Dual-action drug to slow dry age-related macular degeneration

Advancing the small molecule drug candidate with dual specificity as a therapy for dry AMD

NIH-funded research Columbia University Health Sciences · NIH-11110474

A new medicine for people with dry age-related macular degeneration that lowers toxic retinal waste and stabilizes a protein linked to eye damage.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionColumbia University Health Sciences NIH-funded
Lab location1 site (New York, United States)
Project IDNIH-11110474 on NIH RePORTER

What this research studies

Researchers are developing a medicine that reduces retinol delivery to the retina to prevent buildup of toxic lipofuscin compounds that drive dry AMD. Older RBP4-lowering drugs reduced lesion growth in some patients but risked destabilizing transthyretin (TTR) and promoting amyloid. This project creates dual-action molecules that both lower RBP4-driven retinol transport and bind TTR at thyroxine sites to keep TTR stable. The lead candidate, (R)-ACPHS-6, will be optimized and advanced through lab and preclinical testing toward eventual human testing.

Who could benefit from this research

Good fit: People with dry (atrophic) age-related macular degeneration, particularly those with growing atrophic lesions or measurable RBP4-related biomarkers, would be ideal candidates.

Not a fit: People with wet (neovascular) AMD or those with advanced, irreversible vision loss are unlikely to benefit from this therapy.

Why it matters

Potential benefit: If successful, this therapy could slow or prevent vision loss in dry AMD by cutting toxic retinal waste while avoiding TTR-related amyloid risk.

How similar studies have performed: Earlier RBP4-lowering drugs like fenretinide slowed atrophy in some patients when serum RBP4 dropped below a threshold, but combining RBP4 lowering with TTR stabilization is a novel approach.

Where this research is happening

New York, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.