MedPath

UNITY Biotechnology's UBX1325 Pivotal Trial Design for Diabetic Macular Edema

10 months ago2 min read

Key Insights

  • UNITY Biotechnology's UBX1325 (foselutoclax) is under development as a novel senolytic therapeutic for diabetic macular edema (DME).

  • A pivotal study design, based on FDA interaction, will compare UBX1325 to aflibercept, focusing on non-inferiority in best-corrected visual acuity (BCVA).

  • Topline data from the Phase 2b ASPIRE study, comparing UBX1325 to aflibercept, is expected in Q1 and Q2 2025.

UNITY Biotechnology is advancing UBX1325 (foselutoclax), a senolytic therapeutic, for diabetic macular edema (DME). Following a Type C interaction with the FDA, the pivotal study for UBX1325 is expected to be a non-inferiority trial against an approved anti-VEGF agent like aflibercept, with the primary endpoint being best-corrected visual acuity (BCVA) assessed by the ETDRS scale, using a non-inferiority margin of 4 letters.

UBX1325: Targeting Senescent Cells in DME

UBX1325 is designed to address the limitations of current DME treatments, such as high treatment burden and suboptimal response rates. The drug acts via a senolytic mechanism, selectively eliminating senescent cells to potentially improve long-term visual outcomes. Anirvan Ghosh, Ph.D., CEO of UNITY, stated that DME represents a large underserved market due to inadequate responses to anti-VEGF standard of care and continued vision loss despite treatment.

ASPIRE Phase 2b Study Details

The Phase 2b ASPIRE study (NCT06011798) is a multi-center, randomized, double-masked, active-controlled trial comparing UBX1325 head-to-head with aflibercept. Topline 24-week primary endpoint data is expected in the first quarter of 2025, with 36-week data following in the second quarter of 2025. This data will be crucial in informing the design of a potential pivotal study.

Financial Position

As of September 30, 2024, UNITY reported cash, cash equivalents, and marketable securities totaling $29.0 million, which the company believes is sufficient to fund operations into the third quarter of 2025. The net loss for the third quarter of 2024 was $6.5 million, compared to $14.8 million for the same period in 2023. Research and development expenses decreased to $2.8 million for the three months ended September 30, 2024, from $4.6 million for the three months ended September 30, 2023.
Subscribe Icon

Stay Updated with Our Daily Newsletter

Get the latest pharmaceutical insights, research highlights, and industry updates delivered to your inbox every day.

MedPath

Empowering clinical research with data-driven insights and AI-powered tools.

© 2025 MedPath, Inc. All rights reserved.