Evidence map›Paper›PMID 41981307›Full record

ArticleNature medicine2026

Intravitreal photoswitch therapy in advanced retinitis pigmentosa: a phase 1 open-label trial.

Robert J Casson, Eric Daniels, Christen D Barras, Andrew Dwyer, Brian M Strem, Charles C Wykoff, Claudia Gregorio-King, Cameron Schuh, Richard H Kramer, Russell N Van Gelder

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Nature medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05282953 (A Phase I/II Dose-escalating Study of the Safety, Tolerability and Efficacy of KIO-301 Administered Intravitreally to Patients With Retinitis Pigmentosa and Choroideremia), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05282953 phase1 / phase2completednot on this map

A Phase I/II Dose-escalating Study of the Safety, Tolerability and Efficacy of KIO-301 Administered Intravitreally to Patients With Retinitis Pigmentosa and Choroideremia (ABACUS)

TypeinterventionalSponsorKiora Pharmaceuticals, Inc.Ran2022 to 2026Enrolled32ConditionsRetinitis Pigmentosa, Choroideremia, Non-Syndromic Rod-Dominant Inherited Retinal DiseasesArmsKIO-301
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Photopharmacology: A new paradigm for vision restoration.Clinical and translational medicine · 2026
    Article
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Robert J CassonDepartment of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia, Australia. robert.casson@adelaide.edu.au.ORCID http://orcid.org/0000-0003-2822-4076
Eric DanielsKiora Pharmaceuticals, Encinitas, CA, USA.
Christen D BarrasDepartment of Radiology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Andrew DwyerSouth Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Brian M StremKiora Pharmaceuticals, Encinitas, CA, USA.
Charles C WykoffRetina Consultants of Texas, Retina Consultants of America, Blanton Eye Institute, Houston Methodist Hospital, Houston, TX, USA.ORCID http://orcid.org/0000-0001-7756-5091
Claudia Gregorio-KingKiora Pharmaceuticals, Encinitas, CA, USA.
Cameron SchuhOra Inc., Andover, MA, USA.
Richard H KramerDepartment of Neuroscience, University of California, Berkeley, CA, USA.ORCID http://orcid.org/0000-0002-8755-9389
Russell N Van GelderKaralis-Johnson Retina Center, Department of Ophthalmology, University of Washington School of Medicine, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-5368-3659

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A small azobenzene photoswitch molecule (KIO-301), designed to confer light responsiveness to retinal ganglion cells, was evaluated for safety and feasibility in a first-in-human, phase 1, gene-agnostic, open-label, dose-escalation clinical trial in individuals with advanced retinitis pigmentosa (RP). KIO-301 was administered by intravitreal injection to 12 eyes of 6 participants. The primary outcome was ocular and systemic safety over 30 days. Secondary and exploratory assessments included functional vision testing, visual acuity, kinetic visual field, functional magnetic resonance imaging and participant-reported outcomes. The primary safety outcome was met, with no serious adverse events or dose-limiting toxicities observed at any point. No drug-related intraocular inflammation occurred, and all ocular adverse events were mild and procedure-related. Exploratory assessments identified variation in light perception and functional vision measures in some participants. Light-evoked blood-oxygen-level-dependent signal changes in visual cortical regions were observed following dosing and showed a temporal pattern compatible with pharmacodynamic activity. Participant-reported quality-of-life scores varied over time. In this small, nonrandomized phase 1 study in individuals with late-stage RP, intravitreal KIO-301 demonstrated an acceptable safety and tolerability profile, supporting the feasibility of photoswitch therapy in advanced RP, and motivating further evaluation in larger trials. ClinicalTrials.gov identifier: NCT05282953.

Indexed as

Azo CompoundsRetinitis PigmentosaAdultAgedFemaleHumansIntravitreal InjectionsMagnetic Resonance ImagingMaleMiddle AgedQuality of LifeRetinal Ganglion CellsTreatment OutcomeVisual AcuityazobenzeneAzo Compounds

Identifiers

PMID41981307
PMCPMC13190265

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.