This is a Phase 1/2 multicenter study with two parallel parts: an observational natural history cohort and an open-label, prospective interventional trial in males with non-syndromic X-linked retinitis pigmentosa (XLRP) due to mutations in the gene encoding retinitis pigmentosa GTPase regulator (RPGR).
This Phase 1/2 study will gather data in an observational phase Natural History Cohort to further characterize and evaluate natural disease progression in male patients with genetically-confirmed X-linked retinitis pigmentosa (XLRP) caused by mutations in the gene encoding retinitis pigmentosa GTPase regulator (RPGR). The study will also evaluate the safety and tolerability, as assessed by frequency and severity of ocular and systemic adverse events, as well as preliminary clinical efficacy of a single intravitreal (IVT) injection of 4D-125 at two dose levels in this patient population in one or both eyes (the contralateral eye dose provided the subject is eligible and provides consent). 4D-125 has been developed as a gene replacement therapy for XLRP. After receiving 4D-125, patients will be followed for 24 months with continued safety follow-up and 36 additional months of long-term follow-up. Secondary endpoints will assess preliminary efficacy measures over time after 4D-125 administration.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
21
4D-125 drug product developed for gene therapy, which comprises an AAV capsid variant (4D-R100) carrying a codon-optimized human Retinitis Pigmentosa GTPase Regulator transgene.
Natural History
University of Colorado
Aurora, Colorado, United States
Vitreo Retinal Associates
Gainesville, Florida, United States
University of Michigan Kellogg Eye Center
Ann Arbor, Michigan, United States
Columbia University Medical Center/Edward Harkness Eye Institute
Incidence and severity of TEAEs and serious adverse events (SAEs), including clinically significant changes in safety parameters
Time frame: 24 months to 60 Months
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New York, New York, United States
Duke University Eye Center/Dept. of Ophthalmology
Durham, North Carolina, United States
Casey Eye Institute, Oregon Health and Science University
Portland, Oregon, United States
Retina Foundation of the Southwest
Dallas, Texas, United States
University of Utah John A. Moran Eye Center
Salt Lake City, Utah, United States