Phase II

Ophthalmology

pain 70#19volume 608#42

Pain rank 19 of 76, volume rank 42 of 76 by industry trials. Trials here amend about 1.2x and fail enrollment about 1.3x 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 48 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 $22M at stake per 100 trials. Across the roughly 608 industry trials here, the floor is $131M.

If amendments fell by10%$13M30%$39M50%$65M

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 A trial counts as concluded once it has finished, whether completed, terminated or withdrawn.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 sponsors70pain index
Eligibility amendments
48%vs map 40%proxyn = 46sampled
Enrollment failure
17%vs map 13%n = 474concluded
Startup lag
52 dvs map 45.5 dn = 345with dates
Median duration
14.9 mon = 584completed
All sponsors63pain index
Eligibility amendments
42%proxyn = 92sampled
Enrollment failure
18%n = 750concluded
Startup lag
62 dn = 538with dates
Median duration
19.0 mon = 1,003completed
Why these trials stoppednot reported leads

The most common category here is not reported (20 of 80 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.

Not reported20 (25%)
Sponsor decision16 (20%)
Efficacy or futility16 (20%)
Safety or tolerability9 (11%)
Low accrual8 (10%)
Other stated reason3 (4%)
Business or funding2 (3%)
No enrollment recorded (inferred)inferred2 (3%)
External or regulatory1 (1%)
Technical or device issue1 (1%)
Completed or objective met1 (1%)
Superseded by another study1 (1%)
n = 80terminated or withdrawn
Evidence12 trials

A sample of terminated or withdrawn trials in this cell.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

TrialSponsorStatusStated reason
NCT06520202Lubris Bio Pty LtdterminatedEfficacy or futility
NCT05992922Iacta PharmaceuticalsterminatedSafety or tolerability
NCT05893537Cognition TherapeuticsterminatedSponsor decision
NCT05727878Combangio, IncterminatedEfficacy or futility
NCT05393089AllerganwithdrawnSponsor decision
NCT05392751Endogena Therapeutics, IncterminatedLow accrual
NCT05384249ACELYRIN Inc.terminatedEfficacy or futility
NCT05302609TBF Genie TissulaireterminatedLow accrual
NCT05250583TBF Genie TissulaireterminatedLow accrual
NCT05191628TBF Genie TissulaireterminatedLow accrual
NCT05172349TBF Genie TissulairewithdrawnSponsor decision
NCT05066698Noveome Biotherapeutics, formerly StemnionterminatedSafety or tolerability

Ophthalmology at other phases