Safety and Tolerability of Intravitreal Administration of VG901 in Patients With Retinitis Pigmentosa Due to Mutations in the CNGA1 Gene
A Prospective, Open-label, Phase 1b, Single-arm, Safety Study of an Intravitreal Application of a Recombinant Adeno-associated Virus Vector Expressing CNGA1 (AAV2.NN-CNGA1) in Patients With Retinitis Pigmentosa Due to CNGA1 Mutations
2 other identifiers
interventional
6
1 country
1
Brief Summary
The goal of this phase 1 clinical trial is to learn about the safety and efficacy of a gene therapy, VG901, in patients with a rare disorder of the eye called Retinitis Pigmentosa. The main questions the study aims to answer are:
- What is the best tolerated dose and are there any side effects, in particular any inflammatory reactions post drug administration?
- Are there any early signs of efficacy on visual function? Participants will be administered a single intravitreal dose of VG901 into the most affected eye through a syringe and followed up for a year to monitor safety and efficacy. There will be two cohorts of participants in this study. Study Cohort 1 will receive the low dose and Study Cohort 2 will receive the high dose as specified in the Protocol.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Sep 2023
Typical duration for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2023
CompletedFirst Submitted
Initial submission to the registry
February 1, 2024
CompletedFirst Posted
Study publicly available on registry
March 4, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2026
CompletedMarch 28, 2025
March 1, 2025
2.6 years
February 1, 2024
March 24, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Adverse Events (AEs) and Serious Adverse Events (SAEs)
Number of Adverse Events (AEs) and Serious Adverse Events (SAEs). Ocular inflammation is defined as an adverse event of special interest (AESI). AESI follow the same reporting requirements as SAE.
Baseline to Month 12
Secondary Outcomes (12)
Physical Examination
Screening to Month 12
Pulse rate
Screening to Month 12
Blood pressure
Screening to Month 12
Body temperature
Screening to Month 12
Respiratory rate
Screening to Month 12
- +7 more secondary outcomes
Study Arms (1)
VG901
EXPERIMENTALParticipants will receive a single dose of intravitreal injection of VG901 in most affected eye at Day 0.
Interventions
Administered as specified in the treatment arm. Study Cohort 1 - Low dose; Study Cohort 2 - High dose Other Names: Gene Therapy (AAV2.NN-CNGA1)
Eligibility Criteria
You may qualify if:
- To be eligible for study entry, subjects must satisfy all the following criteria:
- Able to understand and willing to consent to study participation by a written informed consent
- Male or female ≥ 18 years of age
- Clinical diagnosis of RP
- Confirmed pathogenic, biallelic variants in the CNGA1 gene
- Ellipsoid zone (EZ) length of the fovea of ≥ 3000 μm in the study eye
You may not qualify if:
- Subjects will be excluded from the study if one or more of the following statements are applicable to either eye:
- Additional interfering ocular conditions which would impact study results (e.g., ocular opacity and advanced cataract, uveitis, amblyopia)
- History or presence of glaucoma
- Ocular surgery, intravitreal or subretinal implantation of a medical device (within 6 months of screening)
- Mutations known to cause inherited retinal disease other than biallelic variants in the CNGA1 gene
- History of ocular infection with herpes simplex virus
- History of ocular malignancies
- History of disorders of the internal retina (e.g., retinal detachment)
- Patients with uncontrolled diabetes (HbA1c \> 7%)
- Any other retinopathy due to other diseases - including, but not limited to arterial hypertension, previous vascular retinal occlusion, trauma or acquired inflammatory diseases, contraindication to pharmacological mydriasis (e.g., history of angle block glaucoma), diabetes (diabetic retinopathy including macular oedema)
- Absence of visual function on the contralateral eye
- Any damage to the optic nerve
- Individuals performing any other therapy for RP within 3 months before the study, such as - but not limited to - transcorneal electrostimulation
- Systemic conditions (e.g., autoimmune disorders) which may affect study participation or outcome measures
- History of immunodeficiency or other medical conditions which may increase the risk of VG901 administration
- +10 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Center for Ophthalmology, University of Tuebingen
Tübingen, 72076, Germany
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Katarina Stingl
Center for Ophthalmology, University of Tuebingen
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 1, 2024
First Posted
March 4, 2024
Study Start
September 1, 2023
Primary Completion
April 1, 2026
Study Completion
April 1, 2026
Last Updated
March 28, 2025
Record last verified: 2025-03
Data Sharing
- IPD Sharing
- Will not share