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CLS-AX

Phase 2

Neovascular Age-related Macular Degeneration | Small molecule | Ophthalmology |Clearside Biomedical, Inc.|Last Updated: Jul 25, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment87
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05891548Study to Evaluate Suprachoroidally Administered CLS-AX in the Treatment of Neovascular Age-Related Macular DegenerationPHASE2 COMPLETED 60May 31, 2023Aug 20, 2024Jul 25, 202532 United States
NCT04626128Safety and Tolerability Study of Suprachoroidal Injection of CLS-AX Following Anti-VEGF Therapy in Neovascular AMDPHASE1 COMPLETED 27Dec 15, 2020Oct 13, 2022Sep 18, 202311 United States
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Study Endpoints
Primary Endpoints
Evaluations of Outcomes Related to ETDRS BCVA in the Study Eye Over Time
Baseline, Weeks 4, 12, 16, 20, 24, 28, 32 and 36

Best Corrected Visual Acuity (BCVA) letter score measured on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart at a starting test distance of 4 meters. The BCVA letter score ranges from 0 to 100 (best score attainable). An increase in BCVA letter score from baseline indicates an improvement in visual acuity.

Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Day 1 to Week 12

Number of participants with treatment-emergent adverse events (TEAEs) reported between the administration of CLS-AX and study exit.

Number of Participants With Serious Adverse Events
Day 1 to Week 12

Number of participants with serious adverse events (SAEs) reported between the administration of CLS-AX and study exit.

Secondary Endpoints
Evaluations of Outcomes Related to Fluid Detected on Optical Coherence Tomography in the Study Eye Over Time
Baseline, Weeks 4, 12, 16, 20, 24, 28, 32 and 36
Evaluations of Outcomes Related to Lesion Size on Fundus Fluorescein Angiography in the Study Eye Over Time
Baseline, Week 36
Evaluation of the Number of Study Drug Injections and Supplemental Therapy Injections in the Study Eye Over Time
From Baseline Through Week 36
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
1.0 mg CLS-AXEXPERIMENTALSuprachoroidal injection of 10 mg/mL (1.0 mg in 0.1 mL) of CLS-AX
AfliberceptACTIVE_COMPARATORIntravitreal injection of aflibercept (2 mg in 0.05 mL)
Cohort 1 (Low Dose)EXPERIMENTALSubjects will receive a low dose of 0.03 mg CLS-AX
Cohort 2 (Low-mid Dose)EXPERIMENTALSubjects will receive a low-mid dose of 0.10 mg CLS-AX
Cohort 3 (High-mid Dose)EXPERIMENTALSubjects will receive a high-mid dose of 0.50 mg CLS-AX
Cohort 4 (High Dose)EXPERIMENTALSubjects will receive a high-mid dose of 1.0 mg CLS-AX
Interventions
NameTypeDescription
CLS-AXDRUGCLS-AX will be administered by suprachoroidal injection into the study eye on Day 1 and then every 12 to 24 weeks as determined by protocol-defined disease activity criteria.
AfliberceptDRUGAflibercept will be administered by intravitreal injection into the study eye once every 8 weeks (Q8W).
Anti-VEGFDRUGStandard of care therapy used to block vascular endothelial growth factor
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Eligibility Criteria
Age Range50 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites32

Key Inclusion Criteria: * Diagnosis of neovascular age-related macular degeneration (nAMD) in the study eye within 36 months of Visit 1. * Subfoveal choroidal neovascularization (CNV) secondary to nAMD of any lesion type in the study eye that shows total lesion area ≤30 mm2, CNV component area of ≥...

Countries:United States
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