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Phase 1/2 Safety and Efficacy Study of AAV-RPE65 Vector to Treat Leber Congenital Amaurosis
This study is currently recruiting participants.
Verified by Applied Genetic Technologies Corp, May 2009
First Received: September 8, 2008   Last Updated: May 11, 2009   History of Changes
Sponsor: Applied Genetic Technologies Corp
Collaborators: Oregon Health and Science University
University of Massachusetts
Information provided by: Applied Genetic Technologies Corp
ClinicalTrials.gov Identifier: NCT00749957
  Purpose

The purpose of the study is to evaluate the safety and efficacy of an adeno-associated virus vector expressing RPE65 in patients with Leber congenital amaurosis caused by mutations in the RPE65 gene.


Condition Intervention Phase
Leber Congenital Amaurosis
Biological: rAAV2-CB-hRPE65
Phase I
Phase II

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety/Efficacy Study
Official Title: A Multiple-Site, Phase 1/2, Safety and Efficacy Trial of a Recombinant Adeno-Associated Virus Vector Expressing RPE65 (rAAV2-CB-hRPE65) in Patients With Leber Congenital Amaurosis Type 2

Resource links provided by NLM:


Further study details as provided by Applied Genetic Technologies Corp:

Primary Outcome Measures:
  • Number and proportion of participants experiencing ocular or non-ocular adverse events [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Changes in visual fields [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]
  • Changes in best corrected visual acuity [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 12
Study Start Date: December 2008
Estimated Study Completion Date: December 2024
Estimated Primary Completion Date: December 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Subjects at least 18 y/o treated with a lower dose of the vector
Biological: rAAV2-CB-hRPE65
Recombinant adeno-associated virus vector expressing RPE65
2: Experimental
Subjects 8-17 y/o treated with a lower dose of the vector
Biological: rAAV2-CB-hRPE65
Recombinant adeno-associated virus vector expressing RPE65
3: Experimental
Subjects at least 18 y/o treated with a higher dose of the vector
Biological: rAAV2-CB-hRPE65
Recombinant adeno-associated virus vector expressing RPE65
4: Experimental
Subjects 8-17 y/o treated with a higher dose of the vector
Biological: rAAV2-CB-hRPE65
Recombinant adeno-associated virus vector expressing RPE65

  Eligibility

Ages Eligible for Study:   8 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Retinal disease consistent with a diagnosis of Leber congenital amaurosis and documented mutations in the RPE65 gene (including null mutations and mutations that code for abnormal RPE65 protein);
  • At least 18 years of age (Groups 1 and 3) or between 8 and 17 years of age, inclusive (Groups 2 and 4);
  • Good general health without significant physical examination findings or clinically significant abnormal laboratory results;
  • Able to perform tests of visual and retinal function;
  • Visual acuity not better than 20/60 and not worse than light perception in both the treated eye and the fellow eye;
  • Visible photoreceptor (outer nuclear) layer on a standard optical coherence tomography (OCT) scan;
  • Acceptable hematology, clinical chemistry and urine laboratory parameters;
  • For females of childbearing potential, a negative pregnancy test at screening and at baseline, and agreement to use effective contraception for 12 months after administration of rAAV2-CB-hRPE65, for sexual activity that could lead to pregnancy;
  • For males of reproductive potential, agreement to use effective contraception for 12 months after administration of rAAV2-CB-hRPE65, for sexual activity that could lead to pregnancy

Exclusion Criteria:

  • Pre-existing eye conditions that would preclude the planned surgery or interfere with interpretation of study endpoints or complications of surgery (e.g. glaucoma, corneal or lenticular opacities, or history or retinal detachment);
  • History of immunodeficiency or other medical conditions that might increase the risk of rAAV2-CB-hRPE65 administration;
  • Use of anticoagulants or anti-platelet agents within 7 days prior to study agent administration;
  • History of allergy or sensitivity to medications planned for use in the peri-operative period;
  • For females of childbearing potential, a positive pregnancy test at screening or baseline (within 2 days before rAAV2-CB-hRPE65 administration);
  • Females who are breast feeding;
  • Use of any investigational agent, or systemic corticosteroids or other immunosuppressive drug(s), within 3 months prior to enrollment;
  • Any condition which leads the investigator to believe that the participant cannot comply with the protocol requirements or that may place the participant at an unacceptable risk for participation.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00749957

Locations
United States, Massachusetts
University of Massachusetts Medical School Recruiting
Worcester, Massachusetts, United States, 01605
Contact: Shalesh Kaushal, MD, PhD     508-334-0687     Shalesh.Kaushal@umassmemorial.org    
Contact: Margaret Humphries, RN     (508) 856-5711     Margaret.Humphries@umassmed.edu    
Principal Investigator: Shalesh Kaushal, MD, PhD            
Sub-Investigator: Terence Flotte, MD            
Sub-Investigator: Margaret Humphries, RN            
Sub-Investigator: Michael S Stalvey, MD            
United States, Oregon
Casey Eye Institue, Oregon Health & Science University Recruiting
Portland, Oregon, United States, 97239
Contact: J Timothy Stout, MD, PhD, MBA     503-494-2435     stoutt@ohsu.edu    
Contact: Peter Francis, MD, PhD     (503) 494-8386     francisp@ohsu.edu    
Principal Investigator: J Timothy Stout, MD, PhD, MBA            
Sub-Investigator: Peter Francis, MD, PhD            
Sub-Investigator: Richard G Weleber, MD            
Sponsors and Collaborators
Applied Genetic Technologies Corp
Oregon Health and Science University
University of Massachusetts
Investigators
Principal Investigator: J Timothy Stout, MD, PhD, MBA Casey Eye Institute, Oregon Health & Science University
  More Information

Additional Information:
Publications:
Responsible Party: Applied Genetic Technologies Corporation ( Jeffrey D Chulay, MD, Chief Medical Officer )
Study ID Numbers: AGTC-RPE65-002
Study First Received: September 8, 2008
Last Updated: May 11, 2009
ClinicalTrials.gov Identifier: NCT00749957     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Applied Genetic Technologies Corp:
AAV
adeno-associated virus
RPE65
Leber congenital amaurosis
LCA
gene therapy
human gene transfer

Additional relevant MeSH terms:
Sensation Disorders
Vision Disorders
Eye Diseases
Nervous System Diseases
Optic Atrophy
Blindness
Neurodegenerative Diseases
Signs and Symptoms
Heredodegenerative Disorders, Nervous System
Genetic Diseases, Inborn
Neurologic Manifestations
Eye Diseases, Hereditary
Optic Nerve Diseases
Cranial Nerve Diseases
Optic Atrophies, Hereditary

ClinicalTrials.gov processed this record on February 08, 2010