Intravitreal ADX-2191 (methotrexate) injections for primary vitreoretinal lymphoma
Official title: A Prospective, Randomized, Double-masked, Dosing-frequency-controlled, Multicenter Clinical Trial Evaluating the Safety and Activity of Intravitreally Injected ADX-2191 (Methotrexate Injection USP) in Patients With Primary Vitreoretinal Lymphoma
Run by Aldeyra Therapeutics, Inc. · NCT07402876 · Data updated 2026-11-12
This trial tests whether different schedules of intravitreal ADX-2191 (methotrexate) injections are safe and active for adults with biopsy-proven primary vitreoretinal lymphoma.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 21 Years and up |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | Aldeyra Therapeutics, Inc. Industry-sponsored |
| Drugs / interventions | methotrexate |
| Locations | 1 site (Miami, Florida) |
| Status | Recruiting |
| Started | February 2026 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | February 11, 2026 |
| Trial ID | NCT07402876 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 21 or older with biopsy-proven primary vitreoretinal lymphoma and detectable lymphomatous vitreous cells or prior diagnostic vitrectomy who can attend scheduled visits are ideal candidates.
✕Probably not a fit
Patients with methotrexate allergy, those planning eye surgery, pregnant or breastfeeding women, or those who recently received systemic methotrexate are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, double-masked, dosing-frequency-controlled phase 3 trial gives adults with biopsy-proven primary vitreoretinal lymphoma intravitreal injections of ADX-2191 (methotrexate injection USP) and compares different injection schedules. Participants are assigned to either an ICM dosing arm or a monthly dosing arm and are followed at specialized centers for ocular response and safety outcomes. Key eligibility includes presence of lymphomatous vitreous cells or a diagnostic vitrectomy and excludes methotrexate allergy, recent systemic methotrexate, pregnancy or planned eye surgery. The trial is sponsored by Aldeyra Therapeutics and is being conducted at ophthalmology centers including the Bascom Palmer Eye Institute in Miami, FL.
Why it matters
Potential benefit: If successful, this could define a better tolerated, evidence-based intravitreal methotrexate dosing strategy that controls ocular lymphoma while reducing side effects.
How similar studies have gone: Intravitreal methotrexate has shown ocular activity in prior reports, but randomized phase 3 comparisons of dosing frequency are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. 21 years old or older; of any gender 2. Biopsy proven primary vitreoretinal lymphoma 3. Presence of lymphomatous vitreous cells at the Screening Visit and/or any eye that has been vitrectomized to confirm the diagnosis of primary vitreoretinal lymphoma 4. Willingness to participate in the clinical trial as evidenced by signing of an informed consent Exclusion Criteria: 1. Known allergy or hypersensitivity to methotrexate 2. Planned eye surgery during the clinical trial 3. Women of childbearing potential who are pregnant or lactating 4. Pre-existing ocular or non-ocular conditions or diseases that, in the opinion of the investigator, could interfere with the conduct or interpretation of the clinical trial 5. Use of systemic methotrexate within one week prior to treatment
Where it's running
-
Bascom Palmer Eye Institute
Miami, Florida, United States Recruiting
Study contacts
- Study coordinator: Bill Cavanagh
- Email: bcavanagh@aldeyra.com
- Phone: 781-257-3063
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Can older adults with breast cancer tolerate a dense CMF chemo schedule
This study tests whether giving a condensed CMF chemotherapy regimen is feasible for people 70 and older with breast cancer.
-
Anti-CD25 antibody to prevent acute GVHD after haploidentical stem cell transplant
This study tests whether an anti-CD25 antibody can better prevent acute graft-versus-host disease after haploidentical hematopoietic stem cell transplantation compared with the usual methotrexate-based approach.
-
R-PMDT Regimen for Newly Diagnosed PCNSL
This study tests the R-PMDT treatment approach in people newly diagnosed with primary CNS lymphoma to see how many respond.
-
Intrathecal methotrexate-loaded tumor-derived vesicles for leptomeningeal lung cancer
This treatment will try giving methotrexate-loaded tumor-derived vesicles into the spinal fluid to see if it is safe and helps adults with leptomeningeal metastasis from lung cancer who have not responded to standard treatments.
-
Methotrexate in hand osteoarthritis that hasn’t improved with usual treatments
This study tests whether methotrexate injections can help people with erosive hand OA who haven’t benefited from standard care, compared with placebo.
-
Subcutaneous methotrexate for Chinese adults with rheumatoid arthritis
This project will test how well and how safely subcutaneous methotrexate works for Chinese adults with rheumatoid arthritis, including people with lung or coronary comorbidities.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.