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On 28 May 2024, enrolment in phase III clinical trials for sozinibercept in neovascular age-related macular degeneration (nAMD) was completed.1 These trials include two large multicentre, double-masked, randomized controlled trials (RCTs): COAST (OPT-302 with aflibercept in neovascular age-related macular degeneration; ClinicalTrials.gov identifier: NCT04757636) and ShORe (OPT-302 with ranibizumab in neovascular age-related macular degeneration; ClinicalTrials.gov identifier: NCT04757610).2,3 These trials represent one of the largest phase […]

FDA accepts NDA for low-dose atropine to slow paediatric myopia progression

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Published Online: Mar 24th 2025

The FDA has accepted an NDA for SYD-101, a proprietary low-dose atropine formulation developed to slow paediatric myopia progression. The FDA has assigned a Prescription Drug User Fee Act (PDUFA) target action date of October 23, 2025.

The NDA is supported by data from the pivotal STAR Study, a phase III clinical trial enrolling over 850 children aged 3 to 14. This trial was designed as a 5-arm, multicenter, randomized, double-masked, vehicle-controlled study and the primary outcome measure was the proportion of participants experiencing confirmed myopic progression greater than 0.75 diopters (D), based on spherical equivalent measurements obtained through cycloplegic autorefraction at 36 months.

A recent report estimates that myopia currently affects approximately 30.47% of the global population and projects that by 2050, it will impact around 740 million children and adolescents worldwide. According to the report, genetics contribute significantly to myopia development, meaning children may inherit a predisposition from their parents. However, the report also emphasizes environmental factors, particularly the increased use of screens and digital devices, as important contributors to the rising prevalence of myopia.

If approved, SYD-101 would represent the first FDA-approved pharmaceutical therapy specifically targeting paediatric myopia progression in the United States. The FDA’s decision on SYD-101 is expected by October 23, 2025.

References:

  1. Liang JPu YChen J, et al. Global prevalence, trend and projection of myopia in children and adolescents from 1990 to 2050: a comprehensive systematic review and meta-analysis

 


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