Core Insights - Ocular Therapeutix is advancing its registrational trial SOL-R for AXPAXLI™ in wet age-related macular degeneration (wet AMD), achieving a randomization target of 555 subjects, with topline data expected in the first half of 2027 [1][2][4] - The SOL-1 and SOL-R trials are designed to complement each other, with SOL-1 focusing on demonstrating AXPAXLI's durability and SOL-R supporting its clinical adoption with predictable dosing [2][3][4] - AXPAXLI aims to address the unmet need for more durable therapies in wet AMD, potentially extending dosing intervals to every 6 to 12 months and improving long-term visual outcomes [4][5] Company Overview - Ocular Therapeutix is an integrated biopharmaceutical company focused on redefining the retina experience, with AXPAXLI being a key investigational product for retinal diseases [13][14] - The company utilizes its proprietary ELUTYX™ technology in its product pipeline, including the FDA-approved DEXTENZA and the investigational OTX-TIC for glaucoma [14][13] Clinical Trial Details - The SOL-R trial is a Phase 3, multi-center, double-masked, randomized study comparing AXPAXLI dosed every 6 months to aflibercept dosed every 8 weeks in treatment-naïve wet AMD patients [6][8] - The primary endpoint of SOL-R is to demonstrate non-inferiority in mean change in best corrected visual acuity (BCVA) from baseline at Week 56, with a non-inferiority margin of -4.5 letters [8][2] - SOL-1 is a superiority study evaluating a single injection of AXPAXLI versus aflibercept, with topline data expected in Q1 2026 [9][11] Market Context - Wet AMD is a leading cause of blindness, affecting approximately 14.5 million individuals globally and 1.8 million in the U.S., with many patients requiring frequent injections [4][12] - Current anti-VEGF therapies have limitations, including treatment discontinuation rates of up to 40% within the first year, leading to disease progression [4][12]