The numbers
are in focus
without compromising distance vision1,2

~8 out of 10 patients.
Day or night. Up to 8 hours1,3
20/40 or better near vision, day or night2*
excluded participants with baseline 20/40 or better OU DCNVA.3
*Advise patients to exercise caution in night driving and other hazardous activities in poor illumination.1
DCNVA=distance-corrected near visual acuity; OU=oculus uterque
613 participants
- Qlosi (n=309)
- Vehicle (n=304)
2 doses
in each eye daily
for 2 weeks*
Ophthalmic assessments on
Days 1, 8, and 15
Examination of the retina is advised in all patients prior to the initiation of therapy.
*For the first week, the second dose was administered 2 hours post dose 1. For the second week, the second dose was administered 3 hours post dose 1.
Key Inclusion Criteria:
- Age 45-64 years
- Approximately between 20/50 and 20/160 Snellen in at least 1 eye*
- MR between -4.50 and +2.00 D sphere in each eye with <2.00 D difference between eyes
- <2.00 D of cylinder in each eye
- ~20/20-2 Snellen or better CDVA in each eye†
Key Exclusion Criteria:
- Prior refractive surgery or IOL implantation
- Not contraindicated in post-LASIK‡ or post-cataract patients
- Average dark-adapted pupillometry <3.5 mm in either eye
- >7 letters improvement in post-vehicle treatment in monocular DCNVA in either eye at Visit 1 (pretreatment) and Visit 2 (pretreatment baseline)
Qlosi delivers it”
*DCNVA ≥0.40 and ≤0.90 logMAR in at least 1 eye.
†≤0.04 logMAR CDVA in each eye.
‡With consideration of pre-LASIK refraction.
CDVA=corrected distance visual acuity; DCNVA=distance-corrected near visual acuity; IOL=intraocular lens; logMAR=logarithm of the minimum angle of resolution; MR=manifest refraction
What ECPs see in practice
→ Dr. Brian Brightman, OD Lincoln, NE
→ Dr. Jonathan Solomon, MD Chevy Chase, MD
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Stay current on Qlosi clinical data, practice resources, and new patient support tools.
Patients say it best
→ Joelle Hamontree, Patient
→ Suzanne Chick, Patient & Nurse Practitioner
Fast onset. Real world.
Best results with consistent use over 2 weeks2
Not actual size
Use daily or as needed, on the patient’s schedule.
*Measured on Day 15 of clinical studies.
Indication and Usage
Qlosi (pilocarpine hydrochloride ophthalmic solution) 0.4%, for topical ophthalmic use is a cholinergic receptor agonist indicated for the treatment of presbyopia in adults.
Important Safety Information
Contraindications
Hypersensitivity
Warnings and Precautions
Advise patients to not drive or operate machinery if vision is not clear (e.g., blurred vision). Exercise caution in night driving and other hazardous occupations in poor illumination.
Rare cases of retinal detachment have been reported with miotics. Examination of the retina is advised in all patients prior to initiation of therapy. Advise patients to seek immediate medical care with sudden onset of flashes of lights, floaters, or vision loss.
Qlosi is not recommended to be used when iritis is present.
Qlosi should not be administered while wearing contact lenses. Remove lenses prior to the instillation of Qlosi and wait 10 minutes before reinsertion.
Avoid touching the tip of the vial to the eye or any other surface.
Adverse Reactions
The most common adverse reactions (5% to 8%) are instillation site pain and headaches.
Please see full Prescribing Information here: qlosiecp.com/prescribing-information
References
- Qlosi [package insert]. Ponte Vedra, FL. Orasis Pharmaceuticals.
- Holland E, Karpecki P, Fingeret M, et al. Efficacy and safety of CSF-1 (0.4% pilocarpine hydrochloride) in presbyopia: pooled results of the NEAR phase 3 randomized, clinical trials. Clin Ther. 2024;46(2):104-113. doi:10.1016/j.clinthera.2023.12.005
- Cunningham D, Koetting C, Lang J. Comparison of monocular and binocular near vision improvement in the NEAR-1 and NEAR-2 phase 3 randomized, clinical trials: CSF-1 (0.4% pilocarpine HCl) for the treatment for presbyopia. Poster presented at AOA Optometry Meeting; June 21-23, 2024; Washington, DC.