Title

Gene Therapy for Achromatopsia (CNGB3)
An Open Label, Multi-centre, Phase I/II Dose Escalation Trial of a Recombinant Adeno-associated Virus Vector (AAV2/8-hCARp.hCNGB3) for Gene Therapy of Adults and Children With Achromatopsia Owing to Defects in CNGB3
  • Phase

    Phase 1/Phase 2
  • Study Type

    Interventional
  • Study Participants

    23
A clinical trial of AAV - CNGB3 retinal gene therapy for patients with achromatopsia
CNGB3 retinal gene therapy for patients with achromatopsia
Study Started
Jan 16
2017
Primary Completion
Oct 25
2019
Study Completion
Oct 25
2019
Results Posted
Mar 08
2023
Last Update
Mar 08
2023

Biological AAV - CNGB3

Comparison of different dosages of AAV-CNGB3

Biological-Low dose AAV - CNGB3 Experimental

Subretinal administration of a single low dose of AAV - CNGB3

Biological-Medium dose AAV - CNGB3 Experimental

Subretinal administration of a single intermediate dose of AAV - CNGB3

Biological-High dose AAV - CNGB3 Experimental

Subretinal administration of a single high dose of AAV - CNGB3

Criteria

Inclusion Criteria:

Are aged 3 years or older
Have achromatopsia confirmed by a retinal specialist (CI or PI)

Exclusion Criteria:

Are females who are pregnant or breastfeeding
Have participated in another research study involving an investigational medicinal therapy for ocular disease within the last 6 months
Have any other condition that the CI/PI considers makes them inappropriate for entry into the trial

Summary

Low Dose AAV - CNGB3

Intermediate Dose AAV-CNGB3

Other Dose - AAV - CNGB3

High Dose AAV - CNGB3

Total

All Events

Event Type Organ System Event Term Low Dose AAV - CNGB3 Intermediate Dose AAV-CNGB3 Other Dose - AAV - CNGB3 High Dose AAV - CNGB3 Total

Number of Participants Meeting the Primary Outcome Defined as Any of the Below Events Occurring During the 6 Weeks Following Administration, at Least Possibly Related to the Advanced Therapy Investigational Medicinal Products (ATIMP), Not Surgery Alone.

The primary outcome is defined as any of the below occurring during the 6 weeks following administration, at least possibly related to the Advanced Therapy Investigational Medicinal Products (ATIMP), not surgery alone: Reduction in visual acuity by 15 Early Treatment Diabetic Retinopathy Study (ETDRS) letters or more that fails to resolve to within 15 letters of baseline in a 4-week period once prophylactic treatment commences Severe unresponsive inflammation Infective endophthalmitis Ocular malignancy Grade III or above non-ocular Suspected Unexpected Serious Adverse Reaction (SUSAR)

Low Dose AAV - CNGB3

Intermediate Dose AAV-CNGB3

Other Dose - AAV - CNGB3

High Dose AAV - CNGB3

Improvements in Visual Function as Assessed by Visual Acuity

Change from baseline to Week 24 in best corrected visual acuity (BCVA) using Early Treatment Diabetic Retinopathy Study (ETDRS) chart letter score in the treated eye. The direction of improvement from baseline is an increase in the number of ETDRS letters read over time.

Low Dose AAV - CNGB3

-0.44
number of ETDRS letters (Mean)
Full Range: -2.0 to 1.3

Intermediate Dose AAV-CNGB3

-0.58
number of ETDRS letters (Mean)
Full Range: -4.3 to 3.3

Other Dose - AAV - CNGB3

1.78
number of ETDRS letters (Mean)
Full Range: 0.3 to 4.7

High Dose AAV - CNGB3

1.45
number of ETDRS letters (Mean)
Full Range: -4.0 to 5.3

Improvements in Retinal Function as Assessed by Static Perimetry

Change from baseline to Week 24 in mean retinal sensitivity in the treated eye. The direction of improvement is an increase in sensitivity.

Low Dose AAV - CNGB3

-1.58
decibel (Mean)
Full Range: -3.1 to 0.0

Intermediate Dose AAV-CNGB3

-0.39
decibel (Mean)
Full Range: -2.4 to 1.8

Other Dose - AAV - CNGB3

8.13
decibel (Mean)
Full Range: 1.7 to 11.4

High Dose AAV - CNGB3

-0.77
decibel (Mean)
Full Range: -7.1 to 3.3

Quality of Life Measured by QoL Questionnaires in Children and Adolescents

Change from baseline to Week 24 in EuroQol-5D-Y Visual Analogue Scale (EQ-VAS) in children and adolescents. EQ-VAS uses a scale from 0 to 100, where 0 represents the worst imaginable health state and 100 represents the best imaginable health state. A positive change from baseline reflects improvement and a negative change from baseline reflects worsening.

Low Dose AAV - CNGB3

Intermediate Dose AAV-CNGB3

6.9
units on a scale (Mean)
Full Range: -2.0 to 20.0

Other Dose - AAV - CNGB3

2.3
units on a scale (Mean)
Full Range: -3.0 to 10.0

High Dose AAV - CNGB3

-9.0
units on a scale (Mean)
Full Range: None

Quality of Life Measured by QoL Questionnaires in Adults

Change from baseline to Week 24 in EuroQol-5D-5L Visual Analogue Scale (EQ-VAS) in adults. EQ-VAS uses a scale from 0 to 100, where 0 represents the worst imaginable health state and 100 represents the best imaginable health state. A positive change from baseline reflects improvement and a negative change from baseline reflects worsening.

Low Dose AAV - CNGB3

Intermediate Dose AAV-CNGB3

-3.8
units on a scale (Mean)
Full Range: -10.0 to 5.0

Other Dose - AAV - CNGB3

High Dose AAV - CNGB3

4.3
units on a scale (Mean)
Full Range: -5.0 to 20.0

Total

23
Participants

Age, Categorical

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

Low Dose AAV - CNGB3

Intermediate Dose AAV-CNGB3

Other Dose - AAV - CNGB3

High Dose AAV - CNGB3