Could a daily pill help save sight in diabetic retinopathy?
NCT ID NCT04692688
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested an oral medication called APX3330 in 103 adults with moderate to severe diabetic retinopathy, a leading cause of vision loss. The pill aims to reduce inflammation and low-oxygen stress in the eye. Researchers measured whether the drug could improve the severity of the disease over 24 weeks compared to a placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- APX3330 (an oral tablet that targets inflammation and low-oxygen signals in the eye)
- What this could lead to
- If it works, this could provide a convenient pill-based option to slow or improve diabetic retinopathy, reducing the need for eye injections or laser treatment.
- What could go wrong
- This is a small Phase 2 trial with only 103 participants, so results may not be conclusive. The drug may not show enough benefit or could have side effects not yet seen.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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103 people
The number who actually took part.
- Started
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Apr 2021
- Finished
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Jan 2023
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
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 mass index (BMI) between 18 and 40 kg/m2, inclusive Exclusion Criteria: Ophthalmic: 1. Any prior treatment in the study eye with: 1. Focal or grid laser photocoagulation within the past year or PRP at any time 2. Systemic or intravitreal anti-VEGF agents within the last 6 months 3. Intraocular steroids including triamcinolone and dexamethasone implant within the last 6 months 4. Fluocinolone implant within the last 3 years 2. Active uveitis, vitritis, or infection in either eye including infectious conjunctivitis, keratitis, scleritis, or endophthalmitis. 3. Ocular incisional surgery including cataract surgery in the study eye within 3 months. 4. Clinically significant ocular disease in either eye. 5. Presence of macular or retinal vascular disease including diabetic macular edema, retinopathy from causes other than diabetes, age-related macular degeneration, pattern dystrophy, choroidal neovascularization of any cause, retinal vein occlusion, retinal artery occlusion in the study eye. 6. History of retinal detachment, full-thickness macular hole in the study eye, or idiopathic or autoimmune uveitis in either eye. Systemic: 1. Known hypersensitivity or contraindication to study drug. 2. Any disease or medical condition that in the opinion of the Investigator would interfere with the study, prevent the subject from successfully participating in the study, or which might confound the study results. 3. Participation in any investigational study within 30 days prior to screening or planning to participate in any other investigational drug or device clinical trials within 30 days of study completion. 4. Resting HR outside the specified range (50-110 beats per minute). 5. Known to be immunocompromised or receiving immunosuppressive therapy. 6. Hypertension with resting diastolic blood pressure (BP) \> 105 mmHg or systolic BP \> 200 mmHg. 7. History of chronic liver disease or presence of elevated alanine aminotransferase (ALT) and aspartate aminotransferase (AST) consistent with such diagnosis. 8. Women of childbearing potential who are pregnant, nursing, planning a pregnancy, or not using a medically acceptable form of birth control.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Clinical Site 1
Rapid City, South Dakota, 57701, United States
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Clinical Site 10
Fort Worth, Texas, 76104, United States
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Clinical Site 11
Palm Desert, California, 92260, United States
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Clinical Site 12
Albuquerque, New Mexico, 87113, United States
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Clinical Site 13
Southlake, Texas, 76092, United States
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Clinical Site 14
Hagerstown, Maryland, 21740, United States
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Clinical Site 15
Shirley, New York, 11967, United States
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Clinical Site 16
Bellaire, Texas, 77030, United States
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Clinical Site 17
Grand Blanc, Michigan, 48439, United States
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Clinical Site 18
Austin, Texas, 78705, United States
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Clinical Site 19
Miami, Florida, 33143, United States
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Clinical Site 2
Sacramento, California, 95825, United States
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Clinical Site 20
Charlotte, North Carolina, 28210, United States
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Clinical Site 21
Ogden, Utah, 84010, United States
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Clinical Site 22
Springfield, Massachusetts, 01107, United States
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Clinical Site 23
San Antonio, Texas, 78624, United States
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Clinical Site 24
Walnut Creek, California, 94598, United States
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Clinical Site 3
San Antonio, Texas, 78240, United States
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Clinical Site 4
McAllen, Texas, 78550, United States
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Clinical Site 5
Beverly Hills, California, 91607, United States
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Clinical Site 6
Carmel, Indiana, 46290, United States
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Clinical Site 7
Winter Haven, Florida, 33880, United States
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Clinical Site 8
Bakersfield, California, 93309, United States
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Clinical Site 9
Phoenix, Arizona, 85014, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- The 20-Minute squeeze: how eye injections push pressure up
- Eye scans as a window to the body: study probes retinal imaging across diseases
- Could years of eye injections weigh down the upper eyelid?
- Eye implant takes aim at diabetic macular edema
- Can a single gene therapy injection ease diabetic macular edema?