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A Phase 3 Study Of OCU400 Gene Therapy for the Treatment Of Retinitis Pigmentosa

Phase 3
Recruiting
Conditions
Retinitis Pigmentosa
Interventions
Genetic: Sub-Retinal Administration of OCU400-301
Registration Number
NCT06388200
Lead Sponsor
Ocugen
Brief Summary

This is a Phase 3 study to Assess the Efficacy, Safety and Tolerability of OCU400 in patients with retinitis pigmentosa (RP) associated with RHO mutations and patients with any other RP associated mutation with a clinical phenotype of RP.

This is a multicenter, assessor blinded and randomized study which will enroll 150 subjects.

Detailed Description

A total of one hundred and fifty (150) RP participants will be enrolled in this study- 75 in each of either two arms, RHO arm (n=75) or Gene agnostic arm (n=75). RHO arm will only enroll participants with confirmed genetic diagnosis of mutation in RHO gene; whereas Gene Agnostic arm will enroll RP Participants based on clinical diagnosis of RP and a confirmed genetic diagnosis with a gene associated with RP.

Subjects in each arm will be randomized into treatment (N=50) and control groups (N=25). Subjects in the treatment group will receive a sequential, bilateral sub-retinal injection of OCU400 if both eyes meet inclusion criteria. Control or untreated group subjects will receive OCU400 subretinal injection after completion of 12-month follow-up.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
150
Inclusion Criteria
  1. Males or females ≥ 8 years of age
  2. Clinical diagnosis of RP with confirmed genetic diagnosis of autosomal dominant RHO mutation or any other mutation associated with RP.
  3. BCVA ≤ 75 letters and ≥25 letters as measured by an ETDRS chart.
  4. Visual field of >5° in any meridian as measured by a III4e isopter or equivalent.
  5. Able to perform a Luminance LDNA at certain light intensity at the Screening visit.
  6. Presence of photoreceptors as determined by SD-OCT
Exclusion Criteria
  1. Subject lacks evidence of outer nuclear layer
  2. Previous treatment with a gene-therapy or cell therapy product or treatment with any investigational drug or ocular device within one year.
  3. History of corticosteroid related IOP spikes or uncontrolled glaucoma.
  4. Absence of large regions of sensitivity in the pericentral and peripheral retinal regions
  5. Cataract surgery within 3 months. YAG capsulotomy within 1 month. Any other intraocular surgery within 6 months.
  6. Active ocular/intraocular infection, any history of rhegmatogenous retinal detachment or Current retinal detachment or retinal implant.
  7. Breast-feeding, pregnancy, sperm donation or inability to practice strict contraception

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
RHO ArmSub-Retinal Administration of OCU400-301Subjects will receive a sub-retinal injection of OCU400-301 modifier gene therapy product with a concentration of 2.5 x 10E10 vg/eye
Gene Agnostic ArmSub-Retinal Administration of OCU400-301Subjects will receive a sub-retinal injection of OCU400-301 modifier gene therapy product with a concentration of 2.5 x 10E10 vg/eye
Primary Outcome Measures
NameTimeMethod
Number of participants with change in functional vision in the study eye of RP subjects as assessed by LDNA52 weeks

Change in the LDNA assessment from screening in the study eye of RP subjects with RHO mutation will be compared to controls

Number of participants with change in functional vision in the study eye in Gene Agnostic group as assessed by LDNA52 weeks

Change in the LDNA assessment from screening in the study eye in Gene Agnostic Arm subjects will be compared to controls

Secondary Outcome Measures
NameTimeMethod
Number of participants with change in functional vision in the all treated eyes of subjects in Gene Agnostic Arm as assessed by LDNA52 weeks

Change in the LDNA assessment from screening in all treated eyes of subjects in Gene Agnostic Arm subjects will be compared to controls

Number of participants with change in visual function in Gene Agnostic Arm as assessed by LLVA letter scores52 weeks

Change in LLVA letter scores in Gene Agnostic Arm subjects will be compared to controls

Number of participants with change in visual function in subjects with RHO mutation as assessed by LLVA letter score52 weeks

Change in LLVA letter scores in RP subjects with mutations in RHO will be compared to controls

Ocular and non-ocular Events52 weeks

Incidence and severity of Study Drug-related adverse events (SDAE), Treatment-Emergent adverse events (TEAEs), Serious adverse events (SAEs) and Adverse Events of Special Interest (AESI).

Number of participants with change in functional vision in the all treated eyes of RP subjects as assessed by LDNA52 weeks

Change in the LDNA assessment from screening in all treated eyes of RP subjects with RHO mutation will be compared to controls

Trial Locations

Locations (15)

Advanced Research, LLC.

🇺🇸

Deerfield Beach, Florida, United States

Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine

🇺🇸

Miami, Florida, United States

Calgary Retina Consultants

🇨🇦

Calgary, Alberta, Canada

University of Alberta

🇨🇦

Edmonton, Alberta, Canada

The University of British Columbia

🇨🇦

Vancouver, British Columbia, Canada

Sunnybrook Health Sciences Centre

🇨🇦

Toronto, Ontario, Canada

Erie Retina Research LLC

🇺🇸

Erie, Pennsylvania, United States

Gundersen Health System

🇺🇸

La Crosse, Wisconsin, United States

University of Southern Califormia

🇺🇸

La Jolla, California, United States

Retina Foundation of the Southwest

🇺🇸

Dallas, Texas, United States

Valley Retina Institute

🇺🇸

McAllen, Texas, United States

Associated Retina Consultants

🇺🇸

Phoenix, Arizona, United States

University of Southern California, Roski Eye Insitute

🇺🇸

Los Angeles, California, United States

Vanderbilt Eye Institute

🇺🇸

Nashville, Tennessee, United States

Retina Consultants of Texas

🇺🇸

Bellaire, Texas, United States

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