A Phase 2 interventional study of AKB-9778 and Placebo in Nonproliferative Diabetic Retinopathy, sponsored by EyePoint Pharmaceuticals, Inc.. Completed at 53 sites in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-06-27.
Sponsored by EyePoint Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment
The purpose of this study is to evaluate the safety and efficacy of subcutaneously administered AKB-9778 15mg once daily or 15mg twice daily for 12 months in patients with moderate to severe non-proliferative diabetic retinopathy (NPDR).
815 studies on the registry are indexed under Retinal Diseases; 105 are open to participants now.
This study's enrollment of 167 is above the median of 60 across 500 interventional studies indexed under Retinal Diseases.
Browse Retinal Diseases studies →EyePoint Pharmaceuticals, Inc. is the lead sponsor of 19 studies on the registry; none are open to participants now.
Of its 11 completed or terminated interventional studies of FDA-regulated products, 8 (73%) have results posted.
Counted across the registry records on this site, refreshed daily.
Key Inclusion Criteria:
Key Exclusion Criteria:
AKB-9778 15 mg (QD); To maintain masking, subjects will receive BID dosing with masked study medication administered as one dose of active and one dose of matching placebo
Drug: AKB-9778 · Drug: Placebo
AKB-9778 15 mg (BID)
Drug: AKB-9778
Placebo Group: SC Phosphate-Buffered-Saline (PBS) (BID)
Drug: Placebo
Subcutaneous AKB-9778 15mg
Subcutaneous Placebo
Percentage of Subjects With an Improvement in Study Eye Severity of Diabetic Retinopathy (DR) (ETDRS DR Severity Score or DRSS) of ≥ 2 Steps
Change from baseline to Week 48 in Diabetic Retinopathy Severity Scale Score in Study Eye by visit in the modified intent-to-treat population. ETDRS DR severity levels 10-85; ETDRS Steps 1-12
Time frame: Baseline to Week 48
Summary of Subjects With a Worsening in the Study Eye DRSS of ≥ 2 Steps at Week 48
Worsening of Diabetic Retinopathy Severity Score (DRSS) severity of ≥ 2 steps in study eyes at Week 48 (compared to placebo group) Grading will follow Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) criteria. DRSS grades ranging from 10-85 will be converted to an ordinal score ranging from 1-11. ETDRS DRSS Level 10 = No retinopathy ETDRS DRSS Level 20 = Very mild NPDR ETDRS DRSS Level 35 = Mild NPDR ETDRS DRSS Level 43 = Moderate NPDR ETDRS DRSS Level 53 = Severe NPDR ETDRS DRSS Level 61 = Mild PDR ETDRS DRSS Level 65 = Moderate PDR ETDRS DRSS Level 71-75 = High-Risk PDR ETDRS DRSS Level 81-85 = Advanced PDR
Time frame: Baseline to Week 48
Mean Change From Baseline in DRSS in the Study Eye at Week 48
Mean change from baseline in Diabetic Retinopathy Severity Score (DRSS) in the study eye at week 48. Note: Observed values at Week 48 instead of change from baseline values at Week 48 were analyzed Grading will follow Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) criteria. DRSS grades ranging from 10-85 will be converted to an ordinal score ranging from 1-11. ETDRS DRSS Level 10 = No retinopathy ETDRS DRSS Level 20 = Very mild NPDR ETDRS DRSS Level 35 = Mild NPDR ETDRS DRSS Level 43 = Moderate NPDR ETDRS DRSS Level 53 = Severe NPDR ETDRS DRSS Level 61 = Mild PDR ETDRS DRSS Level 65 = Moderate PDR ETDRS DRSS Level 71-75 = High-Risk PDR ETDRS DRSS Level 81-85 = Advanced PDR
Time frame: Week 48
Summary of Subjects With an Improvement or Worsening in the Study Eye DRSS of ≥ 3 Steps at Week 48.
Summary of subjects with an improvement or worsening in the study eye Diabetic Retinopathy Severity Score (DRSS) of ≥ 3 steps at Week 48 (compared to placebo) Grading will follow Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) criteria. DRSS grades ranging from 10-85 will be converted to an ordinal score ranging from 1-11. ETDRS DRSS Level 10 = No retinopathy ETDRS DRSS Level 20 = Very mild NPDR ETDRS DRSS Level 35 = Mild NPDR ETDRS DRSS Level 43 = Moderate NPDR ETDRS DRSS Level 53 = Severe NPDR ETDRS DRSS Level 61 = Mild PDR ETDRS DRSS Level 65 = Moderate PDR ETDRS DRSS Level 71-75 = High-Risk PDR ETDRS DRSS Level 81-85 = Advanced PDR
Time frame: Baseline to Week 48
Subjects With Criterion Step Improvement in DRSS at Week 48/EOT (>=2 Steps Improvement in the Study Eye for Patients With Non-qualified Fellow Eye and >=3 Steps Improvement on the Person Scale for Patients With Qualified Fellow Eyes)
Subjects with Criterion Step Improvement in Diabetic Retinopathy Severity Score (DRSS) at Week 48/EOT (\>=2 Steps Improvement in the Study Eye for Patients with Non-qualified Fellow Eye and \>=3 Steps Improvement on the Person Scale for Patients with Qualified Fellow Eyes). Grading will follow Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) criteria. DRSS grades ranging from 10-85 will be converted to an ordinal score ranging from 1-11. ETDRS DRSS Level 10 = No retinopathy ETDRS DRSS Level 20 = Very mild NPDR ETDRS DRSS Level 35 = Mild NPDR ETDRS DRSS Level 43 = Moderate NPDR ETDRS DRSS Level 53 = Severe NPDR ETDRS DRSS Level 61 = Mild PDR ETDRS DRSS Level 65 = Moderate PDR ETDRS DRSS Level 71-75 = High-Risk PDR ETDRS DRSS Level 81-85 = Advanced PDR
Time frame: Treatment Period - 12 months (48 weeks)
Subjects With Criterion Step Improvement in DRSS at Week 48/EOT (>=2 Steps Improvement in the Study Eye for Patients With Non-qualified Fellow Eye and >=3 Steps Improvement on the Binocular Scale for Patients With Qualified Fellow Eyes)
Subjects With Criterion Step Improvement in Diabetic Retinopathy Severity Score (DRSS) at Week 48/EOT (\>=2 Steps Improvement in the Study Eye for Patients With Non-qualified Fellow Eye and \>=3 Steps Improvement on the Binocular Scale for Patients With Qualified Fellow Eyes). Grading will follow Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) criteria. DRSS grades ranging from 10-85 will be converted to an ordinal score ranging from 1-11. ETDRS DRSS Level 10 = No retinopathy ETDRS DRSS Level 20 = Very mild NPDR ETDRS DRSS Level 35 = Mild NPDR ETDRS DRSS Level 43 = Moderate NPDR ETDRS DRSS Level 53 = Severe NPDR ETDRS DRSS Level 61 = Mild PDR ETDRS DRSS Level 65 = Moderate PDR ETDRS DRSS Level 71-75 = High-Risk PDR ETDRS DRSS Level 81-85 = Advanced PDR
Time frame: Treatment Period - 12 months (48 weeks)
Summary of Patients Developing Center-involved DME or PDR or PDR-related Outcomes During Treatment Period Based on Clinical Data.
Summary of patients developing center-involved Diabetic Macular Edema (DME) or Proliferative Diabetic Retinopathy (PDR) or PDR-related outcomes during treatment period based on Clinical Data. Based on either clinical data or central image reading center evaluation.
Time frame: Treatment Period - 12 months (48 weeks)
Summary of Subjects Developing Center-involved DME or PDR or Worsening of >=2 Steps DRSS at Week 48 Based on Central Image Reading Center Evaluation
Summary of Subjects Developing Center-involved Diabetic Macular Edema (DME) or Proliferative Diabetic Retinopathy (PDR) or Worsening of \>=2 Steps Diabetic Retinopathy Severity Scale (DRSS) at Week 48 Based on Central Image Reading Center Evaluation - Study Eyes Grading will follow Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) criteria. DRSS grades ranging from 10-85 will be converted to an ordinal score ranging from 1-11. ETDRS DRSS Level 10 = No retinopathy ETDRS DRSS Level 20 = Very mild NPDR ETDRS DRSS Level 35 = Mild NPDR ETDRS DRSS Level 43 = Moderate NPDR ETDRS DRSS Level 53 = Severe NPDR ETDRS DRSS Level 61 = Mild PDR ETDRS DRSS Level 65 = Moderate PDR ETDRS DRSS Level 71-75 = High-Risk PDR ETDRS DRSS Level 81-85 = Advanced PDR
Time frame: Treatment Period - 12 months (48 weeks)
| Milestone | Razuprotafib 15mg Twice Daily | Razuprotafib 15mg Daily | Placebo Twice Daily |
|---|---|---|---|
| Started | 55 | 55 | 57 |
| Completed | 41 | 45 | 51 |
| Not completed | 14 | 10 | 6 |
| Withdrew: Adverse event | 9 | 4 | 6 |
| Withdrew: Withdrawal by subject | 2 | 3 | 0 |
| Withdrew: Lost to follow-up | 2 | 2 | 0 |
| Withdrew: Data not available | 1 | 1 | 0 |
Change from baseline to Week 48 in Diabetic Retinopathy Severity Scale Score in Study Eye by visit in the modified intent-to-treat population. ETDRS DR severity levels 10-85; ETDRS Steps 1-12
| eyes | Razuprotafib 15mg Twice Daily | Razuprotafib 15mg Daily | Placebo Twice Daily |
|---|---|---|---|
| Percentage of Subjects With an Improvement in Study Eye Severity of Diabetic Retinopathy (DR) (ETDRS DR Severity Score or DRSS) of ≥ 2 Steps | 0 | 5 | 2 |
Worsening of Diabetic Retinopathy Severity Score (DRSS) severity of ≥ 2 steps in study eyes at Week 48 (compared to placebo group) Grading will follow Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) criteria. DRSS grades ranging from 10-85 will be converted to an ordinal score ranging from 1-11. ETDRS DRSS Level 10 = No retinopathy ETDRS DRSS Level 20 = Very mild NPDR ETDRS DRSS Level 35 = Mild NPDR ETDRS DRSS Level 43 = Moderate NPDR ETDRS DRSS Level 53 = Severe NPDR ETDRS DRSS Level 61 = Mild PDR ETDRS DRSS Level 65 = Moderate PDR ETDRS DRSS Level 71-75 = High-Risk PDR ETDRS DRSS Level 81-85 = Advanced PDR
| study eyes | AKB-9778 15mg Daily | AKB-9778 15mg Twice Daily | Placebo Twice Daily |
|---|---|---|---|
| Summary of Subjects With a Worsening in the Study Eye DRSS of ≥ 2 Steps at Week 48 | 5 | 6 | 4 |
Mean change from baseline in Diabetic Retinopathy Severity Score (DRSS) in the study eye at week 48. Note: Observed values at Week 48 instead of change from baseline values at Week 48 were analyzed Grading will follow Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) criteria. DRSS grades ranging from 10-85 will be converted to an ordinal score ranging from 1-11. ETDRS DRSS Level 10 = No retinopathy ETDRS DRSS Level 20 = Very mild NPDR ETDRS DRSS Level 35 = Mild NPDR ETDRS DRSS Level 43 = Moderate NPDR ETDRS DRSS Level 53 = Severe NPDR ETDRS DRSS Level 61 = Mild PDR ETDRS DRSS Level 65 = Moderate PDR ETDRS DRSS Level 71-75 = High-Risk PDR ETDRS DRSS Level 81-85 = Advanced PDR
| score on a scale | AKB-9778 15mg Daily | AKB-9778 15mg Twice Daily | Placebo Twice Daily |
|---|---|---|---|
| Mean Change From Baseline in DRSS in the Study Eye at Week 48 | 5.0 ± 1.15 | 4.9 ± 1.55 | 4.8 ± 1.35 |
Summary of subjects with an improvement or worsening in the study eye Diabetic Retinopathy Severity Score (DRSS) of ≥ 3 steps at Week 48 (compared to placebo) Grading will follow Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) criteria. DRSS grades ranging from 10-85 will be converted to an ordinal score ranging from 1-11. ETDRS DRSS Level 10 = No retinopathy ETDRS DRSS Level 20 = Very mild NPDR ETDRS DRSS Level 35 = Mild NPDR ETDRS DRSS Level 43 = Moderate NPDR ETDRS DRSS Level 53 = Severe NPDR ETDRS DRSS Level 61 = Mild PDR ETDRS DRSS Level 65 = Moderate PDR ETDRS DRSS Level 71-75 = High-Risk PDR ETDRS DRSS Level 81-85 = Advanced PDR
| study eyes | AKB-9778 15mg Daily | AKB-9778 15mg Twice Daily | Placebo Twice Daily |
|---|---|---|---|
| Worsening ≥3 steps | 3 | 4 | 3 |
| Improvement ≥3 steps | 0 | 0 | 0 |
Subjects with Criterion Step Improvement in Diabetic Retinopathy Severity Score (DRSS) at Week 48/EOT (\>=2 Steps Improvement in the Study Eye for Patients with Non-qualified Fellow Eye and \>=3 Steps Improvement on the Person Scale for Patients with Qualified Fellow Eyes). Grading will follow Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) criteria. DRSS grades ranging from 10-85 will be converted to an ordinal score ranging from 1-11. ETDRS DRSS Level 10 = No retinopathy ETDRS DRSS Level 20 = Very mild NPDR ETDRS DRSS Level 35 = Mild NPDR ETDRS DRSS Level 43 = Moderate NPDR ETDRS DRSS Level 53 = Severe NPDR ETDRS DRSS Level 61 = Mild PDR ETDRS DRSS Level 65 = Moderate PDR ETDRS DRSS Level 71-75 = High-Risk PDR ETDRS DRSS Level 81-85 = Advanced PDR
| Participants | AKB-9778 15mg Daily | AKB-9778 15mg Twice Daily | Placebo Twice Daily |
|---|---|---|---|
| Subjects With Criterion Step Improvement in DRSS at Week 48/EOT (>=2 Steps Improvement in the Study Eye for Patients With Non-qualified Fellow Eye and >=3 Steps Improvement on the Person Scale for Patients With Qualified Fellow Eyes) | 0 | 5 | 1 |
Subjects With Criterion Step Improvement in Diabetic Retinopathy Severity Score (DRSS) at Week 48/EOT (\>=2 Steps Improvement in the Study Eye for Patients With Non-qualified Fellow Eye and \>=3 Steps Improvement on the Binocular Scale for Patients With Qualified Fellow Eyes). Grading will follow Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) criteria. DRSS grades ranging from 10-85 will be converted to an ordinal score ranging from 1-11. ETDRS DRSS Level 10 = No retinopathy ETDRS DRSS Level 20 = Very mild NPDR ETDRS DRSS Level 35 = Mild NPDR ETDRS DRSS Level 43 = Moderate NPDR ETDRS DRSS Level 53 = Severe NPDR ETDRS DRSS Level 61 = Mild PDR ETDRS DRSS Level 65 = Moderate PDR ETDRS DRSS Level 71-75 = High-Risk PDR ETDRS DRSS Level 81-85 = Advanced PDR
| Participants | AKB-9778 15mg Daily | AKB-9778 15mg Twice Daily | Placebo Twice Daily |
|---|---|---|---|
| Subjects With Criterion Step Improvement in DRSS at Week 48/EOT (>=2 Steps Improvement in the Study Eye for Patients With Non-qualified Fellow Eye and >=3 Steps Improvement on the Binocular Scale for Patients With Qualified Fellow Eyes) | 0 | 5 | 1 |
Summary of patients developing center-involved Diabetic Macular Edema (DME) or Proliferative Diabetic Retinopathy (PDR) or PDR-related outcomes during treatment period based on Clinical Data. Based on either clinical data or central image reading center evaluation.
| study eyes | AKB-9778 15mg Daily | AKB-9778 15mg Twice Daily | Placebo Twice Daily |
|---|---|---|---|
| Summary of Patients Developing Center-involved DME or PDR or PDR-related Outcomes During Treatment Period Based on Clinical Data. | 12 | 10 | 10 |
Summary of Subjects Developing Center-involved Diabetic Macular Edema (DME) or Proliferative Diabetic Retinopathy (PDR) or Worsening of \>=2 Steps Diabetic Retinopathy Severity Scale (DRSS) at Week 48 Based on Central Image Reading Center Evaluation - Study Eyes Grading will follow Early Treatment Diabetic Retinopathy Study (ETDRS) Diabetic Retinopathy Severity Scale (DRSS) criteria. DRSS grades ranging from 10-85 will be converted to an ordinal score ranging from 1-11. ETDRS DRSS Level 10 = No retinopathy ETDRS DRSS Level 20 = Very mild NPDR ETDRS DRSS Level 35 = Mild NPDR ETDRS DRSS Level 43 = Moderate NPDR ETDRS DRSS Level 53 = Severe NPDR ETDRS DRSS Level 61 = Mild PDR ETDRS DRSS Level 65 = Moderate PDR ETDRS DRSS Level 71-75 = High-Risk PDR ETDRS DRSS Level 81-85 = Advanced PDR
| Participants | AKB-9778 15mg Daily | AKB-9778 15mg Twice Daily | Placebo Twice Daily |
|---|---|---|---|
| Summary of Subjects Developing Center-involved DME or PDR or Worsening of >=2 Steps DRSS at Week 48 Based on Central Image Reading Center Evaluation | 10 | 8 | 7 |
Collected over Adverse events were collected from Screening through the last protocol specified visit [approximately 56 weeks (Screening period up to 4 weeks, Baseline and Treatment period for 48 weeks, and Follow-up period for 4 weeks)]. Non-serious events are listed at a 2% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Razuprotafib 15mg Twice Daily | 0/55 (0%) | 8/55 (14.5%) | 55/55 (100%) |
| Razuprotafib 15mg Daily | 0/55 (0%) | 6/55 (10.9%) | 55/55 (100%) |
| Placebo Twice Daily | 1/57 (1.8%) | 5/57 (8.8%) | 57/57 (100%) |
| Event | Razuprotafib 15mg Twice Daily | Razuprotafib 15mg Daily | Placebo Twice Daily |
|---|---|---|---|
| OsteomyelitisInfections and infestations | 2/55 | 0/55 | 0/57 |
| Myocardial infarctionCardiac disorders | 0/55 | 0/55 | 2/57 |
| Diabetic gangreneInfections and infestations | 0/55 | 1/55 | 0/57 |
| InfluenzaInfections and infestations | 0/55 | 1/55 | 0/57 |
| Perineal abscessInfections and infestations | 0/55 | 1/55 | 0/57 |
| PneumoniaInfections and infestations | 1/55 | 0/55 | 0/57 |
| Atrioventricular block completeCardiac disorders | 1/55 | 0/55 | 0/57 |
| Cardiac failure congestiveCardiac disorders | 1/55 | 0/55 | 0/57 |
| Coronary artery diseaseCardiac disorders | 1/55 | 0/55 | 0/57 |
| Left ventricular failureCardiac disorders | 1/55 | 0/55 | 0/57 |
| Event | Razuprotafib 15mg Twice Daily | Razuprotafib 15mg Daily | Placebo Twice Daily |
|---|---|---|---|
| Diabetic retinal oedemaEye disorders | 7/55 | 8/55 | 7/57 |
| NasopharyngitisInfections and infestations | 5/55 | 4/55 | 8/57 |
| Urinary tract infectionInfections and infestations | 7/55 | 4/55 | 2/57 |
| Retinal neovascularisationEye disorders | 2/55 | 4/55 | 7/57 |
| InfluenzaInfections and infestations | 3/55 | 5/55 | 4/57 |
| Upper respiratory tract infectionInfections and infestations | 1/55 | 1/55 | 5/57 |
| BronchitisInfections and infestations | 4/55 | 2/55 | 0/57 |
| Vitreous floatersEye disorders | 2/55 | 2/55 | 4/57 |
| Dry eyeEye disorders | 1/55 | 2/55 | 4/57 |
| SinusitisInfections and infestations | 2/55 | 3/55 | 3/57 |
| Age, Continuous(years) | Razuprotafib 15mg Twice Daily | Razuprotafib 15mg Daily | Placebo Twice Daily | Total |
|---|---|---|---|---|
| Mean | 56.7 ± 11.17 | 58.5 ± 10.69 | 55.9 ± 9.88 | 57.0 ± 10.58 |
| Sex: Female, Male(Participants) | Razuprotafib 15mg Twice Daily | Razuprotafib 15mg Daily | Placebo Twice Daily | Total |
|---|---|---|---|---|
| Female | 23 | 23 | 25 | 71 |
| Male | 32 | 32 | 32 | 96 |
| Ethnicity (NIH/OMB)(Participants) | Razuprotafib 15mg Twice Daily | Razuprotafib 15mg Daily | Placebo Twice Daily | Total |
|---|---|---|---|---|
| Hispanic or Latino | 25 | 20 | 25 | 70 |
| Not Hispanic or Latino | 30 | 35 | 32 | 97 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Race/Ethnicity, Customized(Participants) | Razuprotafib 15mg Twice Daily | Razuprotafib 15mg Daily | Placebo Twice Daily | Total |
|---|---|---|---|---|
| American Indian/Native Alaskan | 1 | 0 | 2 | 3 |
| Asian | 2 | 3 | 1 | 6 |
| Black/African American | 4 | 7 | 3 | 14 |
| Native Hawaiian/Pacific Islander | 0 | 0 | 1 | 1 |
| White | 47 | 45 | 49 | 141 |
| Other | 1 | 0 | 1 | 2 |
| Body Mass Index, kg/m²(kg/m²) | Razuprotafib 15mg Twice Daily | Razuprotafib 15mg Daily | Placebo Twice Daily | Total |
|---|---|---|---|---|
| Mean | 31.91 ± 4.776 | 29.63 ± 5.138 | 30.58 ± 4.752 | 30.71 ± 4.949 |
| Hemoglobin A1c, %(% of Glycated hemoglobin) | Razuprotafib 15mg Twice Daily | Razuprotafib 15mg Daily | Placebo Twice Daily | Total |
|---|---|---|---|---|
| Mean | 8.58 ± 1.380 | 8.31 ± 1.885 | 8.18 ± 1.457 | 8.35 ± 1.587 |
| Type of Diabetes, n (%)(Participants) | Razuprotafib 15mg Twice Daily | Razuprotafib 15mg Daily | Placebo Twice Daily | Total |
|---|---|---|---|---|
| Type 1 | 6 | 6 | 4 | 16 |
| Type 2 | 49 | 49 | 53 | 151 |
| Duration of Diabetes, years(years) | Razuprotafib 15mg Twice Daily | Razuprotafib 15mg Daily | Placebo Twice Daily | Total |
|---|---|---|---|---|
| Mean | 17.83 ± 12.232 | 17.78 ± 11.001 | 14.54 ± 8.625 | 16.69 ± 10.749 |
9 further baseline measures are reported on the registry.
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EyePoint Pharmaceuticals, Inc.