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Phase 1/2 Safety and Efficacy Study of AAV-RPE65 Vector to Treat Leber Congenital Amaurosis

Primary Purpose

Leber Congenital Amaurosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
rAAV2-CB-hRPE65
Sponsored by
Applied Genetic Technologies Corp
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Leber Congenital Amaurosis focused on measuring AAV, adeno-associated virus, RPE65, Leber congenital amaurosis, LCA, gene therapy, human gene transfer

Eligibility Criteria

6 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Retinal disease consistent with a diagnosis of Leber congenital amaurosis and documented mutations in the RPE65 gene (including null mutations and mutations that code for abnormal RPE65 protein);
  • At least 6 years of age;
  • Good general health without significant physical examination findings or clinically significant abnormal laboratory results;
  • Able to perform tests of visual and retinal function;
  • Visual acuity not better than 20/60 and not worse than hand motion in both the treated eye and the fellow eye;
  • Visible photoreceptor (outer nuclear) layer on a standard optical coherence tomography (OCT) scan;
  • Acceptable hematology, clinical chemistry and urine laboratory parameters;
  • For females of childbearing potential, a negative pregnancy test at screening and at baseline, and agreement to use effective contraception for 12 months after administration of rAAV2-CB-hRPE65, for sexual activity that could lead to pregnancy;
  • For males of reproductive potential, agreement to use effective contraception for 12 months after administration of rAAV2-CB-hRPE65, for sexual activity that could lead to pregnancy

Exclusion Criteria:

  • Pre-existing eye conditions that would preclude the planned surgery or interfere with interpretation of study endpoints or complications of surgery (e.g. glaucoma, corneal or lenticular opacities, or history or retinal detachment);
  • Presence of epiretinal membrane on OCT;
  • History of immunodeficiency or other medical conditions that might increase the risk of rAAV2-CB-hRPE65 administration;
  • Use of anticoagulants or anti-platelet agents within 7 days prior to study agent administration;
  • History of allergy or sensitivity to medications planned for use in the peri-operative period;
  • For females of childbearing potential, a positive pregnancy test at screening or baseline (within 2 days before rAAV2-CB-hRPE65 administration);
  • Females who are breast feeding;
  • Use of any investigational agent, or systemic corticosteroids or other immunosuppressive drug(s), within 3 months prior to enrollment;
  • Prior receipt of any AAV gene therapy product;
  • Any condition which leads the investigator to believe that the participant cannot comply with the protocol requirements or that may place the participant at an unacceptable risk for participation.

Sites / Locations

  • University of Massachusetts Medical School
  • Casey Eye Institue, Oregon Health & Science University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

1

2

Arm Description

Subjects at least 6 y/o treated with a lower dose of the vector by subretinal injection

Subjects at least 6 y/o treated with a higher dose of the vector by subretinal injection

Outcomes

Primary Outcome Measures

Number of Participants Experiencing Ocular or Non-ocular Adverse Events

Secondary Outcome Measures

Participants With Changes in Visual Fields
Improvement in the central 30 degree visual field, measured by static perimetry, at one or more time points after treatment, that was greater than the limit of agreement for baseline values .
Participants With Changes in Best Corrected Visual Acuity
Increase in BCVA of 7 or more letters at Year 2 visit compared to average baseline value

Full Information

First Posted
September 8, 2008
Last Updated
December 1, 2017
Sponsor
Applied Genetic Technologies Corp
Collaborators
Oregon Health and Science University, University of Massachusetts, Worcester
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1. Study Identification

Unique Protocol Identification Number
NCT00749957
Brief Title
Phase 1/2 Safety and Efficacy Study of AAV-RPE65 Vector to Treat Leber Congenital Amaurosis
Official Title
A Multiple-Site, Phase 1/2, Safety and Efficacy Trial of a Recombinant Adeno-associated Virus Vector Expressing RPE65 (rAAV2-CB-hRPE65) in Patients With Leber Congenital Amaurosis Type 2
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
June 17, 2009 (Actual)
Primary Completion Date
September 23, 2014 (Actual)
Study Completion Date
September 22, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Applied Genetic Technologies Corp
Collaborators
Oregon Health and Science University, University of Massachusetts, Worcester

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of the study is to evaluate the safety and efficacy of an adeno-associated virus vector expressing RPE65 in patients with Leber congenital amaurosis caused by mutations in the RPE65 gene. Funding Source - FDA OOPD
Detailed Description
This will be a non-randomized, open label study. A total of 12 participants will be enrolled into two groups of 6 each. Each participant will receive rAAV2 CB hRPE65 by subretinal injection in one eye on a single occasion. Participants in Group 1 will receive 450 µL at a dosage level of 4 x 10^11 vg/mL containing a total of 1.8 x 10^11 vg of rAAV2-CB-hRPE65. Participants in Group 2 will receive 450 µL at a dosage level of 1.33 x 10^12 vg/mL containing a total of 6 x 10^11 vg of rAAV2-CB-hRPE65. A retinal surgeon will administer the vector by subretinal injection. Enrollment will begin with Group 1 and will proceed to Group 2 after review of safety data by a Data and Safety Monitoring Committee. Safety will be monitored by evaluation of ocular and non ocular adverse events and hematology and clinical chemistry parameters. Efficacy will be measured by evaluation of visual fields, visual acuity and electroretinography.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Leber Congenital Amaurosis
Keywords
AAV, adeno-associated virus, RPE65, Leber congenital amaurosis, LCA, gene therapy, human gene transfer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Subjects at least 6 y/o treated with a lower dose of the vector by subretinal injection
Arm Title
2
Arm Type
Experimental
Arm Description
Subjects at least 6 y/o treated with a higher dose of the vector by subretinal injection
Intervention Type
Biological
Intervention Name(s)
rAAV2-CB-hRPE65
Intervention Description
Recombinant adeno-associated virus vector expressing RPE65
Primary Outcome Measure Information:
Title
Number of Participants Experiencing Ocular or Non-ocular Adverse Events
Time Frame
2 years
Secondary Outcome Measure Information:
Title
Participants With Changes in Visual Fields
Description
Improvement in the central 30 degree visual field, measured by static perimetry, at one or more time points after treatment, that was greater than the limit of agreement for baseline values .
Time Frame
2 years
Title
Participants With Changes in Best Corrected Visual Acuity
Description
Increase in BCVA of 7 or more letters at Year 2 visit compared to average baseline value
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Retinal disease consistent with a diagnosis of Leber congenital amaurosis and documented mutations in the RPE65 gene (including null mutations and mutations that code for abnormal RPE65 protein); At least 6 years of age; Good general health without significant physical examination findings or clinically significant abnormal laboratory results; Able to perform tests of visual and retinal function; Visual acuity not better than 20/60 and not worse than hand motion in both the treated eye and the fellow eye; Visible photoreceptor (outer nuclear) layer on a standard optical coherence tomography (OCT) scan; Acceptable hematology, clinical chemistry and urine laboratory parameters; For females of childbearing potential, a negative pregnancy test at screening and at baseline, and agreement to use effective contraception for 12 months after administration of rAAV2-CB-hRPE65, for sexual activity that could lead to pregnancy; For males of reproductive potential, agreement to use effective contraception for 12 months after administration of rAAV2-CB-hRPE65, for sexual activity that could lead to pregnancy Exclusion Criteria: Pre-existing eye conditions that would preclude the planned surgery or interfere with interpretation of study endpoints or complications of surgery (e.g. glaucoma, corneal or lenticular opacities, or history or retinal detachment); Presence of epiretinal membrane on OCT; History of immunodeficiency or other medical conditions that might increase the risk of rAAV2-CB-hRPE65 administration; Use of anticoagulants or anti-platelet agents within 7 days prior to study agent administration; History of allergy or sensitivity to medications planned for use in the peri-operative period; For females of childbearing potential, a positive pregnancy test at screening or baseline (within 2 days before rAAV2-CB-hRPE65 administration); Females who are breast feeding; Use of any investigational agent, or systemic corticosteroids or other immunosuppressive drug(s), within 3 months prior to enrollment; Prior receipt of any AAV gene therapy product; Any condition which leads the investigator to believe that the participant cannot comply with the protocol requirements or that may place the participant at an unacceptable risk for participation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
J Timothy Stout, MD, PhD, MBA
Organizational Affiliation
Casey Eye Institute, Oregon Health & Science University
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Massachusetts Medical School
City
Worcester
State/Province
Massachusetts
ZIP/Postal Code
01605
Country
United States
Facility Name
Casey Eye Institue, Oregon Health & Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
16226919
Citation
Acland GM, Aguirre GD, Bennett J, Aleman TS, Cideciyan AV, Bennicelli J, Dejneka NS, Pearce-Kelling SE, Maguire AM, Palczewski K, Hauswirth WW, Jacobson SG. Long-term restoration of rod and cone vision by single dose rAAV-mediated gene transfer to the retina in a canine model of childhood blindness. Mol Ther. 2005 Dec;12(6):1072-82. doi: 10.1016/j.ymthe.2005.08.008. Epub 2005 Oct 14.
Results Reference
background
PubMed Identifier
16942444
Citation
Jacobson SG, Boye SL, Aleman TS, Conlon TJ, Zeiss CJ, Roman AJ, Cideciyan AV, Schwartz SB, Komaromy AM, Doobrajh M, Cheung AY, Sumaroka A, Pearce-Kelling SE, Aguirre GD, Kaushal S, Maguire AM, Flotte TR, Hauswirth WW. Safety in nonhuman primates of ocular AAV2-RPE65, a candidate treatment for blindness in Leber congenital amaurosis. Hum Gene Ther. 2006 Aug;17(8):845-58. doi: 10.1089/hum.2006.17.845.
Results Reference
background
PubMed Identifier
27102010
Citation
Weleber RG, Pennesi ME, Wilson DJ, Kaushal S, Erker LR, Jensen L, McBride MT, Flotte TR, Humphries M, Calcedo R, Hauswirth WW, Chulay JD, Stout JT. Results at 2 Years after Gene Therapy for RPE65-Deficient Leber Congenital Amaurosis and Severe Early-Childhood-Onset Retinal Dystrophy. Ophthalmology. 2016 Jul;123(7):1606-20. doi: 10.1016/j.ophtha.2016.03.003. Epub 2016 Apr 19.
Results Reference
background
PubMed Identifier
29869534
Citation
Pennesi ME, Weleber RG, Yang P, Whitebirch C, Thean B, Flotte TR, Humphries M, Chegarnov E, Beasley KN, Stout JT, Chulay JD. Results at 5 Years After Gene Therapy for RPE65-Deficient Retinal Dystrophy. Hum Gene Ther. 2018 Dec;29(12):1428-1437. doi: 10.1089/hum.2018.014. Epub 2018 Jul 24.
Results Reference
derived
Links:
URL
http://agtc.com
Description
Applied Genetic Technologies Corporation home page

Learn more about this trial

Phase 1/2 Safety and Efficacy Study of AAV-RPE65 Vector to Treat Leber Congenital Amaurosis

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