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Phentolamine Ophthalmic Solution

Phase 3

Presbyopia | Small molecule | Ophthalmology |Opus Genetics, Inc.|Last Updated: Mar 12, 2026

Target and mechanism

ModalitySmall molecule

Also known as Phentolamine Mesylate Ophthalmic Solution 1%, Phentolamine 1%, Phentolamine Mesylate Ophthalmic Solution 1.0%, Phentolamine 1.0%, 0.75% phentolamine ophthalmic solution, 0.75% phentolamine, 0.75% Phentolamine Ophthalmic Solution, 0.75% Phentolamine

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment569

FDA Designations

FAST_TRACK

Clinical trial landscape

Phentolamine Ophthalmic Solution · 6 trials · 10 indications

Phase 3 2Phase 2 4
NCT06542497Evaluate Efficacy and Safety of POS to Improve Distance-corrected Near Visual in Participants With PresbyopiaPresbyopia
COMPLETED569 Analytics
NCT07140783OPI-NXYDLD-303 Safety and Efficacy of Phentolamine Ophthalmic Solution in Keratorefractive Surgery Participants With Decreased Mesopic Visual AcuityVision Loss Night
RECRUITING200 Analytics
PHASE3COMPLETED
Evaluate Efficacy and Safety of POS to Improve Distance-corrected Near Visual in Participants With Presbyopia
PresbyopiaUnlock trial analytics
PHASE3RECRUITING
OPI-NXYDLD-303 Safety and Efficacy of Phentolamine Ophthalmic Solution in Keratorefractive Surgery Participants With Decreased Mesopic Visual Acuity
Vision Loss NightUnlock trial analytics

Study Endpoints

Primary Endpoints

Primary efficacy endpoint
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)

Percent of participants with >= 15 ETDRS letters (>= 3 lines) improvement in the study eye in mLCVA compared to Baseline (Day1 pre-dose) at Day 15
Day 15

To evaluate the efficacy of POS to improve mLCVA in subjects with previous keratorefractive surgery

Pupil Diameter (Change From Max)
2 hours

Change in pharmacologically-induced mydriatic (maximum) pupil diameter at 2 hours post-treatment in the study eye.

Intraocular Pressure
15 days

change from Baseline in mean diurnal IOP in the study eye

Proportion of Eyes With ≥ 0.3 Log Increase in Mesopic Contrast Sensitivities for at Least 2 HACSS Frequencies
Days 1, 4, 8, 15, and 32

Proportion of eyes with an increase ≥ 0.3 log (2 or more patches) in mesopic contrast sensitivity with glare at one or more frequencies at 1.5, 3, 6, 12, and 18 cycles per degree, measured with the HACSS methodology (categorical analysis)

Contrast Sensitivity
1 day

Average change in monocular contrast sensitivity scores under mesopic conditions at each of five spatial frequencies with and without glare. The tests were performed in a darkened room using the Optec 6500 instrument (Stereo Optical) using Slides 5-9 (spatial frequencies 1.5 - 18 cycles per degree), with the distance setting at "far", and with the light setting at "night". Subjects were asked to read each slide from left to right indicating if the lines were tilted to the left, the right or straight up and down until they provided 2 consecutive incorrect responses. The total number of correct responses for each slide was recorded.

Secondary Endpoints

Pupil Diameter (Change From Max)
30 min, 1 hours, 4 hours, 6 hours
Pupil Diameter Return to Baseline
0 min, 1 hour, 2 hours, 4 hours, 6 hours
Accommodation Measured by the Near Point Rule (Diopters) (Change From Baseline), Percent With Unchanged Accommodation
0 min, 2 hours, 4 hours
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
0.75% phentolamine ophthalmic solutionACTIVE_COMPARATORDrug: phentolamine ophthalmic solution 0.75%, a non-selective alpha-1 and alpha-2 adrenergic antagonist
phentolamine ophthalmic solution vehiclePLACEBO_COMPARATORDrug: Placebo
Placebo - Phentolamine Ophthalmic Solution vehiclePLACEBO_COMPARATORPlacebo-phentolamine ophthalmic solution vehicle
Phentolamine Mesylate Ophthalmic Solution 1%EXPERIMENTAL1 drop in each eye, 1 hour post medically-induced mydriasis
Phentolamine Mesylate Ophthalmic Solution VehiclePLACEBO_COMPARATOR1 drop in each eye, 1 hour post medically-induced mydriasis
Nyxol Ophthalmic Solution 1%EXPERIMENTAL1 drop in each eye daily (QD) at or before bedtime (8pm to 10pm) for 14 days
Nyxol Ophthalmic Solution VehiclePLACEBO_COMPARATOR1 drop in each eye daily (QD) at or before bedtime (8pm to 10pm) for 14 days
PlaceboPLACEBO_COMPARATORAdministered once daily in both eyes for 15 days
Phentolamine Mesylate Ophthalmic Solution 0.5%EXPERIMENTALAdministered once daily in both eyes for 15 days
Phentolamine Mesylate Ophthalmic Solution 1.0%EXPERIMENTALAdministered once daily in both eyes for 15 days

Interventions

NameTypeDescription
0.75% phentolamine ophthalmic solutionDRUGOnce daily dosing
PlaceboDRUGOnce daily dosing
Phentolamine Mesylate Ophthalmic Solution 1%DRUG1% phentolamine mesylate ophthalmic solution (Nyxol), a non-selective alpha-1 and alpha-2 adrenergic antagonist
Phentolamine Mesylate Ophthalmic Solution Vehicle (Placebo)OTHERTopical Sterile Ophthalmic Solution
Phentolamine Mesylate Ophthalmic Solution 1.0%DRUGPhentolamine mesylate (Nyxol) ophthalmic solution 1.0% is a non-selective alpha-1 and alpha-2 adrenergic antagonist
Phentolamine Mesylate Ophthalmic Solution 0.5%DRUGPhentolamine mesylate (Nyxol) ophthalmic solution 0.5% is a non-selective alpha-1 and alpha-2 adrenergic antagonist
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Eligibility Criteria

Age Range45 Years to 64 Years
SexALL
Healthy VolunteersYes
Study Sites39

Inclusion Criteria: Participants must meet all of the following criteria: 1. Males or females ≥ 45 and ≤ 64 years of age 2. Able to comply with all protocol-mandated procedures independently and to attend all scheduled office visits 3. Able and willing to give signed informed consent 4. Able to se...

Countries:United States
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Frequently asked questions about Phentolamine Ophthalmic Solution

What is Phentolamine 1% used for?

Phentolamine 1% is an investigational small molecule being developed for open angle glaucoma, mydriasis, decrease in night vision, and night vision complaints. It is formulated as an ophthalmic solution and is currently in Phase 2 clinical development.

Who makes Phentolamine 1%?

Phentolamine 1% is being developed by Opus Genetics, Inc., a company traded under the ticker IRD. The drug is in Phase 2 clinical trials for multiple ophthalmic indications.

What phase is Phentolamine 1% in?

Phentolamine 1% is in Phase 2 clinical development. It has received Fast Track designation from the FDA. The drug is investigational and has not been approved for any use.

What clinical trials is Phentolamine 1% in?

Phentolamine 1% has completed several Phase 2 trials, including NCT01703559 for night vision disturbances, NCT03960866 for open angle glaucoma, NCT04004507 for severe night vision disturbances, and NCT04024891 for reversing pharmacologically induced mydriasis. All trials were conducted in the United States.

Is Phentolamine 1% the same as phentolamine mesylate?

Yes, Phentolamine 1% refers to phentolamine mesylate ophthalmic solution. Clinical trials listed under NCT01703559, NCT03960866, NCT04004507, and NCT04024891 evaluate phentolamine mesylate eye drops for various eye conditions.