The goal of this phase 1 clinical trial is to learn about the safety and efficacy of a gene therapy, VG901, in patients with a rare disorder of the eye called Retinitis Pigmentosa. The main questions the study aims to answer are: * What is the best tolerated dose and are there any side effects, in particular any inflammatory reactions post drug administration? * Are there any early signs of efficacy on visual function? Participants will be administered a single intravitreal dose of VG901 into the most affected eye through a syringe and followed up for a year to monitor safety and efficacy. There will be two cohorts of participants in this study. Study Cohort 1 will receive the low dose and Study Cohort 2 will receive the high dose as specified in the Protocol.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
6
Administered as specified in the treatment arm. Study Cohort 1 - Low dose; Study Cohort 2 - High dose Other Names: Gene Therapy (AAV2.NN-CNGA1)
Center for Ophthalmology, University of Tuebingen
Tübingen, Germany
RECRUITINGAdverse Events (AEs) and Serious Adverse Events (SAEs)
Number of Adverse Events (AEs) and Serious Adverse Events (SAEs). Ocular inflammation is defined as an adverse event of special interest (AESI). AESI follow the same reporting requirements as SAE.
Time frame: Baseline to Month 12
Physical Examination
A complete physical examination will be done at Screening and at Baseline and then at Month 12. On the other timepoints during the 1-year active follow-up phase, symptom-directed physical examination will be conducted. Abnormal examination results will be recorded.
Time frame: Screening to Month 12
Pulse rate
Will be recorded in beats per minute.
Time frame: Screening to Month 12
Blood pressure
Systolic and diastolic blood pressure will be recorded in mmHg.
Time frame: Screening to Month 12
Body temperature
Will be recorded in °C.
Time frame: Screening to Month 12
Respiratory rate
Will be recorded in breaths per minute.
Time frame: Screening to Month 12
Slit lamp examination
Abnormal examination results of conjunctiva, cornea, sclera, lens, anterior segment, and anterior chamber cells as well as quantification of vitreous inflammation and grading of anterior chamber flare will be recorded.
Time frame: Screening to Month 12
Fundus biomicroscopy
Cup-to-Disc (C/D) ratio and abnormal examination results will be recorded.
Time frame: Screening to Month 12
Optical coherence tomography (OCT)
Abnormal examination results will be recorded.
Time frame: Screening to Month 12
Fundus autofluorescence
Abnormal examination results will be recorded.
Time frame: Screening to Month 12
Tonometry
Intraocular Pressure (IOP) will be recorded in mmHg.
Time frame: Screening to Month 12
Adeno-associated virus (AAV) spread
As detected by quantitative polymerase chain reaction (qPCR) in peripheral blood, urine, and tear. Recorded in vector copies per µL of fluid DNA.
Time frame: From Baseline until two consecutive samples test negative
Immunopathology
Using specific enzyme-linked immunosorbent assays (ELISA) for humoral antibodies against rAAV2 capsid protein.
Time frame: Baseline to Month 12
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