

What it would be like to takeRead from sources, not yet reviewed

What you could measure

This one is decided with a clinician, so this section holds questions to ask rather than a plan to run.

RNAWiki could not confidently classify this substance, so no self-experiment plan is offered.

Questions worth asking

  • Which of the trials of Loteprednol Etabonate studied people like me?
  • What was measured, and for how long?
  • Was the result a laboratory value or a health outcome?
  • What would we watch for, and when would we stop?

Tracking can show whether something changed for you. It cannot show what caused it.

RNAWiki records evidence. It does not say whether this substance is right for you.

What is missing or unclearRead from sources, not yet reviewed

What nobody knows yet

Open questions, each with why it is open and what would close it.

Missing populations

Which groups were under-represented in the studies has not been recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing long-term data

No completed tested study window is recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

No reviewed conclusion

RNAWiki has not yet published a reviewed conclusion for this use.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing interaction studies

No interaction was found in the registers checked. Not finding one is not the same as showing there is none.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Formulation uncertainty

Several salts, forms or products of Loteprednol Etabonate are recorded. Results from one form may not transfer to another.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Mechanism not reviewed

No reviewed mechanism story exists for this substance.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

What happened in peopleRead from sources, not yet reviewed

Check any of this yourself

Every line above traced back to the study it came from. This is the technical layer, and the vocabulary changes here.

Where else this substance is registered

FDA substance identifier (UNII)
YEH1EZ96K6
RxNorm concept
1312625

Checks this page had to pass

  • Passed

    Identity resolved

    no open identity hold

  • Passed

    No unresolved merge across substance families

    no quarantine open

  • Passed

    Every public sentence names a source

    The opening statement carries the origin: Quoted from a stored source.

  • Not passed

    Trial roles classified for highlighted evidence

    No registered study is classified as testing this substance.

  • Passed

    No internal keys in reader text

    enforced by the copy-contract test over the rendered page

  • Not passed

    Safety mode resolved

    No register row and no identity class settled the question.

  • Passed

    Canonical metadata present

    slug and display name present

What is missing or unclearRead from sources, not yet reviewed

How this medicine reached us

Kept near the foot of the page. A historical event moves up only when it changes something about this substance today.

What the approval register records

  • 23 approved applications cover products containing this substance. The earliest was NDA020803, approved 19980309 to BAUSCH AND LOMB.

    Drugs@FDA application register · NDA020803 · read 2026-08-29

  • Marketing status on the register: discontinued and prescription.

    Drugs@FDA application register · NDA020803 · read 2026-08-29

  • The earliest marketing start date recorded for a listed product is 19980309.

    FDA National Drug Code directory · 46439-8743 · read 2026-08-29

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Recorded evidence blocks (10)

What did Loteprednol Etabonate's largest trial (918 people) and its longest (5.8 years) measure?


918 people in Loteprednol Etabonate's largest registered study, 5.8 years in its longest registered window, measuring Ocular Surface Disease Questionnnaire Results. ClinicalTrials.gov · 2026-09-01

20 phase4, 10 phase3, 6 phase2, 3 phase1, 2 na, 2 na or unstated, 1 early phase1; NCT01456780; 2017-06; no ageing endpoint recorded. Last human test completed 2023, NCT05136443.

Interpretation These counts include studies where Loteprednol Etabonate was a comparison treatment, a background treatment or an exposure in an observational study, and the longest window may be a planned end date. Trial roles have not yet been classified for this record.

Show the evidence
  • phase4
    20
  • phase3
    10
  • phase2
    6
  • phase1
    3
  • na
    2
  • na or unstated
    2
2 more recorded rows
  • early phase1
    1
  • Last recorded human test NCT05136443
    2023-09-05

recorded 2026-09-01 · last checked 2026-09-04

Loteprednol Etabonate was tested only in human — what did it show?


human: mechanism-only (44): the rungs where Loteprednol Etabonate has a recorded finding. Europe PMC and ClinicalTrials.gov · organism ladder · 2026-09-01

Interpretation Ocular Surface Disease Questionnnaire Results — the recorded outcome words.

Yeast C. elegans Drosophila Mouse Rat Dog Non-human primate Human mechanism-only
Show the evidence
  • human NCT00407043
    mechanism-only; Ocular Surface Disease Questionnnaire Results; 44

recorded 2026-09-01 · last checked 2026-09-04

Why did Loteprednol Etabonate's trial NCT02028312 stop?


1 recorded trial of Loteprednol Etabonate stopped. ClinicalTrials.gov · 2026-09-01

"Per Sponsor"; 1 of 44 registered studies

Show the evidence
  • Trial NCT02028312
    withdrawn; "Per Sponsor"

recorded 2026-09-01 · last checked 2026-09-04

Human studies of Loteprednol Etabonate used loteprednol etabonate ophthalmic suspension, 0.5% — over how long?


Human studies of Loteprednol Etabonate used "loteprednol etabonate ophthalmic suspension, 0.5%". ClinicalTrials.gov · 2026-09-01

18 recorded entries; human; ophthalmic; also "Loteprednol Etabonate 0.2%", "Loteprednol Etabonate 0.5%", "Loteprednol etabonate ophthalmic suspension 0.5%"

Show the evidence

human

  • NCT00560638
    ophthalmic; loteprednol etabonate ophthalmic suspension, 0.5%
  • NCT00689078
    Loteprednol Etabonate 0.2%
  • NCT00781300
    Loteprednol Etabonate 0.5%
  • NCT00834171
    ophthalmic; Loteprednol etabonate ophthalmic suspension 0.5%
  • NCT00834171
    Loteprednol etabonate (0.5%) and tobramycin (0.3%).
  • NCT01344226
    ophthalmic; loteprednol 0.5% ophthalmic solution
12 more recorded rows
  • human NCT01435460
    Loteprednol etabonate 0.2%
  • human NCT01817582
    ophthalmic; loteprednol etabonate ophthalmic gel 0.5%
  • human NCT02120079
    Lotemax (loteprednol etabonate) 0.5%
  • human NCT02188160
    KPI-121 0.25% Ophthalmic Suspension
  • human NCT02188160
    Vehicle of KPI-121 0.25% Ophthalmic Suspension
  • human NCT02218489
    KPI-121 0.25% Vehicle
  • human NCT02793817
    KPI-121 1% Ophthalmic Suspension dosed BID
  • human NCT04075227
    0.2% loteprednol etabonate
  • human NCT04418999
    Loteprednol Etabonate 0.38% Ophthalmic Gel/Jelly
  • human NCT04708821
    ophthalmic; 0.2% loteprednol etabonate ophthalmic suspension
  • human NCT05136443
    ophthalmic; loteprednol etabonate 0.25% ophthalmic suspension
  • human NCT07588074
    Loteprednol Etabonate Ophthalmic Gel 0.38%

recorded 2026-09-01 · last checked 2026-09-04

Could one person measure Loteprednol Etabonate's effect on ocular surface disease questionnnaire results?


Ocular surface disease questionnnaire results: measured in Loteprednol Etabonate's trials.

Interpretation ocular surface disease questionnnaire results is the recorded endpoint.

Show the evidence

biomarkers

  • ocular surface disease questionnnaire results; 2026-09-01
  • lissamine green staining; 2026-09-01
  • fluorescein staining; 2026-09-01
  • schirmer testing; 2026-09-01
  • ocular discomfort during cae exposure; 2026-09-01
  • ocular itching at baseline; 2026-09-01
14 more recorded rows
  • biomarkers
    ocular itching at day 6; 2026-09-01
  • biomarkers
    ocular itching at day 7; 2026-09-01
  • biomarkers
    ocular itching at day 27; 2026-09-01
  • biomarkers
    ocular itching at day 28; 2026-09-01
  • biomarkers
    ocular redness at baseline; 2026-09-01
  • biomarkers
    ocular redness at day 6; 2026-09-01
  • biomarkers
    ocular redness at day 7; 2026-09-01
  • biomarkers
    ocular redness at day 27; 2026-09-01
  • biomarkers
    ocular redness at day 28; 2026-09-01
  • biomarkers
    grade 0 pain; 2026-09-01
  • biomarkers
    intraocular pressure; 2026-09-01
  • biomarkers
    resolution of anterior chamber cells; 2026-09-01
  • biomarkers
    ocular itching; 2026-09-01
  • biomarkers
    conjunctival redness; 2026-09-01
  • human trials at or under30
    8
  • Not recorded for this substance
    a recorded half-life
  • smallest human trial
    0; NCT02028312; PHASE4; the smallest recorded human enrolment at or below 30; the registry states no direction of its result; WITHDRAWN

Which of adverse events, anterior chamber inflammation and complete resolution of anterior chamber cells did Loteprednol Etabonate's trials measure?


adverse events, anterior chamber inflammation and complete resolution of anterior chamber cells lead 34 outcome terms across Loteprednol Etabonate's trials. ClinicalTrials.gov · 2026-09-01

schirmer testing, ocular discomfort during cae exposure, ocular itching at baseline, ocular itching at day 6, ocular itching at day 7 and ocular itching at day 27 follow.

Show the evidence
  • ocular surface disease questionnnaire results
    1
  • lissamine green staining
    1
  • fluorescein staining
    1
  • schirmer testing
    1
  • ocular discomfort during cae exposure
    1
  • ocular itching at baseline
    1
14 more recorded rows
  • ocular itching at day 6
    1
  • ocular itching at day 7
    1
  • ocular itching at day 27
    1
  • ocular itching at day 28
    1
  • ocular redness at baseline
    1
  • ocular redness at day 6
    1
  • ocular redness at day 7
    1
  • ocular redness at day 27
    1
  • ocular redness at day 28
    1
  • grade 0 pain
    1
  • intraocular pressure
    1
  • resolution of anterior chamber cells
    1
  • ocular itching
    1
  • conjunctival redness
    1

recorded 2026-09-01 · last checked 2026-09-04

What will the one ongoing trial of Loteprednol Etabonate report, and when?


1 registered trial of Loteprednol Etabonate is open; earliest completion 2028-03. ClinicalTrials.gov · 2026-09-01

Interpretation Change in Ocular Surface Disease Index (OSDI)

Show the evidence
  • Trial NCT07671222
    "Safety and Efficacy of Topical Infliximab in Autoimmune Dry Eye Disease"; n 38; "Change in Ocular Surface Disease Index (OSDI)"; 2028-03

recorded 2026-09-01 · last checked 2026-09-04

Which 11 trials of Loteprednol Etabonate posted no result?


Posted no result
11 of 11 completed trials
Registrations
NCT00560638, NCT00781300, NCT00366691, NCT00407043, NCT01724892 and NCT01437982, and 5 more
Completion dates
oldest 2006-02; newest 2021-09-02
Show the evidence

Trial

  • NCT00560638
    2006-02
  • NCT00781300
    2007-02
  • NCT00366691
    2007-09
  • NCT00407043
    2007-09
  • NCT01724892
    2013-09
  • NCT01437982
    2015-10-19
5 further recorded trials
  • NCT03098953
    2017-05-12
  • NCT04075227
    2019-03-02
  • NCT03531697
    2019-10-07
  • NCT07588074
    2021-06-30
  • NCT04708821
    2021-09-02

At the median, Loteprednol Etabonate's trials enrolled 87.5 people — anything larger?


Median enrolment
87.5
Largest enrolment
918
Registered trials counted
44

What do 218 spontaneous reports say about Loteprednol Etabonate — and not say?


These are reports people sent to a regulator. They do not show the medicine caused the reaction. Nobody counted how many people took the medicine and reported nothing. The same event can be reported more than once, and many reports are incomplete. News coverage, lawsuits and new warnings change how often people report. A count is not a rate and not a risk.

Loteprednol Etabonate appears in spontaneous reports to regulators. Across the 10 most-reported reaction terms, 218 reaction mentions were counted: eye irritation 46; intraocular pressure increased 31; eye pain 29; ocular hyperaemia 24. open-targets-adr · CHEMBL1200865 · 2026-06-24

Show the evidence
  • eye irritation
    46
  • intraocular pressure increased
    31
  • eye pain
    29
  • ocular hyperaemia
    24
  • vision blurred
    22
  • photophobia
    16
4 more recorded rows
  • ulcerative keratitis
    14
  • eye pruritus
    13
  • dacryostenosis acquired
    12
  • corneal oedema
    11

recorded 2026-06-24 · last checked 2026-09-04

Where it is registered
Identifiers, relations and other names

The exact record

ChEMBL id
CHEMBL1200865
PubChem CID
444025
CAS number
82034-46-6
RxCUI
52177
InChIKey
DMKSVUSAATWOCU-HROMYWEYSA-N
Also called
Loteprednol
Trade name
Alrex, Eysuvis, Inveltys, Lotemax, Lotemax sm, Loteprednol etabonate component of zylet, Lotemax / Inveltys / Lotemax Sm / Eysuvis / Alrex
Development code
CDDD 5604, CDDD5604, HGP-1, KPI-121, P-5604
Also called
le, le/t, Chloromethyl 11β,17-dihydroxy-3-oxoandrosta-1,4-diene-17β-carboxylate, 17-(ethyl carbonate), LOTEPREDNOL ETABONATE [USAN], Loteprednol etabonate [JAN]
Component
Loteprednol
Sources (8)

Sources

2 more sources
  • openfda-label 36cfd5b8-c892-44e1-aaed-fb32d7aeca7c ·
  • national registers US, CA ·

ChEMBL ATC CC BY-SA · ClinicalTrials.gov — US Government work · Europe PMC — metadata only, under the recorded legal gate · Open Targets 26.06 — CC0 · derived from this page's own recorded fields; no external licence · mixed register set; per-register licences in docs/specs/corpus-20k-sources.md · openFDA / DailyMed — US Government work

How these records are assembled · Which registers were checked

Index-quality checks
  • identity passed: no open identity hold
  • required summary fields resolved: 5 required field(s) not terminal: Why people use it, Best-supported result, Most important common problem, Biggest unanswered question, Human evidence
  • public claims reviewed: 0 reviewed claim(s); drafts are never rendered
  • source coverage passed: 8 source rows
  • no critical contamination: no quarantine open
  • canonical metadata passed: slug and display name present
  • no raw internal fields: enforced by the copy-contract test over the rendered page

This is a record of evidence. It is not medical advice, and it does not say this substance suits you. Nothing here says any substance on RNAWiki is appropriate for a child.