The GUARD Trial - Part 1: A Phase 3 Clinical Trial for Prevention of Proliferative Vitreoretinopathy
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ClinicalTrials.gov Identifier: NCT04136366 |
Recruitment Status :
Completed
First Posted : October 23, 2019
Last Update Posted : June 2, 2023
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Condition or disease | Intervention/treatment | Phase |
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Proliferative Vitreoretinopathy | Drug: ADX-2191 (intravitreal methotrexate 0.8%) Other: Standard surgical care procedure | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 106 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Prevention |
Official Title: | The GUARD Trial - Part 1: A Phase 3 Clinical Trial of Repeated Intravitreal Injections of ADX-2191 Versus Standard-of-Care for Prevention of Proliferaivie Vitreoretinopathy |
Actual Study Start Date : | November 15, 2019 |
Actual Primary Completion Date : | June 14, 2022 |
Actual Study Completion Date : | June 14, 2022 |

Arm | Intervention/treatment |
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Experimental: ADX-2191 (intravitreal methotrexate 0.8%)
ADX-2191 (intravitreal methotrexate 0.8%) administered over 16 weeks.
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Drug: ADX-2191 (intravitreal methotrexate 0.8%)
ADX-2191 (intravitreal methotrexate 0.8%) injected 13 times over 16 weeks upon completion of pars plana vitrectomy |
Active Comparator: Standard surgical care procedure
Standard procedure performed.
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Other: Standard surgical care procedure
Standard surgical care performed upon completion of pars plana vitrectomy |
- Recurrent retinal detachment [ Time Frame: Efficacy assessment period (Week 1 to Week 24) ]
- Best-corrected visual acuity (BCVA) change from baseline [ Time Frame: Efficacy assessment period (Week 1 to Week 24) ]

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subject is 18 years or older of any gender or race
- Subject is undergoing pars plana vitrectomy due to recurrent retinal detachment due to proliferative vitreoretionapthy or open globe injury
- Subject is willing and able to provide written informed consent, comply with clinical trial procedures, and return for all clinical trial visits
- Subjects of childbearing potential must agree to use two forms of birth control for the duration of the clinical trial
Exclusion Criteria:
- History of severe non-proliferative or proliferative diabetic retinopathy
- Other planned eye surgery during the course of the trial
- Participation in a clinical trial with an investigational medicinal product or investigational device within 90 days of subject enrollment

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04136366

Responsible Party: | Aldeyra Therapeutics, Inc. |
ClinicalTrials.gov Identifier: | NCT04136366 |
Other Study ID Numbers: |
ADX-2191-PVR-001 |
First Posted: | October 23, 2019 Key Record Dates |
Last Update Posted: | June 2, 2023 |
Last Verified: | October 2022 |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
ADX-2191 recurrent retinal detachment open globe injury |
Vitreoretinopathy, Proliferative Retinal Diseases Eye Diseases Methotrexate Abortifacient Agents, Nonsteroidal Abortifacient Agents Reproductive Control Agents Physiological Effects of Drugs Antimetabolites, Antineoplastic Antimetabolites |
Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Dermatologic Agents Enzyme Inhibitors Folic Acid Antagonists Immunosuppressive Agents Immunologic Factors Antirheumatic Agents Nucleic Acid Synthesis Inhibitors |