This is a phase 3 study to evaluate the efficacy and safety of VGR-R01 in subjects with Bietti Crystalline Dystrophy. This is a multicenter, randomized controlled study which will enroll 45 subjects.
VGR-R01 is a novel AAV vector carrying the human CYP4v2 coding sequence. This study is intended to assess the efficacy of VGR-R01 in subjects with Bietti crystalline dystrophy (BCD) based on the change from baseline in best corrected visual acuity (BCVA) of the study eyes. 30 subjects will be enrolled in the intervention group and will receive monocular administration of VGR-R01, and 15 subjects in the control group will not receive any intervention. After completion of the trial, the untreated eyes will receive administration of VGR-R01 in subsequent clinical trial.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
45
Subretinal injection of VGR-R01 (0.1 mL)
Shanghai Vitalgen Biopharma Co.,Ltd.
Shanghai, Shanghai Municipality, China
Number of subjects with change in BCVA in the study eyes of BCD subjects as assessed by ETDRS
Change in the BCVA assessment from screening in the study eye of BCD subjects will be compared to controls
Time frame: Baseline up to Week 52
Change from baseline in BCVA
BCVA will be assessed with the Early Treatment of Diabetic Retinopathy Study (ETDRS) visual acuity (VA) chart. Testing Protocol will be followed (confidential). Change in the BCVA assessment from baseline in treated eyes of intervention group will be compared to controls.
Time frame: Baseline up to Week 52
Change from baseline in multi-luminance mobility test (MLMT) score of the study eye
Subjects will navigate a standardized mobility maze under set conditions as specified times during the study. The mobility testing will follow a standardized administration and data acquisition protocol and may only be administered by site staff certified in the methodology.
Time frame: Baseline up to Week 52
Changes from baseline in Microperimetry indexes
Number of subjects with change in fixation stability or light sensitivity in treated eyes of intervention group will be compared to controls
Time frame: Baseline up to Week 52
Change from baseline in optical coherence tomography (OCT)
Change from baseline in central retinal thickness (CRT) as imaged by OCT
Time frame: Baseline up to Week 52
Counts, frequencies and percentages of AE, SAE and other safety evaluation
Ocular/non-ocular adverse events are collected. The 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
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Time frame: Baseline up to Week 52
Number of subjects with the presence of immunogenicity
Assessed as presence of systemic cell-mediated or humoral responses to capsid or transgene product
Time frame: Baseline up to Week 52