First-in-Class Zinc-Replacement Cataract Therapy

A patented topical eye drop to treat cataracts without surgery

94 million people live with cataract-related vision impairment, and no non-surgical pharmacological therapy has been approved. Opcure is advancing a pivotal Phase III RCT toward a global licensing partnership — target 2028.

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Cataracts Remain the
#1 Cause of Global Blindness

Cataracts are the leading cause of blindness worldwide, affecting 94 million people with vision impairment. The only approved treatment is surgery — an intervention that is invasive, infrastructure-dependent, and inaccessible in much of the world.

The U.S. FDA has not approved any non-surgical pharmacological therapy to prevent, delay, or reverse cataracts.

Sources: Nature Eye 2024; WHO/IAPB Vision Atlas 2024; FDA Orange Book (April 2026).

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People globally with cataract-related vision impairment
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Bilaterally blind from cataracts — 35% of all blindness
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Cataract surgeries performed annually — and still a massive access gap

No Approved Alternative to Surgery

Despite the enormous global burden, cataract patients today face a stark reality.

Surgery Only

The single approved treatment is an invasive, infrastructure-dependent surgical intervention.

Access Gap

More than 30 million surgeries are performed each year, yet the procedure remains inaccessible across much of the world.

No Approved Drug

The U.S. FDA has approved no pharmacological therapy to prevent, delay, or reverse cataracts.

A Patented Topical Therapy
with a Dual Mechanism of Action

Zinc Sulfate 0.30% — therapeutic active, within the Japanese Pharmacopoeia range of 0.27–0.33%. Chlorpheniramine Maleate 0.06% — antihistamine, improves tolerability. Carboxymethyl Cellulose 0.50% — lubricant and viscosity agent.

Dosage: 2 drops, four times daily (Q6H). Self-administered and room-temperature stable.

🧬

Restores SOD1 Activity

Zinc re-metallates Cu/Zn-SOD (SOD1), reactivating lens antioxidant defenses that neutralize the reactive oxygen species driving cataract formation.

Mechanism 1
⚗️

Saturates Zinc Reservoirs

Exogenous Zn²⁺ re-saturates metallothionein to the fully loaded Zn7 form, restoring the zinc buffer and breaking the oxidative-stress feedback loop.

Mechanism 2
🛡️

Established Safety

All actives sit within international pharmacopoeia limits, with an established safety profile and no new-ingredient CMC risk.

No new-ingredient risk
💧

Simple Administration

Self-administered eye drops, room-temperature stable, with no surgical intervention or specialist infrastructure required.

2 drops · 4× daily

Mechanism supported by pre-clinical work (Abdul-Hussein 2014, Barman 2018, Heruye 2020) and observational data in 230 volunteers (90% positive response; no serious adverse events).

Three Converging Lines of Evidence

Pre-clinical models, observational data, and a granted patent portfolio built on established actives.

Pre-clinical

  • 67% reduction in cataract severity in a selenite-induced rabbit model (Abdul-Hussein 2014, p<0.01)
  • 83% decrease in lipid peroxidation; 140% increase in glutathione
  • Attenuated diabetic cataract progression in a rat model (Barman 2018)

Observational

  • ~90% positive response across 230 volunteers
  • 91.4% estimated effectiveness in 175 cataract-specific cases (corrected count and conservative recount; 93.6% of 171 as printed in the granted patent)
  • No serious adverse events; only transient mild stinging
  • Caveat: uncontrolled data — the RCT is designed to provide rigorous evidence

IP & Safety

  • US Patent 11,433,096 granted (Sep 2022); China granted; PCT pending in the EU, Canada and India
  • All actives within international pharmacopoeia limits
  • Established safety profile; no new-ingredient CMC risk

The 100-eye Phase III RCT — six-month treatment with efficacy follow-up to Month 12, double-blind and placebo-controlled, at an Egypt site — is designed to convert observational signal into rigorous controlled evidence.

218.5M Patients. 30M Surgeries
a Year. No Approved Drug.

The cataract treatment market is one of the largest opportunities in ophthalmology — and Opcure's patent portfolio covers the majority of it.

$7.1–9.2B
Global cataract treatment market (2024), across four independent estimates
$4.9B
Peak annual Rx net sales (Y10), adherence-adjusted; $28.4B cumulative
218.5M
Prevalent cataract population across modeled markets
5 markets
Patent portfolio geography: US, China, EU, Canada and India
~75%
Of the global cataract market covered by granted and pending patents
Where the Value Sits
USA
28.0M
NEI 2025
EU-27 + UK
35.0M
GBD 2021 + Eurostat
China
50.0M
GBD 2021 + Taizhou
India
42.0M
LASI Wave-1 2024
Canada
3.5M
StatCan + NEI prevalence
Rest of World
60.0M
Aggregate proxy

Prevalent cataract population across modeled markets: 218.5M. Peak Rx royalty to Opcure (Y10, adherence-adjusted, gross of patent expiry): $234M. Market size 2024: Grand View $7.13B, Meta Tech $8.85B, MRFR $9.10B, IMARC $9.2B. Patient and royalty figures: Opcure model. Management projections — see the disclaimer below.

Asset-Light Licensing Exit

Royalty income to equity holders, benchmarked against comparable topical-ophthalmic in-licensing transactions.

01

Upfront ~$5M

Received on signing with the licensee, targeted for 2028.

02

Development Milestones ~$15M

Aggregate milestone payments across the 2028–2030 development period.

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Launch Milestone ~$10M

Triggered at first commercial sale of the licensed product.

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Royalty Stream

$234M at peak (Y1–Y10, 5% across patent markets), with $1.34B cumulative over the royalty period.

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Key Assumptions & Risk

Cumulative probability of success to launch: approximately 19.8%. Discount rate: 20% pre-license and 12% post-license. All figures are management projections based on the assumptions stated in the investor brief — they are estimates, not guarantees.

Ten Members. Three Continents.
Scientific and Commercial Depth.

10
Team Members
3
Continents
2
Co-Founders & Inventors

Dr. Sherif AlQallawi

Co-Founder & CEO

BSc Pharmaceutical Sciences (Alexandria). PhD Organizational Psychology (Florida Tech). Leads strategy, investor relations and clinical development.

Mr. Abdelhamid AlQallawi

Co-Founder & Inventor

BSc Pharmaceutical Sciences (Alexandria, 1979). More than 40 years as a community pharmacist and a pioneer in extemporaneous ophthalmic preparations.

Pharmaceutical Sciences Ophthalmology Management Consulting Clinical Research / Medical Affairs Business Analytics Business Development

Partners & Licensing Targets

  • London-based clinical research firm — protocol and CRO for the Egypt trial
  • Egyptian pharmaceutical company — in discussions as industry study sponsor
  • Licensing targets: the three global ophthalmology leaders holding both a surgical and an ophthalmic pharmaceutical franchise

A 9–12 Month Path to the
Value-Inflection Point

A clear, milestone-driven path from financing to a definitive licensing agreement.

Q4 2026
Close Financing & Form LLC
  • Close the round
  • Assign patents to the LLC
  • CRO contract executed
Q1 2027
Begin RCT Enrollment
  • 100 eyes, double-blind
  • 1:1 randomization
  • Egypt site, London-based CRO
Q2 2027
RCT Readout
  • BCDVA primary endpoint
  • Secondary LOCS III; VFQ-25 exploratory
  • Topline data assembled
H2 2027
Licensing Outreach
  • 10–15 targeted licensees
  • Teaser and CDA leading to data room
  • Term-sheet phase in Q4 2027
2028
Definitive Agreement
  • Licensing deal signed
  • Upfront payment received
  • Transition to milestones and royalties

Let's Start the
Conversation

Patents are published: US 11,433,096 and PCT WO 2022/009161. Financial model, clinical protocol and detailed deck available under CDA.

team@opcure.net

Next Steps

  • A 30-minute intro call to review the opportunity and clinical plan
  • Execute a mutual CDA for the financial model, clinical protocol and detailed deck
  • Targeted close: Q4 2026, to fund RCT enrollment