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Vision Loss NightPhase 3LYNX-3NCT07140783

OPI-NXYDLD-303 Safety and Efficacy of Phentolamine Ophthalmic Solution in Keratorefractive Surgery Participants With Decreased Mesopic Visual Acuity

A Phase 3 study testing 0.75% Phentolamine Ophthalmic Solution in people with Vision Loss Night and Vision Disorders, run by Opus Genetics, Inc at 20 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn if Phentolamine Ophthalmic Solution works to treat adults that have had keratorefractive surgery and have decreased visual acuity under mesopic conditions. It will also learn about the safety of Phentolamine Ophthalmic Solution. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Vision Loss Night, Vision Disorders
What is being tested?
0.75% Phentolamine Ophthalmic Solution
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
580 participants
Where
20 sitesUnited States
Study dates
2 Sep 2025to Aug 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males or females ≥ 18 years of age
  • Able to independently comply with all protocol-mandated procedures and to attend all scheduled office visits
  • Able and willing to give written consent to participate in this study
  • Able to self-administer study medication
  • Inclusion criteria #5, #6, #7, and #8 must all be met in the same eye:
  • History of keratorefractive surgery (eg, PRK, LASIK, SMILE, and RK/astigmatic keratotomy [AK]/limbal-relaxing incisions [LRI]) prior to 2010 in at least 1 eye and have participant reported night vision disturbances (eg, glare, halos, and/or starbursts). Symptoms must have been first noted within 2 months following keratorefractive surgery.
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  • This test may be repeated once, following an additional 5 min of dark adaptation to the mesopic light conditions if the initial results do not meet this criterion
  • mLCVA ≤ 30 Early Treatment Diabetic Retinopathy Study (ETDRS) letters (20/63 Snellen or worse) in at least 1 eye using the Precision Vision Illuminator Cabinet with 5% translucent contrast chart and a mesopic filter at 4 m
  • ≥ 10 ETDRS letters improvement in mLCVA in at least 1 eye during illumination of the contralateral eye with a Brightness Acuity Tester (BAT) system on the low setting using the Precision Vision Illuminator Cabinet with 5% translucent contrast chart and a mesopic filter at 4 m

Who cannot join

  • Ophthalmic (in either eye unless otherwise noted):
  • Prior unresolved dry eye diagnosis, taking prescription medication for dry eye (eg, drops, nasal sprays [Tyrvaya®], etc.), or taking artificial tear drops routinely for dry eye
  • Prior history of fluctuating vision
  • Clinically significant ocular disease as deemed by the Investigator (eg, untreated visually significant cataract, glaucoma, corneal edema, uveitis, severe keratoconjunctivitis sicca, retina degeneration, loss of visual field due to glaucoma or stroke, branch retinal vein occlusion, retina flare) that might interfere with the study
  • History or presence of corneal endothelial dystrophy (eg, Fuchs' dystrophy or presence of guttae)
  • Known hypersensitivity to any topical alpha-adrenoceptor antagonists
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  • Known allergy or contraindication to any component of the vehicle formulation
  • History of cauterization of the punctum or punctal plug (silicone or collagen) insertion or removal in the study eye
  • Pseudophakic participants with extended depth-of-focus or multifocal intraocular lenses (IOLs)
  • Ocular trauma, ocular surgery (eg, IOLs), or laser procedure (eg, LASIK, PRK, SMILE, and RK/AK/LRI) within 6 months prior to Screening
  • Use of any topical prescription or over-the-counter (OTC) ophthalmic medications of any kind (including artificial tear drops) within 7 days prior to Screening until study completion, with the exception of lid scrubs with OTC products (eg, OCuSOFT® lid scrub, SteriLid®, baby shampoo, etc.)
  • Recent or current evidence of ocular infection or inflammation (such as current evidence of clinically significant blepharitis, conjunctivitis, or a history of herpes simplex keratitis or herpes zoster keratitis at Screening). Participants must be symptom free for at least 7 days prior to Screening
  • History of diabetic retinopathy, diabetic macular edema, or dry or wet macular degeneration in the study eye
  • History of any traumatic (surgical or nonsurgical) or nontraumatic condition affecting the pupil or iris (eg, irregularly shaped pupil, neurogenic pupil disorder, iris atrophy, iridotomy, iridectomy, etc.)
  • Unwilling or unable to discontinue use of contact lenses at least 1 hour prior to Screening for soft contact lenses or at least 8 hours prior to Screening for hard gas-permeable contact lenses, and at least 8 hours (for both types of lenses) prior to all other office visits
  • Previously undiagnosed dry eye, at the determination of the Investigator. Dry eye diagnosis should be based on one of the following dry eye test results: tear break-up time < 5 seconds, or corneal fluorescein staining ≥ Grade 2 in the inferior zone or ≥ Grade 1 in the central zone using the National Eye Institute scale
  • Systemic:
  • Known hypersensitivity or contraindication to alpha- and/or beta-adrenoceptor antagonists
  • Clinically significant systemic disease (eg, severe diabetes, myasthenia gravis, cancer, hepatic, renal, endocrine, or cardiovascular disorders) that might interfere with the study
  • Initiation of treatment with or any changes to the current dosage, drug, or regimen of any systemic adrenergic or cholinergic drugs within 7 days prior to Screening or during the study
  • Participation in any investigational study within 30 days prior to Screening or during the study
  • Participation in any other investigational study using POS
  • Females of childbearing potential who are pregnant, nursing, planning a pregnancy during the study, or not using a medically acceptable form of birth control. Acceptable methods include the use of at least one of the following: intrauterine device, hormonal contraception (oral, injection, patch, implant, ring), barrier with spermicide (condom, diaphragm), or abstinence. A female is considered to be of childbearing potential unless she is 1 year postmenopausal or 3 months post-surgical sterilization. All females of childbearing potential, including those < 3 months post-tubal ligation, must have a negative urine pregnancy test result at Screening to enroll in the study
  • Resting HR outside 50 to 110 beats per min at Screening. HR may be repeated only once if outside the specified range, following at least a 5-min rest period in the sitting position
  • Hypertension with resting diastolic BP > 105 mmHg or systolic BP > 160 mmHg at Screening. BP may be repeated only once if outside the specified range, following at least a 5-min rest period in the sitting position

Trial locations and contacts

20 sites in 1 country. Contact the study team or a site near you to ask about taking part.

20 sites in 1 country

United States20 sites, 20 recruiting
  • Arizona Eye Care

    Chandler, Arizona, 85224

    Erin Fox, 480-999-5458, erin.fox@doctrials.com

    Michael Depenbusch, MD

    Recruiting
  • Scott & Christie EyeCare Associates

    Cranberry Township, Pennsylvania, 16066

    Recruiting
  • Segal Drug Trials

    Delray Beach, Florida, 33484

    Charmi Gohil, 561-498-3664, charmi.research@gmail.com

    Bruce Segal, MD

    Recruiting
  • Hoopes Vision

    Draper, Utah, 84020

    Shea Peterson, 801-988-7347, speterson@hoopesvision.com

    Majid Moshirfar, md

    Recruiting
  • Oculus Research

    Garner, North Carolina, 27529

    Angel Garcia, 919-346-6945 ext. 104, angel.garcia@oculusresearch.com

    Aune Carol, OD

    Recruiting
  • Global Research Management

    Glendale, California, 91204

    Logi El-Harazi, 818-246-2560, logi@grmclinical.com

    Sherif El-Harazi, MD

    Recruiting
  • Zillan Clinical Research

    Houston, Texas, 77082

    Ike Abana, 310-404-3370, ik@zillanclinicalresearch.com

    Emilike Agomo

    Recruiting
  • Gordon Schanzlin New Vision

    La Jolla, California, 92037

    Rylee Owen, rowen@gwsvision.com

    Gordon Shanzlin, MD

    Recruiting
  • Eye Research Foundation

    Newport Beach, California, 92663

    Linda Wirta, 949-650-1863, linda.wirta@drwirta.com

    David Wirta, MD

    Recruiting
  • Wyse Eyecare

    Northbrook, Illinois, 60062

    Maggie Sawa, 847- 497-2021, maggie@wyseyecare.com

    Tamara Wyse, MD

    Recruiting
  • California Eye Specialists Medical Group

    Pasadena, California, 91107

    Kaci Taylor, 656-792-1074, ktayor@azulvision.com

    Jay Patel, MD

    Recruiting
  • Eye Doctors of Arizona

    Phoenix, Arizona, 85028

    Charlsie Welch, 602-405-3424, charlsieresearch@eyedraz.com

    Matthew Heller, DO

    Recruiting
  • Kannarr Eye Care

    Pittsburg, Kansas, 66762

    Megan Compton, 620-235-1737, mcompton@kannarreyecare.com

    Shane Kannarr, OD

    Recruiting
  • Virdi Eye Clinic

    Rock Island, Illinois, 61201

    Mackensie Hook, 309-751-4847, mackensie@virdieyemd.com

    Navaneet Borisuth, MD

    Recruiting
  • NVISION Clinical Research

    San Diego, California, 92117

    Christopher Bugawan, 949-866-4036, christopher.bugawan@nvisioncenters.com

    Ellie Samadani

    Recruiting
  • Scripps Poway Eyecare and Optometry

    San Diego, California, 92130

    Leslie Shan, 858-530-2800, lshanod@gmail.com

    Keith Wan, MD

    Recruiting
  • MRB Eye Care Consultants

    Scottsdale, Arizona, 85254

    Jill Froberg, 480-483-3937, jillfrobergsc@gmail.com

    Marc Bloomenstein, OD

    Recruiting
  • Wolsten and Goldberg Eye Assoc.

    Torrance, California, 90505

    Cynthia Hernandez-Montes, 310-602-5640, cynthia@wgeye.com

    Damien Goldberg, MD

    Recruiting
  • West Bay Eye Assoc.

    Warwick, Rhode Island, 02888

    George Patsiopoulos, 401-732-2350, drpatsiopoulos@westbayeye.com

    Stephen Montaquila, OD

    Recruiting
  • Northeast Eye Research Associates

    Woburn, Massachusetts, 01801

    Deep Soni, 781-778-8559, deep@neeraeye.com

    Ioanis Panagiotopoulos, OD

    Recruiting

Other trials in United States

About this study

Official title: RANDOMIZED, PLACEBO-CONTROLLED, DOUBLE-MASKED STUDY OF THE SAFETY AND EFFICACY OF POS (0.75% PHENTOLAMINE OPHTHALMIC SOLUTION) IN PARTICIPANTS WITH PREVIOUS KERATOREFRACTIVE SURGERY WITH DECREASED VISUAL ACUITY UNDER MESOPIC CONDITIONS

The goal of this clinical trial is to learn if Phentolamine Ophthalmic Solution works to treat adults that have had keratorefractive surgery and have decreased visual acuity under mesopic conditions. It will also learn about the safety of Phentolamine Ophthalmic Solution. The main questions it aims to answer are:

Researchers will compare Phentolamine Ophthalmic Solution to a placebo (a look-alike substance that contains no drug) to see if Phentolamine Ophthalmic Solution works to improve vision in low light conditions.

Read more

Participants will:

Take Phentolamine Ophthalmic Solution or a placebo drop every day for 2 weeks Visit the clinic once every week for 2 weeks for checkups and tests Keep a diary of when they instill the study medication each evening

Read the detailed description

OPI-NXYDLD-303 RANDOMIZED, PLACEBO-CONTROLLED, DOUBLE-MASKED STUDY OF THE SAFETY AND EFFICACY OF POS (0.75% PHENTOLAMINE OPHTHALMIC SOLUTION) IN PARTICIPANTS WHO HAVE PREVIOUSLY HAD KERATOREFRACTIVE SURGERY AND HAVE DECREASED VISUAL ACUITY UNDER MESOPIC CONDITIONS

Being tested
0.75% Phentolamine Ophthalmic Solution, Placebo
Keywords
keratorefractive surgery, decreased visual acuity, vision disorder, mesopic lighting, night vision
Medical subject headings
Vitamin A Deficiency, Vision Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 0.75% Phentolamine Ophthalmic SolutionDrug

    Also called phentolamine ophthalmic solution 0.75%, a non-selective alpha-1 and alpha-2 adrenergic antagonist

    Once daily dosing

  • PlaceboDrug

    Also called POS vehicle placebo

    Once daily dosing

Study groups in NCT07140783
Study groupRoleWhat they receive
0.75% Phentolamine Ophthalmic SolutionExperimental0.75% Phentolamine Ophthalmic Solution
Receives: Drug: 0.75% Phentolamine Ophthalmic Solution
Placebo - Phentolamine Ophthalmic Solution vehiclePlacebo comparatorPlacebo-phentolamine ophthalmic solution vehicle
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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

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

    Measured: Day 15

Secondary outcomes (14)
  1. Percentage of participants with ≥ 15 ETDRS letters (≥ 3 lines) improvement in the study eye in mLCVA compared to Baseline (Day 1 pre-dose) at Day 8

    Measured: 8 Days

  2. Mean change from Baseline in Vision and Night Driving Questionnaire (VND-Q) composite score (interval scale) at Day 15

    Measured: 15 Days

  3. Mean change from Baseline in VND-Q Item #4 (difficulty seeing the road because of oncoming headlights when driving at night) at Day 15

    Measured: 15 Days

  4. Mean change from Baseline in VND-Q Item #5 (difficulty seeing because of glare when driving at dawn or dusk) at Day 15

    Measured: 15 Days

  5. Mean change from Baseline in severity of halos at Day 15 on the Night-time Visual Disturbance Participant Questionnaire (NVDPQ)

    Measured: 15 Days

  6. Mean change from Baseline in severity of starbursts at Day 15 on the NVDPQ

    Measured: 15 Days

  7. Mean change from Baseline in overall severity of night-time visual disturbances at Day 15 on the NVDPQ

    Measured: 15 Days

  8. Mean change from Baseline in severity of glare at Day 15 on the NVDPQ

    Measured: 15 Days

  9. Mean and change from Baseline in study eye mLCVA at Day 15

    Measured: 15 Days

  10. Mean and change from Baseline in study eye mesopic PD at Day 15

    Measured: 15 Days

  11. Mean and change from Baseline (pre-dose) in study eye mLCVA at 0.5, 1, and 3 hours post dose on Day 1

    Measured: 1 Day

  12. Mean and change from Baseline (pre-dose) in study eye mesopic PD at 0.5, 1, and 3 hours post-dose on Day 1

    Measured: 1 Day

  13. Percentage of participants with ≥ 15 ETDRS letters improvement in study eye best corrected mHCVA compared to Baseline at Day 15

    Measured: 15 Days

  14. Mean and change from Baseline in study eye best corrected mHCVA at Day 15

    Measured: 15 Days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Aug 2025
  2. Study start2 Sep 2025
  3. Primary completionAug 2027 (estimated)
  4. Study completionAug 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
580 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07140783
Sponsor's protocol ID
OPI-NYXDLD-303 (LYNX-3)
Acronym
LYNX-3
Status last verified
Oct 2026
First submitted
22 Aug 2025
Last updated
14 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing 0.75% Phentolamine Ophthalmic Solution in people with Vision Loss Night and Vision Disorders, run by Opus Genetics, Inc at 20 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 25 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 14 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Study Director (984-884-6030, ct.gov_inquiries@opusgtx.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

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 (time frame: Day 15). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2026.

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