AzTrials
AzTrials

PresbyopiaPhase 3VEGA-3NCT06542497

Evaluate Efficacy and Safety of POS to Improve Distance-corrected Near Visual in Participants With Presbyopia

A Phase 3 study testing 0.75% phentolamine ophthalmic solution in people with Presbyopia, run by Opus Genetics, Inc at 39 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

Safety and efficacy of POS in participants with presbyopia Read more about this study

Who is it for?
Ages 45 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Presbyopia
What is being tested?
0.75% phentolamine ophthalmic solution
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
569 participants
Where
39 sitesUnited States
Study dates
15 Aug 2024to 22 Jan 2026
Phase
Phase 3
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 45 to 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Participants must meet all of the following criteria:
  • Males or females ≥ 45 and ≤ 64 years of age
  • Able to comply with all protocol-mandated procedures independently and to attend all scheduled office visits
  • Able and willing to give signed informed consent
  • Able to self-administer study medication throughout the study period
  • Inclusion criteria #5, #6, and #7 must all be met at both Screening and Baseline Visits:
Show all 10Show fewer
  • BCDVA of 55 Early Treatment Diabetic Retinopathy Study (ETDRS) letters (20/20 Snellen equivalent) or better in photopic conditions in each eye
  • DCNVA of 50 ETDRS letters (20/50 Snellen equivalent) or worse but not <35 ETDRS letters (20/100 Snellen equivalent) in photopic conditions in each eye and binocularly
  • For participants who depend on reading glasses or bifocals, binocular best-corrected near VA of 65 ETDRS letters (20/25 Snellen equivalent) or better
  • Photopic PD of ≥ 4 mm in the study eye at Screening

Who cannot join

  • Excluded from the study will be individuals with any of the following characteristics:
  • Ophthalmic (in either eye):
  • Use of any topical prescription (including Vuity® or Qlosi™) or over-the-counter (OTC) ophthalmic medications of any kind within 7 days of Screening until study completion, with the exception of lid scrubs with OTC products (eg, OCuSOFT® lid scrub, SteriLid®, baby shampoo, etc.) and artificial tears as specified in Exclusion Criterion #2 below
  • Use of any OTC artificial tears (preserved or unpreserved) during visit days or 15 min before or after instillation of study medication
  • Use of Ryzumvi™ (POS) within 7 days prior to Screening
  • Use of any dry eye product, such as topical ophthalmic therapy for dry eye (eg, generic cyclosporine, Restasis®, Xiidra®, Cequa®, Eysuvis®, and Meibo®) or intranasal dry eye product (eg, Tyrvaya®) or other devices within 12 months prior to Screening
Show all 28Show fewer
  • Tear break-up time of < 5 seconds or corneal fluorescein staining (CFS) Grade ≥ 2 in the inferior zone or Grade ≥ 1 in the central zone using the National Eye Institute scale
  • Clinically significant ocular disease (eg, cataract, glaucoma, corneal edema, uveitis, retinal degeneration, loss of visual field, or any macular pathology) that, in the judgment of the Investigator, might interfere with study procedures
  • Recent or current evidence of ocular infection or inflammation in either eye (such as current evidence of clinically significant blepharitis, conjunctivitis, keratitis, etc.). Participants must be symptom free for at least 7 days prior to Screening
  • Any history of herpes simplex or herpes zoster keratitis
  • Known allergy, hypersensitivity, or contraindication to any component of the phentolamine or vehicle formulations
  • Prior participation in a study involving the use of POS for the treatment of presbyopia or night vision disturbance
  • History of cauterization of the punctum or punctal plug (silicone or collagen) insertion or removal
  • Ocular trauma within 6 months prior to Screening
  • Ocular surgery or any ocular laser treatment within 6 months prior to Screening. Any history of radial keratotomy is prohibited
  • Participants with surgical monovision, multifocal, or extended depth-of-focus intraocular lenses (IOLs). Monofocal IOLs are acceptable if in place > 6 months prior to Screening
  • Monofocal IOL in place > 6 months prior to Screening with any posterior capsule opacification
  • History of any traumatic (surgical or nonsurgical) or nontraumatic condition affecting the pupil or iris (eg, irregularly shaped pupil, neurogenic pupil disorder, iris atrophy, iridotomy, iridectomy, iritis, etc.)
  • Unwilling or unable to discontinue use of contact lenses at least 1 hour prior to Screening for soft contact lenses or at least 8 hours prior to Screening for hard gas permeable contact lenses, and at least 8 hours (for both types of lenses) prior to all other office visits
  • Systemic:
  • Known hypersensitivity or contraindication to alpha- and/or beta-adrenoceptor antagonists (eg, chronic obstructive pulmonary disease or bronchial asthma; abnormally low blood pressure (BP) or heart rate (HR); second- or third-degree heart blockage or congestive heart failure)
  • Known hypersensitivity or contraindication to any systemic cholinergic parasympathomimetic agent
  • Clinically significant systemic disease (eg, uncontrolled diabetes, myasthenia gravis, cancer, hepatic, renal, endocrine, or cardiovascular disorders) that might interfere with the study as deemed by the judgment of the Investigator
  • Initiation of treatment with, or any changes to, the current dosage, drug, or regimen of any systemic adrenergic or cholinergic drugs within 7 days prior to Screening or during the study; however, Flomax® (tamsulosin) is specifically excluded
  • 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. Acceptable methods include the use of at least one of the following: intrauterine device, hormonal contraception (oral, injection, patch, implant, ring), barrier with spermicide (condom, diaphragm), or abstinence. A female is considered to be of childbearing potential unless she is 1 year postmenopausal or 3 months post-surgical sterilization. All females of childbearing potential, including those with post-tubal ligation, must have a negative urine pregnancy test result at Visit 1 (Screening)
  • Resting HR outside the range of 50 to 110 beats per min (bpm) following at least a 5 min rest period in the sitting position at Visit 1 (Screening). HR may be repeated only once if outside the specified range, following another 5 min rest period in the sitting position
  • Hypertension with resting diastolic BP > 105 mmHg or systolic BP > 160 mmHg following at least a 5-min rest period in the sitting position at Visit 1 (Screening). BP may be repeated only once if outside the specified range, following another 5-min rest period in the sitting position

Trial locations and contacts

39 sites in 1 country.

39 sites in 1 country

United States39 sites
  • Athens Eye Care

    Athens, Ohio, 45701

  • Empire Eye & Laser Center

    Bakersfield, California, 93309

  • Arizona Eye Center

    Chandler, Arizona, 85224

  • Segal Drug Trials, Inc.

    Delray Beach, Florida, 33484

  • South Florida Glaucoma

    Delray Beach, Florida, 33484

  • Bergstrom Eye

    Fargo, North Dakota, 58103

  • Red River Research Partners

    Fargo, North Dakota, 58103

  • Fraser Eye Care Center

    Fraser, Michigan, 48026

  • Oculus Research , Inc.

    Garner, North Carolina, 27529

  • Global Research Management, Inc.

    Glendale, California, 91204

  • Advancing Vision Research

    Goodlettsville, Tennessee, 37072

  • Whitsett Vision Group

    Houston, Texas, 77055

  • Price Vision Group

    Indianapolis, Indiana, 46260

  • Levenson Eye

    Jacksonville, Florida, 32204

  • Bowden Eye & Associates

    Jacksonville, Florida, 32256

  • Moyes Eye Center

    Kansas City, Missouri, 64154

  • Gordon Schanzlin New Vision Institute

    La Jolla, California, 92307

  • Lake Travis Eye and Laser Center/ Revolution Research

    Lakeway, Texas, 78738

  • Shettle Eye Research

    Largo, Florida, 33773

  • Sabal Eye Care/dba Omega Vision Center

    Longwood, Florida, 32779

  • The Eye Care Institute

    Louisville, Kentucky, 40206

  • Optometry Group

    Memphis, Tennessee, 38111

  • Total Eye Care

    Memphis, Tennessee, 38119

  • Carrot Eye Center

    Mesa, Arizona, 85202

  • Mid Florida Eye Center

    Mt. Dora, Florida, 32757

  • LoBue Laser and Eye Medical Center, Inc.

    Murrieta, California, 92562

  • Eye Research Foundation

    Newport Beach, California, 92663

  • Durrie Vision

    Overland Park, Kansas, 66210

  • Eye Doctors of Arizona

    Phoenix, Arizona, 85028

  • Kannarr Eye Care

    Pittsburg, Kansas, 66762

  • Red River Research Partners

    Richardson, Texas, 75080

  • Rochester Ophthalmological Group

    Rochester, New York, 14618

  • Virdi Eye Clinic

    Rock Island, Illinois, 61201

  • Eye Institute of Utah

    Salt Lake City, Utah, 84107

  • Parkhurst NuVision

    San Antonio, Texas, 78229

  • MRB Eye Care Consultants, LLC

    Scottsdale, Arizona, 85260

  • Heart of America Eye Care, P.A.

    Shawnee Mission, Kansas, 66204

  • Wolstan and Goldberg Eye Associates

    Torrance, California, 90505

  • West Bay Eye Associates

    Warwick, Rhode Island, 02888

Other trials in United States

About this study

Official title: Randomized, Double-masked, Placebo-controlled, Multicenter Study of the Efficacy and Safety of Phentolamine Ophthalmic Solution (POS) 0.75% in Participants With Presbyopia

Safety and efficacy of POS in participants with presbyopia

Read the detailed description

Randomized, Double-Masked, Placebo-Controlled, Multicenter, Phase 3 Study of the Efficacy and Safety of Phentolamine Ophthalmic Solution (POS) 0.75% in Participants with Presbyopia

Conditions
Presbyopia
Being tested
0.75% phentolamine ophthalmic solution, Placebo
Medical subject headings
Presbyopia

What participants receive

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

  • 0.75% phentolamine ophthalmic solutionDrug

    Also called Nyxol

    Once daily dosing

  • PlaceboDrug

    Also called phentolamine ophthalmic solution vehicle

    Once daily dosing

Study groups in NCT06542497
Study groupRoleWhat they receive
0.75% phentolamine ophthalmic solutionActive comparatorDrug: phentolamine ophthalmic solution 0.75%, a non-selective alpha-1 and alpha-2 adrenergic antagonist
Receives: Drug: 0.75% phentolamine ophthalmic solution
phentolamine ophthalmic solution vehiclePlacebo comparatorDrug: Placebo
Receives: Drug: Placebo

What is being measured

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

  1. Percentage of Subjects With ≥ 15 Letters of Improvement in Binocular DCNVA and With < 5 Letters of Loss in Binocular BCDVA From Baseline Comparing POS-treated Participants to Placebo-treated Participants at 12 Hours Post-dose at Visit 4 (Day 8)

    The primary efficacy endpoint is the percentage of participants with ≥ 15 letters of improvement in binocular DCNVA and with < 5 letters of loss in binocular BCDVA from baseline comparing POS-treated participants to placebo-treated participants at 12 hours post-dose at Visit 4 (Day 8).

    Measured: 8 Days

Secondary outcomes (18)
  1. Percentage of Subjects With ≥ 15 Letters of Improvement in Binocular DCNVA and With < 5 Letters of Loss in Binocular BCDVA From Baseline at Day 1 (1-hour Post-dose), Day 3, and Week 6

    This secondary efficacy endpoint is the percentage of participants with ≥ 15 letters of improvement in binocular DCNVA and with < 5 letters of loss in binocular BCDVA from baseline comparing POS-treated participants to placebo-treated participants at 12 hours post-dose at Day 1 (1-hour post-dose), Day 3, and Week 6.

    Measured: 6 Weeks

  2. Percentage of Subjects With ≥ 5, ≥ 10, and ≥ 15 Letters of Improvement in DCNVA From Baseline (Binocular) at Day 1 (0.5 Hours and 1 Hour Post-dose), Day 3, Day 8, and Week 6

    The percentage of Subjects With ≥ 5, ≥ 10, and ≥ 15 Letters of Improvement in DCNVA From Baseline (Monocular and Binocular) at Day 1 (0.5 hours and 1 hour post-dose), Day 3, Day 8, and Week 6.

    Measured: 6 Weeks

  3. Percentage of Subjects With ≥ 5, ≥ 10, and ≥ 15 Letters of Improvement in DCNVA From Baseline (Monocular - Study Eye) at Day 1 (0.5 Hours and 1-hour Post-dose), Day 3, Day 8, and Week 6

    This outcome measure will investigate the percentage of subjects with ≥ 5, ≥ 10, and ≥ 15 letters of improvement in DCNVA from baseline (monocular - study eye) at Day 1 (0.5 hours and 1-hour post-dose), Day 3, Day 8, and Week 6.

    Measured: 6 Weeks

  4. Change in DCNVA From Baseline (Binocular) at Day 1 (0.5 Hours and 1-hour Post-dose), Day 3, Day 8, and Week 6

    This outcome measure will investigate the change in DCNVA from baseline (binocular) at Day 1 (0.5 hours and 1-hour post-dose), Day 3, Day 8, and Week 6.

    Measured: 6 Weeks

  5. Change in DCNVA From Baseline (Monocular - Study Eye) at Day 1 (0.5 Hours and 1-hour Post-dose), Day 3, Day 8, and Week 6

    This outcome measure will investigate the Change in DCNVA From Baseline (Monocular - Study Eye) at Day 1 (0.5 hours and 1-hour post-dose), Day 3, Day 8, and Week 6

    Measured: 6 Weeks

  6. Change in Mean Binocular DCNVA From Baseline at Week 6 Compared to the Best Prior Observed Change From Baseline in Mean Binocular DCNVA in Subjects Treated With POS

    This outcome measure investigates the change in mean binocular DCNVA from baseline at Week 6 compared to the best prior observed change from baseline in mean binocular DCNVA in subjects treated with POS.

    Measured: 6 Weeks

  7. Percentage of Subjects With DCNVA ≤ 20/15, ≤ 20/20, ≤ 20/25, ≤ 20/32, ≤ 20/40, ≤ 20/50, ≤ 20/63, ≤ 20/80, ≤ 20/100, ≤ 20/125, and ≤ 20/160 at Day 1 (0.5 Hours and 1-hour Post-dose), Day 3, Day 8, and Week 6

    This outcome measure will investigate the percentage of subjects with DCNVA ≤ 20/15, ≤ 20/20, ≤ 20/25, ≤ 20/32, ≤ 20/40, ≤ 20/50, ≤ 20/63, ≤ 20/80, ≤ 20/100, ≤ 20/125, and ≤ 20/160 at Day 1 (0.5 hours and

    1-hour post-dose), Day 3, Day 8, and Week 6.

    Measured: 6 Weeks

  8. Percentage of Subjects With Baseline DCNVA ≤ 20/63, ≤ 20/80, ≤ 20/100, ≤ 20/125, and ≤ 20/160 With a ≥ 10-Letter and ≥ 15-Letter Improvement in DCNVA at Day 1 (0.5 Hours and 1-hour Post-dose), Day 3, Day 8, and Week 6

    This outcome measure will investigate the percentage of subjects with baseline DCNVA ≤ 20/63, ≤ 20/80, ≤ 20/100, ≤ 20/125, and ≤ 20/160 with a ≥ 10-Letter and ≥ 15-Letter Improvement in DCNVA at Day 1 (0.5 hours and 1-hour post-dose), Day 3, Day 8, and Week 6.

    Measured: 6 Weeks

  9. Percentage of Subjects With ≥ 5, ≥ 10, and ≥ 15 Letters of Improvement in Binocular DCIVA From Baseline at Day 1 (1-hour Post-dose), Day 3, Day 8, and Week 6

    This outcome measure will investigate the percentage of subjects with ≥ 5, ≥ 10, and ≥ 15 letters of improvement in binocular DCIVA from baseline at Day 1 (1-hour post-dose), Day 3, Day 8, and Week 6.

    Measured: 6 Weeks

  10. Change in Binocular DCIVA From Baseline at Day 1 (1-hour Post-dose), Day 3, Day 8, and Week 6

    This outcome measure will investigate the change in binocular DCIVA from baseline at Day 1 (1-hour post-dose), Day 3, Day 8, and Week 6.

    Measured: 6 Weeks

  11. Percentage of Subjects With Loss or Improvement in BCDVA From Baseline (Binocular) at Day 1 (1-hour Post-dose), Day 3, Day 8, and Week 6

    This outcome measure will investigate the percentage of subjects with loss or improvement in BCDVA from baseline (Binocular) at Day 1 (1-hour post-dose), Day 3, Day 8, and Week 6.

    Measured: 6 Weeks

  12. Change in BCDVA From Baseline (Binocular) at Day 1 (1-hour Post-dose), Day 3, Day 8, and Week 6

    This outcome measure will investigate the change in BCDVA from baseline (Binocular) at Day 1 (1-hour post-dose), Day 3, Day 8, and Week 6.

    Measured: 6 Weeks

  13. Change in BCDVA From Baseline (Monocular - Study Eye) at Day 1 (1-hour Post-dose), Day 3, Day 8, and Week 6

    This outcome measure will investigate the Change in BCDVA From Baseline (Monocular - Study Eye) at Day 1 (1-hour post-dose), Day 3, Day 8, and Week 6.

    Measured: 6 Weeks

  14. Change in Pupil Diameter From Baseline at Day 3 and Day 8

    This outcome measure will investigate the change in pupil diameter from baseline at Day 3 and Day 8.

    Measured: 8 Days

  15. Percent Change in Pupil Diameter From Baseline at Day 3 & Day 8

    This outcome measure will investigate the Percent Change in Pupil Diameter from Baseline at Day 3 \& Day 8.

    Measured: 8 Days

  16. Percentage of Subjects With Pupil Diameter of < 3.5, < 3.0, < 2.5, < 2.0, and < 1.5 mm at Day 3 and Day 8

    This outcome measure will investigate the percentage of subjects with pupil diameter of < 3.5, < 3.0, < 2.5, < 2.0, and < 1.5 mm at Day 3 and Day 8.

    Measured: 8 Days

  17. Percentage of Subjects With Pupil Diameter of 1.5 to < 2.0 mm, 2.0 to < 2.5 mm, 2.5 to < 3.0 mm, and 3.0 to < 3.5 mm at Day 3 and Day 8

    This outcome measure will investigate the percentage of subjects with pupil diameter of 1.5 to < 2.0 mm, 2.0 to < 2.5 mm, 2.5 to < 3.0 mm, and 3.0 to < 3.5 mm at Day 3 and Day 8.

    Measured: 8 Days

  18. Change From Baseline in Overall and Component Subject-Reported Outcomes at Day 3, Day 8, and Week 6

    This outcome measure investigates the change from baseline in overall and component subject-reported outcomes at Day 3, Day 8, and Week 6. : Responses to each question used a 1-5 scale with 1=Worst outcome and 5=Best outcome.

    Measured: 6 Weeks

Timeline

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

  1. First posted7 Aug 2024
  2. Study start15 Aug 2024
  3. Primary completion3 Apr 2025
  4. Study completion22 Jan 2026

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Parallel assignment
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
569 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06542497
Sponsor's protocol ID
OPI-NYXP-302 (VEGA-3)
Acronym
VEGA-3
Status last verified
Oct 2026
First submitted
5 Aug 2024
Last updated
26 Oct 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing 0.75% phentolamine ophthalmic solution in people with Presbyopia, run by Opus Genetics, Inc at 39 sites 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 10 inclusion and 28 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 26 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 39 sites 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 17 Aug 2026). 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?

Percentage of Subjects With ≥ 15 Letters of Improvement in Binocular DCNVA and With < 5 Letters of Loss in Binocular BCDVA From Baseline Comparing POS-treated Participants to Placebo-treated Participants at 12 Hours Post-dose at Visit 4 (Day 8) (time frame: 8 Days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 26 Oct 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in