This Phase 2 study is a non-randomized, open-label, study of the safety of AGTC-501 in participants with XLRP who have previously been treated with a full-length AAV vector-based gene therapy targeting RPGR protein.
This is a Phase 2, open-label, multicenter study to evaluate the safety of 2 doses of AGTC-501 administered as a single subretinal injection in participants with XLRP who have previously been treated with a full-length AAV vector-based gene therapy targeting RPGR protein. The trial includes a screening period of up to 60 days and a 5 year study period. Each participant will receive a single subretinal injection of one of two dose levels of AGTC-501 in their previously untreated eye. There will be 3 groups. Group 1 will receive the high dose and include up to 12 participants, Group 2 will receive the low dose and will include 6 participants, and Group 3 will include \~3-6 participants. Participants in Groups 1 and 2 will receive the standard corticosteroid regimen. A single subretinal injection of the high dose AGTC-501 will be administered to participants in Group 1 (n = 12), while participants in Group 2 (n = 6) will receive a single subretinal injection of low dose AGTC-501. Group 2 (low dose AGTC-501, Standard Steroid) will be dosed before moving to Group 3. After 6 Group 1 (high dose) study participants reach post-operative Month 1, all data will be reviewed by the DSMC. If no safety signals arise, additional participants, Group 3 (n \~ 3-6), will receive a single subretinal injection of the high dose with a modified course of corticosteroids.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
24
Adeno-associated virus vector expressing a human RPGR gene
Adeno-associated virus vector expressing a human RPGR gene
Adeno-associated virus vector expressing a human RPGR gene
University of Florida
Jacksonville, Florida, United States
Bascom Palmer Eye Institute
Miami, Florida, United States
Boston Children's Hospital
Boston, Massachusetts, United States
Cincinnati Eye Institute
Cincinnati, Ohio, United States
The primary safety outcome is the number of participants experiencing Grade 3 or higher local (ocular) or non-ocular treatment-emergent adverse events, including treatment-emergent serious adverse events (SAEs).
Time frame: Day 0 - Month 12
The primary safety outcome is the proportion of participants experiencing Grade 3 or higher local (ocular) or non-ocular treatment-emergent adverse events, including treatment-emergent serious adverse events (SAEs).
Time frame: Day 0 - Month 12
The number of participants experiencing treatment-emergent AEs of ocular/non-ocular adverse events, including treatment-emergent serious AEs.
Time frame: Day 0 - Month 12
The proportion of participants experiencing treatment-emergent AEs of ocular/non-ocular adverse events, including treatment-emergent serious AEs.
Time frame: Day 0 - Month 12
Change from baseline in mean sensitivity across the whole grid, as measured by MAIA (Macular Integrity Assessment) microperimetry, assess photoreceptor function under low light
Time frame: Day 0 - Month 12
Response, as measured by MAIA (Macular Integrity Assessment) microperimetry, where response is defined as a greater than or equal to 7 decibel (dB) visual sensitivity improvement from baseline in at least 5 loci.
Time frame: Day 0 - Month 12
Change from baseline in full-field stimulus threshold (FST)
As assessed by full-field stimulus threshold (FST); FST measures the sensitivity of the visual field by testing for the lowest luminance flash which elicits a visual sensation perceived
Time frame: Day 0 - Month 12
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Cleveland Clinic
Cleveland, Ohio, United States
Casey Eye Institute
Portland, Oregon, United States
Retina Foundation of the Southwest
Dallas, Texas, United States
Change from baseline in Best Corrected Visual Acuity (BCVA) using Early-Treatment Diabetic Retinopathy Study (ETDRS) visual acuity
Time frame: Day 0 - Month 12
Change from baseline in Low Luminance Visual Acuity (LLVA) using Early-Treatment Diabetic Retinopathy Study (ETDRS) visual acuity
Time frame: Day 0 - Month 12
Proportion of responding eyes in treated versus control eyes at Month 12 where responder is defined as an improvement of at least 15-letters on low-luminance visual acuity (LLVA)
Time frame: Day 0 - Month 12
Change from baseline in ellipsoid zone (EZ) area measured by spectral domain optical coherence tomography (SD OCT)
Time frame: Day 0 - Month 12
Change from baseline in seven domain scores from a Michigan Retinal Degeneration Questionnaire (MRDQ)
Time frame: Day 0 - Month 12
Change from baseline in Ora-VNC (visual navigation course) mobility test score
As assessed by functional assessment Ora-VNC (visual navigation course) mobility course
Time frame: Day 0 - Month 12
Change from baseline in the MObility Standardized Test-Virtual Reality (MOST-VR) mobility course test score
As measured by the MObility Standardized Test-Virtual Reality (MOST-VR) mobility course
Time frame: Day 0 - Month 12