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