MedPath

REP1 Gene Replacement Therapy for Choroideremia

Phase 2
Completed
Conditions
Choroideremia
Interventions
Genetic: AAV-mediated REP1 gene replacement
Registration Number
NCT02407678
Lead Sponsor
University of Oxford
Brief Summary

The assessment of the efficacy (with respect to preservation of visual function and retinal structure) and safety of a single subretinal injection of AAV2.REP1 in participants with a confirmed diagnosis of choroideremia, as evaluated by various functional and anatomical outcomes measured over a number of time points up to 24 months post-treatment.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
30
Inclusion Criteria
  1. Candidate is willing and able to give informed consent for participation in the study.
  2. Male aged 18 years or above.
  3. Genetic or molecular confirmed diagnosis of choroideremia (REP1 protein deficiency).
  4. Active disease visible clinically within the macula region.
  5. Best corrected visual acuity better than or equal to 6/60 (20/200; Decimal 0.1; LogMAR 1.0) in the study eye.
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Exclusion Criteria
  1. Any female, or a male aged below 18 years.
  2. An additional cause for sight loss (e.g. amblyopia) in the eye to be treated.
  3. Any other significant ocular and non-ocular disease or disorder which, in the opinion of the investigator, may put the participants at risk because of participation in the study.
  4. Inability to take systemic prednisolone for a period of 45 days.
  5. Unwillingness to use barrier contraception methods for a period of three months following gene therapy surgery.
  6. Participation in another research study involving an investigational product in the preceding 12 weeks.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TreatmentAAV-mediated REP1 gene replacementTreated eye undergoes AAV-mediated REP1 gene replacement. AAV vector is delivered by subretinal injection.
Primary Outcome Measures
NameTimeMethod
Change from baseline in best corrected visual acuity in the treated eye2 years
Secondary Outcome Measures
NameTimeMethod
Change from baseline in the area of surviving retinal pigment epithelium in the treated eye as measured by fundus autofluorescence, compared to the untreated fellow eye (control eye) after randomisation of treatment to one eye or the other2 years
Change from baseline in the central visual field in the treated eye as determined by microperimetry2 years

Trial Locations

Locations (2)

Oxford University Hospitals NHS Foundation Trust

🇬🇧

Oxford, United Kingdom

Moorfields Eye Hospital NHS Foundation Trust

🇬🇧

London, United Kingdom

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