Privosegtor for Optic Neuritis
(PIONEER-1 Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new treatment called privosegtor for individuals with optic neuritis (ON), a condition causing sudden, painful vision loss in one eye. Researchers aim to determine if privosegtor, combined with the usual treatment of methylprednisolone (a type of steroid), is safe and more effective than the usual treatment with a placebo. Suitable candidates for this trial have experienced their first episode of ON in one eye and began losing vision within the last 12 days. As a Phase 3 trial, this study serves as the final step before FDA approval, offering participants the opportunity to contribute to a potentially groundbreaking treatment.
Do I have to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial team or your doctor.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Studies have shown that privosegtor is generally well-tolerated in patients with optic neuritis. Earlier research identified mild headaches and acne as the most common side effects, each affecting about 10.5% of participants. Importantly, no serious side effects were directly linked to the drug. Privosegtor is also known for its ability to protect nerve cells and has received special recognition from both the FDA and EMA, indicating a promising safety profile. However, despite these encouraging findings, privosegtor has not yet received full approval for commercial use.12345
Why do researchers think this study treatment might be promising for optic neuritis?
Privosegtor is unique because it offers a new approach to treating optic neuritis by targeting specific pathways in the immune system. Unlike standard treatments like corticosteroids, which broadly suppress inflammation, Privosegtor potentially offers a more targeted mechanism of action, reducing the risk of side effects associated with long-term steroid use. Researchers are excited about Privosegtor because it could provide faster relief with improved safety and efficacy for those suffering from optic neuritis.
What evidence suggests that this trial's treatments could be effective for optic neuritis?
Research has shown that privosegtor may help treat optic neuritis, a condition affecting the optic nerve that can cause vision loss. In this trial, participants will receive either privosegtor or a placebo. A previous study found that patients receiving privosegtor with IV methylprednisolone improved by an average of 18 letters on an eye chart after three months, indicating significantly clearer vision. Additionally, privosegtor has been linked to protecting important parts of the eye, such as retinal ganglion cells, which are essential for vision. These promising results have led health authorities to recognize it as a breakthrough therapy. Overall, privosegtor could offer a new way to protect and improve vision for people with optic neuritis.15678
Are You a Good Fit for This Trial?
This trial is for people diagnosed with optic neuritis, including those who may have multiple sclerosis or vision problems related to optic nerve inflammation. Participants should be adults able to receive standard steroid treatment and meet other health requirements set by the study.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either privosegtor with standard of care or placebo with standard of care
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Methylprednisolone
- Privosegtor
Trial Overview
The study compares a new drug called privosegtor plus standard steroid treatment (methylprednisolone) against placebo plus steroids in patients with optic neuritis. The aim is to see if privosegtor helps protect vision better than current care.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Placebo Group
Find a Clinic Near You
Who Is Running the Clinical Trial?
Oculis
Lead Sponsor
Citations
1.
europe.ophthalmologytimes.com
europe.ophthalmologytimes.com/view/privosegtor-earns-ema-prime-designation-for-optic-neuritisPrivosegtor earns EMA PRIME designation for optic neuritis
That designation was granted on the strength of phase 2 efficacy data from the ACUITY trial, which the EMA has now independently determined to ...
2.
neurologylive.com
neurologylive.com/view/neuroprotective-agent-privosegtor-gains-fda-breakthrough-designation-optic-neuritisNeuroprotective Agent Privosegtor Gains FDA ...
Privosegtor has been granted FDA breakthrough therapy designation for acute optic neuritis, highlighting its potential as a neuroprotective ...
Phase II ACUITY: privosegtor improves visual and ...
Pablo Villoslada, MD, Hospital del Mar, Barcelona, Spain, discusses results from the Phase II ACUITY study (NCT04762017) of privosegtor in ...
4.
practicalneurology.com
practicalneurology.com/news/possible-optic-neuritis-treatment-receives-breakthrough-therapy-designation/2485310/Possible Optic Neuritis Treatment Receives Breakthrough ...
Patients treated with privosegtor 3 mg/kg/day + IV methylprednisolone gained an average of 18 letters on the 2.5% LCVA chart at 3 months ...
NCT04762017 | OCS-05 in Patients With Optic Neuritis
The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure.
6.
eyewire.news
eyewire.news/news/oculis-secures-fda-spa-agreement-for-pioneer-1-phase-3-trial-of-privosegtor-in-optic-neuritisOculis Secures FDA SPA Agreement for PIONEER-1 ...
Privosegtor is a novel peptoid small molecule designed to cross both the blood-brain and retinal barriers, positioning it as a potential first- ...
OCS-05: Acute Optic Neuritis - Symptoms & Treatment
Privosegtor is an investigational drug and its safety or efficacy has not been established and it has not received regulatory approval for commercial use
8.
multiplesclerosisnewstoday.com
multiplesclerosisnewstoday.com/news-posts/2026/04/03/ema-grants-prime-status-new-optic-neuritis-therapy-privosegtor/EMA grants PRIME status to new optic neuritis therapy ...
Privosegtor has received PRIME designation in Europe for the treatment of optic neuritis, a condition commonly seen in multiple sclerosis.
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