Last reviewed · How we verify

ICM ADX-2191 injection

Aldeyra Therapeutics, Inc. · Phase 3 active Small molecule Under review

ICM ADX-2191 injection is a Aldehyde modulator Small molecule drug developed by Aldeyra Therapeutics, Inc.. It is currently in Phase 3 development for Dry eye disease, Ocular surface disease.

ADX-2191 is a reactive aldehyde species that inhibits aldehyde dehydrogenase (ALDH) to modulate immune and inflammatory responses.

ICM ADX-2191 injection is being studied in a clinical trial for the treatment of Primary Vitreoretinal Lymphoma. The mechanism of action of ICM ADX-2191 injection is currently unknown.

Likelihood of approval
59.3% vs 58.3% industry baseline
If approved by FDA: likely 2028–2030
Steps remaining: NDA/BLA submission
Confidence: High
Why this estimate
  • Baseline phase 3 → approval rate +58.3pp
    Industry-wide phase 3 drugs reach approval ~58.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas).
  • Immunology slight uplift +1.0pp
    Mature endpoint landscape (ACR, DAS28, PASI) makes immunology approvals slightly more predictable.
Predicted approval windows by jurisdiction (conditional on FDA approval)
Regulator Country Likely year Lag vs FDA
FDA US 2028–2030
EMA EU 2029–2031 +0.7 yr
MHRA GB 2029–2031 +0.7 yr
Health Canada CA 2029–2032 +0.9 yr
TGA AU 2029–2032 +1.2 yr
PMDA JP 2029–2032 +1.5 yr
NMPA CN 2030–2033 +2.3 yr
MFDS KR 2029–2032 +1.4 yr
CDSCO IN 2029–2033 +1.8 yr
ANVISA BR 2030–2033 +2.3 yr

Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).

Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.

At a glance

Generic nameICM ADX-2191 injection
SponsorAldeyra Therapeutics, Inc.
Drug classAldehyde modulator
TargetAldehyde dehydrogenase (ALDH) / reactive aldehydes
ModalitySmall molecule
Therapeutic areaImmunology
PhasePhase 3

Mechanism of action

ADX-2191 works by targeting reactive aldehydes and aldehyde-producing pathways that drive pathological immune activation and inflammation. By modulating aldehyde metabolism and reducing aldehyde-mediated immune dysregulation, the drug aims to restore immune homeostasis and reduce inflammatory disease activity. This mechanism is designed to address conditions driven by aberrant aldehyde-mediated immune activation.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:

Frequently asked questions about ICM ADX-2191 injection

What is ICM ADX-2191 injection?

ICM ADX-2191 injection is a Aldehyde modulator drug developed by Aldeyra Therapeutics, Inc., indicated for Dry eye disease, Ocular surface disease.

How does ICM ADX-2191 injection work?

ADX-2191 is a reactive aldehyde species that inhibits aldehyde dehydrogenase (ALDH) to modulate immune and inflammatory responses.

What is ICM ADX-2191 injection used for?

ICM ADX-2191 injection is indicated for Dry eye disease, Ocular surface disease.

Who makes ICM ADX-2191 injection?

ICM ADX-2191 injection is developed by Aldeyra Therapeutics, Inc. (see full Aldeyra Therapeutics, Inc. pipeline at /company/aldeyra-therapeutics-inc).

What drug class is ICM ADX-2191 injection in?

ICM ADX-2191 injection belongs to the Aldehyde modulator class. See all Aldehyde modulator drugs at /class/aldehyde-modulator.

What development phase is ICM ADX-2191 injection in?

ICM ADX-2191 injection is in Phase 3.

What are the side effects of ICM ADX-2191 injection?

Common side effects of ICM ADX-2191 injection include Eye irritation, Conjunctival hyperemia, Ocular discomfort.

What does ICM ADX-2191 injection target?

ICM ADX-2191 injection targets Aldehyde dehydrogenase (ALDH) / reactive aldehydes and is a Aldehyde modulator.

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing