Phase I

Ophthalmology

pain 36#52volume 204#68

Pain rank 52 of 76, volume rank 68 of 76 by industry trials. Trials here amend about 0.6x and fail enrollment about 0.9x the map median.

What this is worth

The amendment proxy, priced. Order of magnitude, anchor cited, assumptions on the table.

Per 100 industry trials in this cell, about 25 rewrite their eligibility criteria at least once. At the industry average of $450k direct cost per amendment, with the 6+ weeks of delay each not even counted, that is at least $11M at stake per 100 trials. Across the roughly 204 industry trials here, the floor is $23M.

If amendments fell by10%$2M30%$7M50%$11M

Assumes $450k direct cost per amendment (industry average; Phase II median runs lower, Phase III higher, and delay cost is excluded), applied to the proxy rate. The proxy counts only trials with at least one eligibility change, so this understates the true exposure. How this is derived.

The signals

Industry sponsors first, since that is the commercial buyer, each figure shown against the map median. All-sponsor figures follow. A trial counts as concluded once it has finished, whether completed, terminated or withdrawn.

Industry sponsors36pain index
Eligibility amendments
25%vs map 40%proxyn = 48sampled
Enrollment failure
12%vs map 13%n = 166concluded
Startup lag
50 dvs map 45.5 dn = 103with dates
Median duration
11.0 mon = 198completed
All sponsors28pain index
Eligibility amendments
29%proxyn = 95sampled
Enrollment failure
13%n = 326concluded
Startup lag
60 dn = 210with dates
Median duration
16.1 mon = 426completed
Why these trials stoppedsponsor decision leads

The most common category here is sponsor decision (9 of 20 stopped). A keyword pass runs first; free text it could not place was sorted once by a frozen AI classification into these same categories, auditable rather than a live model. "No enrollment recorded (inferred)" is not a stated reason: it is read from a zero enrollment count, meaning the trial never enrolled anyone. "Not reported" means the sponsor left the field blank, shown rather than hidden.

Sponsor decision9 (45%)
Low accrual3 (15%)
Not reported3 (15%)
Business or funding2 (10%)
Efficacy or futility1 (5%)
No enrollment recorded (inferred)inferred1 (5%)
Safety or tolerability1 (5%)
n = 20terminated or withdrawn
Evidence12 trials

A sample of terminated or withdrawn trials in this cell. Each links to its ClinicalTrials.gov record.

TrialSponsorStatusStated reason
NCT06321562EyeD PharmaterminatedLow accrual
NCT05592912PromiSight, LLCwithdrawnBusiness or funding
NCT05481489Laboratorios Sophia S.A de C.V.withdrawnSponsor decision
NCT05441930PolyActiva Pty LtdwithdrawnSponsor decision
NCT05052554ProQR TherapeuticswithdrawnLow accrual
NCT04919096Clover Biopharmaceuticals AUS PtywithdrawnSponsor decision
NCT04784390Novartis PharmaceuticalsterminatedSponsor decision
NCT04594681Kyowa Kirin Co., Ltd.terminatedSponsor decision
NCT04292912GlaxoSmithKlineterminatedEfficacy or futility
NCT04002310Boehringer IngelheimterminatedSponsor decision
NCT02031380Care Team SolutionswithdrawnBusiness or funding
NCT01605942AllerganterminatedSponsor decision

Ophthalmology at other phases