Patent ID: 8440639

Claim:
An ophthalmic composition comprising i) an adenosine A 1 receptor agonist compound of formula (I), or pharmaceutically acceptable salts thereof; wherein A is —CH 2 OH, —(CH 2 ) n ONO 2 , —CH 2 OSO 3 Na or —CH 2 OSO 3 H; wherein n=1-6; B and C are —OH; D is A and B are trans with respect to each other; B and C are cis with respect to each other; C and D are cis or trans with respect to each other; R 1 is —H, —C 1 -C 10 alkyl, -aryl, -3- to 7-membered monocyclic heterocyclyl, -8- to 12-membered bicyclic heterocyclyl, —C 3 -C 8 monocyclic cycloalkyl, —C 3 -C 8 monocyclic cycloalkenyl, —C 8 -C 12 bicyclic cycloalkyl, —C 8 -C 12 bicyclic cycloalkenyl —(CH 2 ) n —(C 3 -C 8 monocyclic cycloalkyl), —(CH 2 ) n —(C 3 -C 8 monocyclic cycloalkenyl), —(CH 2 ) n —(C 8 -C 12 bicyclic cycloalkyl), —(CH 2 ) n —(C 8 -C 12 bicyclic cycloalkenyl), or —(CH 2 ) n -aryl; R 2 is —H, halo, —CN, —NHR 4 , —NHC(O)R 4 , —NHC(O)OR 4 , —NHC(O)NHR 4 , —NHNHC(O)R 4 , —NHNHC(O)OR 4 , —NHNHC(O)NHR 4 , or —NH—N═C(R 6 )R 7 ; R 4 is —C 1 -C 15 alkyl, -aryl, —(CH 2 ) n -aryl, —(CH 2 ) n -(3- to 7-membered monocyclic heterocyclyl), —(CH 2 ) n -(8- to 12-membered bicyclic heterocyclyl), —(CH 2 ) n —(C 3 -C 8 monocyclic cycloalkyl), —(CH 2 ) n —(C 3 -C 8 monocyclic cycloalkenyl), —(CH 2 ) n —(C 8 -C 12 bicyclic cycloalkyl), —(CH 2 ) n —(C 8 -C 12 bicyclic cycloalkenyl), —C≡C—(C 1 -C 10 alkyl) or —C≡C-aryl; R 6 is —C 1 -C 10 alkyl, -aryl, —(CH 2 ) n -aryl, —(CH 2 ) n -(3- to 7-membered monocyclic heterocyclyl), —(CH 2 ) n -(8- to 12-membered bicyclic heterocyclyl), —(CH 2 ) n —(C 3 -C 8 monocyclic cycloalkyl), —(CH 2 ) n —(C 3 -C 8 monocyclic cycloalkenyl), —(CH 2 ) n —(C 8 -C 12 bicyclic cycloalkyl), —(CH 2 ) n —(C 8 -C 12 bicyclic cycloalkenyl), —(CH 2 ) n —(C 3 -C 8 monocyclic cycloalkenyl), -phenylene-(CH 2 ) n COOH, or -phenylene-(CH 2 ) n COO—(C 1 -C 10 alkyl); R 7 is —H, —C 1 -C 10 alkyl, -aryl, —(CH 2 ) n -aryl, —(CH 2 ) n -(3- to 7-membered monocyclic heterocyclyl), —(CH 2 ) n -(8- to 12-membered bicyclic heterocyclyl), —(CH 2 ) n —(C 3 -C 8 monocyclic cycloalkyl), —(CH 2 ) n —(C 3 -C 8 monocyclic cycloalkenyl), —(CH 2 ) n —(C 8 -C 12 bicyclic cycloalkenyl) or —(CH 2 ) n —(C 8 -C 12 bicyclic cycloalkyl) and each n is independently an integer ranging from 1 to 5, wherein -3- to 7-membered monocyclic heterocyclyl is a 3- or 4-membered non-aromatic monocyclic cycloalkyl in which 1 of the ring carbon atoms has been replaced with an N, O or S atom; or a 5-, 6-, or 7-membered aromatic or non-aromatic monocyclic cycloalkyl in which 1-4 of the ring carbon atoms have been independently replaced with a N, O or S atom, wherein -8- to 12-membered bicyclic heterocyclyl is a bicyclic 8- to 12-membered aromatic or non-aromatic bicyclic cycloalkyl in which one or both of the rings of the bicyclic ring system have 1-4 of its ring carbon atoms independently replaced with a N, O or S atom, and ii) a carbonic anhydrase inhibitor.