A Study of AAV5-hRKp.RPGR for the Treatment of Japanese Participants With X-linked Retinitis Pigmentosa

Sponsor
Janssen Pharmaceutical K.K. (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT05926583
Collaborator
(none)
4
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2
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Study Details

Study Description

Brief Summary

The purpose of the study is to assess the safety and tolerability of bilateral subretinal delivery of adeno-associated virus vector with a serotype 5 capsid human rhodopsin kinase promoter. retinitis pigmentosa guanosine triphosphatase regulator (AAV5-hRKp.RPGR).

Condition or Disease Intervention/Treatment Phase
  • Genetic: AAV5-hRKp.RPGR
  • Genetic: AAV5-hRKp.RPGR
Phase 3

Study Design

Study Type:
Interventional
Anticipated Enrollment :
4 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
Phase 3 Study to Evaluate the Safety and Efficacy of AAV5-hRKp.RPGR for the Treatment of Japanese X-linked Retinitis Pigmentosa Associated With Pathogenic Variants in Retinitis Pigmentosa GTPase Regulator (RPGR)
Anticipated Study Start Date :
Jul 24, 2023
Anticipated Primary Completion Date :
Sep 14, 2024
Anticipated Study Completion Date :
May 10, 2029

Arms and Interventions

Arm Intervention/Treatment
Experimental: Group 1: AAV5-hRKp.RPGR Low Dose

Participants will receive bilateral subretinal administration of AAV5-hRKp.RPGR low dose, with surgical delivery to the 2 eyes performed within 7 to 21 days apart.

Genetic: AAV5-hRKp.RPGR
AAV5-hRKp.RPGR will be administered by subretinal injection using a standardized surgical procedure.

Experimental: Group 2: AAV5-hRKp.RPGR High Dose

Participants will receive bilateral subretinal administration of AAV5 hRKp.RPGR high dose, with surgical delivery to the 2 eyes performed within 7 to 21 days apart.

Genetic: AAV5-hRKp.RPGR
AAV5-hRKp.RPGR will be administered by subretinal injection using a standardized surgical procedure.

Outcome Measures

Primary Outcome Measures

  1. Number of Participants with Adverse Event (AEs) [Up to 60 Months]

    An AE is any untoward medical occurrence in a clinical study participant administered a investigational or non-investigational medicinal product. An AE does not necessarily have a causal relationship with the treatment.

  2. Number of Participants with Abnormalities in Clinical Laboratory Assessments [Up to 60 Months]

    Number of participants with abnormalities in clinical laboratory assessment (hematology and serum chemistry) will be reported.

Secondary Outcome Measures

  1. Mean Retinal Sensitivity Within the Central 10 Degrees Excluding Scotoma (MRS10) in Static Perimetry [At Week 52]

    Mean retinal sensitivity within the central 10 degrees excluding scotoma (MRS10) in static perimetry will be reported.

  2. Change In Retinal Sensitivity by Pointwise Comparison in Full Visual Field at Week 52 [At Week 52]

    Change in retinal sensitivity by pointwise comparison in full visual field at Week 52 will be reported.

  3. Change in Retinal Sensitivity by Pointwise Comparison in the Central 30 Degrees Visual field at Week 52 [At Week 52]

    Change in retinal sensitivity by pointwise comparison in the central 30 degrees visual field at Week 52 will be reported.

  4. Mean Retinal Sensitivity Within the Full Visual Field Excluding Scotoma (MRS90) in Static Perimetry at Week 52 [At Week 52]

    Mean retinal sensitivity within the full visual field excluding scotoma (MRS90) in static perimetry at Week 52 will be reported.

  5. Low Luminance Questionnaire (LLQ) in Patient Reported Outcome - Extreme Lighting Domain score at Week 52 [At Week 52]

    LLQ in patient reported outcome - extreme lighting domain score at Week 52 will be reported.

  6. Low Luminance Visual Acuity by Early Treatment Diabetic Retinopathy Study (ETDRS) Chart Letter Score in Binocular Assessment at Week 52 [At Week 52]

    Low luminance visual acuity by ETDRS chart score in binocular assessment at Week 52 will be reported.

  7. Best Corrected Visual Acuity (BCVA) by ETDRS Chart Letter Score in Binocular Assessment at Week 52 [At Week 52]

    BCVA by ETDRS chart letter score in binocular assessment at Week 52 will be reported.

Eligibility Criteria

Criteria

Ages Eligible for Study:
5 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Participants diagnosed as X-linked retinitis pigmentosa (XLRP) (generalized rod-cone dystrophy) associated with pathogenic or likely pathogenic variants in the retinitis pigmentosa guanosine triphosphatase regulator(RPGR) gene

  • Has evidence of preserved retinal function as defined by a mean retinal sensitivity of greater than or equal to (>=) 2 decibel (dB) by Octopus static perimetry and evidence of preserved outer retinal structure (namely the presence of discernible ellipsoid zone) as determined by spectral domain-optical coherence tomography (SD-OCT) in both eyes

  • Otherwise, healthy participant on the basis of clinical laboratory tests performed at screening. If the results of the serum chemistry panel or hematology outside the normal reference ranges, the participant may be included only if the investigator judges the abnormalities or deviations from normal to be not clinically significant or to be appropriate and reasonable for the population under study. This determination must be recorded in the participant's source documents and initialed by the investigator

Exclusion Criteria:
  • Has had ocular surgery within 3 months prior to screening or is anticipated to require ocular surgery within 6 months after the AAV5-hRKp.RPGR administration

  • Is unable to perform the imaging assessments as required (for example: reliable static perimetry [reliability factor less than or equal to {<=}19], optical coherence tomography [OCT], or fundus autofluorescence [FAF]).

  • Any investigational ocular treatment or any other ocular treatment that could confound the interpretation of the efficacy results or affect participant compliance with the visit schedule

Contacts and Locations

Locations

Site City State Country Postal Code
1 National Hospital Organization Tokyo Medical Center Meguro-ku Japan 1528902

Sponsors and Collaborators

  • Janssen Pharmaceutical K.K.

Investigators

  • Study Director: Janssen Pharmaceutical K.K., Japan Clinical Trial, Janssen Pharmaceutical K.K.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Janssen Pharmaceutical K.K.
ClinicalTrials.gov Identifier:
NCT05926583
Other Study ID Numbers:
  • CR109143
  • 74765340RPG3001
First Posted:
Jul 3, 2023
Last Update Posted:
Jul 3, 2023
Last Verified:
Jun 1, 2023
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Product Manufactured in and Exported from the U.S.:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jul 3, 2023