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FDA Rejects Aldeyra's Reproxalap NDA for Dry Eye Disease Over Efficacy Issues

The decision marks the second rejection of the drug application, with Aldeyra planning a mid-2025 resubmission pending new trial results.

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Overview

  • The FDA rejected Aldeyra Therapeutics' resubmitted New Drug Application (NDA) for reproxalap, citing insufficient efficacy data and methodological concerns in clinical trials.
  • The agency raised issues about differences in baseline scores across treatment arms but confirmed no manufacturing or safety concerns with the drug.
  • Aldeyra plans to release results from ongoing clinical trials in Q2 2025 and resubmit the NDA by mid-2025 if the data supports efficacy.
  • Shares of Aldeyra plummeted nearly 75% to an all-time low following the FDA's decision, reflecting investor concerns over regulatory setbacks.
  • With $101 million in cash reserves as of December 2024, the company remains financially positioned to continue its development efforts.