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Clinical Trials/NCT05417126
NCT05417126
Completed
Phase 2

A Phase 2a, Open Label Multicenter Clinical Trial to Evaluate the Safety and Effects of a Single Intravitreal Injection of vMCO-010 Optogenetic Therapy in Subjects With Stargardt Disease

Nanoscope Therapeutics Inc.1 site in 1 country6 target enrollmentJuly 5, 2022

Overview

Phase
Phase 2
Intervention
Not specified
Conditions
Stargardt Disease
Sponsor
Nanoscope Therapeutics Inc.
Enrollment
6
Locations
1
Primary Endpoint
Type, severity, and incidence of ocular and systemic adverse events (AEs)
Status
Completed
Last Updated
2 years ago

Overview

Brief Summary

The purpose of the study is to evaluate the safety and effects of a single intravitreal injection of virally-carried Multi-Characteristic Opsin (vMCO-010) in Subjects with Stargardt Disease

Detailed Description

This multicenter open label study will evaluate single dose level of vMCO-010 in up to 6 subjects with Stargardt's Disease. Subjects with documented clinical diagnosis of Stargardt disease (classic fleck phenotype and/or well-demarcated sub-foveal area of significantly reduced autofluorescence as imaged by FAF), or genetic diagnosis with pathogenic variants in ABCA4, ELOVL4, or PROM 1. All subjects will continue to be assessed for 48 weeks following treatment with vMCO-010.

Registry
clinicaltrials.gov
Start Date
July 5, 2022
End Date
September 28, 2023
Last Updated
2 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • ≥16 years of age
  • Able to comprehend and give informed consent.
  • Able to comply with testing and all protocol tests.
  • Documented clinical diagnosis of Stargardt disease (classic fleck phenotype and/or well-demarcated sub-foveal area of significantly reduced autofluorescence as imaged by FAF), or genetic diagnosis with pathogenic variants in ABCA4, ELOVL4, or PROM1
  • In the study eye: ETDRS BCVA in range of 1.3 logMAR (Approximate Snellen equivalent: 20/400) to 1.9 logMAR (Snellen equivalent: 20/1600), and ETDRS BCVA no better than 20/200 in the fellow eye.
  • Presence of retinal inner nuclear and nerve fiber layers on optical coherence tomography (OCT) testing in the study eye at screening

Exclusion Criteria

  • Presence of any concurrent ocular disease that would affect study outcomes (e.g., severe cataracts; subjects can be enrolled 3 months after successful cataract surgery).
  • Received any of the following treatments: gene therapy, stem cell therapy, surgical implantation of prosthetic retinal chips (such as ARGUS-II) or sub-retinal injections.
  • Has taken non-approved items (supplement containing vitamin A or beta-carotene, liver-based products, or prescription oral retinoid medications) over the past 30 days
  • Participation in an interventional study of a vitamin A derivative ≤ 3 months prior to screening
  • Presence of significant cardiovascular or cerebrovascular disease, including stroke within 12 months of entry.
  • Resting heart rate outside specified limits upon repeated measurement.
  • History of uncontrolled diabetes, hepatitis, pancreatitis, cirrhosis, liver failure, uncontrolled thyroid disease or hypervitaminosis A.
  • Any intraocular surgery or thermal laser within 3 months of trial entry or any prior thermal laser in the macular region.
  • Any major surgical procedure within one month of trial entry or anticipated during the trial.
  • Clinically significant abnormal lab results at screening

Outcomes

Primary Outcomes

Type, severity, and incidence of ocular and systemic adverse events (AEs)

Time Frame: 48 weeks

Type, severity, and incidence of ocular and systemic adverse events (AEs), specifically those related to intravitreal injection of vMCO-010

Secondary Outcomes

  • Effect of vMCO-010 on determination of shape(48 Weeks)
  • Effect of vMCO-010 on determination of optical flow(48 Weeks)
  • Effect of vMCO-010 as assessed by visual acuity(48 weeks)
  • Effect of vMCO-010 on Light-guided Mobility(48 Weeks)

Study Sites (1)

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Related News

Nanoscope's MCO-010 Receives FDA RMAT and Five EMA Orphan Designations for Retinal Dystrophies- The FDA granted Regenerative Medicine Advanced Therapy (RMAT) designation to MCO-010 for Stargardt disease, building on prior Orphan Drug and Fast Track designations for both retinitis pigmentosa and Stargardt disease. - The European Medicines Agency awarded five Orphan designations to MCO-010 covering non-syndromic and syndromic rod-dominant and cone-dominant dystrophies, as well as macular dystrophies. - MCO-010 is a one-time intravitreal optogenetic therapy that activates bipolar retinal cells to restore vision without requiring genetic testing or surgical intervention. - Nanoscope has initiated a rolling BLA submission following positive Phase 2b/3 RESTORE trial results in retinitis pigmentosa and plans Phase 3 trials for Stargardt disease in 2025.Nanoscope Therapeutics Showcases MCO-010 Optogenetic Therapy Data at ASGCT 2025- Nanoscope Therapeutics presented multiple research presentations at ASGCT 2025 highlighting the safety and efficacy of MCO-010 optogenetic therapy for retinal degenerative diseases. - The company reported positive therapeutic benefits in Stargardt disease patients similar to durable vision gains previously observed in retinitis pigmentosa patients. - MCO-010 represents the first mutation-agnostic therapy shown to restore vision in advanced RP patients via a one-time intravitreal injection. - The company plans to initiate BLA submission for MCO-010 to treat RP in 2025 following positive Phase 2b RESTORE trial results.Nanoscope Plans BLA Submission for MCO-010 Gene Therapy in Retinitis Pigmentosa- Nanoscope Therapeutics plans to submit a Biologics License Application (BLA) to the FDA in Q1 2025 for MCO-010 to treat retinitis pigmentosa. - MCO-010, a gene-agnostic optogenetic therapy, has shown significant vision improvement in advanced RP patients in Phase 2b/3 RESTORE trial. - New data shows MCO-010 arrests retinal degeneration in animal models, suggesting a disease-modifying effect in addition to vision restoration. - The FDA has granted Fast Track designation to MCO-010 for both RP and Stargardt disease, and a Phase 3 trial for Stargardt is planned.Nanoscope Therapeutics to Advance MCO-010 for Stargardt Disease to Phase 3 Trial Following FDA Meeting- Nanoscope Therapeutics' MCO-010 gene therapy is set to advance to a Phase 3 registrational trial for Stargardt Macular Degeneration after a productive meeting with the FDA. - The FDA has provided input on the Phase 3 trial design, which will assess MCO-010's safety and efficacy using best-corrected visual acuity as the primary endpoint. - The planned Phase 3 trial will enroll legally blind patients as young as 12 years old, expanding the population from the Phase 2 study, and will be the first randomized, controlled gene therapy trial for Stargardt disease. - The FDA has agreed that the current nonclinical data package is sufficient to support a future Biologics License Application (BLA) submission for MCO-010.