An Open-Label, Non-Randomized, Uncontrolled, Single-dose Pilot Study of VGR-R01 in Patients with Bietti Crystalline Dystrophy.
VGR-R01 is a novel AAV vector carrying the human CYP4v2 coding sequence. This study is intended to evaluate the safety and tolerability of a single subretinal administration of VGR-R01. All subjects will undergo 365(±7) days of safety observation and will be encouraged to enroll in an extension study to evaluate the long-term safety of VGR-R01 for a total of five years.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
3
Gene Replacement Therapy
Beijing Tongren Hospital
Beijing, Beijing Municipality, China
RECRUITINGIncidence of adverse events
An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant administered a product; the event will not need to have a causal relationship with the treatment.
Time frame: Baseline up to Day 365
Incidence of serious adverse events
A serious adverse event (SAE) is any untoward medical occurrence at any dose that resulted in death; life threatening; require inpatient hospitalization or prolongation of existing hospitalization; result in persistent or significant disability/incapacity; result in congenital anomaly/birth defect.
Time frame: Baseline up to Day 365
Number of Participants with Clinically Significant Change from Baseline in Vital Signs
Vital signs (temperature, respiratory rate, pulse rate, systolic and diastolic blood pressure) will be obtained with participant in the seated position, after having sat calmly for at least 5 minutes. Clinical significance of vital signs will be determined at the investigator's discretion.
Time frame: Baseline up to Day 365
Number of Participants with Clinically Laboratory Abnormalities
Laboratory Tests will include hematology, coagulation, blood chemistry, urinalysis, serology, and pregnancy test, etc. If any potential changes accompanied by clinical symptoms, or results in a change of medical intervention, the findings will be considered as clinically significant based on investigator's decision.
Time frame: Baseline up to Day 365
Number of Participants with Clinically Significant Change from Baseline in Ophthalmic Examination Findings
Ophthalmic Examination will include BCVA, IOP, slitlamp examination, angiography and SD-OCT, etc. If any potential changes accompanied by clinical symptoms, or results in a change of medical intervention, the findings will be considered as clinically significant based on investigator's decision.
Time frame: Baseline up to Day 365
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Best-Corrected Visual Acuity (BCVA)
BCVA will be assessed for both eyes using the Early Treatment of Diabetic Retinopathy Study (ETDRS) visual acuity (VA) chart. BCVA test should be performed prior to pupil dilation, and distance refraction should be carried out before BCVA is measured. Initially, letters are read at a distance of 4 meters from the chart. If \<20 letters are read at 4 meters, testing at 1 meter should be performed. BCVA is to be reported as number of letters read correctly by the participant using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or visual acuity). An increase in the number of letters read correctly means that vision has improved.
Time frame: Up to Day 365
Changes from baseline in Visual Field indexes
The outcome measeures will be assessed by Humphery perimetry
Time frame: Up to Day 365
Changes from baseline in Microperimetry indexes
The Microperimetry will be applied to assess the retinal sensitivity and the fixation behaviour.
Time frame: Up to Day 365
Changes from baseline in ERG indexes
The measeurement will be performed based on the standards of International Society for Clinical Electrophysiology of Vision (ISCEV)
Time frame: Up to Day 365
Changes from baseline in m-ERG indexes
The measeurement will be performed based on the standards of International Society for Clinical Electrophysiology of Vision (ISCEV)
Time frame: Up to Day 365
Change from Baseline in NEI Visual Function Questionnaire (NEI-VFQ-25)
NEI-VFQ-25 questionnaire measures dimensions of self-reported vision-targeted health status that are most important to persons with eye disease. Total score ranges from 0-100, where a score of 0 represents the worst outcome and 100 represents the best outcome.
Time frame: Up to Day 365
Changes from Baseline in Spectral Domain Optical Coherence Tomography (SD-OCT)
Time frame: Up to Day 365
Changes from Baseline in Optical Coherence Tomography Angiography(OCT-A)
Time frame: Up to Day 365