Phase III

Ophthalmology

pain 51#37volume 535#47

Pain rank 37 of 76, volume rank 47 of 76 by industry trials. Trials here sit close to the map median on both amendments and enrollment failure.

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 39 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 $18M at stake per 100 trials. Across the roughly 535 industry trials here, the floor is $94M.

If amendments fell by10%$9M30%$28M50%$47M

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 A trial counts as concluded once it has finished, whether completed, terminated or withdrawn.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 sponsors51pain index
Eligibility amendments
39%vs map 40%proxyn = 46sampled
Enrollment failure
15%vs map 13%n = 435concluded
Startup lag
46 dvs map 45.5 dn = 279with dates
Median duration
16.0 mon = 504completed
All sponsors41pain index
Eligibility amendments
33%proxyn = 95sampled
Enrollment failure
16%n = 688concluded
Startup lag
53 dn = 433with dates
Median duration
19.0 mon = 859completed
Why these trials stoppedsponsor decision leads

The most common category here is sponsor decision (22 of 65 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 decision22 (34%)
Not reported19 (29%)
Efficacy or futility12 (18%)
Low accrual2 (3%)
No enrollment recorded (inferred)inferred2 (3%)
Safety or tolerability2 (3%)
Never initiated2 (3%)
Superseded by another study1 (2%)
Business or funding1 (2%)
Feasibility or operational failure1 (2%)
External or regulatory1 (2%)
n = 65terminated or withdrawn
Evidence12 trials

A sample of terminated or withdrawn trials in this cell.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

TrialSponsorStatusStated reason
NCT07111013Bausch & Lomb IncorporatedwithdrawnSponsor decision
NCT06400511Famy Life Sciences, a Viatris CompanyterminatedSponsor decision
NCT05550363EyePoint Pharmaceuticals, Inc.withdrawnSponsor decision
NCT05550350EyePoint Pharmaceuticals, Inc.withdrawnSponsor decision
NCT05247658TBF Genie TissulaireterminatedEfficacy or futility
NCT05176717Laboratoires TheaterminatedSponsor decision
NCT05158296Laboratoires TheaterminatedSponsor decision
NCT05070728EyePoint Pharmaceuticals, Inc.terminatedSponsor decision
NCT04697953Novartis PharmaceuticalswithdrawnLow accrual
NCT04311112Retinagenix HoldingswithdrawnSponsor decision
NCT04049266Kodiak Sciences IncterminatedEfficacy or futility
NCT03971357Price Vision GroupterminatedEfficacy or futility

Ophthalmology at other phases