Clinical trial • Phase I/II • Ophthalmology

VG801-1, VG801-2 for ABCA4-associated retinal dystrophy

Phase I/II trial of VG801-1, VG801-2 for ABCA4-associated retinal dystrophy. open-label, adaptive. 12 participants.

Overview

Trial Therapeutic Area
Ophthalmology
Trial Disease
ABCA4-associated retinal dystrophy
Trial Stage
Phase I/II
Drug Modality
Gene therapy
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
03-06-2025
First CTIS Authorization Date
17-09-2025

Trial design

open-label, adaptive Phase I/II trial across 2 sites in Germany.

Open Label
Yes
Adaptive
True, dose-escalation/dose-exploration design to determine dose(s) below dose-limiting toxicity (DLT) for further efficacy studies
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
12

Eligibility

Recruits 12 paediatric patients.

Pregnancy Exclusion
Negative pregnancy test.; Breast-feeding woman.
Vulnerable Population
Includes minors (subjects aged ≥ 6 years). Parental informed consent (parental ICF) required for minors and assent forms available for child and adolescent participants. Adult participants provide written informed consent. Consent/assent documents available in English and German (document titles indicate ENG and DEU versions).

Inclusion criteria

  • {"criterion_text":"- Written informed consent."}
  • {"criterion_text":"- Subjects aged ≥ 6 years."}
  • {"criterion_text":"- Molecular diagnosis was confirmed due to ABCA4 mutations (homozygotes or compound heterozygotes) by a CLIA (Clinical Laboratory Improvement Amendments)-certified laboratory."}
  • {"criterion_text":"- Clinical diagnosis of a macular lesion phenotypically consistent with retinal disease."}
  • {"criterion_text":"- Visual acuity not better than 20/60 in the study eye."}
  • {"criterion_text":"- Detectable outer nuclear layer thickness in the macular region using OCT."}
  • {"criterion_text":"- Study eye must have clear ocular media and adequate pupillary dilation, including no allergy to dilating eye drops and with sufficient fixation to permit good quality retinal imaging."}
  • {"criterion_text":"- Negative pregnancy test."}
  • {"criterion_text":"- Willing to avoid excessive exposure to sun light (e.g., by using a hat, ultraviolet absorbing sunglasses, and sunscreen with a minimum SPF of 30)."}

Exclusion criteria

  • {"criterion_text":"- Pre-existing eye conditions such as uveitis, glaucoma, or diabetic retinopathy."}
  • {"criterion_text":"- Positive for hepatitis C or human immunodeficiency virus (HIV) infection."}
  • {"criterion_text":"- Abnormal laboratory values (3  upper limit of normal [ULN]) in blood analysis including renal and hepatic function."}
  • {"criterion_text":"- Subjects with increased risk of bleeding (i.e., use of anticoagulants or anti-platelet agents within 7 days before VG801 administration and subjects with international normalized ratio > 2 or Quick < 50% or partial thromboplastin time > 50 seconds, thrombocytopenia, as well as any other known coagulopathy)."}
  • {"criterion_text":"- Breast-feeding woman."}
  • {"criterion_text":"- Any other condition that would not allow the potential subject to complete follow-up examinations during the study and, in the opinion of the Investigator, makes the potential subject unsuitable for the study."}
  • {"criterion_text":"- Systemic diseases that would preclude the planned surgery or interfere with the interpretation of study results."}
  • {"criterion_text":"- History of intraocular surgery within the previous 6 months."}
  • {"criterion_text":"- Previous participation in a gene therapy trial."}
  • {"criterion_text":"- Previous therapy with an approved gene therapy product."}
  • {"criterion_text":"- Participation in a study (investigational drug or medical device) in previous 6 months."}
  • {"criterion_text":"- Incapable of performing visual function testing for reasons other than poor vision."}
  • {"criterion_text":"- Any absolute contraindication to immunosuppressant regimen applied during and after administration of the IMP."}
  • {"criterion_text":"- Uncontrolled diabetics (HbA1c > 7%)."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Safety Endpoint: Number of Adverse events (ocular and systemic)","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Safety Endpoint: Evaluation of the humoral immune responses against the AAV capsid","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Safety Endpoint: Measurement of vector in blood, tears, and saliva (vector shedding) until two negative samples have been obtained","definition_or_measurement_approach":"Vector shedding measured in blood, tears, and saliva; sampling continued until two negative samples obtained."}
  • {"endpoint_text":"- Safety Endpoint: Hematology, chemistry, and urinalysis","definition_or_measurement_approach":""}
  • {"endpoint_text":"- Safety Endpoint: Comprehensive ophthalmic assessments including slit lamp examination coupled with imaging including optical coherence tomography (OCT), fundus photography, intraocular pressure monitoring, and fundus autofluorescence imaging.","definition_or_measurement_approach":"Comprehensive ophthalmic assessments using slit lamp exam, OCT, fundus photography, IOP monitoring, and fundus autofluorescence imaging."}
  • {"endpoint_text":"- Preliminary Efficacy Endpoint: Visual Function (BCVA, Pelli Robson contrast test, OCT, fundus photography, IOP, fundus autofluorescence imaging)","definition_or_measurement_approach":"Visual function assessed by BCVA (ETDRS chart), Pelli-Robson contrast test, OCT, fundus photography, IOP, and fundus autofluorescence imaging."}
  • {"endpoint_text":"- Preliminary Efficacy Endpoint: Morphological retinal measures (Fundus autofluorescence imaging , Optical coherence tomography)","definition_or_measurement_approach":"Morphological retinal measures obtained via fundus autofluorescence imaging and OCT."}
  • {"endpoint_text":"- Preliminary Efficacy EndPoint: Local retinal function measures for rods and cones ( Full-field stimulus threshold testing)","definition_or_measurement_approach":"Local retinal function measured using full-field stimulus threshold testing for rods and cones."}
  • {"endpoint_text":"- Preliminary Efficacy Endpoint: Retinal function measures (Goldmann kinetic visual fields, Scotopic and photopic microperimetry)","definition_or_measurement_approach":"Retinal function assessed by Goldmann kinetic visual fields and scotopic/photopic microperimetry."}
  • {"endpoint_text":"- Preliminary Efficacy Endpoint: Mobility function (novel virtual reality mobility test)","definition_or_measurement_approach":"Mobility function evaluated using a novel virtual reality mobility test."}

Recruitment

Planned Sample Size
12
Recruitment Window Months
16
Consent Approach
Written informed consent required for adult participants. For minors (subjects aged ≥ 6 years) parental/guardian consent (parental ICF) is required and assent is obtained from child and adolescent participants (assent forms available). Consent/assent documents available in English and German as indicated by document titles.

Geography

Total Number Of Sites
2
Total Number Of Participants
12

Germany

Earliest CTIS Part Ii Submission Date
28-05-2025
Latest Decision Or Authorization Date
03-11-2025
Processing Time Days
159
Number Of Sites
2
Number Of Participants
6

Sites

Site Name
Justus-Liebig-Universitaet Giessen
Department Name
Ophthalmology
Principal Investigator Name
Lyubomyr Lytvynchuk
Contact Person Name
Lyubomyr Lytvynchuk
Site Name
LMU Klinikum Muenchen AöR
Department Name
Ophthalmology
Principal Investigator Name
Claudia Priglinger
Principal Investigator Email
claudia.priglinger@med.uni-muenchen.de
Contact Person Name
Claudia Priglinger

Sponsor

Primary sponsor

Full Name
VeonGen Therapeutics GmbH
Organisation Type
Pharmaceutical company
Country Of Registered Address
Germany

Investigational products

Investigational Product Name
VG801
Active Substance
VG801-1, VG801-2
Modality
Gene therapy
Routes Of Administration
Subretinal use
Route
Subretinal

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