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ADX-038

Phase 2

Geographic Atrophy Secondary to Age-related Macular Degeneration | Small molecule | Ophthalmology |ADARx Pharmaceuticals, Inc.|Trials Updated: Oct 20, 2026

ADX-038 development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since May 2023

ADX-038 target and mechanism

ModalitySmall molecule

Also known as ADX-038 Dose Level 2, siRNA

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment365

FDA Designations

No designations recorded

ADX-038 clinical trials

ADX-038 · 4 trials · 9 indications

Phase 2 3Phase 1 1
NCT07522099Chinese Adults With Kidney DiseaseImmunoglobulin A Nephropathy (IgAN)
RECRUITING30 Analytics
NCT06990269Phase 2 Study of ADX-038 in Participants With Geographic AtrophyGeographic Atrophy Secondary to Age-related Macular Degeneration
RECRUITING240 Analytics
NCT06989359Phase 2 Study of ADX-038 in Complement-Mediated Kidney DiseaseIgAN
RECRUITING45 Analytics
PHASE2RECRUITING
Chinese Adults With Kidney Disease
Immunoglobulin A Nephropathy (IgAN)Unlock trial analytics
PHASE2RECRUITING
Phase 2 Study of ADX-038 in Participants With Geographic Atrophy
Geographic Atrophy Secondary to Age-related Macular DegenerationUnlock trial analytics
PHASE2RECRUITING
Phase 2 Study of ADX-038 in Complement-Mediated Kidney Disease
IgANUnlock trial analytics

Study Endpoints

Primary Endpoints

Evaluate the safety and tolerability of ADX-038 as a monotherapy and in combination with telitacicept
Part A - 24 Months and Part B - 15 months

Evaluate the proportion of patients with treatment emergent adverse events (TEAEs) with ADX-038 and telitacicept versus those on ADX-038 alone.

Evaluate the effect of ADX-038 on the preservation of the EZ layer
12 months

Rate of change in the area of total EZ loss in the study eye from baseline to Month 12

Evaluate the safety and tolerability of ADX-038
Length of study - 36 months

Incidence and severity of TEAEs

Safety in Healthy Volunteers
365 days

To evaluate the safety and tolerability of ADX-038 in HVs by incidence, relationship, and severity of adverse events and serious adverse events

Safety in Paroxysmal Nocturnal Hemoglobinuria Participants
365 days

Evaluate the safety and tolerability of ADX-038 by incidence, relationship, and treatment-emergent adverse events and serious adverse events.

Secondary Endpoints

Pharmacokinetics in Healthy Participants
8 days
Pharmacodynamics in Healthy Participants
365 days
Pharmacodynamics in Paraxysmal Nocturnal Hemoglobinuria
365 days
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A - ADX-038 MonotherapyEXPERIMENTAL -
Part B - ADX-038 Combination TherapyEXPERIMENTAL -
Active - ADX-038EXPERIMENTAL -
Placebo - SalinePLACEBO_COMPARATOR -
ADX-038 Dose Level 1 - IgANEXPERIMENTAL -
ADX-038 Dose Level 1 - C3GEXPERIMENTAL -
ADX-038 Dose Level 2 - IgANEXPERIMENTAL -
Phase 1 - Active ADX-038 administered to HPEXPERIMENTALFor each cohort in Phase 1 (SAD), 8 participants will be randomized in a 3:1 ratio; 6 participants to active (ADX-038): 2 participants to control (matched placebo). Randomization will be on Day 1. Initially, 2 sentinel participants (1 active and 1 placebo) will be randomized and dosed. The sentinel participants will be evaluated for safety. The investigator's assessment and the independent medical monitor will decide upon the randomization and dosing of the 6 remaining participants (5 active and 1 placebo) according to the randomization schedule.
Phase 1- Placebo administered to HPPLACEBO_COMPARATORFor each cohort in Phase 1 (SAD), 8 participants will be randomized in a 3:1 ratio; 6 participants to active (ADX-038): 2 participants to control (matched placebo). Randomization will be on Day 1. Initially, 2 sentinel participants (1 active and 1 placebo) will be randomized and dosed. The sentinel participants will be evaluated for safety. The investigator's assessment and the independent medical monitor will decide upon the randomization and dosing of the 6 remaining participants (5 active and 1 placebo) according to the randomization schedule.
Phase 2a - ADX-038 administered to PNH participantsEXPERIMENTALThis will be initiated at the dose level determined by the Safety Review Committee from SAD in HPs. The treatment of PNH participants is an open-label study.

Interventions

NameTypeDescription
ADX-038DRUGsiRNA duplex oligonucleotide
TelitaciceptDRUGfusion protein
PlaceboDRUGSaline
ADX-038 Dose Level 2DRUGsiRNA duplex oligonucleotide
ADX-038 Dose Level 1DRUGsiRNA duplex oligonucleotide
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: * Mean eGFR greater than or equal to 30 mL/min/1.73m2 * Clinical evidence of active kidney disease * Treated with supportive care including an ACE inhibitor or ARB if applicable * Willing to receive required vaccinations * Primary diagnosis of IgAN, C3G or IC-MPGN confirmed by a...

Countries:ChinaUnited StatesAustraliaAustriaCanadaCzechiaGermanyHungaryItalyPortugalSpainSwitzerlandUnited KingdomHong KongSouth KoreaTaiwan
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