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Ocular Therapeutix™ Announces Positive Topline Phase 1 Data for AXPAXLI™ in Diabetic Retinopathy

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Ocular Therapeutix™ announces positive topline Phase 1 data for AXPAXLI™ in diabetic retinopathy, with 46.2% of patients showing improvement in the Diabetic Retinopathy Severity Scale at 40 weeks. AXPAXLI was well-tolerated with no inflammation observed. The company plans to move directly to a Phase 3 study based on the results.
Ocular Therapeutix™ annuncia dati positivi di alto livello dalla Fase 1 per AXPAXLI™ nel trattamento della retinopatia diabetica, con il 46,2% dei pazienti che mostra un miglioramento nella Scala di Gravità della Retinopatia Diabetica a 40 settimane. AXPAXLI è stato ben tollerato e non si è osservata infiammazione. La compagnia prevede di passare direttamente a uno studio di Fase 3 basandosi sui risultati ottenuti.
Ocular Therapeutix™ anuncia resultados positivos en los datos principales de la Fase 1 para AXPAXLI™ en la retinopatía diabética, con un 46.2% de los pacientes mostrando mejoría en la Escala de Severidad de la Retinopatía Diabética a las 40 semanas. AXPAXLI fue bien tolerado y no se observó inflamación. La empresa planea avanzar directamente a un estudio de Fase 3 basado en los resultados.
Ocular Therapeutix™는 당뇨병성 망막병증 치료를 위한 AXPAXLI™의 1상 임상시험 최고 데이터가 긍정적이라고 발표했습니다. 40주 후 환자의 46.2%가 당뇨병성 망막병증 심각도 척도에서 개선을 보였습니다. AXPAXLI는 잘 견뎌졌으며 염증이 관찰되지 않았습니다. 회사는 결과에 근거하여 직접 3상 연구로 진행할 계획입니다.
Ocular Therapeutix™ annonce des données positives de phase 1 pour AXPAXLI™ dans le traitement de la rétinopathie diabétique, avec 46,2% des patients présentant une amélioration dans l'échelle de sévérité de la rétinopathie diabétique à 40 semaines. AXPAXLI a été bien toléré et aucune inflammation n'a été observée. La société prévoit de passer directement à une étude de phase 3 sur la base des résultats.
Ocular Therapeutix™ gibt positive Topline-Daten der Phase 1 für AXPAXLI™ bei diabetischer Retinopathie bekannt. 46,2% der Patienten zeigten eine Verbesserung auf der Diabetischen Retinopathie-Schweregradskala nach 40 Wochen. AXPAXLI wurde gut vertragen und es wurde keine Entzündung festgestellt. Das Unternehmen plant, aufgrund der Ergebnisse direkt mit einer Phase-3-Studie zu beginnen.
Positive
  • 46.2% of patients in the AXPAXLI group demonstrated a 1- or 2-step improvement in the Diabetic Retinopathy Severity Scale at 40 weeks
  • No patients in the AXPAXLI group experienced worsening in DRSS compared to 12.5% in the control arm at 40 weeks
  • AXPAXLI was generally well tolerated with no inflammation observed
  • Ocular plans to present the Phase 1 HELIOS study results at an upcoming meeting
  • Positive results support moving directly to a Phase 3 study with AXPAXLI in patients with NPDR
Negative
  • None.

The Phase 1 trial outcomes for AXPAXLI in treating non-proliferative diabetic retinopathy (NPDR) signify a pivotal step for Ocular Therapeutix. Efficacy, indicated by improvements on the DRSS, is particularly noteworthy as nearly half of the treated participants exhibited improvement, contrasting with none in the control group. The absence of inflammation and other adverse effects aligns with patient safety priorities. However, patient count in the study was small, thus larger cohorts in Phase 3 trials will be essential for validating these findings. For investors, the transition to Phase 3 signals confidence by Ocular Therapeutix but also implies substantial R&D investments ahead. If AXPAXLI can maintain its safety and efficacy profile through later-stage trials, it may fulfill an unmet medical need and potentially command a significant market share in diabetic eye disease treatments.

The statistical significance of AXPAXLI's results from a market perspective is promising. Diabetic retinopathy is a highly prevalent condition, affecting an estimated one-third of people with diabetes. As the incidence of diabetes rises globally, the market for treatments like AXPAXLI is expanding. It's critical to note the differentiation potential of AXPAXLI's 'durable effect' which may offer a competitive edge over existing therapies that often require more frequent dosing. The anticipation of Phase 3 studies will pique investor interest, but the real inflection point in Ocular Therapeutix's market valuation will hinge on FDA interactions and eventual Phase 3 outcomes. Positive results there could lead to a substantial boost in stock value, given the market size and the treatment's potential to improve patient outcomes.

46.2% of patients demonstrated a 1- or 2-step improvement in the Diabetic Retinopathy Severity Scale (DRSS) at 40 weeks in the AXPAXLI arm, compared to 0% in the control arm

No patients in the AXPAXLI group experienced worsening in DRSS compared to 12.5% in the control arm at 40 weeks

AXPAXLI was generally well tolerated with no inflammation observed

Ocular intends to present the Phase 1 HELIOS study at an upcoming meeting

BEDFORD, Mass., April 18, 2024 (GLOBE NEWSWIRE) -- Ocular Therapeutix, Inc. (NASDAQ:OCUL) (“Ocular”), a biopharmaceutical company committed to enhancing people’s vision and quality of life through the development and commercialization of innovative therapies for wet age-related macular degeneration (wet AMD), diabetic retinopathy (DR), and other diseases and conditions of the eye, today announced positive topline results from the Phase 1 HELIOS study evaluating AXPAXLI versus a sham control in patients with moderately severe to severe non-proliferative diabetic retinopathy (‘NPDR’, NCT05695417) without diabetic macular edema (DME). Ocular plans to present the study results at an upcoming meeting.

Summary of Topline Phase 1 HELIOS Results:

  • Safety: AXPAXLI was generally well tolerated with no inflammation observed including no incidence of iritis, vitritis or vasculitis
  • Efficacy Results: 6 of 13 (46.2%) patients in the AXPAXLI group experienced a 1 or 2-step improvement in the Diabetic Retinopathy Severity Scale (DRSS) at 40 weeks, with 2 of the 6 having a 2-step improvement. No patients in the control group showed 1- or 2-step improvement at the same time point. No patients in the AXPAXLI group experienced any worsening in DRSS. 1 of 8 (12.5%) in the control group experienced worsening in the DRSS at 40 weeks.
  • Durability of Effect: A single injection of AXPAXLI provided durable DRSS improvement up to 40 weeks
  • Rescue medication: No patients in either arm received rescue medication
  • Next Steps: Positive HELIOS results support decision to move directly to a Phase 3 study with AXPAXLI in patients with NPDR, pending discussions with the FDA
  • Data Release: Ocular plans to present topline results from the HELIOS study at a future meeting

“We are pleased to announce positive topline data for AXPAXLI in patients with diabetic retinopathy. In an effort to get AXPAXLI to patients as quickly as possible, we unmasked this study, and based on the observed safety, efficacy results and durable treatment effect, we have decided to accelerate the DR program to Phase 3. We look forward to providing additional information on our timeline for next steps, including our plans to present these results at an upcoming meeting in the coming months,” said Jeffrey S. Heier, Chief Scientific Officer (CSO) of Ocular Therapeutix.

“It is promising that the efficacy signals seen to date in this Phase 1 study consistently favor AXPAXLI. These data demonstrated DRSS improvements and durability for up to 40 weeks,” said Dilsher Dhoot, MD. “In addition, these results, combined with the results in the AMD studies of AXPAXLI, make me even more enthusiastic to be a principal investigator in the SOL-1 study.” Dr. Dhoot, of California Retina Consultants, is an internationally recognized key opinion leader in retinal diseases.

About the HELIOS study
The Phase 1 HELIOS study is a multi-center, double-masked, randomized 2:1, parallel group clinical trial conducted at 10 centers in the U.S. The data set reported here is based on 21 evaluable subjects (one patient of the 22 enrolled subjects died from an unrelated event). The study was designed to evaluate the safety, tolerability and efficacy of AXPAXLI compared to a sham control in subjects with moderately severe to severe NPDR without Diabetic Macular Edema (DME). The primary endpoint of the study is frequency of treatment emergent adverse events (TEAEs). Secondary study endpoints include changes in the DRSS, changes in best corrected visual acuity (BCVA), changes in central subfield thickness compared to baseline, and the portion of subjects receiving rescue therapy.

About AXPAXLI™
AXPAXLI is an investigational bioresorbable, hydrogel implant incorporating axitinib, a small molecule, multi-target, tyrosine kinase inhibitor with anti-angiogenic properties, being evaluated for the treatment of wet AMD, DR and other retinal diseases.

About Ocular Therapeutix, Inc.
Ocular Therapeutix, Inc. is a biopharmaceutical company committed to enhancing people’s vision and quality of life through the development and commercialization of innovative therapies for wet age-related macular degeneration (wet AMD), diabetic retinopathy (DR), and other diseases and conditions of the eye. AXPAXLI™ (axitinib intravitreal implant, also known as OTX-TKI), Ocular’s product candidate for retinal disease, is based on its ELUTYX™ proprietary bioresorbable hydrogel-based formulation technology. AXPAXLI is currently in the first of two planned pivotal Phase 3 trials for wet AMD, the SOL-1 trial, and a Phase 1 clinical trial for the treatment of NPDR. The clinical portfolio also includes PAXTRAVA™ (travoprost intracameral implant, also known as OTX-TIC), currently in a Phase 2 clinical trial for the treatment of primary open-angle glaucoma or ocular hypertension.

Ocular’s expertise in the formulation, development and commercialization of innovative therapies of the eye and the ELUTYX platform supported the development and launch of its first commercial drug product, DEXTENZA®, an FDA-approved corticosteroid for the treatment of ocular inflammation and pain following ophthalmic surgery and ocular itching associated with allergic conjunctivitis. ELUTYX is also the foundation for two other clinical-stage assets, OTX-CSI (cyclosporine intracanalicular insert) for the chronic treatment of dry eye disease and OTX-DED (dexamethasone intracanalicular insert) for the short-term treatment of the signs and symptoms of dry eye disease, as well as several preclinical programs.

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DEXTENZA® is a registered trademark of Ocular Therapeutix, Inc. AXPAXLI™, PAXTRAVA™, and ELUTYX™ and Ocular Therapeutix™ are trademarks of Ocular Therapeutix, Inc.

Forward-Looking Statements
Any statements in this press release about future expectations, plans, and prospects for the Company, including the development and regulatory status of the Company’s product candidates, including the timing, design, and enrollment of the Company’s Phase 3 trials of AXPAXLI (also called OTX-TKI) for the treatment of wet AMD and the Company’s planned Phase 3 clinical development program of AXPAXLI for the treatment of diabetic retinopathy; the Company’s plans to advance the development of AXPAXLI, PAXTRAVA and its other product candidates; the potential utility of any of the Company’s product candidates; the sufficiency of the Company’s cash resources; and other statements containing the words “anticipate”, “believe”, “estimate”, “expect”, “intend”, “goal”, “may”, “might”, “plan”, “predict”, “project”, “target”, “potential”, “will”, “would”, “could”, “should”, “continue”, and similar expressions, constitute forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors. Such forward-looking statements involve substantial risks and uncertainties that could cause the Company’s preclinical and clinical development programs, future results, performance or achievements to differ significantly from those expressed or implied by the forward-looking statements. Such risks and uncertainties include, among others, the timing and costs involved in commercializing DEXTENZA or any product or product candidate that receives regulatory approval; the ability to retain regulatory approval of DEXTENZA or any product or product candidate that receives regulatory approval; the initiation, design, timing, conduct and outcomes of clinical trials, including the SOL-1 trial, the HELIOS trial, and the planned Phase 3 clinical development program of AXPAXLI for diabetic retinopathy as well as the Company’s other ongoing clinical trials; the risk that the FDA will not agree with the Company’s interpretation of the written agreement under Special Protocol Assessment for the SOL-1 trial; the risk that even though the FDA has agreed with the overall design of the SOL-1 trial, the FDA may not agree that the data generated by the SOL-1 trial supports potential marketing approval; uncertainty as to whether the data from earlier clinical trials will be predictive of the data of later clinical trials, particularly later clinical trials that have a different design or utilize a different formulation than the earlier trials, or whether preliminary or interim data from a clinical trial will be predictive of final data from such trial; availability of data from clinical trials and expectations for regulatory submissions and approvals; the Company’s scientific approach and general development progress; uncertainties inherent in estimating the Company’s cash runway, future expenses and other financial results, including its ability to fund future operations, including clinical trials; the Company’s existing indebtedness and the ability of the Company’s creditors to accelerate the maturity of such indebtedness upon the occurrence of certain events of default; the Company’s ability to enter into strategic alliances or generate additional funding on a timely basis, on favorable terms, or at all; and other factors discussed in the “Risk Factors” section contained in the Company’s quarterly and annual reports on file with the Securities and Exchange Commission. In addition, the forward-looking statements included in this press release represent the Company’s views as of the date of this press release. The Company anticipates that subsequent events and developments will cause the Company’s views to change. However, while the Company may elect to update these forward-looking statements at some point in the future, the Company specifically disclaims any obligation to do so, whether as a result of new information, future events or otherwise, except as required by law. These forward-looking statements should not be relied upon as representing the Company’s views as of any date subsequent to the date of this press release.

Investors
Ocular Therapeutix
Donald Notman
Chief Financial Officer
dnotman@ocutx.com

Joyce Allaire
LifeSci Advisors
jallaire@lifesciadvisors.com


FAQ

What are the key findings of Ocular Therapeutix's Phase 1 HELIOS study for AXPAXLI in diabetic retinopathy?

46.2% of patients in the AXPAXLI group showed a 1- or 2-step improvement in the Diabetic Retinopathy Severity Scale at 40 weeks, with no worsening in DRSS observed.

How was AXPAXLI tolerated in the Phase 1 study?

AXPAXLI was generally well tolerated with no inflammation observed.

What are the next steps for Ocular Therapeutix based on the Phase 1 HELIOS study results?

Positive results support moving directly to a Phase 3 study with AXPAXLI in patients with NPDR.

Who is the Chief Scientific Officer of Ocular Therapeutix?

Jeffrey S. Heier is the Chief Scientific Officer of Ocular Therapeutix.

Who is Dilsher Dhoot and what role does he play in the study?

Dilsher Dhoot, MD, is an internationally recognized key opinion leader in retinal diseases and a principal investigator in the SOL-1 study.

Ocular Therapeutix, Inc.

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About OCUL

ocular therapeutix, inc. is a biopharmaceutical company focused on the development, manufacturing and commercialization of innovative therapies for diseases and conditions of the eye using its proprietary hydrogel-based formulation technology. ocular therapeutix’s lead product candidate, dextenza™ (dexamethasone insert) 0.4 mg for intracanalicular use, has completed phase 3 clinical development for the treatment of ocular pain and inflammation following ophthalmic surgery. otx-tp (travoprost insert) is in phase 3 clinical development for the reduction of intraocular pressure in patients with glaucoma and ocular hypertension. the company’s earlier stage assets include otx-tic, a sustained release travoprost intracameral injection for the reduction in intraocular pressure in patients with glaucoma and ocular hypertension, as well as sustained release intravitreal injections for the treatment of retinal diseases. these injections include the development of otx-tki, a tyrosine kinase inhib