Long-term Safety and Efficacy Study of Gene Therapy for Choroideremia and X-Linked Retinitis Pigmentosa Using AAV2-REP1 and AAV8-RPGR in Previously Treated Patients

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What is this study about?

This clinical trial is focused on evaluating the long-term safety and effectiveness of a gene therapy for two eye conditions: Choroideremia and X-Linked Retinitis Pigmentosa. Choroideremia is a genetic disorder that leads to progressive vision loss, while X-Linked Retinitis Pigmentosa is a condition that affects the retina, causing gradual vision impairment. The study involves participants who have previously received specific gene therapies in earlier studies.

For Choroideremia, the treatment used is called AAV2-REP1, which is a type of gene therapy designed to deliver a healthy copy of a gene called REP1 to the eye. This therapy aims to prevent further vision loss or restore some lost vision function. For X-Linked Retinitis Pigmentosa, the treatment is AAV8-RPGR, which targets a different gene known as RPGR to help maintain or improve vision. Both treatments are administered through an injection directly into the eye.

The purpose of this study is to monitor the long-term effects of these treatments on participants who have already received them. Participants will undergo regular check-ups to assess their vision and overall eye health. The study will compare the outcomes of those who received the gene therapy with those who did not, to better understand the benefits and any potential risks associated with these treatments.

1 joining the study

Participation begins after exiting a previous study involving retinal gene therapy.

Eligibility requires prior treatment with specific gene therapies for choroideremia or X-linked retinitis pigmentosa.

2 initial assessment

Initial assessments include a review of medical history and baseline measurements of visual acuity using the Early Treatment of Diabetic Retinopathy Study (ETDRS) chart.

Additional tests may include fundus photography, spectral-domain optical coherence tomography (SD-OCT), and microperimetry.

3 treatment administration

The study involves monitoring the effects of previous treatments with adeno-associated viral vectors.

No new medication is administered during this follow-up study.

4 ongoing assessments

Regular follow-up visits are scheduled to monitor safety and efficacy.

Assessments include visual acuity tests, fundus autofluorescence, and visual field evaluations.

5 final evaluation

The study is expected to conclude by December 2026.

Final assessments will compare changes from baseline in visual function and safety outcomes.

Who Can Join the Study?

  • Participants must be male.
  • Participants must be willing and able to give informed consent. This means they understand the study and agree to take part.
  • For those with Choroideremia (CHM), participants must have been part of a previous study that looked at the safety and effectiveness of a treatment called AAV2-REP1.
  • For those with X-Linked Retinitis Pigmentosa (XLRP), participants must have received a treatment called AAV8-RPGR and have been part of a previous study.

Who Cannot Join the Study?

  • Participants who have not been previously treated with the specific study treatments.
  • Participants who have not exited an earlier related study.
  • Females are not eligible to participate in this study.
  • Participants who are part of a vulnerable population, meaning those who might need special protection or care, are not eligible.

Where you can join this trial?

Verified and Recommended Sites

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Verified Sites

No sites found in this category

Other Sites

Site Name City Country Status
Universitaetsklinikum Tuebingen AöR Tuebingen Germany
Quinze-Vingts National Ophthalmology Hospital Paris France
Centre Hospitalier Universitaire De Montpellier Montpellier France

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
France France
Recruiting
03.12.2020
Germany Germany
Not recruiting
03.12.2020

Trial locations

Investigated drugs:

AAV2-REP1 is a gene therapy used for treating individuals with Choroideremia (CHM). This therapy involves a subretinal injection of a viral vector that carries the gene for Rab Escort Protein-1. The goal is to deliver the correct gene to the retina to help improve or stabilize vision in patients who have previously received this treatment in an earlier study.

AAV8-RPGR is another gene therapy designed for patients with X-Linked Retinitis Pigmentosa (XLRP). This treatment also involves a subretinal injection, but it uses a different viral vector to deliver the RPGR gene. The therapy aims to address the genetic cause of the disease and potentially improve or maintain vision in patients who have been treated with this therapy in a prior study.

Investigated diseases:

Choroideremia – Choroideremia is a rare genetic disorder that primarily affects males and leads to progressive vision loss. It is caused by mutations in the CHM gene, which results in the degeneration of the choroid, retina, and retinal pigment epithelium. The disease typically begins with night blindness in childhood, followed by a gradual loss of peripheral vision. Over time, central vision may also be affected, leading to significant visual impairment. The progression of vision loss varies among individuals, but it generally worsens with age.

X-Linked Retinitis Pigmentosa – X-Linked Retinitis Pigmentosa (XLRP) is a genetic disorder that causes progressive degeneration of the retina, leading to vision loss. It is inherited in an X-linked manner, primarily affecting males, and is associated with mutations in several genes, including RPGR. The condition often begins with night blindness and a gradual loss of peripheral vision during adolescence or early adulthood. As the disease progresses, individuals may experience a narrowing of the visual field and eventual loss of central vision. The rate of progression can vary, but it typically leads to significant visual impairment over time.

Trial ID:
2023-507994-16-00
Protocol code:
NSR-CHM-OS2 273CH201
NCT ID:
NCT03584165
Trial Phase:
Therapeutic confirmatory (Phase III)

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