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NCT05223478: MIRA-4

Nyxol (0.75% Phentolamine Ophthalmic Solution) to Reverse Pharmacologically-Induced Mydriasis in Pediatric Subjects

Completed Phase 3 Results posted Last updated 5 September 2023
What this trial tests

Phase 3 trial testing Phentolamine Ophthalmic Solution 0.75% in Mydriasis in 23 participants. Completed in 28 April 2022.

Timeline
17 December 2021
Primary endpoint
18 April 2022
28 April 2022

Quick facts

Lead sponsorOcuphire Pharma, Inc.
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment23
Start date17 December 2021
Primary completion18 April 2022
Estimated completion28 April 2022
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Ocuphire Pharma, Inc. — full company profile →

Who can join

Adults 3 to 11, any sex, with Mydriasis or Dilation. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Safety Measurements Primary · 0 Minutes, 90 Minutes, 3 Hours, 24 Hours

Study Eye Change from Baseline (-1 Hour) Conjunctival Hyperemia Grading; Cornea and Contact Lens Research Unit (CCLRU scale) Grades range from 0 to 3, with 3 being considered the most severe.

0 Minutes
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%0.3± 0.65
Phentolamine Ophthalmic Solution Vehicle-0.2± 0.58
90 Minutes
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%1.6± 0.50
Phentolamine Ophthalmic Solution Vehicle0.0± 0.43
3 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%1.1± 0.54
Phentolamine Ophthalmic Solution Vehicle-0.1± 0.29
24 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%0.1± 0.30
Phentolamine Ophthalmic Solution Vehicle-0.2± 0.58
Vital Signs Primary · 3 Hours, 24 Hours

Change from Screening Heart Rate

3 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%-1.1± 7.92
Phentolamine Ophthalmic Solution Vehicle-2.0± 14.24
24 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%-2.5± 10.10
Phentolamine Ophthalmic Solution Vehicle-3.5± 12.69
Vital Signs Primary · 3 Hours, 24 Hours

Change from Screening Blood Pressure (Systolic)

3 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%-4.6± 8.91
Phentolamine Ophthalmic Solution Vehicle-0.8± 12.39
24 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%-2.8± 7.48
Phentolamine Ophthalmic Solution Vehicle-5.8± 6.98
Safety Measurement Primary · 0 Minutes, 3 Hours, 24 Hours

Study Eye Change from Baseline (-1 Hour) in Best Corrected Distance Visual Acuity

0 Minutes
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%-1.2± 1.66
Phentolamine Ophthalmic Solution Vehicle-0.3± 1.23
3 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%1.2± 1.89
Phentolamine Ophthalmic Solution Vehicle0.1± 0.67
24 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%1.5± 1.97
Phentolamine Ophthalmic Solution Vehicle0.7± 1.15
Change From Screening Blood Pressure (Diastolic) Primary · 3 Hours, 24 Hours
3 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%-2.4± 9.72
Phentolamine Ophthalmic Solution Vehicle1.0± 15.68
24 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%-1.1± 11.63
Phentolamine Ophthalmic Solution Vehicle-3.8± 7.96
Efficacy Measurement: Pupil Diameter Secondary · 90 Minutes, 3 Hours, and 24 Hours

Percentage of Subjects Returning to ≤ 0.2 mm from Baseline (-1 hour) Pupil Diameter (Study Eye)

90 Minutes
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%7
Phentolamine Ophthalmic Solution Vehicle3
3 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%9
Phentolamine Ophthalmic Solution Vehicle4
24 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%10
Phentolamine Ophthalmic Solution Vehicle6
Efficacy Measurement: Pupil Diameter Secondary · 90 Minutes, 3 Hours, and 24 Hours

Change (in mm) in Pupil Diameter from Max Pupil Dilation (0 minutes) (Study Eye)

90 Minutes
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%-1.475± 0.7188
Phentolamine Ophthalmic Solution Vehicle-0.378± 0.4473
3 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%-2.031± 0.6919
Phentolamine Ophthalmic Solution Vehicle-0.723± 0.6470
24 Hours
GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%-2.005± 1.2841
Phentolamine Ophthalmic Solution Vehicle-1.44± 1.2891
Efficacy Measurement: Pupil Diameter Secondary · Up to 24 Hours

Time (Hours) to Return to ≤ 0.2 mm from Baseline (-1 Hour) Pupil Diameter (Time-savings Analysis) (Study Eye)

GroupValue95% CI
Phentolamine Ophthalmic Solution 0.75%2.95± 2.564
Phentolamine Ophthalmic Solution Vehicle5.54± 3.078

Sponsor's own description

The objectives of this study are: * To evaluate the safety of Nyxol in pediatric subjects * To evaluate the efficacy of Nyxol to expedite the reversal of pharmacologically induced mydriasis in pediatric subjects The Sponsor intends to use this study to evaluate Nyxol in pediatric subjects aged 3 to 11 for the indication "the treatment of pharmacologically induced mydriasis produced by adrenergic (phenylephrine) or parasympatholytic (tropicamide) agents, or a combination thereof."

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Reversal of Pharmacologic Mydriasis in Pediatric Subjects with Ryzumvi (0.75% Phentolamine Ophthalmic Solution): A Post-Hoc Pooled Analysis from Three Randomized, Placebo-Controlled Phase 3 Trials.
    Pepose JS, Foster S, Pearson C, Brigell M, et al · · 2026 · PMID 41743463 · DOI 10.2147/opth.s563499

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Other trials of Phentolamine Ophthalmic Solution 0.75%

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Other Ocuphire Pharma, Inc. trials

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05223478.

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