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APX3330

Phase 2

Diabetic Retinopathy | Small molecule | Ophthalmology |Opus Genetics, Inc.|Trials Updated: Jun 8, 2026

APX3330 development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Jan 2021

APX3330 target and mechanism

Molecular targetAPEX1
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment103

FDA Designations

No designations recorded

APX3330 clinical trials

APX3330 · 1 trial · 4 indications

Phase 2 1
NCT04692688Study of the Safety and Efficacy of APX3330 in Diabetic RetinopathyDiabetic Retinopathy
COMPLETED103 Analytics
PHASE2COMPLETED
Study of the Safety and Efficacy of APX3330 in Diabetic Retinopathy
Diabetic RetinopathyUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent of Subjects With ≥ 2-step Improvement in Diabetic Retinopathy Severity Score (DRSS)
24 Weeks

Percent of subjects with a ≥ 2-step improvement in DRSS from baseline in the study eye (MITT Population- last observation carried forward). DRSS is scored on a range from 10 to 90 with 13 discrete scores given within that range and where higher scores indicate a worse outcome.

Secondary Endpoints

Percent of Subjects With Binocular Improvement or Worsening in DRSS at Week 24
24 Weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
APX3330EXPERIMENTALFive 120 mg tablets will be taken by mouth as follows: 3 tablets every morning and 2 tablets every evening.
PlaceboPLACEBO_COMPARATORFive 120 mg tablets will be taken by mouth as follows: 3 tablets every morning and 2 tablets every evening.

Interventions

NameTypeDescription
APX3330DRUGAPX3330, a small-molecule oral tablet, is a Ref-1 inhibitor that can potentially reduce proinflammatory and hypoxic signaling that contributes to several eye diseases.
PlaceboDRUGPlacebo tablets are identical to APX3330 tablets except for the absence of the active pharmaceutical ingredient.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites24

Inclusion Criteria: 1. Males or non-pregnant females ≥ 18 years of age 2. At least one eye with DR graded at least moderately severe to severe NPDR or mild PDR (corresponding to DRSS 47, 53, or 61) 3. BCVA assessed by ETDRS protocol letters score of ≥ 60 letters (Snellen equivalent ≥ 20/63) 4. Body...

Countries:United States
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Competitive Landscape -Diabetic Retinopathy 14 trials

Frequently asked questions about APX3330

What is APX3330 used for?

APX3330 is an investigational oral small molecule being developed for diabetic retinopathy, including non-proliferative and proliferative forms, as well as diabetic macular edema. It is in Phase 2 clinical development and is not approved for any indication.

What does APX3330 target?

APX3330 targets APEX1, also known as apurinic/apyrimidinic endonuclease 1, and acts as an inhibitor of this enzyme. APEX1 is involved in DNA repair and redox regulation, and inhibiting it is the intended mechanism of action for APX3330 in diabetic retinopathy.

Who is developing APX3330?

APX3330 is being developed by Opus Genetics, Inc., which trades under the ticker IRD. The company is advancing the drug as an oral small molecule candidate for diabetic retinopathy and related retinal conditions.

What phase is APX3330 in?

APX3330 is in Phase 2 clinical development. It has completed one Phase 2 trial and is not FDA approved. It remains an investigational therapy for diabetic retinopathy.

What clinical trials is APX3330 in?

APX3330 has been studied in the Phase 2 trial NCT04692688, titled Study of the Safety and Efficacy of APX3330 in Diabetic Retinopathy. This completed, randomized, double-blind, placebo-controlled trial enrolled 103 participants in the United States.