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Gene Therapy Trial for patients with Achromatopsia due to a gene defect (CNGA3)

An open label, multi-centre, Phase I/II dose escalation trial of an adeno-associated virus vector (AAV2/8-hG1.7p.coCNGA3) for gene therapy of children with achromatopsia owing to defects in CNGA3 - Gene Therapy for Achromatopsia (CNGA3)

Status
Not yet recruiting
Phases
Phase 1Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2018-003431-29-GB
Enrollment
36
Registered
2019-04-23
Start date
2019-06-24
Completion date
Unknown
Last updated
2019-12-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Achromatopsia caused by mutations in the CNGA3 gene MedDRA version: 20.0 Level: LLT Classification code 10000454 Term: Achromatopsia System Organ Class: 100000004850

Interventions

Product Name: AAV2/8-hG1.7p.coCNGA3 Pharmaceutical Form: Solution for injection Concentration unit: vector genomes (vg)/mL Concentration type: not less

Sponsors

MeiraGTx UK II Limited
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Key Inclusion Criteria: • Aged 3 to 15 years old • Achromatopsia caused by mutations in CNGA3 • Evidence of preservation of photoreceptors at the macula • Able to undertake age-appropriate clinical assessments • Willing to give consent for the use of blood and blood components collected throughout the trial for the investigation of immune response to Advanced Therapy Investigational Product (ATIMP). Are the trial subjects under 18? yes Number of subjects for this age range: 36 F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: Key Exclusion Criteria: • Female adolescents who are pregnant or breastfeeding • Intra-ocular surgery within 6 months of screening Ocular or systemic disorder that may preclude subretinal surgery and/or interfere with interpretation of the study results. • Participated in another research study involving an investigational therapy for ocular disease within the last 6 months • Have any other condition that the Principal Investigator (PI) considers makes them inappropriate for entry into the trial • Are unwilling to consider the possibility of entry into a subsequent longer term follow up study

Design outcomes

Primary

MeasureTime frame
Main Objective: The primary research objective is to assess the safety of a AAV2/8 vector for hCNGA gene replacement in the retina. Safety is defined as the absence of ATIMP-related event including, reduction in visual acuity by 15 ETDRS letters, Severe unresponsive inflammation, Infective endophthalmitis, Ocular malignancy, Grade III or above non-ocular SUSAR ;Secondary Objective: The secondary research objective is to determine whether an AAV2/8 vector for hCNGA3 gene replacement in the retina can improve retinal function, visual function and quality of life.; Primary end point(s): The primary outcome is safety of subretinal administration of AAV2/8-hG1.7p.cohCNGA3. Safety is defined as the absence of ATIMP-related: • Reduction in visual acuity by 15 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 SUSAR Safety will be assessed for 6 months after the intervention in this study, and a further 4.5 years in a separate subsequent study.

Secondary

MeasureTime frame
Secondary end point(s): The secondary outcomes are measures of the efficacy of the intervention, which will be performed on an individual participant basis and will be descriptive in nature. Efficacy will be assessed at several time points between 3 to 6 months after the intervention: 1) Any improvement in visual function from baseline that is greater than the baseline variation for that test and is sustained for at least two consecutive assessments. 2) Any improvement in retinal function from pre-intervention that is greater than the baseline variation and measurable by electroretinography (ERG). 3) Quality of life measures including EQ-5D and IVI or equivalent as appropriate.

Countries

United Kingdom, United States

Contacts

Public ContactAmy De Sa

MeiraGTx II UK Ltd

amy.de.sa@meiragtx.com

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026