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
- 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
- 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
- Contact Person Email
- claudia.priglinger@med.uni-muenchen.de
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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