Open-Label Study to Evaluate the Safety, Tolerability, and Efficacy of Gene Therapy (SPVN20) in Subjects With Rod-Cone Dystrophy (NYRVANA)

September 2, 2026 updated by: SparingVision

A Phase I/IIa Clinical Trial to Assess the Safety, Tolerability, and Efficacy of a Single Intravitreal Injection of SPVN20 Gene Therapy in Participants With Advanced Rod-Cone Dystrophy

This open-label, multi-center study is to evaluate the safety, tolerability, and efficacy of escalating doses of a gene therapy called SPVN20 administered via a single intravitreal injection in participants with advanced Rod-Cone Dystrophy.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

This is an open-label, non-randomized, multi-center, dose-escalation and dose-expansion, first-in-human, Phase I/IIa study. Participants will be followed for a total of five years after receiving a single unilateral intravitreal injection of SPVN20 in their study eye, and will be monitored by an independent Data Safety Monitoring Committee. Eligible patients will be assigned by sequential enrollment to one of the following three cohorts:

Cohort 1: low dose of SPVN20 will be evaluated in a total of 9 participants. Cohort 2: medium dose of SPVN20 will be evaluated in a total of 9 participants. Cohort 3: high dose of SPVN20 will be evaluated in a total of 9 participants.

Study Type

Interventional

Enrollment (Estimated)

27

Phase

  • Phase 2
  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Ghent, Belgium
        • Recruiting
        • Ghent University Hospital
        • Contact:
          • Ophthalmic Clinical Trials Unit
          • Phone Number: 00 32 9 332 23
          • Email: OCTU@uzgent.be
        • Principal Investigator:
          • Prof. Dr. Bart Leroy
      • Paris, France, 75012
        • Recruiting
        • CHNO XV-XX Paris - CIC 1423
        • Contact:
        • Principal Investigator:
          • Dr Amine Benadji
      • Dublin, Ireland
        • Recruiting
        • Royal Victoria Eye and Ear Hospital
        • Contact:
        • Principal Investigator:
          • Dr Emma Duignan

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  1. Age ≥ 18 years old at enrollment.
  2. Participant with a genetically confirmed clinical diagnosis of advanced RCD in both eyes due to non-syndromic RCD.
  3. Participants enrolled in the Dose-Escalation cohorts must have a BCVA meeting the study eye criteria.
  4. Documented preservation of foveal cone cell bodies in the study eye (as shown on SD-OCT imaging).
  5. Participant with a history of formed vision.
  6. Participant willing and able to provide informed consent.

Exclusion Criteria:

  1. Participant participating in another clinical trial and receiving an investigational medicinal product (IMP) within either 5 half-lives of that IMP, or 90 days prior to the injection of SPVN20.
  2. Participant with cortical visual impairment.
  3. Participant with systemic disease or other pathology not related to their diagnosis of RCD, and whose symptoms or associated treatments may affect vision.
  4. Participant with known allergies to corticosteroids, or who will be unable to tolerate the corticosteroid regimen.
  5. Participant who has received immunosuppressive therapies or any other therapy known to impact the immune system during the last month prior to SPVN20 administration.
  6. Active ocular inflammation or recurrent history of idiopathic or autoimmune-associated uveitis.
  7. Participant known to be allergic to any of the delivery vehicle constituents or to any other drugs planned to be used during the clinical study.
  8. Active alcohol or substance abuse.
  9. Participant positive for human immunodeficiency virus (HIV) or any other systemic immunocompromising disease.
  10. Participant with active Hepatitis B or Hepatitis C.
  11. Female participant currently pregnant or breastfeeding or intending to become pregnant.
  12. Participant with clinically active ocular infection of herpetic diseases.
  13. Participant with active coronavirus disease (COVID-19) infection.
  14. Participant who received any vaccination/immunization within 28 days prior to screening and/or during screening.
  15. Participant who previously received any gene therapy product, stem cell therapy, cell-based therapy for ocular or non-ocular disease.
  16. Participant with a retinal implant at enrollment.
  17. Participant with pre-existing eye conditions that would interfere with the interpretation of study endpoints, or increase the risk of surgical complications.
  18. Participant with significant media opacity impacting evaluation of the retina or vitreous.
  19. Participant who had intraocular surgery within 90 days of study treatment administration.
  20. Participant with history of corticosteroid-induced raised IOP of >25 mmHg following corticosteroid exposure, despite topical IOP-lowering pharmacologic therapy.
  21. Participant with history of unresolved rhegmatogenous retinal detachment in the fovea.
  22. Participant with history of unresolved ocular hypotony.
  23. Participant unwilling or unable (based on the Investigator's judgment) to comply with the study protocol.
  24. Participant with any condition that would not allow them to complete follow-up examinations during the study and, in the opinion of the Investigator, would make them unsuitable for the study.
  25. Participant currently taking restricted classes of medications listed in protocol
  26. Participant with ongoing cardiac or neurological disorders not managed by a restricted medication can be excluded based on the Investigator's judgement.
  27. Women of childbearing potential (WOCBP) and men and/or their partner(s) of childbearing potential who do not agree to use a highly effective contraceptive method.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Sequential Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: SPVN20 (low dose). Single intravitreal injection of a low dose of SPVN20 on Day 0
SPVN20
SPVN20
Experimental: SPVN20 (medium dose). Single intravitreal injection of a medium dose of SPVN20 on Day 0
SPVN20
SPVN20
Experimental: SPVN20 (high dose). Single intravitreal injection of a high dose of SPVN20 on Day 0
SPVN20
SPVN20

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Safety and Tolerability
Time Frame: 6 months
Incidence and severity of ocular and non-ocular treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)
6 months
Ocular safety
Time Frame: 6 months
General ocular assessments including complete ophthalmic examination of extraocular and intraocular structures
6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Best Corrected Visual Acuity (BCVA)
Time Frame: 6 months
Change in BCVA from Baseline to Month 6 after dosing with SPVN20.
6 months
Full-field stimulus threshold (FST) test
Time Frame: 6 months
Change in FST from Baseline to Month 6 after dosing with SPVN20
6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 8, 2025

Primary Completion (Estimated)

March 1, 2032

Study Completion (Estimated)

March 1, 2032

Study Registration Dates

First Submitted

August 10, 2026

First Submitted That Met QC Criteria

September 2, 2026

First Posted (Actual)

September 8, 2026

Study Record Updates

Last Update Posted (Actual)

September 8, 2026

Last Update Submitted That Met QC Criteria

September 2, 2026

Last Verified

September 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • SPVN20-CLIN-01
  • 2025 (U.S. NIH Grant/Contract: Faculty of Social Sciences Scientific Grant at the University of Gdańsk)
  • 2025-520665-47-00 (Ctis)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

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

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.