{"id":147488,"date":"2025-09-10T21:56:08","date_gmt":"2025-09-10T21:56:08","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/147488\/"},"modified":"2025-09-10T21:56:08","modified_gmt":"2025-09-10T21:56:08","slug":"opus-genetics-doses-first-patient-in-lynx-3-phentolamine-0-75-study","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/147488\/","title":{"rendered":"Opus Genetics doses first patient in LYNX-3 phentolamine 0.75% study"},"content":{"rendered":"<p>The <a href=\"https:\/\/glance.eyesoneyecare.com\/press-releases\/opus-genetics-doses-first-patient-in-pivotal-lynx-3-phase-3-trial-evaluating-phentolamine-ophthalmic-solution-0-75-in-keratorefractive-patients-with-visual-disturbances-under-mesopic-low-contrast\/\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">first patient dosing is underway<\/a> for Opus Genetics, Inc.\u2019s third phase 3 clinical trial evaluating phentolamine ophthalmic solution (POS) 0.75% for the treatment of significant, chronic night driving impairment in keratorefractive patients with reduced mesopic vision.<\/p>\n<p>Let\u2019s start with this ophthalmic solution.<\/p>\n<p>As we\u2019ve already <a href=\"https:\/\/glance.eyesoneyecare.com\/stories\/2025-07-01\/opus-genetics-vega-3-presbyopia-trial-meets-endpoints-for-phentolamine-0-75\/\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">routinely covered<\/a> POS 0.75% <a href=\"https:\/\/glance.eyesoneyecare.com\/stories\/2025-06-02\/opus-genetics-reports-positive-phase-3-data-for-phentolamine-0-75\/\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">this past year<\/a>, here\u2019s a brief rundown:<\/p>\n<p>What it is: An antimicrobial, preservative-free (PF), topical solution formulated with the active ingredient: phentolamine (<a href=\"https:\/\/glance.eyesoneyecare.com\/stories\/2025-02-28\/opus-genetics-receives-fast-track-designation-reports-phase-3-updates-for-phentolamine-solution\/#:~:text=Phentolamine%2C%20its%20active,with%20antimicrobial%20properties\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">see here<\/a> for details on this).<\/p>\n<p><a href=\"https:\/\/glance.eyesoneyecare.com\/stories\/2025-02-28\/opus-genetics-receives-fast-track-designation-reports-phase-3-updates-for-phentolamine-solution\/#:~:text=with%20antimicrobial%20properties-,Explain%20this%20MOA.,-To%20understand%20that\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">Check out<\/a> its mechanism of action, which involves pupil dilation.And its current indications?<\/p>\n<p>We\u2019ll start with its <a href=\"https:\/\/glance.eyesoneyecare.com\/stories\/2023-09-27\/fda-approves-ocuphire-and-viatris-s-ryzumvi-for-rm\/\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">FDA-approved indication<\/a>\u2014under the name RYZUMVI\u2014for the treatment of pharmacologically-induced mydriasis produced by adrenergic agonists or parasympatholytic agents.<\/p>\n<p>Other investigational indications (via a globe license agreement with Viatris, Inc.) include:<\/p>\n<p>PresbyopiaReduced mesopic low contrast and night vision disturbances (NVDs) after keratorefractive surgery (our topic of discussion)Looking specifically at that last indication \u2026 how does POS 0.75% treat this?<\/p>\n<p>Per Opus Genetics: The eye drop is <a href=\"https:\/\/glance.eyesoneyecare.com\/press-releases\/opus-genetics-doses-first-patient-in-pivotal-lynx-3-phase-3-trial-evaluating-phentolamine-ophthalmic-solution-0-75-in-keratorefractive-patients-with-visual-disturbances-under-mesopic-low-contrast\/#:~:text=Phentolamine%20ophthalmic%20solution%200.75%25%2C%20a%20non%2Dselective%20%CE%B11\/%CE%B12%20adrenergic%20antagonist%2C%20is%20designed%20to%20moderately%20reduce%20pupil%20size%20in%20low%2Dlight%20conditions%20to%20potentially%20decrease%20the%20impact%20of%20aberrant%20peripheral%20light%20rays%20entering%20the%20pupil%20while%20maintaining%20retinal%20contrast%20sensitivity.\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">designed to<\/a> \u201cmoderately reduce pupil size in low-light conditions to potentially decrease the impact of aberrant peripheral light rays entering the pupil while maintaining retinal contrast sensitivity.\u201d<\/p>\n<p>The potential: To become the first FDA-approved therapeutic for patients experiencing NVDs.<\/p>\n<p>Now talk about this phase 3 trial.<\/p>\n<p>The LYNX-3 trial (<a href=\"https:\/\/clinicaltrials.gov\/study\/NCT07140783\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">NCT07140783<\/a>) is a multicenter, randomized, double-masked, placebo-controlled study being conducted under a Special Protocol Assessment (SPA) with the following setup:<\/p>\n<p>The participants: An estimated 200 patients (aged \u226518) with decreased visual acuity (VA) in mesopic conditions following keratorefractive surgery, including:Laser-assisted in situ keratomileusis (LASIK)Photorefractive keratectomy (PRK)Small-incision lenticule extraction (SMILE)Radial keratotomy (RK)The plan: Patients to be randomized 1:1 to receive once-daily evening doses of POS 0.75% or placebo for an estimated 2 weeksAnd what\u2019s being measured?<\/p>\n<p>The primary endpoint is the <a href=\"https:\/\/glance.eyesoneyecare.com\/press-releases\/opus-genetics-doses-first-patient-in-pivotal-lynx-3-phase-3-trial-evaluating-phentolamine-ophthalmic-solution-0-75-in-keratorefractive-patients-with-visual-disturbances-under-mesopic-low-contrast\/#:~:text=The%20primary%20endpoint%20is%20the%20percentage%20of%20participants%20achieving%20a%20%E2%89%A515%2Dletter%20Early%20Treatment%20Diabetic%20Retinopathy%20Study%20(ETDRS)%20(%E2%89%A53%2Dline)%20improvement%20from%20baseline%20in%20mesopic%20low%2Dcontrast%20visual%20acuity%20(mLCVA)%20in%20the%20study%20eye%20at%20Day%2015.\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">percentage of participants<\/a> achieving a \u226515-letter Early Treatment Diabetic Retinopathy Study (ETDRS) (\u22653-line) improvement from baseline in mesopic low-contrast visual acuity (mLCVA) in the study eye at Day 15.<\/p>\n<p>Secondary endpoints <a href=\"https:\/\/glance.eyesoneyecare.com\/press-releases\/opus-genetics-doses-first-patient-in-pivotal-lynx-3-phase-3-trial-evaluating-phentolamine-ophthalmic-solution-0-75-in-keratorefractive-patients-with-visual-disturbances-under-mesopic-low-contrast\/#:~:text=Key%20secondary%20endpoints%20include%20patient%2Dreported%20outcomes%20related%20to%20night%20driving%2C%20glare%2C%20halos%2C%20and%20starbursts%2C%20as%20well%20as%20binocular%20visual%20function%20measures.%20Safety%20assessments%20will%20include%20ocular%20and%20systemic%20evaluations.\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">include<\/a>:<\/p>\n<p>Patient-reported outcomes related to night driving, glare, halos, and starburstsBinocular visual function measuresSafety assessments (ocular and systemic evaluations)So when might data be available?<\/p>\n<p>Good question. The study is <a href=\"https:\/\/clinicaltrials.gov\/study\/NCT07140783?intr=0.75%25%20Phentolamine%20Ophthalmic%20Solution&amp;aggFilters=phase:3&amp;rank=3#study-plan:~:text=Study%20Completion%20(Estimated)\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">expected to conclude<\/a> in March 2026\u2014though interim data may be released earlier.<\/p>\n<p>Gotcha. In the meantime, any clinical evidence available yet for POS 0.75%?<\/p>\n<p>There is, as the LYNX-3 is actually the third phase 3 trial for this indication. The first was LYNX-1 (<a href=\"https:\/\/glance.eyesoneyecare.com\/stories\/2025-06-02\/opus-genetics-reports-positive-phase-3-data-for-phentolamine-0-75\/#:~:text=What%20was%20the%20significance%20of,vision%20in%20this%20patient%20base\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">check out<\/a> its favorable safety and efficacy data) and the second was LYNX-2 (<a href=\"https:\/\/www.clinicaltrials.gov\/study\/NCT06349759\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">NCT06349759<\/a>).<\/p>\n<p>In fact, we just <a href=\"https:\/\/glance.eyesoneyecare.com\/stories\/2025-06-02\/opus-genetics-reports-positive-phase-3-data-for-phentolamine-0-75\/\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">reported on positive topline data<\/a> from LYNX-2 this past June.<\/p>\n<p>The highlights version of those findings: The study <a href=\"https:\/\/glance.eyesoneyecare.com\/stories\/2025-06-02\/opus-genetics-reports-positive-phase-3-data-for-phentolamine-0-75\/#:~:text=Most%20importantly%3A%20The%20study%20met%20its%20primary%20endpoint%2C%20gaining%20%E2%89%A515%20letters%20(%E2%89%A53%2Dline)%20in%20mesopic%20low%20contrast%20distance%20visual%20acuity%20in%20comparison%20to%20placebo%2C%20with%3A\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">met its primary endpoint<\/a> (at Day 15) and patient-reported outcomes <a href=\"https:\/\/glance.eyesoneyecare.com\/stories\/2025-06-02\/opus-genetics-reports-positive-phase-3-data-for-phentolamine-0-75\/#:~:text=How%20did%20these%20patients%E2%80%99%20nighttime%20driving%20impairment%20fare%3F\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">indicated<\/a> &#8220;improvements in night-driving vision, enabling patients to function more effectively in low-light, low-contrast conditions.\u201d<\/p>\n<p><a href=\"https:\/\/glance.eyesoneyecare.com\/stories\/2025-06-02\/opus-genetics-reports-positive-phase-3-data-for-phentolamine-0-75\/#:~:text=Nice!%20Any%20adverse%20events%3F\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">See here<\/a> for info on adverse events and POS 0.75%\u2019s safety profile.<\/p>\n<p>Sounds like promising data thus far.<\/p>\n<p>Indeed. And that\u2019s not including <a href=\"https:\/\/glance.eyesoneyecare.com\/stories\/2025-07-01\/opus-genetics-vega-3-presbyopia-trial-meets-endpoints-for-phentolamine-0-75\/\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">recent clinical findings<\/a> from the ongoing phase 3 VEGA-3 trial for POS 0.75%\u2019s presbyopia indication (which we <a href=\"https:\/\/glance.eyesoneyecare.com\/stories\/2025-07-01\/opus-genetics-vega-3-presbyopia-trial-meets-endpoints-for-phentolamine-0-75\/\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">covered in July 2025<\/a>).<\/p>\n<p>And what\u2019s the plan for a potential second regulatory submission?<\/p>\n<p>That\u2019s to be determined. Although, <a href=\"https:\/\/glance.eyesoneyecare.com\/stories\/2025-07-01\/opus-genetics-vega-3-presbyopia-trial-meets-endpoints-for-phentolamine-0-75\/#:~:text=Aside%20from%20the%20VEGA%2D3%20study%20continuing%2C%20Opus%20intends%20to%20use%20data%20from%20both%20phase%203%20trials%20to%20support%20an%20NDA%20submission%20to%20the%20FDA%20by%20the%20second%20half%20(H2)%20of%202025.\" class=\"text-primary text-decoration-underline\" rel=\"nofollow noopener\" target=\"_blank\">as we reported in July<\/a>, Opus Genetics did note an intent to use its phase 3 presbyopia data to support a new drug application (NDA) submission sometime in the second half (H2) of 2025.<\/p>\n<p>So stay tuned for updates on that \u2026<\/p>\n","protected":false},"excerpt":{"rendered":"The first patient dosing is underway for Opus Genetics, Inc.\u2019s third phase 3 clinical trial evaluating phentolamine ophthalmic&hellip;\n","protected":false},"author":2,"featured_media":147489,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[50],"tags":[200,79],"class_list":["post-147488","post","type-post","status-publish","format-standard","has-post-thumbnail","category-genetics","tag-genetics","tag-science"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/147488","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=147488"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/147488\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/147489"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=147488"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=147488"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=147488"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}