Clinical trial • Phase I • Rare Disease

18‐mer antisense oligonucleotide complementary to OPA1 pre-mRNA for Autosomal Dominant Optic Atrophy | Hereditary optic atrophy

Phase I trial of 18‐mer antisense oligonucleotide complementary to OPA1 pre-mRNA for Autosomal Dominant Optic Atrophy | Hereditary optic atrophy.

Overview

Trial Therapeutic Area
Rare Disease
Trial Disease
Autosomal Dominant Optic Atrophy | Hereditary optic atrophy
Trial Stage
Phase I
Drug Modality
Oligonucleotide
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
25-08-2023
First CTIS Authorization Date
03-04-2024

Trial design

open-label, none/not specified-controlled, adaptive Phase I trial in Germany, Denmark, Austria and others.

Open Label
Yes
Comparator
None/Not specified
Adaptive
True, single ascending dose (dose-escalation) design with cohorts (single ascending doses of STK-002). The protocol notes cohort-specific inclusion (e.g., first two patients in Cohort 1 have different BCVA limits), consistent with an escalation/cohort-based design.
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
23

Eligibility

Recruits 23 paediatric patients.

Vulnerable Population
Vulnerable population selected. The trial includes paediatric participants in Part B (patients ≥6 to <18 years). No explicit information on consent or assent handling is provided in the available documents.

Inclusion criteria

  • {"criterion_text":"- 1. Patient must be ≥18 to <55 years to participate in Part A and ≥6 to <18 years to participate in Part B"}
  • {"criterion_text":"- 2. Patient must have a clinical diagnosis of ADOA and have a heterozygous OPA1 gene variant confirmed at Screening by central lab genotyping"}
  • {"criterion_text":"- 3. Patient must have a BCVA EDTRS letter score of ≥35 and ≤70 with each eye individually, with the exception of the first two patients in Cohort 1 of Part A who must have a BCVA ETDRS letter score ≥5 and ≤35 in each eye"}

Exclusion criteria

  • {"criterion_text":"- Patient has a gain-of-function variant, or compound heterozygous or homozygous pathogenic or likely pathogenic variant in the OPA1 gene"}
  • {"criterion_text":"- Patient has extraocular phenotypic manifestations of (syndromic) ADOA (ADOA-plus) or have Behr syndrome"}
  • {"criterion_text":"- Patient has, or has a history of, any ocular condition in either eye that, in the opinion of the Investigator, could affect study parameters"}
  • {"criterion_text":"- Patient is considered to be at risk for uveitis or ocular infection during the study period"}
  • {"criterion_text":"- Patient is taking, or has taken at any time, any medication or treatment that can or might cause an optic neuropathy"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Safety variables for analysis","definition_or_measurement_approach":""}
  • {"endpoint_text":"- The exposure of STK-002 in serum will be determined using Pharmacokinetic (PK) parameters","definition_or_measurement_approach":"Determined using Pharmacokinetic (PK) parameters"}

Secondary endpoints

  • {"endpoint_text":"- Peripapillary retinal nerve fiber layer (RNFL) and macular ganglion cell layer (GCL, or ganglion cell complex) thicknesses as assessed by optical coherence tomography (OCT)","definition_or_measurement_approach":"Assessed by optical coherence tomography (OCT)"}
  • {"endpoint_text":"- Best-corrected visual acuity (BCVA) using Early Treatment Diabetic Retinopathy Study (ETDRS) optotypes","definition_or_measurement_approach":"Measured as BCVA using ETDRS optotypes"}
  • {"endpoint_text":"- Contrast sensitivity as assessed by low contrast BCVA (at 25%, 5% and 2.5% contrast levels)","definition_or_measurement_approach":"Assessed by low contrast BCVA at 25%, 5% and 2.5% contrast levels"}
  • {"endpoint_text":"- Visual field (as assessed by automated, static perimetry [10-2 and 24-2 Swedish Interactive Threshold Algorithm (SITA) FAST])","definition_or_measurement_approach":"Assessed by automated static perimetry using 10-2 and 24-2 SITA FAST"}
  • {"endpoint_text":"- Electrical activity of the retina as assessed by phototopic negative response (PhNR) ERG (if available)","definition_or_measurement_approach":"Assessed by PhNR ERG (if available)"}
  • {"endpoint_text":"- Continuous text reading acuity as assessed by MNREAD Acuity Charts","definition_or_measurement_approach":"Assessed using MNREAD Acuity Charts"}
  • {"endpoint_text":"- Quality of life as measured by scores on the National Eye Institute Visual Function Questionnaire-25 (NEI-VFQ-25), Impact of Vision Impairment for Children (IVI-C), and the European Quality of Life-5 Dimensions (EQ-5D)/EQ-5D-Y questionnaire","definition_or_measurement_approach":"Measured using NEI-VFQ-25, IVI-C, and EQ-5D/EQ-5D-Y questionnaires"}

Recruitment

Planned Sample Size
23
Recruitment Window Months
32
Consent Approach
No information provided on consent or assent process.

Geography

Total Number Of Sites
5
Total Number Of Participants
35

Germany

Earliest CTIS Part Ii Submission Date
05-04-2024
Latest Decision Or Authorization Date
14-10-2025
Processing Time Days
557
Number Of Sites
2
Number Of Participants
14

Sites

Site Name
Universitaetsklinikum Tuebingen AöR
Department Name
Augenklinik
Principal Investigator Name
Katarina Stingl
Principal Investigator Email
Katarina.Stingl@med.uni-tuebingen.de
Contact Person Name
Katarina Stingl
Site Name
Justus-Liebig-Universitaet Giessen
Department Name
Ophalmology
Principal Investigator Name
Lyubomyr Lytvynchuk
Contact Person Name
Lyubomyr Lytvynchuk

Denmark

Earliest CTIS Part Ii Submission Date
01-04-2024
Latest Decision Or Authorization Date
13-10-2025
Processing Time Days
560
Number Of Sites
1
Number Of Participants
10

Sites

Site Name
Rigshospitalet
Department Name
Department of Ophthalmology
Principal Investigator Name
Lars Michael Larsen
Principal Investigator Email
miclar01@regionh.dk
Contact Person Name
Lars Michael Larsen
Contact Person Email
miclar01@regionh.dk

Austria

Earliest CTIS Part Ii Submission Date
02-04-2024
Latest Decision Or Authorization Date
08-12-2025
Processing Time Days
615
Number Of Sites
1
Number Of Participants
9

Sites

Site Name
Medical University Of Vienna
Department Name
Department of Opthalmology and Optometry
Principal Investigator Name
Berthold Pemp
Principal Investigator Email
berthold.pemp@meduniwien.ac.at
Contact Person Name
Berthold Pemp
Contact Person Email
berthold.pemp@meduniwien.ac.at

Italy

Earliest CTIS Part Ii Submission Date
29-07-2024
Latest Decision Or Authorization Date
12-12-2025
Processing Time Days
501
Number Of Sites
1
Number Of Participants
2

Sites

Site Name
Ospedale San Raffaele S.r.l.
Department Name
O.U. Ophthalmology
Principal Investigator Name
Piero Barboni
Principal Investigator Email
p.barboni60@gmail.com
Contact Person Name
Piero Barboni
Contact Person Email
p.barboni60@gmail.com

Sponsor

Primary sponsor

Full Name
Stoke Therapeutics Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Iqvia Holdings Inc.
Responsibilities
Pharmacovigilance
Name
Medpace Finland Oy
Responsibilities
Patient Travel; Patient Questionnaires and Vision Charts; other site/patient support (codes 1,3,5 present in duties list)
Name
PPD Global Central Labs
Responsibilities
Central laboratory services (duty code 4)
Name
DARC
Responsibilities
Central Imaging
Name
Medidata Solutions Inc.
Responsibilities
Data capture/clinical trial systems (duty code 7)

Third parties

  • {"country":"United States","full_name":"Iqvia Holdings Inc.","duties_or_roles":"Pharmacovigilance","organisation_type":"Pharmaceutical company"}
  • {"country":"Finland","full_name":"Blueprint Genetics","duties_or_roles":"code:4","organisation_type":"Industry"}
  • {"country":"United States","full_name":"DARC","duties_or_roles":"Central Imaging","organisation_type":"Industry"}
  • {"country":"Finland","full_name":"Medpace Finland Oy","duties_or_roles":"1; Patient Travel; Patient Questionnaires and Vision Charts; 3; 5","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"7","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Belgium","full_name":"PPD Global Central Labs","duties_or_roles":"4","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
STK-002
Active Substance
18‐mer antisense oligonucleotide complementary to OPA1 pre-mRNA
Modality
Oligonucleotide
Routes Of Administration
INTRAVITREAL USE
Route
Intravitreal
First In Human
Yes

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