Safety and Efficacy of Nyxol With Pilocarpine Eye Drops in Subjects With Presbyopia
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ClinicalTrials.gov Identifier: NCT04675151 |
Recruitment Status :
Completed
First Posted : December 19, 2020
Last Update Posted : June 22, 2022
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The objectives of this study are:
To evaluate the efficacy of Nyxol + Pilocarpine to improve DCNVA in subjects with presbyopia
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Presbyopia | Drug: Phentolamine Ophthalmic Solution 0.75% Drug: Pilocarpine Other: Placebo | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 150 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | Safety and Efficacy of Nyxol (0.75% Phentolamine Ophthalmic Solution) With Pilocarpine Eye Drops in Subjects With Presbyopia |
Actual Study Start Date : | February 15, 2021 |
Actual Primary Completion Date : | May 17, 2021 |
Actual Study Completion Date : | June 30, 2021 |

Arm | Intervention/treatment |
---|---|
Experimental: Nyxol + Pilocarpine
1 drop of Nyxol (Treatment 1) and 1 drop of Pilocarpine (Treatment 2)
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Drug: Phentolamine Ophthalmic Solution 0.75%
0.75% phentolamine ophthalmic solution (Nyxol), a non-selective alpha-1 and alpha-2 adrenergic antagonist
Other Names:
Drug: Pilocarpine Pilocarpine ophthalmic solution |
Active Comparator: Nyxol
1 drop of Nyxol (Treatment 1)
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Drug: Phentolamine Ophthalmic Solution 0.75%
0.75% phentolamine ophthalmic solution (Nyxol), a non-selective alpha-1 and alpha-2 adrenergic antagonist
Other Names:
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Active Comparator: Pilocarpine
1 drop of Pilocarpine (Treatment 2)
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Drug: Pilocarpine
Pilocarpine ophthalmic solution Other: Placebo Topical sterile ophthalmic solution
Other Name: Phentolamine Ophthalmic Solution Vehicle |
Placebo Comparator: Placebo
1 drop of Placebo (Treatment 1)
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Other: Placebo
Topical sterile ophthalmic solution
Other Name: Phentolamine Ophthalmic Solution Vehicle |
- Percent of subjects with ≥ 15 letters of improvement in photopic binocular DCNVA [ Time Frame: up to 6 hours ]The percent of subjects with ≥ 15 letters of improvement in photopic binocular DCNVA
- Percentage of subjects with improvement of ≥ 5, ≥ 10, and ≥ 15 letters in DCNVA (photopic) from Baseline [ Time Frame: up to 6 hours ]The percentage of subjects with improvement of ≥ 5, ≥ 10, and ≥ 15 letters in DCNVA (photopic) from Baseline
- Percentage of subjects with improvement of ≥ 15 letters in DCNVA (photopic) at 1 hour and with < 5 letters of loss in photopic binocular BCDVA from Baseline [ Time Frame: up to 6 hours ]The percentage of subjects with improvement of ≥ 15 letters in DCNVA (photopic) at 1 hour and with < 5 letters of loss in photopic binocular BCDVA from Baseline
- Percentage of subjects with improvement in BCIVA (photopic) from Baseline [ Time Frame: up to 6 hours ]The percentage of subjects with improvement in BCIVA (photopic) from Baseline of ≥ 5, ≥ 10, and ≥ 15 letters

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Ages Eligible for Study: | 40 Years to 64 Years (Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Males or females ≥ 40 and ≤ 64years of age.
- BCDVA of 0.0 LogMAR(20/20 Snellen equivalent) or better in each eye under photopic conditions.
- DCNVA of 0.4 LogMAR (20/50 Snellen equivalent) or worse under photopic conditions in each eye and binocularly.
- Subjects who depend on reading glasses or bifocals in which their binocular best-corrected near VA is 0.1 LogMAR (20/25 Snellen equivalent) or better.
Exclusion Criteria:
Ophthalmic (in either eye):
- Use of any topical prescription or OTC ophthalmic medications of any kind within 7 days of Screening until study completion.
- Use of any over-the-counter (OTC) artificial tears (preserved or unpreserved) at least once per day within 7 days of Screening until study completion.
- Current use of any topical ophthalmic therapy for dry eye.
- Tear break-up time of < 5 seconds or corneal fluorescein staining.
- Clinically significant ocular disease that might interfere with the study as deemed by the Investigator.
- Recent or current evidence of ocular infection or inflammation in either eye.
- Any history of herpes simplex or herpes zoster keratitis.
- History of diabetic retinopathy or diabetic macular edema.
- Known allergy, hypersensitivity, or contraindication to any component of the phentolamine, pilocarpine, or vehicle formulations.
- History of cauterization of the punctum or punctal plug (silicone or collagen) insertion or removal.
- Ocular trauma, ocular surgery, ocular laser treatment within the 6 months prior to Screening. Any subject with multifocal intraocular lenses are excluded.
- History of any traumatic (surgical or nonsurgical) or non traumatic condition affecting the pupil or iris.
- Unwilling or unable to discontinue use of contact lenses.
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Conjunctival hyperemia ≥ grade 2 on the CCLRU 4-point scale.
Systemic:
- Known hypersensitivity or contraindication to alpha- and/or beta adrenoceptor antagonists.
- Known hypersensitivity or contraindication to any systemic cholinergic parasympathomimetic agents.
- Clinically significant systemic disease that might interfere with the study as deemed by the Investigator.
- Participation in any investigational study within 30 days prior to Screening.
- Females of childbearing potential who are pregnant, nursing, planning a pregnancy, or not using a medically acceptable form of birth control.
- Resting HR outside the specified range of 50 to 110 beats per minute.
- Hypertension with resting diastolic BP > 105 mmHg or systolic BP > 160 mmHg.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04675151

Responsible Party: | Ocuphire Pharma, Inc. |
ClinicalTrials.gov Identifier: | NCT04675151 |
Other Study ID Numbers: |
OPI-NYXP-201 (VEGA-1) |
First Posted: | December 19, 2020 Key Record Dates |
Last Update Posted: | June 22, 2022 |
Last Verified: | June 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Nyxol Presbyopia Pilocarpine |
Presbyopia Refractive Errors Eye Diseases Phentolamine Pharmaceutical Solutions Ophthalmic Solutions Pilocarpine Miotics Autonomic Agents Peripheral Nervous System Agents |
Physiological Effects of Drugs Muscarinic Agonists Cholinergic Agonists Cholinergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Adrenergic alpha-Antagonists Adrenergic Antagonists Adrenergic Agents Antihypertensive Agents |