Safety and Efficacy Study of NGGT001 in Bietti Crystalline Corneoretinal Dystrophy Subjects
A Phase I/II Study for Subretinal Injection of NGGT001 in Patients With Bietti Crystalline Corneoretinal Dystrophy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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Chongqing Municipality
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Chongqing, Chongqing Municipality, China, 400000
- Southwest Hospital/Southwest Eye Hospital, Third Military Medical University (Army Medical University)
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Fujian
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Xiamen, Fujian, China, 361000
- Xiamen Eye Center of Xiamen University
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
- Age ≥ 18 years old.
- Male or female.
- Confirmed diagnosis of BCD.
- Molecular diagnosis confirmed cytochrome P450 family 4 subfamily v member 2 (CYP4V2) mutation.
- AAV2 neutralizing antibody titer ≤1:5120.
- 0.05 ≤ Best Corrected Visual Acuity (BCVA) ≤ 0.3.
- -6.00D ≤ Refractive error ≤ +3.00D.
- Agree to take contraceptive measures from the start of the study until one year after medication administration.
- Volunteer to participate in the study and sign informed consent.
Exclusion Criteria:
- There are choroidal neovascularization or other ocular diseases caused by BCD, which are considered to affect the operation or interfere with the interpretation of clinical endpoint.
- Patients with evidence of neovascularization or suspected neovascularization, and the presence of tubular reflectivity in the neuroepithelial layer as shown by OCT.
- Those who had used any of the treatment drugs within 6 months before enrollment, such as Lucentis, Avastin, Conbercept, Triamcinolone acetonide, etc. These may affect the experimental observation.
- The treated eyes have undergone intraocular surgery, such as photodynamic therapy (PDT), vitrectomy, periocular vascular bypass surgery, etc., or need intraocular surgery in the process of clinical research, such as cataract surgery, retinal laser therapy, etc.
- Have used or may use systemic drugs that may cause eye damage, such as psoralen, tamoxifen, etc.
- Highly sensitive or allergic to ingredients in the test drug (with allergic history of two or more drugs or food).
- Physical examination, vital signs, and laboratory examination (such as blood routine, urine routine, blood biochemistry, coagulation function, immunology examination, etc.) are abnormal and clinically significant, or the investigators believe that the abnormal indicators have clinical significance.
- There are diseases or medical histories that may affect drug safety or in vivo processes, especially cardiovascular, liver, kidney, endocrine, digestive tract, lung, nerve, blood, tumor, immune or metabolic disorders considered by investigators to be of clinical significance.
- Participated in clinical trials of other drugs or medical devices within three months before enrollment.
- Female patients who are pregnant or lactating.
- Any other conditions which lead the investigator to determine the participant is unsuitable for this study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: NGGT001
Single Arm: This study is a single-arm design in which all participants receive the NGGT001 gene therapy administered via subretinal injection.
Participants are divided into three dose-escalation groups to evaluate safety and efficacy.
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Using a recombinant adeno-associated virus (AAV) vector to deliver the gene CYP4V2 via subretinal injection for the treatment of crystalline retinal degeneration.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Incidence of adverse events (AEs) from baseline to 52 weeks.
Time Frame: 52 weeks
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To evaluate the incidence and severity of AEs, including serious AEs (SAEs) of subretinal injection of NGGT001 in patients with BCD.
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52 weeks
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Evaluate the improvement in BCVA compared to baseline at Week 12, 26 and 52.
Time Frame: Week 12, Week 26 and Week 52
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To evaluate the BCVA in ETDRS test of subretinal injection of NGGT001 from baseline to W12, 26 and 52.
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Week 12, Week 26 and Week 52
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Assessment of microperimetry changes in dB compared to baseline at Week 12, 26 and 52.
Time Frame: Week 12, Week 26 and Week 52
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Retinal sensitivity will be assessed using the MP-3 Type Microperimeter.
This will be measured in dB (decibels), and the retinal sensitivity analysis will be conducted based on these readings.
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Week 12, Week 26 and Week 52
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Assessment of contrast sensitivity (CS) changes in dB compared to baseline at Week 12, 26 and 52.
Time Frame: Week 12, Week 26 and Week 52
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Changes in contrast sensitivity (CS) will be evaluated, and the measurements will be analyzed in decibels (dB).
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Week 12, Week 26 and Week 52
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Assessment of Optical Coherence Tomography (OCT) retinal thickness changes compared to baseline at Week 12, 26 and 52.
Time Frame: Week 12, Week 26 and Week 52
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Retinal thickness will be measured using Optical Coherence Tomography (OCT), and the outcome will be expressed in micrometers (µm).
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Week 12, Week 26 and Week 52
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Assessment of Multi-Luminance Mobility Test (MLMT) score changes compared to baseline at Week 12, 26 and 52.
Time Frame: Week 12, Week 26 and Week 52
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Multi-Luminance Mobility Test (MLMT) will assess subjects' daily life quality across different lighting conditions.
The results will be categorized by the different light intensity levels, and the aggregate scores will be used to assess mobility performance
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Week 12, Week 26 and Week 52
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Assessment of Static Visual Fields (SVF) changes compared to baseline at Week 12, 26 and 52.
Time Frame: Week 12, Week 26 and Week 52
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Static Visual Fields (SVF): Changes in visual field sensitivity will be evaluated at Weeks 12, 26 and 52, compared to baseline.
The measurements will be expressed in light sensitivity units (dB).
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Week 12, Week 26 and Week 52
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Assessment of Fundus Autofluorescence (FAF) retinal structural changes compared to baseline at Week 12, 26 and 52.
Time Frame: Week 12, Week 26 and Week 52
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Retinal structural changes will be assessed at Week 12 and 26, compared to baseline.
Fundus Autofluorescence (FAF) imaging will be used to evaluate the intensity of autofluorescence, and changes will be assessed using a dB threshold to measure variations over time in comparison to baseline.
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Week 12, Week 26 and Week 52
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Assessment of Quality of Life Questionnaire score changes compared to baseline at Week 12, 26 and 52.
Time Frame: Week 12, Week 26 and Week 52
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Quality of Life Questionnaire score will be measured at Week 12, 26 and 52, compared to baseline.
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Week 12, Week 26 and Week 52
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Assessment of MNRead Test changes compared to baseline at Week 12, 26 and 52.
Time Frame: Week 12, Week 26 and Week 52
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MNRead Test results will be evaluated at Week 12, 26 and 52, compared to baseline, assessing vision function.
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Week 12, Week 26 and Week 52
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- NGGT001-P-2301
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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