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Decrease in Night VisionPhase 2SNVNCT04004507

Single Dose Study of Phentolamine Mesylate Eye Drops in Patients With Severe Night Vision Disturbances

A Phase 2 study testing Phentolamine Mesylate Ophthalmic Solution 1% in people with Decrease in Night Vision and Disturbance; Vision, Loss, run by Opus Genetics, Inc at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objectives of this study are: To assess the effect of ophthalmic phentolamine mesylate in mesopic conditions on the four endpoints: 1. Contrast sensitivity 2. Low contrast visual acuity 3. Wavefront aberrometry 4. Subjective questionnaire To assess the safety of ophthalmic phentolamine mesylate Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
Phentolamine Mesylate Ophthalmic Solution 1%
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
24 participants
Where
1 siteUnited States
Study dates
Aug 2007to Feb 2008
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female patients ≥ 18 years of age
  • Currently experiencing severe night vision difficulty as reported subjectively
  • At least two patches below the normal range at any two frequencies in Contrast Sensitivity done under mesopic conditions with glare
  • Improvement in low contrast visual acuity (LCVA) in dim light during illumination of contralateral eye
  • Good general health
  • Written informed consent to participate in this trial
  • Ability to comply with all protocol mandated procedures and to attend all scheduled office visits

Who cannot join

  • Patients with untreated cataracts grades 1-4
  • Patients who wear contact lenses
  • Less than 5 weeks post-refractive surgery (LASIK or PRK)
  • Less than 5 weeks post intraocular lens insertion
  • Low blood pressure (systolic <120 mm Hg or diastolic <80 mm Hg)
  • A history of heart rate abnormalities
Show all 11Show fewer
  • Administration of any investigational drug within 30 days of study initiation
  • Use of any eye drops with a pharmacologic effect on the pupil within 7 days of Visit 1
  • Use of any systemic alpha adrenergic antagonists (Appendix 1)
  • Known local or systemic hypersensitivity to adrenergic antagonists
  • For women of childbearing potential: currently pregnant or lactating, or unwilling to use birth control during the study

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Ophthalmic Consultants of Long Island, NY

    Lynbrook, New York, 11563

Other trials in United States

About this study

The objectives of this study are:

  • To assess the effect of ophthalmic phentolamine mesylate in mesopic conditions on the four endpoints:
  1. Contrast sensitivity
  2. Low contrast visual acuity
  3. Wavefront aberrometry
  4. Subjective questionnaire
  • To assess the safety of ophthalmic phentolamine mesylate
Read the detailed description

Double-masked, placebo-controlled, single-dose Phase 2 study in 24 patients experiencing severe night vision difficulties to evaluate ocular and systemic safety and efficacy following administration of one drop of phentolamine mesylate 1.0% QD in each eye for 1 day.

Being tested
Phentolamine Mesylate Ophthalmic Solution 1%, Phentolamine Mesylate Ophthalmic Solution Vehicle (Placebo)
Keywords
Night Vision Disturbances, NVD, Glare, Halos, Starbursts, Nyxol

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Phentolamine Mesylate Ophthalmic Solution 1%Drug

    Topical Sterile Ophthalmic Solution

  • Phentolamine Mesylate Ophthalmic Solution Vehicle (Placebo)Other

    Topical Sterile Ophthalmic Solution

Study groups in NCT04004507
Study groupRoleWhat they receive
Phentolamine Mesylate Ophthalmic Solution 1%Experimental1 drop in each eye (QD) for one day.
Receives: Drug: Phentolamine Mesylate Ophthalmic Solution 1%
Phentolamine Mesylate Ophthalmic Solution VehiclePlacebo comparator1 drop in each eye (QD) for one day.
Receives: Other: Phentolamine Mesylate Ophthalmic Solution Vehicle (Placebo)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Contrast Sensitivity

    Average change in monocular contrast sensitivity scores under mesopic conditions at each of five spatial frequencies with and without glare.

    The tests were performed in a darkened room using the Optec 6500 instrument (Stereo Optical) using Slides 5-9 (spatial frequencies 1.5 - 18 cycles per degree), with the distance setting at "far", and with the light setting at "night". Subjects were asked to read each slide from left to right indicating if the lines were tilted to the left, the right or straight up and down until they provided 2 consecutive incorrect responses. The total number of correct responses for each slide was recorded.

    Measured: 1 day

Secondary outcomes (3)
  1. Visual Acuity

    Average number of letters of improvement in the following parameters:

    1. Distance high-contrast visual acuity under mesopic conditions (monocular, measured at 4 meters)
    2. Distance high-contrast visual acuity under photopic conditions (monocular, measured at 4 meters)
    3. Distance low-contrast visual acuity under mesopic conditions (monocular, measured at 4 meters)
    4. Distance low-contrast visual acuity under photopic conditions (monocular, measured at 4 meters)

    Measured: 1 day

  2. Self-Reported Vision Quality

    Subjective patient evaluations of vision quality at night (% rating their vision as improved)

    Measured: 1 day

  3. Pupil Diameter

    Average change in pupil diameter

    Measured: 1 day

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jul 2019
  2. Study startAug 2007
  3. Primary completionOct 2007
  4. Study completionFeb 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04004507
Sponsor's protocol ID
NYX-SNV
Acronym
SNV
Status last verified
May 2022
First submitted
28 Jun 2019
Last updated
30 Oct 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Pepose J, Brigell M, Lazar E, Heisel C, Yousif J, Rahmani K, Kolli A, Hwang M, Mitrano C, Lazar A, Charizanis K, Sooch M, McDonald M. A randomized phase 2 clinical trial of phentolamine mesylate eye drops in patients with severe night vision disturbances. BMC Ophthalmol. 2022 Oct 8;22(1):402. doi: 10.1186/s12886-022-02621-6.

    PubMed 36209072

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Phentolamine Mesylate Ophthalmic Solution 1% in people with Decrease in Night Vision and Disturbance; Vision, Loss, run by Opus Genetics, Inc at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Feb 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Contrast Sensitivity (time frame: 1 day). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04004507, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Oct 2026.

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