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The development of ophthalmic therapeutics includes drug discovery, formulation development, and preclinical testing to ensure safety and efficacy. As a research service provider, Protheragen is committed to providing global pharmaceutical companies with one-stop solutions for the development of therapies for ophthalmic diseases.
Ophthalmic disease therapeutics development encompasses preclinical research and translational efforts focused on creating safe, effective interventions to treat, manage, or halt the progression of vision-threatening ocular disorders. These therapies target a broad spectrum of conditions—including degenerative (age-related macular degeneration, glaucoma), genetic (retinitis pigmentosa, Leber congenital amaurosis), inflammatory (uveitis, scleritis), infectious (keratitis, endophthalmitis), and neoplastic (uveal melanoma, retinoblastoma) diseases—across all ocular tissues. Preclinical development in this field prioritizes elucidating disease pathogenesis, validating therapeutic targets, optimizing drug delivery to overcome ocular barriers, and evaluating efficacy and safety in disease-relevant models before advancing to clinical trials.
The preclinical pipeline for ophthalmic therapeutics is defined by its focus on addressing unique ocular challenges, such as the blood-ocular barrier (BOB) and blood-retinal barrier (BRB) that restrict systemic drug penetration, the need for tissue-specific targeting to minimize off-target damage to delicate structures like the retina and optic nerve, and the requirement for long-term efficacy to counter progressive vision loss. Core objectives include enhancing intraocular bioavailability, modulating disease-specific molecular pathways, preserving ocular function, and mitigating adverse effects—critical for regulatory approval and clinical adoption. Preclinical studies integrate in vitro cellular assays, ex vivo ocular tissue models, and in vivo disease models to generate robust data on pharmacokinetics (PK), pharmacodynamics (PD), efficacy endpoints, and safety profiles, forming the foundation for Investigational New Drug (IND) applications.
Fig.1 Nanotechnology-based strategies for ophthalmic disease therapeutics development. (Weng Y., et al., 2017)This development process is tailored to the heterogeneous nature of ophthalmic diseases, each requiring distinct therapeutic strategies. For example, genetic ocular disorders often demand gene-based therapies to correct pathogenic variants, while degenerative conditions may rely on neuroprotective agents or anti-angiogenic compounds. Inflammatory diseases require immune-modulating therapies to suppress aberrant immune responses, while infectious conditions necessitate pathogen-specific antimicrobials. Preclinical validation prioritizes target engagement, dose-response relationships, and translation of efficacy from animal models to humans, as species-specific differences in ocular anatomy and disease progression can impact clinical predictability.
Key methodologies in preclinical ophthalmic therapeutics development include target validation via gene editing or knockdown systems, drug formulation optimization for ocular delivery routes (topical, intravitreal, periocular), and efficacy assessment using functional endpoints (electroretinography, visual acuity testing) and histopathological analysis. Preclinical studies also evaluate drug stability under physiological conditions, potential immunogenicity of biologics or gene therapies, and the risk of long-term ocular toxicity—all critical for ensuring patient safety. For combination therapies, preclinical work assesses synergistic effects and optimal dosing regimens to maximize efficacy while minimizing cumulative toxicity.
Preclinical development also emphasizes alignment with clinical needs, including addressing unmet medical needs for diseases with limited treatment options (e.g., dry age-related macular degeneration) and optimizing therapies for patient-centric delivery (e.g., sustained-release formulations to reduce injection frequency). By rigorously addressing these preclinical considerations, developers can accelerate the translation of therapies from the lab to the clinic, improving outcomes for patients with vision-threatening ocular conditions.
The field of ophthalmic drug discovery has witnessed a remarkable surge of advancements in the past decade, as evidenced by the steady stream of FDA approvals for groundbreaking therapeutics. Notably, the emergence of innovative therapeutic strategies, including gene therapy, stem cell therapy, and targeted modulation of pathways like the complement system, visual cycle, and mTOR signaling, has opened up new avenues for tissue repair, regeneration, and achieving lasting therapeutic benefits.
Table 1. Summary of active ocular gene therapy programs. (Rodrigues G. A., et al., 2019)
| Company | Program/ Product | Vector Technology | Disease/ Mechanism | Administration Route | Status |
| Spark Therapeutics, Inc. | LUXTURNA™ (voretigene neparvovec-rzyl) | AAV2 | Confirmed biallelic RPE65 mutation–associated retinal dystrophy; RPE65 gene delivery | Subretinal injection | US approval (2017) |
| Nightstar Therapeutics | NSR-REP1 | AAV2 | Choroideremia; REP1 gene delivery | Subretinal injection | Phase III |
| RegenXBio Inc. | RGX-314 | NAV AAV8 | Wet AMD; anti-VEGF monoclonal antibody fragment | Subretinal injection | Phase I |
| National Eye Institute, US National Institutes of Health | scAAV2-P1ND4v2 | AAV2 | LHON | Intravitreal injection | Phase I |
| Applied Genetic Technologies Corporation | XLRS | rAAV2tYF | X-linked retinoschisis; hRS1 gene delivery | Intravitreal injection | Phase I/II |
| GenSight Biologics | GS010 (rAAV2/2-ND4) | AAV2 | LHON | Intravitreal injection | Phase I/II |
| Sanofi Genzyme | SAR422459 (with Oxford BioMedica) | Lentivirus (LentiVector) | Stargardt disease; ABCR gene delivery | Subretinal injection | Phase II |
| Allergan plc | RST-001 (acquired RetroSense Therapeutics LLC) | Undisclosed | Retinitis pigmentosa; channelrhodopsin-2 optogenetic gene therapy | Intravitreal injection | Phase I/II |
| Oxford BioMedica | OXB-201 | Lentivirus (LentiVector) | Wet AMD; endostatin and angiostatin gene delivery | Subretinal injection | Phase I |
| Eyevensys | EYS606 | EyeCET (electrotrans-fection) | Noninfectious uveitis; anti–tumor necrosis factor-α plasmid delivery | Ciliary muscle transfection | Phase I/II |
| National Eye Institute, US National Institutes of Health | RS1 AAV vector | AAV8 | XLRS; RS1 gene delivery | Intravitreal injection | Phase I/IIa |
| Adverum Biotechnologies (formerly Avalanche Biotherapeutics) | ADVM-032 | AAV.7 m8 (4DMT) | Wet AMD; anti-VEGF (ranibizumab) | Intravitreal injection | Undisclosed |
| Benitec Biopharma | BB-201 | Novel AAV | Wet AMD | Intravitreal injection | Preclinical |
| 4D Molecular Therapeutics | 4D-110 (with Roche) | Therapeutic vector evolution | Choroideremia; REP-1 | Intravitreal injection | Preclinical |
| iVeena | IVMED-50 | AAV | Wet AMD; Flt23k gene delivery | Intraocular injection | Preclinical |
Disclaimer: Protheragen focuses on providing preclinical research service. This table is for information exchange purposes only. This table is not a treatment plan recommendation. For guidance on treatment options, please visit a regular hospital.
Protheragen is at the forefront of ophthalmic disease therapeutics development, offering a comprehensive suite of services designed to accelerate the discovery and delivery of novel therapeutics for eye diseases.
The services we can provide include but are not limited to:
We utilize state-of-the-art equipment and techniques, including high-throughput screening platforms, advanced analytical instrumentation, and specialized in vitro and in vivo models, to drive the discovery and development of innovative ocular therapies. If you are interested in our services, please feel free to contact us for more details and quotation information of related services.
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All of our services and products are intended for preclinical research use only and cannot be used to diagnose, treat or manage patients.