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Form 8-K Ocuphire Pharma, Inc. For: May 19

May 19, 2022 7:44 AM EDT

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Exhibit 99.1

 Ocuphire Corporate Presentation  May 19, 2022 
 

 Disclosures and Forward-Looking Statements   This presentation contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Such statements include, but are not limited to, statements concerning the regulatory timelines, commercial timelines, product labels, cash runway, scalability, and future clinical trials in reversal of mydriasis (RM), presbyopia (P), dim light/night vision disturbance (NVD) and diabetic retinopathy (DR)/diabetic macular edema (DME), including the potential for Nyxol to be a “best in class” presbyopia drop and the potential market opportunity in RM/NVD/P/DR/DME. These forward-looking statements are based upon the Company’s current expectations and involve assumptions that may never materialize or may prove to be incorrect. Actual results and the timing of events could differ materially from those anticipated in such forward-looking statements as a result of various risks and uncertainties, including, without limitation: (i) the success, costs, and timing of regulatory submissions and pre-clinical and clinical trials, including enrollment and data readouts; (ii) regulatory requirements or developments; (iii) changes to clinical trial designs and regulatory pathways; (iv) changes in capital resource requirements; (v) risks related to the inability of Ocuphire to obtain sufficient additional capital to continue to advance its product candidates and its preclinical programs; (vi) legislative, regulatory, political and economic developments, (vii) changes in market opportunities, (viii) the effects of COVID-19 on clinical programs and business operations, (ix) the success and timing of commercialization of any of Ocuphire’s product candidates, including the scalability of Ocuphire’s product candidates and (x) the maintenance of Ocuphire’s intellectual property rights. The foregoing review of important factors that could cause actual events to differ from expectations should not be construed as exhaustive and should be read in conjunction with statements that are included herein and elsewhere, including the risk factors detailed in documents that have been and may be filed by the Company from time to time with the SEC. All forward-looking statements contained in this presentation speak only as of the date on which they were made. The Company undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made.    The Company makes no representation or warranty, express or implied, as to the accuracy or completeness of the information contained in or incorporated by reference into this presentation. Nothing contained in or incorporated by reference into this presentation is, or shall be relied upon as, a promise or representation by the Company as to the past or future.  The Company assumes no responsibility for the accuracy or completeness of any such information. This presentation also contains estimates and other statistical data made by independent parties and by us relating to market shares and other data about our industry. This data involves a number of assumptions and limitations, and you are cautioned not to give undue weight to such estimates.  The trademarks included herein are the property of the owners thereof and are used for reference purposes only. Such use should not be construed as an endorsement of such products.  
 

 Differentiated, Late-Stage Pipeline for Front and Back of the Eye  Nyxol with > 650 patients treated across 12 trials (505(b)(2) regulatory pathway)  APX3330 with > 340 patients treated across 11 trials (NCE development pathway)  Nyxol and APX3330 achieved promising clinical data and favorable safety profile across multiple Phase 1, 2, and 3 trials  Near-term Commercialization Opportunities in Multiple Large Unmet Markets  Addressing 4 large markets with unmet needs: RM, Presbyopia, NVD, and DR/DME  Successful trial execution with 6 positive Phase 3 & Phase 2 data read-outs for Nyxol in RM, Presbyopia, and NVD  Stable, small-molecule drugs with commercial scalability  Robust and growing IP portfolio: US and global patents issued thru 2034 for both assets as well as new 2039 Nyxol patent issued for presbyopia  Multiple data readouts in 2022 with Track Record of Execution  $19.2 million cash reported at 3-31-22 sufficient for operations into 2Q 2023  Highly experienced management, Board and KOLs with broad ophthalmic and biotech drug development and commercialization success  Low-cost, fast-enrolling, short-duration clinical trials  Favorable precedent regulatory environment for ophthalmic drug approval  Analyst coverage by Cantor, Canaccord, Jones Trading, Alliance Global, and HCW   Multiple Catalysts in 2022:  Nyxol alone VEGA-1 P2 trial for P JAN 2022  Nyxol MIRA-3 P3 trial for RM MAR 2022  Nyxol MIRA-4 Pediatric trial for RM APR 2022  Nyxol LYNX-1 P3 trial for NVD MAY 2022  APX3330 ZETA-1 P2b trial for DR/DME 2H22  NDA Filing for Nyxol for RM LATE 2022  Ocuphire Pharma  Nasdaq: OCUP  P= Presbyopia  RM = Reversal of Mydriasis   NVD = Night Vision Disturbances  DR/DME = Diabetic Retinopathy/Diabetic Macular Edema   3 
 

 Ophthalmology – An Attractive Biotech Sector   Favorable  Regulatory  Environment   Source:1. Endpoint Dec 29, 2021- Hitting a new record on drug approvals, the FDA offers a thumbs-up to another atopic dermatitis contender; 2. OIS Year in Review 2021; 3. Company press releases  Demographics, M&A, Regulatory Approvals and Efficient Trials Favor Ophthalmic Drugs  New Product Approvals  *sNDA  7 of 60 FDA Drug Approvals in 2021 Were Ophthalmic Drugs1 and 1 in 2022  Aging  Population   Ranibizumab biosimilar  Active  Partnering in 2021  April 2021  ~$2B  October 2021  December 2021  ~$1.5B  December 2021  $1.75B  September 2021  Lower Cost,  Quick Enrolling,  Short Duration Clinical Trials  Deal Activity  December 2021  $670M  $355M  January 2022 
 

 Indication  Product Candidate  Pre-clinical  Phase 1  Phase 2  Phase 3  Regulatory  Approval  Anticipated Milestones  Reversal of Mydriasis (RM)   Nyxol®  Eye Drop  Reported positive MIRA-3 Phase 3 data in Q1 2022 (n=368)   Reported positive MIRA-4 Pediatric data in 2Q 2022 (n=23)  File Nyxol NDA for RM in late 2022  Presbyopia (P)  Nyxol®  Eye Drop  Reported positive VEGA-1 Nyxol alone data in Q1 2022 (and in combination with LDP in mid-2021)   VEGA Phase 3 program planned to initiate in mid-2022 for single agent and combination with LDP  Presbyopia (P)  Nyxol® +   0.4% Low Dose Pilocarpine (LDP)   Eye Drops  Dim Light or   Night Vision Disturbances (NVD)  Nyxol®  Eye Drop  Reported positive LYNX-1 Phase 3 data in 2Q 2022 (n=145)  Diabetic Retinopathy (DR)/ Macular Edema (DME)   APX3330   Oral Pill  ZETA-1 Phase 2b data expected in 2H22 (n=103)  DME or Wet Age-Related Macular Degeneration (wAMD)  APX2009 (Intravitreal or   Local Delivery)  Seeking partner funding for IND enabling studies and further development  Looking Ahead: Ocuphire Pipeline & Clinical Milestones  Note: 0.75% Nyxol (Phentolamine Ophthalmic Solution) is the same as 1% Nyxol (Phentolamine Mesylate Ophthalmic Solution)  Multiple Phase 3 & Phase 2 Clinical Data Readouts Anticipated this Year              ★ Ongoing Trial  ★             
 

 6  Reversal of Mydriasis  P  NVD  Presbyopia  Night Vision Disturbance  Nyxol®  Eye Drops  Nyxol as a Single Drop for Presbyopia  Nyxol with LDP Adjunctive Therapy  1  0.4%   2  RM 
 

 Nyxol’s Differentiated MOA as an Alpha-1 Blocker  Phentolamine Mesylate Reformulated as a Proprietary Topical Eye Drop  Nyxol®  Phentolamine Mesylate is the Active Ingredient in Nyxol: a Non-selective α1 & α2 Antagonist  Blocking α1  Reduces Pupil Size  Blocking α1  Dilates Blood Vessels  Phentolamine mesylate is approved for 2 indications:  Regitine® (Pheochromocytoma) – intravenous injection approved in 1952  OraVerse® (Reversal of oral anesthesia) – intramuscular injection approved in 2008  505(b)(2) Regulatory Approval Pathway  Nyxol blocks α1 receptors only found on the Iris Dilator Muscle  ↓  Decreases Pupil Size   (Moderate Miosis)  without  Affecting the Ciliary Muscle  Iris Dilator Muscle   Iris Sphincter Muscle 
 

 Nyxol Improves Vision by Decreasing Pupil (~1-1.5mm)  ↑ Near Vision  ↑ Distance Vision  ↑ Contrast Sensitivity (night)  No Systemic Effects  No Changes in Blood Pressure  No Changes in Heart Rate  Well-Tolerated Topical Effects  Mild, Transient, Reversible Eye Redness  IOP Unchanged or Decreased  Minimal to No Headaches   Nyxol Product Candidate Profile  Nyxol Clinical Trials   Novel, Differentiated Alpha 1/2 Blocker Eye Drop for Refractive Indications  Favorable Safety Profile  Efficacy Data   Nyxol: 0.75% Phentolamine Ophthalmic Solution  Preservative Free, EDTA Free, and Stable  Effects Last ≥ 24 Hours  Chronic daily dosing of Nyxol at bedtime reduces pupil size for up to 24 to 36 hours  Durable 
 

 9  I have to visit my retina MD for my monthly injections, where I am dilated. Being dilated every month is a huge burden on my day.                                      I had a premium cataract procedure by my MD, and I was unable to see clearly for two days. My doctor said it was due to my dilation. I did not expect my dilation to last that long.  I have to stay indoors. They say it only lasts a few hours, but it lasts all day, and it is very annoying.  RM  Nyxol®forReversal of Mydriasis (RM) 
 

 Problem: Dilated Eyes for Exams and Procedures​  Pharmacologically-induced pupil dilation is part of standard care for annual and specialty eye exams…  …but there is 6 to 24 hours of impaired vision including:​  Inability to Focus​  Photophobia (sensitivity to light)​  Cycloplegia (loss of accommodation)​  Difficulty Reading and Driving  Halos and Glare​  1. GlobalData Market Research Survey; Oraverse and Regitine Label  Patients Report Significant Side Effects after Dilated Eye Exam  Note - Tropicamide and Cyclopentolate have same MOA  NO REVERSAL DROPS COMMERCIALLY AVAILABLE  The Problem  RM 
 

 Nyxol Has Potential To Be The Only Option For RM  Physicians AVOID Use of Cholinergic Agonists (Pilocarpine) Due to Safety Risk on Ciliary Muscle  1 Pilocarpine FDA Label (2017)2. Optician (2012)- Mydriatic Drugs: Practical Considerations  3. Lee DA, Higginbotham EJ, 2005. Glaucoma and its treatment: a review. Am J Health Syst Pharm 62, 691–699.  Parasympathetic innervation stimulates   the iris sphincter and ciliary muscle   Sympathetic (primarily α1) innervation stimulates   the iris dilator muscles   2 Classes of Mydriatic Agents  Tropicamide   (anti-cholinergic)  Phenylephrine   (α1 agonist)  Reversal via the Ciliary Muscle by Cholinergic Agonists* is Not a ‘Safe’ Option  Retinal tear has been reported in some patients, especially high myopes1  Induces accommodation spasm and reduction in distance vision2  Induced anterior shift of the lens can increase the risk of acute angle-closure glaucoma2  High incidence of brow ache and headache following installation3  * Cholinergic Agonists include pilocarpine, carbachol, and aceclidine. Note, pilocarpine is rarely used off-label for RM given these safety concerns.   Nyxol® is the only eye drop in clinical development for multiple indications   with a MOA that does not affect the ciliary muscle  RM 
 

 Reversal of Mydriasis Unmet Need & Landscape  Source – Optos plc Pricing   With No Commercially Available Treatment, Nyxol is Uniquely Positioned as a New Reversal Drop  At many annual eye exams and specialty visits, pupils are pharmacologically dilated, impairing vision for 6-24 hours  Dilated eyes experience:  Heightened sensitivity to light   Inability to focus, headaches  Difficulty reading, working & driving   Halos and glare  Cycloplegia (loss of accommodation)  Current Landscape:  Rare off-label use of cholinergic agonists (e.g., pilocarpine) given ciliary muscle safety issues   Optomap® is offered by optometrists to avoid dilations for ~$50 cash-pay, however images may provide limited view of retina and disease pathology  No Currently Available Treatments  100M   Annual Eye Dilations  Nyxol’s MOA Uniquely Suited As A Reversal Drop For Dilations  The Problem  RM 
 

 MIRA-3 Phase 3 Registration Trial Design  Randomized, Double-Masked, Placebo-Controlled, Parallel, Multi-Center, One-Day Trial  Mydriasis  -1 Hour  1:1  Mydriatic Agent   A, B, or C  0.75% Nyxol   Placebo  16  US sites  368  subjects  Nyxol drop(s)  (2 drops study eye,   1 drop fellow eye)  Mydriatic Agent   A, B, or C  Placebo drop(s)  (2 drops study eye,   1 drop fellow eye)  Primary: % of subjects (study eye) returning to baseline (within 0.2 mm) pupil diameter (PD) at 90 min  Key Secondary:  % of subjects returning to baseline at 0min, 30min, 1h, 90 min 2h, 3h, 4h, 6h, 24h (overall, by mydriatic agent, by iris color)  Mean time to return to baseline PD  Mean change in pupil diameter at all timepoints   Distance-Corrected Near Vision  Accommodation (Tropicamide/Paremyd)  Safety and tolerability  Endpoints  MIRA-3 Started in Nov 2021  Enrolled 368 in Feb 2022  Phase 3 Results Reported March 2022   Screening  Randomization  2  1     Treatment (Max Dilation)  0 min  30min  1 Hr  90min  2 Hr  3 Hr  4 Hr     6 Hr     24 Hr  Primary Endpoint  Follow Up Visit  Mydriatic Agents 3:1:1 – A: 2.5% phenylephrine (alpha-1 agonist), B: 1% tropicamide (cholinergic blocker), C: Paremyd® (combination)     :  Inclusion: Healthy ≥ 12 years of age  Exclusion: Clinically significant ocular trauma, surgery, or non-refractive laser treatment within the 6 months prior to screening; and recent or current evidence of ocular disease, infection or inflammation in either eye   Key Eligibility Criteria  RM 
 

 Primary Endpoint Achieved in Two FDA Registration Phase 3 Trials  Source: (Left panel) MIRA-3 Table 14.2.1.1 (mITT); (Right panel) MIRA-2 Table 14.2.1.1 (mITT). Data include all three mydriatics (Phenylephrine, Tropicamide, Paremyd).  Rapid, Consistent and Sustained Reversal of Pupil Dilation with Nyxol  MIRA-3 Phase 3 Trial  MIRA-2 Phase 3 Trial  RM  0 
 

 MIRA-3: Mean Pupil Diameter Over Time  Source: MIRA-3 Table 14.2.2.1 (mITT). The p-values are change from max pupil dilation treatment compared to placebo.   Data includes all three mydriatics (Phenylephrine, Tropicamide, Paremyd). Standard Error bars are shown.   Nyxol Treatment Significantly Reduced PD Starting at 1 Hour Post-Dose Through 6 Hours  MIRA-3 Phase 3 Trial  1.5  0.5  RM 
 

 Summary of MIRA Registration Trial Designs  Source: In order from left to right  MIRA-2 Trial NCT# 04620213   MIRA-3 Trial NCT# 05134974  Randomized, Double-Masked, Placebo-Controlled, Parallel, Multi-Center, One-Day Trials  MIRA-2  Phase 3  MIRA-3  2nd Phase 3  Number of US Sites  12  16  Subjects Enrolled  185  368  Eligibility  Healthy ≥ 12 years of age​  Healthy ≥ 12 years of age​  Randomization  1:1  2:1  Positive Data Readout  1Q 2021  1Q 2022  Primary Endpoint  % of subjects (study eye) returning to baseline (within 0.2 mm) pupil diameter (PD) at 90 min​  % of subjects   (study eye) returning to baseline (within 0.2 mm) pupil diameter (PD) at 90 min  >550  Total Exposure To Nyxol  Total Subjects Enrolled  >330  Over 300 subjects have been treated with Nyxol and evaluated at 24-hours in the MIRA trials  satisfying regulatory requirements for drug safety exposure for the acute RM indication  In addition, 32 subjects were enrolled in positive MIRA-1 Phase 2 trial, a randomized, double-masked, placebo-controlled, crossover, multi-center trial as well as MIRA-4 pediatric safety trial of 23 children.  RM 
 

 Summary of Three Positive Late-Stage MIRA Clinical Trials  Source: mITT Population, MIRA-2, MIRA-3 and MIRA-4 Trial  Confirms Phase 3 Trials with Favorable Safety and Tolerability Profile and Rapid Mydriasis Reversal   No deaths, serious AEs, or withdrawals due to AEs  All treatment related AEs were mild in severity  The only AE occurring in ≥ 5% of subjects treated with Nyxol was mild and transient conjunctival hyperemia and instillation site discomfort (11% Nyxol vs. 0% placebo)   No distance visual acuity loss  No change in vital signs  Completion of MIRA-4 study satisfies Pediatric Research Equity Act (PREA) requirement   Efficacy  Safety  Pivotal trials met primary endpoint of return to baseline PD at 90 minutes after dilation  MIRA-3 Phase 3 (58% Nyxol vs. 6% placebo, p<0.0001)  MIRA-2 Phase 3 (49% Nyxol vs 7% placebo; p<0.0001)  MIRA-4 pediatric trial achieved 64% Nyxol vs. 25% Placebo (p<0.0001)  Met key secondary endpoints with high statistical significance  Efficacy across all 3 mydriatic agents – phenylephrine, tropicamide, and Paremyd®   Efficacy in both light and dark iris colors  Efficacy with 1 or 2 drops  Accelerated return to normal distance-corrected near visual acuity  Saving of ~4 hours in time to return to normal pupil diameter  RM 
 

 NDA Submission Targeted in Late 2022  Potential Regulatory Approval in 2023  Completed trial with 23 subjects ages 3 to 11 per agreed FDA initial pediatric study plan  Pediatric Safety  Completed 2nd Phase 3 trial in RM (enrolled 368 subjects), which also meets 24-hour safety population exposure requirement  P3 Clinical Trial  Completed 3 registration batches; 1-year CMC stability will be available for NDA  Manufacturing  Submit NDA by late 2022, with expected approval review of 10 months   Regulatory Approval  Nyxol®  Target Label Indication   The treatment of pharmacologically induced mydriasis produced by adrenergic (e.g., phenylephrine) or parasympatholytic (e.g., tropicamide) agents, or a combination thereof.  Preservative-Free  Single Unit Vial (5-pack)  ✓  Ongoing  RM  ✓ 
 

 ~$500+M  Estimated US RM Market Opportunity  Reversal of Mydriasis (RM) Market Opportunity  With No Commercially Available Treatment, Nyxol May Achieve Significant Revenue Potential  Patient Willingness to Pay $10 - $20+  65% Report Moderate to Severe Impact to Daily Function  100M Annual Eye Dilations  80% of Patients Likely to Request Drop  58%  physicians would start prescribing Nyxol within 1st year  81%   patients would be more likely to schedule yearly eye exams with a reversal drop  0   Current Commercially Available Treatments  MIRA Trials Represent 95% of Dilation Drops Used in Practice  Source: GlobalData Market Research SurveyCalculation: 100M Annual Eye Dilations X 65% X 80% X $10 per patient = $500+M Opportunity   68%  physicians would be willing to use Nyxol even if patients had to still wear sunglasses within 1st hour  GlobalData Market Research Findings  RM 
 

 More Efficient Launch Opportunity for Nyxol in RM  Launch is Poised to be Disruptive, Cost-Effective and Not Payor-Driven  Traditional Ophthalmic Launch  Traditional Ophthalmic Launch  Highly competitive markets (e.g., dry eye, glaucoma, allergy); little differentiation  Launch success takes time given payor (reimbursement) dependence  Significant prior authorization & step-edits hurdles with burden to the practices  Lengthy sales cycles and touchpoints due to chronic use and market access upkeep  Significant product education requirement  Complex distribution channel including specialty and retail pharmacies  “One product, one indication” commercial model is inefficient with fixed cost infrastructure  Ocuphire’s Nyxol RM Launch  Ocuphire’s Nyxol RM Launch  No competition or approved reversal drop  potential for Nyxol to be the only safe option  Cash pay (no reimbursement barriers) allowing for quicker adoption  Offering a significant value proposition to patients and practices  Shortened sales-cycle with acute use product   No training given dilations routine in practices  No specialty/retail pharmacy  direct to physician  “One product, several indications” offers efficiencies in commercial operations  RM 
 

 Pre-Commercial 2022 & Go-To-Market Strategy 2023  Sources: ASRS; AMA; AAO; Women in Optometry (WO); AOA Excel and Jobson Medical Information; Physician Interviews Conducted by Ocuphire; GlobalData market research  Activities Underway to Support Capital-Efficient Nyxol RM Commercial Launch  Physician  Targeting  Pre-Commercial Activity  Market   Development (KOLs)  Patient   Journey  Brand   Awareness  No approved drug/competition; data-mining for high volume practices  Landscape  No need for pharmacy; no reimbursement, private pay  Direct to Physicians  Dilations are a routine part of practice;   adoption requires no staff or patient training   Easy Adoption  Components of an Efficient Launch  Retina  3,000 Retinal Specialists  Ophthalmology  20,000 Ophthalmologists  Optometry  46,000 Optometrists   Potential Options for Commercialization  RM  Go-To-Market Strategy  Work with strategic or channel partner with existing commercial ophthalmic products  Hire contract commercial organization  Build own salesforce 
 

 P  22  “By age 45, 80% of Americans will struggle with Presbyopia, and by age 50, nearly everyone will.”   NY Times  Effectively everyone over 40 will have the problems with reading.  Physician KOL  Nyxol® forPRESBYOPIA 
 

 2021: The Time for Presbyopia Drops  Sources: Academic review articles, journals, and publications between July 2021 to December 2021   Headlines from Academia and Industry Articles with an Early First Approval for VuityTM   “The correction of presbyopia remains ophthalmology’s ‘Holy Grail’…”  -OIS  10/29/2021  P 
 

 Nyxol® and Nyxol + Low Dose Pilocarpine Presbyopia Eye Drops  Source: Nyxol® data from 12 completed trials; Pilocarpine product label and literature  Differentiated MOA with Two Potential Product Labels for Functional Near Vision Improvement  0.4%         0.75% Nyxol  0.4% LDP  Iris Dilator Muscle Inhibition  Iris Sphincter Muscle Activation  Evening drop  Phentolamine (alpha1/2 antagonist)  Novel MOA (iris dilator)   24+ hour PD durability  Moderate pupil reduction  Well-tolerated with no systemic effects  Stable, preservative-free, single-use vial  Pilocarpine (cholinergic agonist)  Known MOA on sphincter (and ciliary) muscle  Potent miotic at approved doses (1%, 2%, 4%)  Low concentration avoids known safety issues:  Headache, brow ache, and redness  Accommodative spasm causing loss of distance vision especially at night  Daytime drop  Optimal Pupil Target is 2-3 mm  P  Two Drops Tunable Option  Nyxol with LDP as Adjunctive Therapy for Presbyopia  Single Durable Drop  Nyxol as a Single Agent for Presbyopia 
 

 Presbyopia VEGA-1 Phase 2 Trial  Clinical trial NCT#04675151. DCNVA = distance-corrected near visual acuity . BCDVA = best corrected distance visual acuity   Completed Randomized, Double-Masked, Placebo-Controlled, Multi-Center One-Week Trial  Primary: % of subjects with ≥ 3 lines of improvement in distance-corrected near visual acuity comparing Nyxol + LDP vs placebo alone at 1 hour  Secondary:  % of subjects with ≥ 2 and ≥ 3 lines gained at time points from 30 min to 6 hours in photopic lighting comparing Nyxol + LDP vs placebo, Nyxol alone, and LDP alone  No loss of distance vision   Pupil diameter at time points  Safety and tolerability (redness)  Endpoints  Visit 1  VEGA-1  Randomization  4 arms  0.75% Nyxol   Placebo  17 US sites  150 presbyopic patients  Visit 2   (3 – 6 Days Later)  Screening  Treatment Arms  Nyxol + LDP  LDP Drop  Nyxol  Baseline  Nyxol Alone  No Treatment  Nyxol  Baseline  LDP Alone  LDP Drop  Placebo   Baseline  Placebo Alone  No Treatment  Placebo   Baseline  Evening Dosing  (3-4 doses)  Males or females ≥ 40 and ≤ 64 years of age  BCDVA of 0.0 LogMAR(20/20 Snellen equivalent) or better in each eye under photopic conditions  DCNVA of 0.4 LogMAR (20/50 Snellen equivalent) or worse in photopic conditions in each eye & binocularly  Eligibility Criteria  P  Phase 2 Enrollment Completed Feb to May 2021 – 150 Subjects Reported Topline Results in June 2021 and Jan 2022 
 

 VEGA-1: Nyxol+LDP Met Primary & Secondary Endpoints  VEGA-1 TLR Table 14.2.1.2  60% Patients with Nyxol+LDP had ≥ 15 Letter Near Gain with Fast Onset & Durable Responses  VEGA-1 Phase 2 Trial  Note: PP population differs from mITT by only one subject; results were essentially identical.  P  p=0.09  p≤0.0001  p=0.004  p≤0.0001  p=0.02  p=0.02  p=0.06  Rapid onset  of efficacy  Phase 2   Primary Endpoint  Durable benefit   over 6 hours  Percent of Subjects with ≥ 15 Letters Binocular Photopic DCNVA Improvement from Baseline  0.4%  
 

 VEGA-1: Planned P3 Efficacy Endpoint Met by Nyxol and Nyxol+LDP  VEGA-1 TLR Table 14.2.2.2.1; Table 14.2.2.2; Table 14.2.1.7; Table 14.2.1.2  Nyxol Single Drop and LDP Combination Provide Statistically Significant 3-line Near Vision Gain  Nyxol as a Single Drop for Presbyopia  Nyxol with LDP Adjunctive Therapy  1  0.4%   2  Nyxol+LDP is statistically superior to Nyxol alone and LDP alone  p<0.0001  p=0.03  p=0.008  P  DCNVA Letters Gained  79% of subjects achieved ≥10 letter improvement in DCNVA at 1 Hour (p=0.005 vs placebo) and a similar trend at other time points  53% of subjects achieved ≥ 10 letter improvement in DCNVA at 12 hours (p=0.005 vs placebo) and a similar trend at other time points 
 

 VEGA-1: Improvement in Functional Near Vision  Similar trend was seen at all timepoints  Baseline Inclusion: Photopic DCNVA of 20/50 or worse  Source: VEGA-1 TLR Table 14.2.24.1 Percent of Subjects with Photopic DCNVA by Time Point (PP Population)  Nyxol and Nyxol with LDP Both Provide Durable Improvement in Functional Near Vision  Nyxol as a Single Drop for Presbyopia  Nyxol with LDP Adjunctive Therapy  1  0.4%   2  56% achieved 20/40 or better at 12 hours  84% achieved 20/40 or better at 1 hour  VEGA-1 Phase 2 Trial  Improvement in Snellen Equivalent  P 
 

 What is the Optimal Pupil Size?  “A fixed 2- to 3-mm small pupil or a 30% pupil miosis can both produce near visual acuity gains without significant losses to distance acuity or image quality, and therefore can be considered as optimal for a presbyope experiencing a wide range of light levels.”   - Optometry and Vision Science, November 2016  Source: Xu et al, OVS 2016; Pepose & Xu CRST article 2022, Effect of Target Luminance on Optimum Pupil Diameter for Presbyopic Eyes  Literature Highlights New Drops to Treat Presbyopia Achieve Optimal Pupil Diameter of 2-3 mm  Photopic Lighting (100 -1000 lux)  Natural Pupil Size ~ 4 mm  DISTANCE   Vision  NEAR   Vision  “The impact of pupillary modulation on the functional depth of field differs among patients with refractive error versus those who are truly emmetropic.”  - Cataract & Refractive Surgery Today (CRST), January 2022  P 
 

 VEGA-1: Mean Pupil Diameter Over Time  Source: VEGA-1 TLR Table 14.2.12.1 Observed Values and Change from Baseline in Photopic Pupil Diameter by Time Point (PP Population)   Achieved Optimal Pupil Size in Nyxol+LDP and Nyxol Alone Consistent with Near Vision Gains  VEGA-1 Phase 2 Trial  Daily Evening Nyxol Dosing 12 hr minimum interval to Time 0  Nyxol+LDP arm statistically significant compared to all arms   Both components maintained dynamic pupillary response  P  Optimal Pupil Size between 2-3 mm 
 

 Met planned P3 endpoint at 12 hours (29%; p=0.02)  Efficacy  Met primary endpoint at 1 hour (60%; p=0.004)  Durable near vision gain at 12 and 18 hours  Durability  Durable near vision gain through at least 6 hours  56%   (12 hours post-dose)  Functional Vision   (20/40 or better)  84%   (1-hour post-dose)  Sustained PD reduction at least 18 hours  Reduction in PD  Sustained PD reduction at least 6 hours  Ages 40-64  20/50 or worse DCNVA  Light and dark irides  Breadth of Patients Showed Efficacy  Ages 40-64  20/50 or worse DCNVA  Light and dark irides  Summary Of Positive VEGA-1 Phase 2 Results   PP Population, VEGA-1 Trial  *Trend toward statistical significance even in smaller Nyxol arm from time 0 to time 6 hours (n=30); larger sample size for all arms planned in Phase 3 program  Nyxol and Nyxol + LDP has Demonstrated Efficacy Response & Well Tolerated Safety Profile   P  No serious AEs, most AEs were mild  No headaches, no brow aches, and no blurry vision AEs were reported  No loss in distance vision under photopic and mesopic lighting  ~5% mild, transient redness  No change in IOP  Single Durable Drop  Nyxol as a Single Drop  Two Drops Tunable Option  Nyxol with LDP Adjunctive Therapy  1  0.4%   2  Well-Controlled, Multi-Center Phase 2 Trial Evaluating Nyxol & Nyxol+LDP   Efficacy  Safety  Nyxol and Nyxol+LDP Pooled Safety Findings 
 

 Potential ‘Best in Class’ Presbyopia Drop(s)  Product Attributes*  1) Efficacy (> 3-Line Gain w/o loss of 1 line in DCNVA - Primary Endpoint Responders)*  2) Safety: Loss of Distance in Mesopic  3) Tolerability: Headaches and Conjunctival Hyperemia  4) Durability (% responders at the longest timepoint)  Placebo Adjusted Values for Vuity ™ were 15-23% in Gemini 1 & 2; Placebo Adjusted Nyxol was 16% and Nyxol+LDP was 33% (all stat significant)  Source: Nyxol Data: ASCRS (July 2021) Abstract# 76645 (Phase 2) and VEGA-1; Abstract 74336 (Phase 3). VUITY™ Data FDA Label and AAO 2021 Presentation.  Nyxol and Nyxol+LDP Combination Data Differentiate on Efficacy, Safety, and Durability  Nyxol’s Potential Differentiated Solution  Nyxol  Nyxol+LDP  29%   (12 hours)  60%  (1 hour)  No Significant Loss  No Significant Loss  No Headaches  <5% mild redness  No Headaches  ~5% mild redness  37% at 18 hours  37% at 6 hours  VUITYTM  26-31%    (3 hours)  No Significant Loss  >5% Headaches  >5% redness  18% at 6 hours  Caveats of cross-trial comparisons for VUITYTM and Nyxol/LDP. Differences include age, severity of near vision loss, lighting conditions, doses, timing, and # of patients  Ocuphire  P 
 

 Phase 2  Phase 1  Presbyopia Eye Drops Competitive Landscape  Corporate Websites, Grzybowski, A, Markeviciute A, Zemaitiene R. A Review of Pharmacological Presbyopia Treatment. 2020  Pupil modulation MOA  Combination drugs  Soften lens MOA  Phase 3  Phase 2  Phase 1  Allergan   (VUITYTM;   1.25% pilo)  Orasis  (CSF-1;   Low dose pilo)  Ocuphire  (Nyxol + 0.4% pilo)  Visus  (Brimochol®; carbachol+brim)  Other Cholinergic Agonists*  Cholinergic  Agonist* (pilocarpine)  Lenz  (aceclidine;  aceclidine+brim)  Eyenovia  (MicroLine;  2% pilo)  Novartis  (EV-06)  Alpha Antagonist  & pilocarpine*  NDA  *act on sphincter and ciliary muscles in dose-dependent manner  Nyxol is differentiated   as a new MOA class   (iris dilator muscle)   to reach an optimal pupil size  Nyxol Creates a New, Differentiated MOA Class; Nyxol+LDP Offers Tunability Option  Ocuphire  (Nyxol)  Alpha   Antagonist  P 
 

 Presbyopia is a Burgeoning Market Opportunity   Source: 1. Global Prevalence of Presbyopia, 2018, Fortune Business Insights Reading Glasses Forecast 2016-2027, Cataract & Refractive Surgery Today, 2021, NEI 2010 data.2. Vitale S. et. Al. JAMA Ophthalmology, 2008, Vision problems, US, Arch. Ophthal, 2014, Vision Monday.  3. NEI/NIH https://www.nei.nih.gov/sites/default/files/health-pdfs/Presbyopia.pdf   VuityTM Approval Sets the Stage for Market Development by Large Pharma to Build a Large Market   100%   of adults over the age of 40 years are at risk of developing presbyopia3  P   Assume 50% use eye drops*  ~50 M Patients  Likely To Be Early Users of Presbyopia Eyedrops  Pseudophakes  Cataract surgery for artificial lens (monofocal, multifocal IOLs)  Hyperopes  Poor near vision (starting at age 40)  Emmetropes  Naturally occurring clear vision  No refractive error/post-LASIK  Myopes  Poor distance vision   PSUEDOPHAKIA  66 M  14 M  39 M  9 M  ~128M Presbyopes in the US  Lens loses ability to view objects up close as we age  Dependence on reading glasses for intermittent and prolonged use, with inability to see near and far at same time  Aesthetics and inconvenience  The Problem  FDA Approval of Vuity™ positive for the presbyopia eyedrop market  Private Cash Pay  Vuity™ List Price $79  ~$10B - $20B   Estimated US Presbyopia Market Opportunity 
 

 I’m no longer comfortable driving at night, especially with my son in the car. I have a hard time playing beach volleyball in the evenings due to the bright lights at the courts.  Post-LASIK, Age 42  35  NVD  Nyxol®   for  Dim Light or   Night Vision Disturbances 
 

 Market Opportunity in Dim Light or Night Vision Disturbances  GlobalData Market Research Report, 2020; Photos are illustrative  No Approved Treatments with Ripe Opportunity for Growth   NVD  No Approved Treatments  $2B - $4B  Estimated US NVD Market Opportunity  Peripheral imperfections scatter light when pupils enlarge in dim light, causing halos, starbursts, and glare that impair vision  The imperfections may be caused by LASIK surgery, IOL implants, certain types of cataracts (cortical), and natural reasons (especially with age)   Symptoms cannot be properly corrected by any type of lens (reading glasses, contact lenses) or surgical procedures  The Problem  Pupil reduction with Nyxol may offer a potential solution   to peripheral optical imperfections  After  Before  Seeking Treatment Findings  Patients willing to try a new eye drop treatment  67% 
 

 NVD LYNX-1 Phase 3 Registration Design  Note: Inclusion Criteria includes subjects with baseline mesopic LCVA of 20/63 or worse  Randomized, Double-Masked, Placebo-Controlled Two-Week Trial  LYNX-1  Primary: % of subjects with ≥ 3 lines of improvement in mesopic low contrast best-corrected distance visual acuity (Day 8)  Secondary (Days 8 & 15):  Pupil diameter  Visual acuity measures (distance and near)  Safety and tolerability (redness)  Endpoints  Eligibility Screening*  Randomization  1:1  daily evening dose  (14 days)  daily evening dose   (14 days)  0.75% Nyxol   Placebo  19 US sites  140 - 160 patients with NVD  Phase 3 Initiated in Dec 2020; 145 Patients Enrolled  Top Line Results Reported May 19, 2022  NVD  Day 0  Day 8  Assessments  Primary Endpoint  Day 15  Assessments 
 

 LYNX-1: Nyxol Met Primary Endpoint  Source: LYNX-1 topline data  Significantly Higher % of Nyxol Treated Subjects Gained ≥15 Letter and ≥10 Letter From Baseline  LYNX-1 Phase 3 Trial  n=73 n=70  n=73 n=68  NVD  p<0.05  p<0.01 
 

 LYNX-1: Improvement in Distance Vision  Source: LYNX-1 topline data  Nyxol Provides Meaningful Low Contrast Vision Benefit Across Lighting Conditions at Day 15  NVD  p<0.05  p<0.05  LYNX-1 Phase 3 Trial  3 Lines   Improvement   FDA Accepted Endpoint For Contrast Sensitivity Assessment Tested in Dim Light (Mesopic) and Bright Light (Photopic) Conditions  2 Lines   Improvement   20/200  20/160  20/125  20/100  20/80  20/63.  20/50.  (Mesopic)  (Photopic)  5% Low Contrast Visual Acuity (LCVA) Chart 
 

 Summary of Positive LYNX-1 Phase 3 Results For Nyxol Eye Drops  Source: mITT Population, LYNX-1Trial  Data Support a Favorable Benefit/Risk Profile For Subjects with NVD  No deaths or serious AEs  AEs occurring in >5% of Nyxol treated subjects included: Instillation site irritation (9% vs 0% placebo), Installation site pain (13% vs 0% placebo), Dysgeusia (11% vs 0% placebo) and conjunctival hyperemia (9% vs 3% placebo)  84% of the AEs considered related to Nyxol were mild   No statistical difference in conjunctival hyperemia between treatment arms with evening dosing at Day 8 and Day 15  Efficacy  Safety  Met primary endpoint at Day 8 with 13% of subjects gaining 15 or more ETDRS letters of mesopic low contrast distance visual acuity vs. 3% on placebo (p<0.05)  Nyxol’s 3 line efficacy increased after 14 days of evening dosing, with 21% responders compared to 3% on placebo (p<0.01)  Nyxol statistically significantly reduced pupil diameter by a mean of ~1 mm on Day 8 and Day 15  Significant improvements in low contrast distance vision under photopic conditions were also observed  Efficacy was seen with light and dark irides  Nyxol demonstrated benefit in mesopic high contrast near vision   NVD 
 

 DR  DME  41  Diabetic Retinopathy  Diabetic Macular Edema  Apx3330  ORAL tablet 
 

 Growing Incidence of Diabetes and DR  Diabetes  34 M US  >450 M  WW  DR   7 M US  >150 M WW  Clinical Unmet Need in Diabetic Retinal Diseases  DR/DME are major causes of vision loss in working aged adults  Diabetic population expected to increase dramatically worldwide  Losing vision is one of diabetic patients' top concerns  Approved therapies for DR are effective but require IVT injection   DR patients are not routinely treated with approved injectable anti-VEGF drugs until they develop center-involved DME or PDR  DR progresses resulting in vision loss  Early, noninvasive intervention targeting DR represents a therapeutic unmet need  Increasing Prevalence of DR with No Early Intervention Options  DR  DME  Source:1. American Diabetes Association; International Diabetes Federation; Healthline; *Ocuphire internal analysis and assumptions;  2. Das UN. DME, retinopathy and age-related macular degeneration as inflammatory conditions. Arch Med Sci. 2016;12(5):1142-1157. doi:10.5114/aoms.2016.61918  3. Patient survey adapted from Lions International Foundation and International Diabetes Foundation-Europe; Meltzer 2000  DR/DME affects about 1 in 4 people with type 1 and type 2 diabetes  Oral Alternatives To Injectable Therapies Are Needed For Earlier Stages Of Disease  $10+B   Oral Rx Revenues  US Projected Market in DR*  The Problem 
 

 APX3330 History and Ref-1 Inhibition Mechanism  Logsdon et al (2018), Li et al (2014).  Ref-1 Involved in Multiple Key Pathways that Contribute to Diabetic Retinopathy and DME  Mechanism of Action – Ref-1 Inhibition  Hypoxia  Ref-1  HIF-1α  VEGF  (Signaling Cascade)  Inflammation  Ref-1  NF-κB  Other Growth Factors  (Signaling Cascade)  TNF-α  Chemokines  Neovascularization  Lucentis®  EYLEA®  Anti-VEGF  Steroids  APX3330  Ref-1 (reduction-oxidation effector factor-1) is a novel target discovered by Dr. Mark R. Kelley at Indiana University School of Medicine  APX3330 is a small molecule oral drug candidate and a first-in-class inhibitor of Ref-1  APX3330 previously developed by Eisai for multiple hepatic inflammatory indications and later by Apexian for advanced solid tumors in 11 Phase 1 and 2 trials  Similar oncology origin as approved anti-VEGFs  MOA uniquely decreases both abnormal angiogenesis and inflammation by blocking pathways downstream of Ref-1  Extensively studied in over 20 in-vitro and animal studies with favorable efficacy and safety  DR  DME 
 

 Source: 1. Tao Yan et al. APX3330 Promotes Neurorestorative effects after stroke in type one diabetic rats. Aging and Disease. Vol 9, Oct 2018  2. Apurinic/Apyrimidinic endonuclease 1 regulates inflammatory response in macrophages. 3. Jedinak A, Dudhgaonkar S, Kelley MR, Sliva D. Anticancer Res. 2011 Feb;31(2):379-85. PMID: 21378315  4. Fehrenbacher, J. C., Guo, C., Kelley, M. R. & Vasko, M. R. DNA damage mediates changes in neuronal sensitivity induced by the inflammatory mediators, MCP-1 and LPS, and can be reversed by enhancing the DNA repair function of APE1. Neuroscience 366, 23-35, doi:10.1016/j.neuroscience.2017.09.039 (2017).  APX3330 reduces VEGF protein expression in preclinical stroke model  APX3330 reduces pro-inflammatory cytokines in LPS stimulated macrophages  Increasing APX3330 dose  VEGF  Control  APX3330  APX3330 increases DNA oxidative repair and neuronal protection  APX3330 enhances Ref-1   endonuclease activity in dorsal root ganglion neurons  In vitro Validation of APX3330 Mechanism of Action  APX3330 Reduces VEGF Levels and Inflammatory Cytokines; Provides Neuronal Protection  DR  DME 
 

 Preclinical Data: Oral APX3330 Blocks Neovascularization  Source:1. Silva et al. ARVO 2021 Annual Meeting  2. *Published data on EYLEA. This study was performed independently from APX3330 study and is a cross-study comparison.  3. **Li 2014; *** Pasha 2018; ****Jiang 2011 (Vldlr -/- : Very Low-Density Lipoprotein receptor knock-out mice)  Lesion Volume Decrease with Oral APX3330 in Murine Laser CNV Model Similar to EYLEA® Data  EYLEA*  Lesion Size and Corresponding Fluorescent Stains in L-CNV Models Treated with APX3330 at 25 mg/kg oral gavage  -55%  L-CNV Mouse Retina Model   Silva et al, 2021  Vehicle  25 mg/kg  50 mg/kg  APX3330 Gavage OCT  Lesion Volume  L-CNV Mouse Retina Model   APX3330  Efficacy was also seen after single intravitreal injection of 20µM APX3330 in mouse L-CNV model**  Efficacy was also seen after dosing intraperitoneal injection of 50 mg/kg twice daily, 5 days on/2 days off, for 2 weeks in mouse L-CNV model***  Efficacy was also seen after single intravitreal injection of 20µM APX3330 in Vldlr -/- mice model****  -44%  DR  DME 
 

 Phase 1/2 Clinical Trials: PK Data Supporting the ZETA-1 Trial  Source:   Eisai PK clinical data APX_CLN_0002 (left panel)  Apexian preclinical data  Eisai preclinical data  Silva et al. Presented at the ARVO 2021 Annual Meeting  APX3330 is Bioavailable and Reaches the Retina via Oral Administration  Human  Mouse  Rat  10 mg/kg APX3330 oral gavage measured in rat eye2  Established PBPK model predicts APX3330 reaches sufficient human retinal concentrations3  300 mg BID (600 mg/day total)  25 mg/kg APX3330 oral gavage measured in mouse retina1  Oral administration of APX3330   reaches the retina  DR  DME  2 µg/ml in mouse plasma at 2hrs; 25 mg/kg oral single dose  ~20 µg/ml (120 mg/day) in human plasma   ~40 µg/ml (240 mg/day) in human plasma  Plasma levels with 120 and 240 mg/day APX3330 dosing is multiple times higher than plasma concentrations for mouse efficacy planned clinical dose is 600 mg/day 
 

 DR/DME ZETA-1 Phase 2b Design  NPDR = non-proliferative diabetic retinopathy (which includes non centrally involved diabetic macular edema)  PDR = proliferative diabetic retinopathy (which includes non centrally involved diabetic macular edema)  ZETA-1 Clinical Trial is Sponsored by Ocuphire Pharma https://clinicaltrials.gov/ct2/show/NCT04692688?term=ZETA-1&draw=2&rank=1   Ongoing, Randomized, Double-Masked, Placebo-Controlled 24-Week Trial (Similar To Eylea P3 DR Trial)  Primary: % of subjects with a ≥ 2 step improvement on the DRSS (Diabetic Retinopathy Severity Scale) score at week 24  Secondary:  Central subfield thickness (CST)  BCDVA (ETDRS)  DRSS change at week 12  Rescue subjects  Safety and tolerability  Exploratory:  Labs / PK  Endpoints  Phase 2b Enrolled 103 DR Patients from April 2021 to March 2022  Top Line Expected in 2H 2022  ZETA-1  Eligibility Screening  Randomization  APX3330 600mg/day (BID)  Placebo BID  25 US sites  90-100 participants with moderately severe-to-severe NPDR or mild PDR  Noncentral DME is permitted  1:1  Week 0  Week 12  Week 24  Week 4  Primary Endpoint  DR  DME 
 

 Why DRSS is an Important Endpoint?  Eylea® Panorama study  FDA Accepted Endpoint for EYLEA® in PANORAMA Pivotal DR Trial - 2 Step Improvement on the DRSS Score at Week 24     ETDRS Severity Level   Steps   Very Mild  Mild  Mod.  Sev.  VerySev.  Mild  Mod.  High Risk  Non-proliferative disease  Proliferative disease  PANORAMA: Reduction of DRSS Significantly reduces the incidence of Vision Threatening DR  Diabetic Retinopathy Severity Scale (DRSS)  Risk of vision-threatening events increases with worsening step progression  DR  DME 
 

 Masked Safety Findings from Ongoing ZETA-1 Trial  Favorable Safety Profile (as of 3/17/2022) Observed with 600 mg Oral Daily Doses in Diabetic Subjects  103  Randomized Diabetic  Subjects   >4500Subject-Days of   at 600mg/day  APX3330 Exposure   43   Subjects with AEs (96 total events)   APX3330  Masked Safety Data  ZETA-1 Trial  7   SAEs, all unrelated to study medication  1. Vasovagal near syncope same subject considered unrelated to study medication  2. DME possibly study medication related (APX3330 or placebo)  Note: ZETA-1 Interim Data as of database 3/18/22 with complete monitoring before final database lock; assumes 50% subjects on APX333   96 TEAEs in 43/103 (42%) subjects  19/96 AEs were considered probably or possibly related to study medication  14 Mild AEs (74%) in 12 subjects  5 Moderate AEs in 4 subjects  Diarrhea1, DME2, urticaria, and blurry vision and vitreous hemorrhage (both in same subject)  No severe related AEs  77/96 AEs were not related, unlikely related or unknown (3) to study medication  48 mild, 23 moderate, 5 severe, 1 unknown severity  2 subjects1,2 withdrew from study due to moderate AEs  7 treatment emergent SAEs in 6 subjects  None of these SAEs were related to study medication  Cholecystitis, dyskinesia, progression of multivessel coronary artery disease, COVID-19, transient ischemic event, and cellulitis and left leg cellulitis (both in same subject)  No major organ toxicities (liver, heart, kidney, brain, lung) or vital sign abnormalities (blood pressure or heart rate) were observed  Safety profile consistent with that seen in prior studies with APX3330​  DR  DME 
 

 Improving Eye Health in Diabetics   ↓ Inflammation   ↓ Abnormal Angiogenesis  Enhance Compliance & Exposure  Oral pill may reduce the burden of frequent anti-VEGF injections  >6600 Subject-exposure days* at ≥600 mg/day dose  Few Systemic Adverse Effects  < 5% Mild Gastrointestinal (diarrhea)  < 5% Mild Skin Rash (reversible)  No Organ Toxicity (Liver, Cardiovascular {BP, HR}, Kidney, Neurologic, Pulmonary)  No Ocular Effects  No observed ocular AEs  APX3330 Product Candidate Profile for Multiple Retinal Indications  *Phase 1 and Phase 2 clinical trials by Eisai, Apexian and Ocuphire (*includes ~34 subjects from ongoing ZETA-1 study)   Oral, First-In-Class Ref-1 Inhibitor with Favorable Human Safety Data  APX3330: Well-tolerated Oral Dose up to 600mg/day  Twice Daily Dosing  DR  DME  Expected Efficacy Data  Favorable Safety Profile 
 

 Broad Opportunities to Treat Retinal Diseases with APX Platform   Potential First Oral Rx for Retina Diseases  First-line earlier intervention for the diabetic eye   Add-on therapy to current anti-VEGF treatments to reduce intravitreal injection burden  Proven Novel Mechanism  May decrease both inflammation and angiogenesis  Convenient Daily Regimen  Favorable Oral Safety Profile   As seen in 11 completed Phase 1 and Phase 2 clinical trials  Improve Patient Compliance   Potentially alleviate the frequent burden of injections  Potential Differentiated Solution  APX3330 May Treat Patients Across Retinal Diseases as Single Agent or Adjunctive Therapy  APX3330  Current anti-VEGF   treatments  APX2009  APX2014  APX3330  (Local Delivery)  DR  DME  Inflammatory component is common across these retina indications and potentially addressable by the MOA of Ref-1  
 

 Large Global Market Opportunity in Retinal Disease  Source:  Nancy M. Holekamp, Overview of Diabetic Macular Edema, 2016. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6513508/pdf/jogh-09-010427.pdfhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6513508/pdf/jogh-09-010427.pdf;  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6513508/pdf/jogh-09-010427.pdf  Boyer DS et al., Retina 2017 2 2. Wong WL, et al. Lancet Glob Health. 2014;2:e106-16; Global Data AMD Global Drug Forecast and Market Analysis, JAMA Ophthalmology, Gibson 2012  https://www.brightfocus.org/macular/article/age-related-macular-facts-figures  Ocuphire internal analysis and assumptions  Market Scope 2020  Retinal Global Markets Served by Anti-VEGF Injections Alone are Greater than $10B+ Today  196 MAMD4  (wet/dry)  93 MDR and DME  combined1  5 M  GA3  28 MRVO2   4% CAGR  ↑ Aging   ↑ Access  ↑ Diabetes  ↑ New Rx Products  $13 BGlobal Revenues  2020  $20 B  Projected Global Revenue  2030  Global Disease Prevalence (Patients)  Anti-VEGF Injectable Global Revenue6   $10+B  Oral Rx Revenues5  $5+B   GA Revenues3  DR  DME 
 

 Team/Boards, Milestones, and Financial Data 
 

 Ocuphire Management Team  Decades of Biotech and Drug Development Experience  Mina Sooch, MBA  President & CEO   and Founder  Drey ColemanVP, Clinical Operations  Amy Rabourn, CPA  VP, Finance  Charlie Hoffmann, MBA  VP Corporate Development   and Operations  Mitch Brigell, PhD  Head, Clinical Development   and Strategy  Daniela Oniciu​, PhD  Global Head, R&D, Chemistry  and Product Development  Ronil Patel, MS  Senior Director BD and   Market Strategy  Chris Ernst  Global Head, QA  and Manufacturing  Barbara Withers, PhDVP, Clinical and Regulatory Strategy  Bindu Manne  Head, Market Development and Commercialization  Laura Gambino  Director, Project Management 
 

 Ocuphire's World-Class Medical Advisory Board  Fortunate for the Insights of Leading KOLs & Drug Candidate Co-Founders  James Katz, MD  University of Illinois  Jay Pepose, MD, PhD  UCLA School of Medicine  Thomas Samuelson, MD  University of Minnesota   Paul Karpecki, OD  Indiana University  Eliot Lazar, MD  Georgetown University  Marguerite McDonald, MD  Columbia University  David Boyer, MD  Chicago Medical School   Mark Kelley, PhD  Indiana University  Co-Founder Apexian/APX3330  elCON Medical  Michael Allingham, MD, PhD  University of North Carolina  Peter Kaiser, MD  Harvard Medical School  Jeffrey Heier, MD  Boston University   Y. Ralph Chu, MD  Northwestern University  Douglas Devries, OD  University of Nevada  David Brown, MD  Baylor University  Mitch Jackson, MD  University of Chicago  Ed Holland, MD  Loyola University Chicago  Jack Holladay, MD  University of Texas  David Lally, MD  Vanderbilt University  Refractive Specialist  Refractive Specialist  Refractive Specialist  Refractive Specialist  Refractive Specialist  Retinal Specialist  Retinal Specialist  Retinal Specialist  Retinal Specialist  Retinal Specialist  Refractive Specialist  Refractive Specialist  Refractive Specialist  Retinal Specialist  Optometry   Optometry   Refractive Specialist 
 

 Ocuphire Board of Directors   Sean Ainsworth, MBA  Lead Independent Director,   Board Director ​  James Manuso, PhD/MBA  Board Director​  Jay Pepose, MD, PhD  Board Director  Richard Rodgers, MBA  Board Director   Susan Benton, MBA  Board Director​  Cam Gallagher, MBA  Chair, Board Director  Mina Sooch, MBA  Vice-Chair, Board Director   President & CEO  Seasoned Directors with Decades of Drug Development, M&A/Financings, and Ophthalmology 
 

 Track Record of Achieving Milestones  Exciting 2022 News Cadence  Ongoing Partnering Discussions with Leading Ophthalmic Companies (including European and Asian Players)  2021  2022  Report Positive Nyxol Alone Phase 2 Data for Presbyopia  Report 2nd Phase 3 Data for RM (MIRA-3)   Report Pediatric Data for RM (MIRA-4)   Report Phase 3 Data for NVD (LYNX-1)  Submit Nyxol NDA for RM  Report Phase 2 Data for DR/DME (ZETA-1)  Initiate VEGA Phase 3 Presbyopia Program  Multiple Late-Stage Data Catalysts Expected in 2022 for Potential First NDA Approval in 2023 
 

 OCUP – Market Snapshot   Source: FactSet  Active Trading Volume and Sufficient Cash Runway Into 2Q 2023   Ticker  OCUP  Price  $2.21  As of 5-17-22  Market Cap  $43 M  As of 5-17-22  Shares Outstanding  19.3 M  As of 10Q (5-13-21)  Cash  $19.2 M  As of 3-31-22 (unaudited)   Cash Runway  Sufficient into 2Q 2023  Guidance as of 10K (3-24-22)  Average Daily Volume  ~192 K   As of 5-17-22 (YTD Avg)  Short Interest  298K; 1.6% of Float  As of 4-29-22  Research Analyst Coverage on OCUP  John Newman  Canaccord Genuity  Kristen Kluska  Cantor Fitzgerald  James Molloy  Alliance Global Partners  Soumit Roy  Jones Trading  Matthew Caufield  H. C. Wainwright 
 


 [email protected]  Ocuphire Pharma  Click here to view Ocuphire Pharma’s Investor R&D Day Recording 




Exhibit 99.2


Ocuphire Announces Positive Topline Results from LYNX-1 Phase 3 Trial Evaluating Nyxol® Eye Drops for Night Vision Disturbances
 
Met FDA-agreed Primary Endpoint with More Nyxol Subjects Gaining 3 Lines of Low Contrast Distance Vision under Dim Light Conditions Compared to Placebo
 
First to Demonstrate Efficacy in Phase 3 Trial for the Large Unmet Need of Treating Night Vision Disturbances (NVD) in Subjects Experiencing Glare, Starbursts, or Halos
 
Benefit to Distance Vision in Dim Light Conditions Further Differentiates Nyxol from Other Presbyopia-Correcting Drops
 
Sixth Consecutive Positive Efficacy Readout in Last 15 Months with Nyxol Across Multiple Indications for Reversal of Mydriasis, Presbyopia, and now NVD
 
FARMINGTON HILLS, MI, May 19, 2022 - Ocuphire Pharma, Inc. (Nasdaq: OCUP), a clinical-stage ophthalmic biopharmaceutical company focused on developing and commercializing therapies for the treatment of refractive and retinal eye disorders, today announced positive topline results from the LYNX-1 Phase 3 pivotal clinical trial investigating its product candidate Nyxol® for night (or dim light) vision disturbances (NVD). Across 12 US clinical trials with approximately 1100 subjects, over 650 subjects have now been exposed to Nyxol.
 
NVD is a condition in which unfocused rays of light derived from imperfections (or higher order ocular aberrations) in the periphery of the cornea manifest as reduced image quality when the pupil dilates in dim light conditions. Patients with NVD experience glare, halos, starbursts, and decreased contrast sensitivity. The effects of NVD can be mitigated by moderately reducing pupil diameter to eliminate some of the aberrations and their scattering effect, without impeding the ability to see in dim light due to reduced retinal illumination.
 
“We are pleased with this demonstrated efficacy of Nyxol in patients with NVD,” stated Mina Sooch, MBA, founder and CEO of Ocuphire Pharma. “LYNX-1 represents our sixth consecutive positive data readout for Nyxol in several indications and is a critical milestone towards future product registration. In alignment with our overall clinical priorities, and while we plan for a future LYNX trial as needed next year, we will focus on the pivotal trials for presbyopia and on the NDA submission and pre-commercial activities for Nyxol in reversal of mydriasis (RM). Importantly, the LYNX-1 trial results provide additional support for the safety and vision improvement benefits of Nyxol in RM and presbyopia in dim light conditions. I am very proud of our team’s track record of excellent execution. We are committed to making a difference for millions of patients with vision problems and are proud of the disruptive innovation we bring to the ophthalmic space. In that regard, we look forward to yet another late-stage clinical data readout in 2022 from the study of oral APX3330 for diabetic retinopathy.”
 
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Highlights of LYNX-1 NVD Phase 3 Results
 
LYNX-1 is a registration trial for Nyxol in this chronic NVD indication, and was designed as a randomized, double-masked, placebo-controlled, Phase 3 study to evaluate the safety and efficacy of Nyxol compared to placebo. In the trial, 145 study participants who experienced vision impairment under dim light conditions were randomized to receive either Nyxol or placebo, self-administered in each eye daily, at or near bedtime,  over 14 days. The primary endpoint was the gain of 3 lines (or 15 letters) or more of distance vision improvement on a low contrast chart in dim light conditions.
 
Baseline demographics and ocular characteristic means were well-balanced across Nyxol and placebo treatment arms. Highlights of the patient population include a mean age of 46 years with participants ranging from 19 to 70 years old; subjects with a mix of light and dark irides; mean baseline mesopic pupil diameter of 6.1 mm; and mean distance visual acuity of only 17 letters (20/100 Snellen) under mesopic low contrast conditions.
 
Summary of LYNX-1 Data
 

The FDA-agreed primary endpoint was met, with a statistically significant greater percentage of Nyxol-treated subjects having gained 15 or more letters of mesopic low contrast distance visual acuity (mLCVA) at Day 8, compared to placebo (13% vs 3%; p<0.05)
 

Key secondary efficacy endpoints were also met with statistical significance:
 

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The effect of Nyxol increased at Day 15, with 21% of subjects gaining 15 or more letters of mLCVA compared to 3% placebo (p<0.01)
 

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Nyxol significantly increased the percentage of subjects gaining 10 or more letters of mLCVA at both Day 8 with 41% vs. 22% placebo (p<0.05) and at Day 15 with 44% vs. 23% (p<0.05)
 

Nyxol showed a favorable safety and tolerability profile:
 

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There were no serious adverse events


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Adverse events occurring in Nyxol-treated subjects were predominantly mild in severity and were consistent with those observed in previous trials

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Jay Pepose, M.D., Ph.D., Chief Medical Advisor and Board member said, “In the past, patients with night vision disturbances sometimes puzzled eye care professionals because their complaints often impacted the quality of vision far more than the quantity of vision as assessed in the office using standard high contrast charts. In the LYNX-1 study, after 14 days of dosing, a remarkable 21% of subjects achieved the 3 line improvement, the high bar set by the FDA. Moreover, 44% of subjects gained a clinically meaningful 2 line improvement in mesopic low contrast vision - a test of image quality that is sensitive to higher order aberrations and induced spatial phase shifts seen in patients with night vision disturbances. The unique 24-hour duration of Nyxol’s effect in reducing pupil diameter makes this a convenient option for evening dosing for these patients, who find nighttime driving and other dim light activities challenging. In distinction to some other classes of miotics, the mechanism of action of Nyxol obviates any increased risk of retinal tears or detachment in this cohort of patients, many of whom have longer axial lengths and are therefore at higher retinal detachment risk. An additional safety attribute of Nyxol is that it does not make the pupil too small, which can markedly impact retinal illumination and thereby reduce retinal neural contrast and distance vision.”
 
Marguerite McDonald, M.D., F.A.C.S., Clinical Professor of Ophthalmology at New York University’s Langone Medical Center and Tulane University Health Sciences Center, and member of Ocuphire’s Medical Advisory Board said, “I applaud Ocuphire for its commitment to pursue a treatment option for NVD. It is a common condition that has previously been largely unrecognized. I consider the results of the LYNX-1 study to be groundbreaking. As a refractive surgeon who has been involved with the development of Nyxol since its inception, I am happy to have a potential treatment option for my patients who suffer from NVD. NVD is currently patient-reported, including people of all ages who are post-LASIK, post-corneal ulcer, post-radial keratotomy, post-corneal transplant, tear-film instability or dry eye disease, keratoconus, or post-cataract surgery with multifocal or extended depth of focus intraocular lens implants. Eyecare professionals currently do not have the tools to actively manage NVD. Once a treatment becomes available, eyecare providers will begin to address this condition, and we expect that this market may grow, as was the case when Restasis® was approved for dry eye treatment.”
 
Ocuphire Pharma plans to present LYNX-1 topline data and additional data at upcoming medical conferences. For more information about the LYNX-1 trial, please visit www.clinicaltrials.gov (NCT04638660).
 
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Night Vision Disturbances Market Opportunity
 
According to GlobalData market research, approximately 38 million individuals in the US are believed to suffer from NVD, also referred to as dim light vision loss, with an estimated 16 million having moderate-to-severe NVD that may be directly addressable with a pupil modulation approach. The market size findings from the in-depth physician and patient surveys were larger than previously projected for this new unmet ophthalmic indication. Upon interview of patients who self-report NVD, 25% completely avoid driving at night. Furthermore, 67% of those that report moderate or severe NVD would be willing to try an eye drop treatment option. Seventy-five percent (75%) of physicians surveyed said they expect the diagnosis to increase once a treatment becomes available.
 
Despite many addressable patients with moderate-to-severe NVD, there is no FDA-approved treatment on the market for NVD. Pupil modulation by Nyxol through inhibition of the iris dilator muscle may offer symptomatic relief for these patients.
 
About Ocuphire Pharma
 
Ocuphire is a publicly-traded (NASDAQ: OCUP), clinical-stage ophthalmic biopharmaceutical company focused on developing and commercializing small-molecule therapies for the treatment of refractive and retinal eye disorders. The Company’s lead product candidate, Nyxol® eye drops (0.75% phentolamine ophthalmic solution), is a once-daily, preservative-free eye drop formulation of phentolamine mesylate, a non-selective alpha-1 and alpha-2 adrenergic antagonist designed to reduce pupil size, and is being developed for several indications, including reversal of pharmacologically-induced mydriasis (RM), presbyopia and dim light or night vision disturbances (NVD), and has been studied in 12 completed clinical trials. Ocuphire has reported positive data from MIRA-2, MIRA-3 registration trials and MIRA-4 pediatric safety trial for the treatment of RM. Ocuphire also reported positive topline data from a Phase 2 trial of Nyxol for treatment of presbyopia, both Nyxol as a single agent and Nyxol with low dose pilocarpine (“LDP”) 0.4% as adjunctive therapy. The Company recently reported positive topline results from LYNX-1 Phase 3 trial of Nyxol for NVD. Ocuphire’s second product candidate, APX3330, is an oral tablet designed to inhibit angiogenesis and inflammation pathways relevant to retinal and choroidal vascular diseases, such as diabetic retinopathy (DR) and diabetic macular edema (DME) and has been studied in 11 Phase 1 and 2 trials. The Company recently announced the completion of enrollment in a Phase 2b clinical trial of APX3330 to treat DR/DME (ZETA-1). Please visit www.clinicaltrials.gov to learn more about Ocuphire’s ongoing APX3330 Phase 2b trial in DR/DME (NCT04692688) and completed Nyxol trials: Phase 3 registration trial in NVD (NCT04638660), Phase 3 registration trials in RM MIRA-2 (NCT04620213), MIRA-3 (NCT05134974), MIRA-4 pediatric safety study (NCT05223478), and VEGA-1 Phase 2 trial in presbyopia (NCT04675151). As part of its strategy, Ocuphire will continue to explore opportunities to acquire additional ophthalmic assets and seek strategic partners for late-stage development, regulatory preparation, and commercialization of drugs in key global markets. For more information, visit www.ocuphire.com.

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Forward Looking Statements
 
Statements contained in this press release regarding matters that are not historical facts are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Such statements include, but are not limited to, the success and timing of planned regulatory filings (including NDA filings), the market for NVD and other indications, the timing and results of potential future clinical trials, business strategy, pre-commercialization activities, and commercialization of Ocuphire’s product candidates. These forward-looking statements are based upon Ocuphire’s current expectations and involve assumptions that may never materialize or may prove to be incorrect. Actual results and the timing of events could differ materially from those anticipated in such forward-looking statements as a result of various risks and uncertainties, including, without limitation: (i) the success and timing of regulatory submissions and pre-clinical and clinical trials, including enrollment and data readouts; (ii) regulatory requirements or developments; (iii) changes to clinical trial designs and regulatory pathways; (iv) changes in capital resource requirements; (v) risks related to the inability of Ocuphire to obtain sufficient additional capital to continue to advance its product candidates and its preclinical programs; (vi) legislative, regulatory, political and economic developments, (vii) changes in market opportunities, (viii) the effects of COVID-19 on clinical programs and business operations, (ix) the success and timing of commercialization of any of Ocuphire’s product candidates and (x) the maintenance of Ocuphire’s intellectual property rights. The foregoing review of important factors that could cause actual events to differ from expectations should not be construed as exhaustive and should be read in conjunction with statements that are included herein and elsewhere, including the risk factors detailed in documents that have been and may be filed by Ocuphire from time to time with the SEC. All forward-looking statements contained in this press release speak only as of the date on which they were made. Ocuphire undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made.
 
Contacts
 
Corporate

Mina Sooch, President & CEO
Ocuphire Pharma, Inc.
[email protected]
www.ocuphire.com
 
Investors
 
Corey Davis, Ph.D.
LifeSci Advisors
[email protected]
 
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