Clinical trial • Phase I/II • Ophthalmology

Adeno-associated virus vector serotype 8 encoding the ABCA4 protein (N-region and C-region) for Stargardt disease

Phase I/II trial of Adeno-associated virus vector serotype 8 encoding the ABCA4 protein (N-region and C-region) for Stargardt disease.

Overview

Trial Therapeutic Area
Ophthalmology
Trial Disease
Stargardt disease
Trial Stage
Phase I/II
Drug Modality
Gene therapy
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
27-03-2025
First CTIS Authorization Date
14-07-2025

Trial design

Randomised, open-label, untreated control (no active treatment), adaptive Phase I/II trial across 3 sites in Germany, Belgium.

Randomised
Yes
Open Label
Yes
Comparator
Untreated control (no active treatment)
Adaptive
True, dose escalation/expansion design to determine dose selection (dose escalation/expansion elements described in the study title; no detailed escalation rules or interim analysis/stopping rules are provided in the extracted record).
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
73
Trial Duration For Participant
672

Eligibility

Recruits 73 isVulnerablePopulationSelected is true. Written informed consent is required from participants. Parental informed consent documents are included among the trial documents (e.g. "L1_SIS and ICF_Genetic Parental ICF historical report"). Subject information and informed consent forms are provided (documents available in English, French and Dutch as listed)..

Pregnancy Exclusion
6. For women of child-bearing potential (WOCBP), have a negative pregnancy test at Screening and, if due to receive active treatment, at Day 0.
Vulnerable Population
isVulnerablePopulationSelected is true. Written informed consent is required from participants. Parental informed consent documents are included among the trial documents (e.g. "L1_SIS and ICF_Genetic Parental ICF historical report"). Subject information and informed consent forms are provided (documents available in English, French and Dutch as listed).

Inclusion criteria

  • {"criterion_text":"- 1. Provide written consent.\n- 2. Are male or female subjects ≥18 to ≤65 years (inclusive).\n- 3. Are able to understand and comply with the study procedures.\n- 4. Have a diagnosis of Stargardt disease type 1 (STGD1).\n- 5. Clinical evidence consistent with Stargardt Disease type 1.\n- 6. For women of child-bearing potential (WOCBP), have a negative pregnancy test at Screening and, if due to receive active treatment, at Day 0.\n- 7. For both WOCBP and male subjects (or their female partners who are of child-bearing potential), agree to either strict abstinence or, if sexually active, use an acceptable contraception measure for 4 months from Day 0.\n- 8. Must have clear ocular media and adequate pupillary dilation in the study eye, including no allergy to dilating eyedrops, to permit good quality retinal imaging."}

Exclusion criteria

  • {"criterion_text":"- 1. Have had any intraocular surgery (including cataract surgery) or thermal laser within 90 days of the Screening Visit or planned intraocular surgery (including cataract surgery) or thermal laser during the period of the study, in the study eye.\n- 10. Are an immediate family member (e.g., child, sibling) of the Sponsor or study site personnel.\n- 2. Have had any major surgical procedure within 30 days of the Screening Visit or planned or anticipated major surgery during the period of the study.\n- 3. Have two pathogenic or likely pathogenic variants in inherited retinal dystrophy (IRD) genes (other than ABCA4) or a single pathogenic or likely pathogenic variant in autosomal dominant or X-linked IRD genes.\n- 4. Have a history of amblyopia in the study eye.\n- 5. Are unwilling to stop taking the following products at Screening and throughout the study: a. Supplements containing vitamin A or beta-carotene, liver-based products. b. Prescription oral retinoids. Topical products containing vitamin A or retinoids are not exclusionary.\n- 6. Have any ophthalmic history of gene therapy, stem cell therapy, surgical implantation of prosthetic retinal chips, or intravitreal or sub-retinal or supra-choroidal injections.\n- 7. Have received any investigational therapy within 90 days of the Screening Visit or 5 half-lives, whichever is longer.\n- 8. Have known serious allergies to the fluorescein dye.\n- 9. Have any significant ocular or non-ocular disease/disorder."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary endpoint is safety and tolerability through Week 96 assessed by incidence and/or clinically significant changes in ocular and non-ocular adverse events (AEs).","definition_or_measurement_approach":"Assessed by incidence and/or clinically significant changes in ocular and non-ocular adverse events (AEs) through Week 96."}

Secondary endpoints

  • {"endpoint_text":"- 1. Change from baseline in lesion size growth (as measured by definitely decreased autofluorescence [DDAF]) on fundus autofluorescence (FAF) imaging compared between SB-007 and untreated control.","definition_or_measurement_approach":"Change from baseline in lesion size growth measured by DDAF on FAF imaging; comparison between SB-007 and untreated control."}
  • {"endpoint_text":"- 2. Change from baseline in lesion size growth (as measured by DDAF) on FAF imaging.","definition_or_measurement_approach":"Change from baseline in lesion size growth measured by DDAF on FAF imaging."}
  • {"endpoint_text":"- 3.Change from baseline in total lesion size growth (as measured by DDAF and well demarcated questionably decreased autofluorescence (QDAF)) on FAF imaging.","definition_or_measurement_approach":"Change from baseline in total lesion size growth measured by DDAF and QDAF on FAF imaging."}
  • {"endpoint_text":"- 4. Change from baseline in ellipsoid zone area as measured by spectral-domain optical coherence tomography (SD-OCT).","definition_or_measurement_approach":"Change from baseline in ellipsoid zone area measured by SD-OCT."}
  • {"endpoint_text":"- 5. Change from baseline in retinal sensitivity based on microperimetry.","definition_or_measurement_approach":"Change from baseline in retinal sensitivity measured by microperimetry."}
  • {"endpoint_text":"- 6. Change from baseline in best-corrected visual acuity (BCVA) using Early Treatment Diabetic Retinopathy Study (ETDRS).","definition_or_measurement_approach":"Change from baseline in BCVA measured by ETDRS charts."}
  • {"endpoint_text":"- 7. Change from baseline in low luminance visual acuity (LLVA) using ETDRS.","definition_or_measurement_approach":"Change from baseline in LLVA measured using ETDRS under low luminance conditions."}
  • {"endpoint_text":"- 8. Change from baseline in contrast sensitivity scores.","definition_or_measurement_approach":"Change from baseline in contrast sensitivity measured by specified contrast sensitivity testing (method as per protocol)."}

Recruitment

Planned Sample Size
73
Recruitment Window Months
36
Consent Approach
Written informed consent is required from participants. Subject information and informed consent forms (ICFs) are provided, including adult genetic ICFs and parental ICF historical reports. Specific ICF documents are available in English, French and Dutch (files listed: L1_SIS and ICF_Main_SpliceBio_EN/FR/DU and genetic/parental versions). A "L1_SIS and ICF_Pregnant Partner" document is also listed.

Geography

Total Number Of Sites
3
Total Number Of Participants
13

Germany

Earliest CTIS Part Ii Submission Date
23-06-2025
Latest Decision Or Authorization Date
07-05-2026
Processing Time Days
318
Number Of Sites
2
Number Of Participants
10

Sites

Site Name
Universitaetsklinikum Bonn AöR
Department Name
Ophthalmology
Principal Investigator Name
Philipp Herrmann
Principal Investigator Email
philipp.herrmann@ukbonn.de
Contact Person Name
Philipp Herrmann
Contact Person Email
philipp.herrmann@ukbonn.de
Site Name
Universitaetsklinikum Tuebingen AöR
Department Name
Ophthalmology
Principal Investigator Name
Katharina Stingl
Principal Investigator Email
katarina.stingl@med.uni-tuebingen.de
Contact Person Name
Katharina Stingl

Belgium

Earliest CTIS Part Ii Submission Date
23-04-2026
Latest Decision Or Authorization Date
06-05-2026
Processing Time Days
13
Number Of Sites
1
Number Of Participants
3

Sites

Site Name
Universitair Ziekenhuis Gent
Department Name
Ophtalmology
Principal Investigator Name
Bart Leroy
Principal Investigator Email
bart.leroy@ugent.be
Contact Person Name
Bart Leroy
Contact Person Email
bart.leroy@ugent.be

Sponsor

Primary sponsor

Full Name
Splicebio S.L.
Organisation Type
Pharmaceutical company
Country Of Registered Address
Spain

Contract research organisations

Name
Medpace Finland Oy
Responsibilities
Sponsor duties codes: 1,10,11,12,13,2,3,5,6,7,8,9 (multiple trial management and operational responsibilities listed)
Name
Almac Pharma Services Limited
Responsibilities
Sponsor duties code: 14
Name
Precision For Medicine Inc.
Responsibilities
Sponsor duties code: 4 (laboratory services)
Name
Precision Vision
Responsibilities
Provides vision charts
Name
Global Eye Trials Limited
Responsibilities
BCVA Lane Certification
Name
Doheny Eye Institute
Responsibilities
Central imaging reader

Third parties

  • {"country":"United Kingdom","full_name":"Global Eye Trials Limited","duties_or_roles":"BCVA Lane Certification","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Precision Vision","duties_or_roles":"Provides vision charts","organisation_type":"Industry"}
  • {"country":"Finland","full_name":"Blueprint Genetics Oy","duties_or_roles":"Sponsor duties code: 4","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"Finland","full_name":"Medpace Finland Oy","duties_or_roles":"Sponsor duties codes: 1,10,11,12,13,2,3,5,6,7,8,9","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom (Northern Ireland)","full_name":"Almac Pharma Services Limited","duties_or_roles":"Sponsor duties code: 14","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Precision For Medicine Inc.","duties_or_roles":"Sponsor duties code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Doheny Eye Institute","duties_or_roles":"Central imaging reader (sponsor duties code: 15)","organisation_type":"Educational Institution"}

Investigational products

Investigational Product Name
SB-007
Active Substance
Adeno-associated virus vector serotype 8 encoding the ABCA4 protein (N-region and C-region)
Modality
Gene therapy
Routes Of Administration
Subretinal use (injection)
Route
Subretinal injection
First In Human
Yes
Orphan Designation
Yes

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