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Study of SAR421869 in Participants With Retinitis Pigmentosa Associated With Usher Syndrome Type 1B

Primary Purpose

Usher Syndrome, Retinitis Pigmentosa

Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
SAR421869
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Usher Syndrome focused on measuring Usher Syndrome Retinitis Pigmentosa, Usher Syndrome associated Retinitis Pigmentosa

Eligibility Criteria

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

Inclusion Criteria:

  • Clinical and molecular diagnosis of Retinitis Pigmentosa associated with Usher Syndrome type 1B, caused by at least one pathogenic myosin 7a gene (MYO7A) mutation on both alleles, confirmed by direct sequencing and co-segregation analysis within the participant's family.
  • Suitable verbal/auditory and/or tactile sign language communication (in the opinion of the investigator) as to allow written informed consent to be obtained.
  • Women of childbearing potential had a negative pregnancy test at screening and at baseline, and agree to use an effective form of contraception such as the contraceptive pill or intra uterine device for at least three months following SAR421869 administration, or be surgically sterile or postmenopausal, with the last menstrual period being over two years prior to enrolment.
  • Males of reproductive potential agreed with their partner to use two forms of contraception, including one barrier method for at least three months following SAR421869 administration if their partner was of childbearing capacity, or must be surgically sterile.
  • Participants agreed to not donate blood, organs, tissues or cells for at least three months following SAR421869 administration.

Exclusion Criteria:

  • Presence of significant ocular abnormalities in the study eye that in the opinion of the investigator would preclude the planned surgery, effective safety follow-up, or interfere with the interpretation of study outcome measures (e.g., glaucoma, corneal or significant lens opacities, pre-existing uveitis, intraocular infection, choroidal neovascularization).
  • Any pre-existing factor or past history of eye disease in children that might predispose to an increased risk of surgical complications in the study eye (e.g., trauma, previous surgery, uveitis, congenital, developmental or structural abnormalities).
  • Concomitant systemic diseases including those in which the disease itself, or the treatment for the disease, can alter ocular function (e.g., malignancies, diabetes, juvenile rheumatoid arthritis or sickle cell disease).
  • Any contraindication to pupil dilation in either eye.
  • Contraindications to use of anesthesia (local or general, as appropriate).
  • Treatment with intravitreal, subtenon, or periocular steroid within 4 months of the screening visit.
  • Any known allergy to any component of the delivery vehicle or diagnostic agents used during the study (e.g., fluorescein, dilation drops), or medications planned for use during the peri-operative period, particularly topical, injected or systemic corticosteroids.
  • Life-threatening illness.
  • Alcohol or other substance abuse.
  • History of malignancy within a five year period or have had a positive cancer screening test within a one year period of the screening visit.
  • Laboratory test abnormalities or abnormalities in electrocardiogram or chest X-ray, that in the opinion of the principal investigator, are clinically significant and would make the participant unsuitable for participation in the study.
  • Intercurrent illness or infection 28 days prior to SAR421869 administration.
  • Concurrent anti-retroviral therapy that would inactivate the investigational agent.
  • Current treatment with immunosuppressant therapies.
  • Pre-menopausal or non-surgically sterile women who were unwilling to use an effective form of contraception such as the contraceptive pill or intrauterine device.
  • Men or women who did not agree to use barrier contraception as specified in the inclusion criteria.
  • Pregnant or breastfeeding women.
  • History of any investigational agent within 28 days prior to SAR421869 administration.
  • Participation in a prior gene transfer therapy study.
  • Enrolment in any other clinical study, for any condition, including those relating to Usher syndrome Type 1B, throughout the duration of the SAR421869 study.
  • Current or anticipated treatment with anticoagulant therapy or the use of anticoagulation therapy within the four weeks prior to surgery.
  • Past medical history of HIV, or hepatitis A, B or C.
  • Inability to comply with the study protocol.
  • Any ocular surgery including laser and cataract surgery with intraocular lens implantation, aphakia or prior vitrectomy, in the study eye within 6 months of screening.

Sites / Locations

  • Investigational Site Number 840001
  • Investigational Site Number 250001

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

SAR421869 (Cohort 1)

SAR421869 (Cohort 2)

SAR421869 (Cohort 3)

SAR421869 (Cohort 4)

SAR421869 (Cohort 5)

Arm Description

Starting dose of SAR421869 given through one subretinal injection.

Escalating dose of SAR421869 given through one subretinal injection.

Escalating dose of SAR421869 given through one subretinal injection.

Maximum tolerated dose (MTD) of SAR421869 given through one subretinal injection.

MTD of SAR421869 given through one subretinal injection.

Outcomes

Primary Outcome Measures

Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)
An adverse event (AE) was any unfavorable and unintended physical sign, symptom, or laboratory parameter that developed or worsened in severity during the course of the study, whether or not considered related to the IMP. The TEAEs were defined as any event that started or increased in severity after the participant received IMP, including abnormal laboratory results, electrocardiogram, etc.
Percentage of Participants With TEAEs by Severity
An AE was any unfavorable and unintended physical sign, symptom, or laboratory parameter that developed or worsened in severity during the course of the study, whether or not considered related to the IMP. The TEAEs were defined as any event that started or increased in severity after the participant received IMP, including abnormal laboratory results, electrocardiogram, etc. For each AE, the severity was categorized as either mild, moderate or severe where 'mild' was defined as discomfort noticed but did not interfere with the participant's daily routines (an annoyance), 'moderate' was defined as some impairment of function, not hazardous to health (uncomfortable or embarrassing), and 'severe' was defined as significant impairment of function, hazardous to health (incapacitating).

Secondary Outcome Measures

Full Information

First Posted
January 4, 2012
Last Updated
March 30, 2022
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT01505062
Brief Title
Study of SAR421869 in Participants With Retinitis Pigmentosa Associated With Usher Syndrome Type 1B
Official Title
A Phase I/IIA Dose Escalation Safety Study of Subretinally Injected SAR421869, Administered to Patients With Retinitis Pigmentosa Associated With Usher Syndrome Type 1B
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Terminated
Why Stopped
Study stopped not for safety reasons. Due to review of clinical development plans and priorities, Sponsor decided to stop development of the product.
Study Start Date
March 26, 2012 (Actual)
Primary Completion Date
August 16, 2019 (Actual)
Study Completion Date
August 16, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To evaluate the safety and tolerability of ascending doses of subretinal injections of SAR421869 in participants with Usher syndrome type 1B. To evaluate for possible biological activity of SAR421869.
Detailed Description
Following screening procedures, the gene transfer agent were injected once only under the retina by an opthalmic surgeon under anesthesia. Participants then had regular follow-up visits where general health examinations, blood tests and ophthalmic examinations including best corrected visual acuity, slit lamp examination, intraocular pressure, fundoscopy, autofluorescence, optical coherence tomography, perimetry and electroretinogram were undertaken. At the end of the study, the participants were invited to enter in an open-label safety study for long-term follow-up visits (at least once every six months) including ophthalmological examinations and recording of adverse events (AEs) were continued for 5 years; then the Investigator followed the participants by telephone for a subsequent 10 years at a minimum interval of once a year to monitor delayed AEs.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Usher Syndrome, Retinitis Pigmentosa
Keywords
Usher Syndrome Retinitis Pigmentosa, Usher Syndrome associated Retinitis Pigmentosa

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
SAR421869 (Cohort 1)
Arm Type
Experimental
Arm Description
Starting dose of SAR421869 given through one subretinal injection.
Arm Title
SAR421869 (Cohort 2)
Arm Type
Experimental
Arm Description
Escalating dose of SAR421869 given through one subretinal injection.
Arm Title
SAR421869 (Cohort 3)
Arm Type
Experimental
Arm Description
Escalating dose of SAR421869 given through one subretinal injection.
Arm Title
SAR421869 (Cohort 4)
Arm Type
Experimental
Arm Description
Maximum tolerated dose (MTD) of SAR421869 given through one subretinal injection.
Arm Title
SAR421869 (Cohort 5)
Arm Type
Experimental
Arm Description
MTD of SAR421869 given through one subretinal injection.
Intervention Type
Drug
Intervention Name(s)
SAR421869
Other Intervention Name(s)
UshStat®
Intervention Description
Formulation: Sterile suspension for intraocular injection, 100 microliters (μL) aliquots in 0.3 milliliter (mL) type I borosilicate glass 'V' vials with a butyl stopper and aluminum crimp seal. Route of administration: subretinal injection
Primary Outcome Measure Information:
Title
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)
Description
An adverse event (AE) was any unfavorable and unintended physical sign, symptom, or laboratory parameter that developed or worsened in severity during the course of the study, whether or not considered related to the IMP. The TEAEs were defined as any event that started or increased in severity after the participant received IMP, including abnormal laboratory results, electrocardiogram, etc.
Time Frame
From Baseline to Week 48
Title
Percentage of Participants With TEAEs by Severity
Description
An AE was any unfavorable and unintended physical sign, symptom, or laboratory parameter that developed or worsened in severity during the course of the study, whether or not considered related to the IMP. The TEAEs were defined as any event that started or increased in severity after the participant received IMP, including abnormal laboratory results, electrocardiogram, etc. For each AE, the severity was categorized as either mild, moderate or severe where 'mild' was defined as discomfort noticed but did not interfere with the participant's daily routines (an annoyance), 'moderate' was defined as some impairment of function, not hazardous to health (uncomfortable or embarrassing), and 'severe' was defined as significant impairment of function, hazardous to health (incapacitating).
Time Frame
From Baseline to Week 48

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Clinical and molecular diagnosis of Retinitis Pigmentosa associated with Usher Syndrome type 1B, caused by at least one pathogenic myosin 7a gene (MYO7A) mutation on both alleles, confirmed by direct sequencing and co-segregation analysis within the participant's family. Suitable verbal/auditory and/or tactile sign language communication (in the opinion of the investigator) as to allow written informed consent to be obtained. Women of childbearing potential had a negative pregnancy test at screening and at baseline, and agree to use an effective form of contraception such as the contraceptive pill or intra uterine device for at least three months following SAR421869 administration, or be surgically sterile or postmenopausal, with the last menstrual period being over two years prior to enrolment. Males of reproductive potential agreed with their partner to use two forms of contraception, including one barrier method for at least three months following SAR421869 administration if their partner was of childbearing capacity, or must be surgically sterile. Participants agreed to not donate blood, organs, tissues or cells for at least three months following SAR421869 administration. Exclusion Criteria: Presence of significant ocular abnormalities in the study eye that in the opinion of the investigator would preclude the planned surgery, effective safety follow-up, or interfere with the interpretation of study outcome measures (e.g., glaucoma, corneal or significant lens opacities, pre-existing uveitis, intraocular infection, choroidal neovascularization). Any pre-existing factor or past history of eye disease in children that might predispose to an increased risk of surgical complications in the study eye (e.g., trauma, previous surgery, uveitis, congenital, developmental or structural abnormalities). Concomitant systemic diseases including those in which the disease itself, or the treatment for the disease, can alter ocular function (e.g., malignancies, diabetes, juvenile rheumatoid arthritis or sickle cell disease). Any contraindication to pupil dilation in either eye. Contraindications to use of anesthesia (local or general, as appropriate). Treatment with intravitreal, subtenon, or periocular steroid within 4 months of the screening visit. Any known allergy to any component of the delivery vehicle or diagnostic agents used during the study (e.g., fluorescein, dilation drops), or medications planned for use during the peri-operative period, particularly topical, injected or systemic corticosteroids. Life-threatening illness. Alcohol or other substance abuse. History of malignancy within a five year period or have had a positive cancer screening test within a one year period of the screening visit. Laboratory test abnormalities or abnormalities in electrocardiogram or chest X-ray, that in the opinion of the principal investigator, are clinically significant and would make the participant unsuitable for participation in the study. Intercurrent illness or infection 28 days prior to SAR421869 administration. Concurrent anti-retroviral therapy that would inactivate the investigational agent. Current treatment with immunosuppressant therapies. Pre-menopausal or non-surgically sterile women who were unwilling to use an effective form of contraception such as the contraceptive pill or intrauterine device. Men or women who did not agree to use barrier contraception as specified in the inclusion criteria. Pregnant or breastfeeding women. History of any investigational agent within 28 days prior to SAR421869 administration. Participation in a prior gene transfer therapy study. Enrolment in any other clinical study, for any condition, including those relating to Usher syndrome Type 1B, throughout the duration of the SAR421869 study. Current or anticipated treatment with anticoagulant therapy or the use of anticoagulation therapy within the four weeks prior to surgery. Past medical history of HIV, or hepatitis A, B or C. Inability to comply with the study protocol. Any ocular surgery including laser and cataract surgery with intraocular lens implantation, aphakia or prior vitrectomy, in the study eye within 6 months of screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Richard Weleber, MD
Organizational Affiliation
Casey Eye Institute, Portland, Oregon
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jose-Alain Sahel, MD, PhD
Organizational Affiliation
Hopital Nationale des Quinze-Vingt, Paris France
Official's Role
Principal Investigator
Facility Information:
Facility Name
Investigational Site Number 840001
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239-3098
Country
United States
Facility Name
Investigational Site Number 250001
City
Paris
ZIP/Postal Code
75012
Country
France

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Citations:
PubMed Identifier
24705452
Citation
Zallocchi M, Binley K, Lad Y, Ellis S, Widdowson P, Iqball S, Scripps V, Kelleher M, Loader J, Miskin J, Peng YW, Wang WM, Cheung L, Delimont D, Mitrophanous KA, Cosgrove D. EIAV-based retinal gene therapy in the shaker1 mouse model for usher syndrome type 1B: development of UshStat. PLoS One. 2014 Apr 4;9(4):e94272. doi: 10.1371/journal.pone.0094272. eCollection 2014.
Results Reference
derived

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Study of SAR421869 in Participants With Retinitis Pigmentosa Associated With Usher Syndrome Type 1B

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