Clinical trial Recruiting at 1 site Phase 3 Interventional Ages 21 and up

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

PhasePhase 3
Study typeInterventional
Ages21 Years and up
SexAll
Enrollment20 (estimated)
SponsorAldeyra Therapeutics, Inc.
Industry-sponsored
Drugs / interventionsmethotrexate
Locations1 site (Miami, Florida)
StatusRecruiting
StartedFebruary 2026
Main results expectedDecember 2026
Study endsDecember 2026
Registry record updatedFebruary 11, 2026
Trial IDNCT07402876 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Browse more
Last reviewed 2026-11-14 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.