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Oculis Reports New Phase 2 ACUITY Biomarker Data Further Supporting Privosegtor’s Neuroprotective Potential in Optic Neuritis

The biomarker findings complement previously reported visual-function improvements and retinal preservation in the Phase 2 trial.

(Moderate)

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Rhea-AI Sentiment reads the wording of the document, how positive or negative its language is on a 1 to 5 scale. The balance of points shown with the takes weighs what the document actually discloses, so the two can disagree, for example when a trial that missed its main goal is described in upbeat language.

Oculis (OCS) reported new Phase 2 ACUITY biomarker data showing smaller increases in blood markers of nerve injury with Privosegtor versus placebo. At Day 5, increases in neurofilament light chain (NfL), a nerve-injury marker, and glial fibrillary acidic protein (GFAP), an inflammation-related marker, were lower with Privosegtor. NfL remained stable through Month 6 with Privosegtor; placebo levels remained above baseline at Month 1 before returning to baseline by Month 6. GFAP stayed below baseline with Privosegtor from Month 1 through Month 6, versus above baseline with placebo.

The findings complement previously reported 18-letter gains in low-contrast visual acuity at Month 3 versus steroid alone and preserved retinal structure. Oculis views the results as supporting further neuroprotective development through its PIONEER registrational program and plans a submission to begin clinical development for acute multiple sclerosis relapses.

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Hollow bars mark forward-looking points. How the balance works

Positive

  • Moderate pointLow-contrast visual acuity previously showed 18-letter gains at Month 3 versus steroid alone.
  • Moderate pointPIONEER development includes two registrational optic neuritis trials and one registrational non-arteritic anterior ischemic optic neuropathy trial.
  • Minor pointNfL increases at Day 5 were lower with Privosegtor versus placebo; Privosegtor levels remained stable through Month 6.
  • Minor pointGFAP levels stayed below baseline from Month 1 through Month 6 with Privosegtor, versus above baseline with placebo.
  • Minor pointRetinal structure preservation previously observed in ACUITY complements the new biomarker findings.
  • Minor point. Forward-looking: it has not happened yet and may not happen.Acute multiple sclerosis relapses: Oculis plans an investigational new drug submission following FDA pre-submission feedback.

Negative

  • None.

Key Figures

Low-contrast visual acuity gain: 18 letters
Low-contrast visual acuity gain
18 letters
Previously reported ACUITY result at Month 3 vs steroid alone

Previous Clinical trial Reports

2 past events · Latest: Sep 22
Same Type 2 events
  1. Sep 22

    Phase 2 clinical data

    24h Move
    +6.7%

    Reported 18-letter visual gains at three months and retinal structural preservation in ACUITY.

  2. Jan 06

    Phase 2 trial results

    24h Move
    +0.5%

    ACUITY met its primary safety endpoint and key secondary efficacy endpoints, with visual and retinal benefits.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Key Terms

neurofilament light chain, glial fibrillary acidic protein, low-contrast visual acuity, ls mean
4 terms
neurofilament light chain medical
"plasma neurofilament light chain (NfL)"
Neurofilament light chain is a protein released into cerebrospinal fluid and blood when nerve cells are damaged, acting like a measurable “leak” that signals injury to the brain or spinal cord. For investors, it matters because rising or falling levels can serve as an objective readout in clinical trials and disease monitoring, helping assess whether a drug or therapy is slowing nerve damage and reducing development or commercial risk.
glial fibrillary acidic protein medical
"plasma glial fibrillary acidic protein (GFAP)"
Glial fibrillary acidic protein (GFAP) is a structural protein found mainly in certain brain cells; when those cells are damaged, GFAP can leak into blood or spinal fluid and be measured as a marker of brain injury or disease. Investors care because GFAP tests and therapies that affect GFAP levels are used in clinical trials, diagnostics, and regulatory decisions—think of GFAP like a smoke alarm that signals brain cell damage, which can influence market demand, approval timelines, and commercial prospects for medical products.
low-contrast visual acuity medical
"improvements in low-contrast visual acuity with 18-letter gains"
Low-contrast visual acuity is a clinical measure of how well a person can see objects that blend into their background, like reading light-gray print on a slightly darker page or spotting a foggy road sign. It matters to investors because it is often used as an outcome in drug and device trials, influences regulatory approval and labeling, and affects real-world performance and market demand for therapies, diagnostic tools, and vision-related products.
ls mean technical
"LS mean change from baseline in plasma NfL levels"
LS mean (least squares mean) is an adjusted average calculated by a statistical model to compare groups while accounting for differences like baseline measurements or other factors. For investors, it matters because trial or study results reported as LS means show the effect of a treatment after removing confounding influences, similar to comparing students’ final scores after correcting for different starting skill levels.

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Privosegtor reduced post-onset increases in plasma neurofilament light chain (NfL) and glial fibrillary acidic protein (GFAP) compared with placebo

Lower NfL and GFAP levels provide objective, complementary biological evidence of reduced neuroaxonal injury and suppressed reactive astrogliosis

Biomarker results support previously reported functional (LCVA) +18-letter gains and structural retinal preservation at Month 3, reinforcing Privosegtor’s development for acute optic neuritis and acute multiple sclerosis relapses

ZUG, Switzerland, Oct. 22, 2026 (GLOBE NEWSWIRE) -- Oculis Holding AG (Nasdaq: OCS / XICE: OCS), a global biopharmaceutical company focused on breakthrough innovations to address significant unmet medical needs in neuro-ophthalmology and ophthalmology, today announced new translational biomarker data from the Phase 2 ACUITY trial of Privosegtor in patients with optic neuritis (ON).

Increases in plasma neurofilament light chain (NfL) and plasma glial fibrillary acidic protein (GFAP) levels were reduced with Privosegtor vs placebo, particularly at early timepoints close to acute ON onset. Together with previously observed improvements in low-contrast visual acuity with 18-letter gains at Month 3 vs steroid alone, and preserved retinal structure, these findings provide convergent evidence across visual functional, retinal, and serum-based markers, further supporting the evaluation of Privosegtor as a potential neuroprotective therapy.

The late-breaking data were presented by Céline Louapre, M.D., Ph.D., of Pitié-Salpêtrière Hospital and Sorbonne University, during the 10th Joint ACTRIMS-ECTRIMS Meeting, MSToronto 2026.

The Phase 2 ACUITY biomarker analysis evaluated neurodegenerative markers in the blood to quantify structural neuroaxonal preservation and glial modulation following an acute episode of ON:

Neuroaxonal Preservation (LS mean change from baseline in plasma NfL levels)

At Day 5, the mean increase in plasma NfL was higher in the placebo group than in the Privosegtor group. NfL levels remained stable in the Privosegtor group through Month 6, whereas levels in the placebo group remained elevated above baseline at Month 1 before returning to baseline by Month 6. Lower NfL levels are consistent with reduced structural neuroaxonal injury along the optic nerve pathway.

Reactive Astrogliosis Reduction (LS mean change from baseline in plasma GFAP levels)



At Day 5, the mean increase in plasma GFAP was greater in the placebo group than in the Privosegtor group. GFAP levels remained elevated above baseline in the placebo group from Month 1 through Month 6, whereas they remained below baseline in the Privosegtor group over the same period. Lower plasma GFAP levels are consistent with reduced acute reactive astrocytic inflammation and reduction of the secondary neurodegenerative cascade.

Céline Louapre, M.D., Ph.D., Professor of Neurology at Pitié-Salpêtrière Hospital, Sorbonne University, and presenting author said: “These findings are particularly noteworthy because they provide biological evidence that complements the functional and retinal structural improvements previously observed in ACUITY. The consistent effects across NfL and GFAP suggest that Privosegtor may be influencing multiple pathways involved in tissue injury following acute optic neuritis, supporting its potential as a neuroprotective therapeutic approach. Together, these data deepen our understanding of the treatment's effects and further support continued clinical evaluation.”

Riad Sherif, M.D., Chief Executive Officer of Oculis added: “For patients with optic neuritis, irreversible neuro-axonal damage can occur within days of disease onset, yet there are currently no approved therapies designed to protect retinal ganglion cells and their axons, the neurons responsible for transmitting visual signals from the eye to the brain, and preserve long-term visual function. These biomarker findings and translational analyses provide important additional evidence supporting Privosegtor’s neuroprotective potential, strengthening our confidence as we advance the PIONEER registrational program and explore its broader applicability across acute neuro-axonal conditions, including acute multiple sclerosis relapses.”

This Late-Breaker Abstracts poster presentation will be available under the Investors & Media section of the Oculis corporate website at www.oculis.com.

- Ends -

About Privosegtor
Privosegtor, a novel peptoid small-molecule candidate that crosses the blood-brain and retinal barriers, has the potential to become the first neuroprotective therapy for optic neuritis (ON) and other neuro-ophthalmic and neuro-axonal diseases. Positive results from the ACUITY Phase 2 trial showed Privosegtor’s neuroprotective potential, as evidenced by improved visual function, corroborated by anatomical preservation of the retina, including the GCIPL and RNFL layers, and reduced neurofilament levels in the blood after an acute episode of optic neuritis. Consistent results were observed in animal models of glaucoma, optic neuritis, and multiple sclerosis (MS), where Privosegtor preserved retinal ganglion cells and was associated with improvements in mobility (clinical function disability) in the MS model.

Privosegtor has received Breakthrough Therapy designation from the U.S. Food and Drug Administration (FDA) and Priority Medicines (PRIME) designation from the European Medicines Agency (EMA) as well as Orphan Drug designation from both the FDA and the EMA for ON. Privosegtor is currently being evaluated in Oculis’ PIONEER (Privosegtor Investigation in Optic Neuropathies Efficacy Evaluation Research) program, which includes two registrational trials in ON and one registrational trial in non-arteritic anterior ischemic optic neuropathy (NAION). Building on the ACUITY Phase 2 dataset in ON and constructive FDA pre-IND feedback, Oculis is also planning an IND submission for Privosegtor for the treatment of acute MS relapses.

Privosegtor is an investigational drug and has not received regulatory approval for commercial use in any country.

About Optic Neuritis
Optic Neuritis (ON) is a rare condition characterized by an acute inflammation of the optic nerve that can lead to permanent visual impairment. It affects up to 8 in 100,000 people worldwide with a U.S. annual incidence estimated to be >30,000 and often represents the first sign of multiple sclerosis1,2. It mainly occurs in adults between 20 and 40 years of age and is more frequent in women (2:1)3. ON is a type of neuropathy (nerve disease) that happens when acute inflammation of the optic nerve affects the signals traveling from the eyes through the brain, causing pain, vision loss and other symptoms. The cells that make up the optic nerve have a lipid protective coating called a myelin sheath, which is preferentially damaged in ON. Without myelin, the optic nerve cells can’t send signals properly and axons can be irreversibly lost. To date there is no specific therapy approved for acute optic neuritis and the unmet need remains for therapies that can prevent vision loss after an acute episode by reducing permanent nerve cell damage or death.

About Acute Multiple Sclerosis (MS) Relapses
MS is a chronic immune-mediated disease affecting approximately 2.8 million people worldwide, including around 850,000 in the U.S. alone.4-6 There are two main types of MS: relapsing-remitting MS (RRMS) and progressive MS. While progressive MS remains a significant unmet medical need, RRMS is the most common type, representing ~85% of patients at initial diagnosis.5 It is currently managed using immunomodulators or disease-modifying therapies (DMTs) that reduce the rate of relapses and therefore related relapse-associated worsening (RAW). However, relapses still persist for many patients, with an estimated 170,000 MS relapses occurring each year in the U.S.7

During an acute relapse, neurologists commonly use a short course of high-dose corticosteroids to reduce inflammation and shorten the episode, as is also standard of care in optic neuritis. However, corticosteroids do not influence the long-term disability, and recovery from relapses is often incomplete, such as in optic neuritis. The tissue damage that occurs during these relapses can contribute to neuroaxonal loss and the accumulation of functional disability over time, underscoring the need for therapies that protect neurons and axons during relapses. There are currently no neuroprotective therapies approved for MS relapses, and there remains an urgent unmet medical need for treatments that can prevent central nervous system damage.

About Oculis
Oculis is a global biopharmaceutical company (Nasdaq: OCS; XICE: OCS) focused on breakthrough innovations to address significant unmet medical needs in neuro-ophthalmology. Oculis’ highly differentiated late-stage clinical pipeline focuses on two core product candidates. Privosegtor is a breakthrough neuroprotective candidate in the PIONEER program, which consists of studies intended to support registration plans for treatment of optic neuropathies, including optic neuritis (ON) and non-arteritic anterior ischemic optic neuropathy (NAION). Privosegtor also has potential to be developed for additional indications in other neuro-ophthalmic and neuro-axonal diseases. Licaminlimab is a novel, topical anti-TNFα in a registrational trial, and is being developed with a genotype-based approach for treating patients with TNFR1-mediated dry eye disease (DED). Headquartered in Switzerland with operations in the U.S., Iceland and Switzerland, Oculis is led by an experienced management team with a successful track record and supported by leading international healthcare investors.
           
For more information, please visit: www.oculis.com

Oculis Contact
Ms. Sylvia Cheung, CFO
sylvia.cheung@oculis.com

Investor Relations
LifeSci Advisors
Corey Davis, Ph.D.
cdavis@lifesciadvisors.com

Media Relations
ICR Healthcare
Amber Fennell
oculis@icrhealthcare.com

Cautionary Statement Regarding Forward Looking Statements
This press release contains forward-looking statements and information. For example, statements regarding the potential benefits of the Company’s product candidates, including the potential for Privosegtor to become the first neuroprotective therapy for optic neuritis and its potential broad applicability across neurology, including in acute MS relapses; the potential significance of biomarker data and analyses; the initiation, enrollment, timing, progress and results of current and future clinical trials; Oculis’ research and development programs; regulatory and business strategy; Oculis’ future development plans; the timing or likelihood of regulatory filings and approvals; and statements about market opportunity, are forward-looking. All forward-looking statements are based on estimates and assumptions that, while considered reasonable by Oculis and its management, are inherently uncertain and are inherently subject to risks, variability, and contingencies, many of which are beyond Oculis’ control. These forward-looking statements are provided for illustrative purposes only and are not intended to serve as, and must not be relied on by an investor as, a guarantee, assurance, prediction or definitive statement of a fact or probability. Actual events and circumstances are difficult or impossible to predict and will differ from assumptions. Results of earlier stage clinical trials may not be replicated in subsequent clinical trials. Statements regarding the potential significance of biomarker data are inherently uncertain, and observed biomarker changes may not be predictive of or correlate with favorable clinical outcomes. All forward-looking statements are subject to risks, uncertainties and other factors that may cause actual results to differ materially from those that we expected and/or those expressed or implied by such forward-looking statements. Forward-looking statements are subject to numerous conditions, many of which are beyond the control of Oculis, including those set forth in the Risk Factors section of Oculis’ annual report on Form 20-F and any other documents filed with the U.S. Securities and Exchange Commission (SEC). Copies of these documents are available on the SEC’s website, www.sec.gov. Oculis undertakes no obligation to update these statements for revisions or changes after the date of this release, except as required by law.

References:

  1. Weidong Gu et al. Incidence of Optic Neuritis and the Associated Risk of Multiple Sclerosis for Service Members of U.S. Armed Forces, Military Medicine, vol. 188, March/April 2023
  2. Abbass, N.J., Shaia, J.K., Shukla, P. et al. Prevalence of pediatric and adult optic neuritis in the United States from 2016 to 2023. Eye 39, 1608–1614 (2025).
  3. Guier CP, Kaur K, Stokkermans TJ. Optic Neuritis. January 2025
  4. MS National Society
  5. Wallin et al., 2019, The prevalence of MS in the United States: A population-based estimate using health claims data - PubMed
  6. McGinley et al., 2021, Diagnosis and Treatment of Multiple Sclerosis: A Review - PubMed
  7. Multiple sources on relapse rate (ARR) including: Ocrelizumab versus fingolimod after natalizumab cessation in multiple sclerosis: an observational study - PubMed

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FAQ

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What did Oculis report about Privosegtor in the Phase 2 ACUITY biomarker analysis?

Privosegtor produced smaller Day 5 increases in NfL and GFAP than placebo following acute optic neuritis. NfL remained stable through Month 6 with Privosegtor, while GFAP remained below baseline from Month 1 through Month 6. Oculis views these findings as supporting Privosegtor’s neuroprotective potential.

Which conditions are being studied in Oculis’ PIONEER program for Privosegtor?

PIONEER includes two registrational trials in optic neuritis and one registrational trial in non-arteritic anterior ischemic optic neuropathy. These trials are intended to support registration plans for Privosegtor in optic neuropathies.

What regulatory designations has Oculis’ Privosegtor received for optic neuritis?

Privosegtor has received FDA Breakthrough Therapy designation, European Medicines Agency Priority Medicines designation, and Orphan Drug designation from both agencies for optic neuritis. It remains investigational and has not received regulatory approval for commercial use in any country.

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