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For Third Time, FDA Rejects Aldeyra’s Dry-Eye Drug Reproxalap Over Efficacy

Aldeyra plans a Type A meeting instead of new trials after the agency raised no safety or manufacturing issues.

Overview

  • The FDA issued a Complete Response Letter citing a lack of substantial efficacy evidence from adequate, well‑controlled studies.
  • Regulators flagged inconsistent results across trials that call the reported positive findings into question, with no safety or manufacturing concerns noted.
  • The agency suggested analyzing failed studies and potential responsive subpopulations, and it did not request additional trials at this time.
  • Aldeyra says it will seek a Type A meeting to clarify requirements for approval and will not initiate new clinical studies.
  • Shares fell roughly 68% to 70% toward a 52‑week low, and the company reports about $70 million in cash expected to fund operations into 2028.