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This clinical study evaluates the safety and tolerability of AAV2-hCHM in participants with Choroideremia gene mutations.
The primary objective is to evaluate the safety and tolerability of subretinal administration of AAV2-hCHM, in an inter-subject group dose escalation in individuals with choroideremia, based on a comprehensive clinical monitoring plan. The secondary objectives are to define the dose of AAV2-hCHM required to achieve stable, or improved, visual function/functional vision and to assess development of immune responses to adeno-associated virus vector, serotype 2 (AAV2) and Rab escort protein 1 (REP-1).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1: AAV2-hCHM Dose 1 | Experimental | Single, unilateral subretinal administration of a single low dose range of AAV2-hCHM. |
|
| Cohort 2: AAV2-hCHM Dose 2 | Experimental | Single, unilateral subretinal administration of a single high dose range of AAV2-hCHM. |
|
| Cohort 3 (Expansion Cohort): AAV2-hCHM Dose 2 | Experimental | Single, unilateral subretinal administration of a single high dose range of AAV2-hCHM. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AAV2-hCHM | Biological | Comparison of different dosages of AAV2-hCHM |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | An adverse event (AE) was defined as any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAEs were AEs that occurred on or after the day of study drug administration. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. | Up to 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Anti-AAV2 Viral Capsid Antibody Titers That Rose Above Baseline At Least Once After Dosing | Number of participants who were found to have quantifiable levels (above 1.55 micrograms [μg]/milliliter [mL]) of Anti-AAV2 viral capsid antibodies titer in the blood at least 1 study visit up to 2 years were reported. | Up to 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Massachusetts Eye and Ear Infirmary | Boston | Massachusetts | 02114 | United States | ||
| University of Pennsylvania |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35714735 | Derived | Aleman TS, Huckfeldt RM, Serrano LW, Pearson DJ, Vergilio GK, McCague S, Marshall KA, Ashtari M, Doan TM, Weigel-DiFranco CA, Biron BS, Wen XH, Chung DC, Liu E, Ferenchak K, Morgan JIW, Pierce EA, Eliott D, Bennett J, Comander J, Maguire AM. Adeno-Associated Virus Serotype 2-hCHM Subretinal Delivery to the Macula in Choroideremia: Two-Year Interim Results of an Ongoing Phase I/II Gene Therapy Trial. Ophthalmology. 2022 Oct;129(10):1177-1191. doi: 10.1016/j.ophtha.2022.06.006. Epub 2022 Jun 15. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Cohort 1: AAV2-hCHM Dose 1 | Single, unilateral subretinal administration of a single low dose range (up to 5x10^10 vg/eye) of AAV2-hCHM (adeno-associated virus vector, serotype 2, containing the normal human choroideremia gene [CHM]). |
| FG001 | Cohort 2: AAV2-hCHM Dose 2 | Single, unilateral subretinal administration of a single high dose range (up to 1x10^11 vg/eye) of AAV2-hCHM. |
| FG002 | Cohort 3 (Expansion Cohort): AAV2-hCHM Dose 2 | Single, unilateral subretinal administration of a single high dose range (up to 1x10^11 vg/eye) of AAV2-hCHM. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
The full analysis set (FAS) included all participants who received the investigational product.
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| ID | Title | Description |
|---|---|---|
| BG000 | Cohort 1: AAV2-hCHM Dose 1 | Single, unilateral subretinal administration of a single low dose range of AAV2-hCHM. |
| BG001 | Cohort 2: AAV2-hCHM Dose 2 | Single, unilateral subretinal administration of a single high dose range of AAV2-hCHM. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | An adverse event (AE) was defined as any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAEs were AEs that occurred on or after the day of study drug administration. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section. | FAS included all participants who received the investigational product. | Posted | Count of Participants | Participants | Up to 5 years |
|
Up to 5 years
FAS included all participants who received the investigational product.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Cohort 1: AAV2-hCHM Dose 1 | Single, unilateral subretinal administration of a single low dose range of AAV2-hCHM. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Macular hole | Eye disorders | MedDRA v25.1 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Ear pain | Ear and labyrinth disorders | MedDRA v25.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Director | Spark Therapeutics | 1-866-647-7275 | clinicaltrials@sparktx.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 8, 2020 | Oct 12, 2023 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Apr 8, 2020 | Oct 12, 2023 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D015794 | Choroideremia |
| ID | Term |
|---|---|
| D015785 | Eye Diseases, Hereditary |
| D005128 | Eye Diseases |
| D015862 | Choroid Diseases |
| D014603 | Uveal Diseases |
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| Number of Participants With Cellular Immune Response to AAV2 Through Interferon Gamma Enzyme-linked Immunosorbent Spot (ELISpot) Assay | Interferon gamma ELISpot assays were used to evaluate the cellular immune response to AAV2 antigen in collected peripheral blood mononuclear cell (PBMC) samples. Number of participants who demonstrated immune response to the AAV2 antigen were reported. | Up to 2 years |
| Number of Participants With Cellular Immune Response to Rab Escore Protein-1 (REP-1) Through Interferon Gamma ELISPOT Assay | Interferon gamma ELISpot assays were used to evaluate the cellular immune response to REP-1 antigen in collected PBMC samples. Number of participants who demonstrated immune response to the REP-1 antigen were reported. | Up to 2 years |
| Philadelphia |
| Pennsylvania |
| 19014 |
| United States |
| Children's Hospital of Philadelphia | Philadelphia | Pennsylvania | 19104 | United States |
| BG002 | Cohort 3 (Expansion Cohort): AAV2-hCHM Dose 2 | Single, unilateral subretinal administration of a single high dose range of AAV2-hCHM. |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
Single, unilateral subretinal administration of a single high dose range of AAV2-hCHM. |
| OG002 | Cohort 3 (Expansion Cohort): AAV2-hCHM Dose 2 | Single, unilateral subretinal administration of a single high dose range of AAV2-hCHM. |
|
|
| Secondary | Number of Participants With Anti-AAV2 Viral Capsid Antibody Titers That Rose Above Baseline At Least Once After Dosing | Number of participants who were found to have quantifiable levels (above 1.55 micrograms [μg]/milliliter [mL]) of Anti-AAV2 viral capsid antibodies titer in the blood at least 1 study visit up to 2 years were reported. | FAS included all participants who received the investigational product. | Posted | Count of Participants | Participants | Up to 2 years |
|
|
|
| Secondary | Number of Participants With Cellular Immune Response to AAV2 Through Interferon Gamma Enzyme-linked Immunosorbent Spot (ELISpot) Assay | Interferon gamma ELISpot assays were used to evaluate the cellular immune response to AAV2 antigen in collected peripheral blood mononuclear cell (PBMC) samples. Number of participants who demonstrated immune response to the AAV2 antigen were reported. | FAS included all participants who received the investigational product. | Posted | Count of Participants | Participants | Up to 2 years |
|
|
|
| Secondary | Number of Participants With Cellular Immune Response to Rab Escore Protein-1 (REP-1) Through Interferon Gamma ELISPOT Assay | Interferon gamma ELISpot assays were used to evaluate the cellular immune response to REP-1 antigen in collected PBMC samples. Number of participants who demonstrated immune response to the REP-1 antigen were reported. | FAS included all participants who received the investigational product. | Posted | Count of Participants | Participants | Up to 2 years |
|
|
|
| 0 |
| 5 |
| 1 |
| 5 |
| 5 |
| 5 |
| EG001 | Cohort 2: AAV2-hCHM Dose 2 | Single, unilateral subretinal administration of a single high dose range of AAV2-hCHM. | 0 | 5 | 2 | 5 | 5 | 5 |
| EG002 | Cohort 3 (Expansion Cohort): AAV2-hCHM Dose 2 | Single, unilateral subretinal administration of a single high dose range of AAV2-hCHM. | 0 | 5 | 2 | 5 | 5 | 5 |
| Visual acuity reduced | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Abscess limb | Infections and infestations | MedDRA v25.1 | Systematic Assessment |
|
| Cervical vertebral fracture | Injury, poisoning and procedural complications | MedDRA v25.1 | Systematic Assessment |
|
| Concussion | Injury, poisoning and procedural complications | MedDRA v25.1 | Systematic Assessment |
|
| Facial bones fracture | Injury, poisoning and procedural complications | MedDRA v25.1 | Systematic Assessment |
|
| Fall | Injury, poisoning and procedural complications | MedDRA v25.1 | Systematic Assessment |
|
| Road traffic accident | Injury, poisoning and procedural complications | MedDRA v25.1 | Systematic Assessment |
|
| Extragonadal primary seminoma (pure) | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA v25.1 | Systematic Assessment |
|
| Blepharospasm | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Cataract | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Cataract nuclear | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Cataract subcapsular | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Chalazion | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Conjunctival haemorrhage | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Corneal disorder | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Corneal epithelium defect | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Diplopia | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Dry eye | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Eye irritation | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Eye pain | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Eye pruritus | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Macular cyst | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Ocular discomfort | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Ocular hyperaemia | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Optic nerve sheath haemorrhage | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Posterior capsule opacification | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Retinoschisis | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Vision blurred | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Visual field defect | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Visual impairment | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Abdominal discomfort | Gastrointestinal disorders | MedDRA v25.1 | Systematic Assessment |
|
| Abdominal hernia | Gastrointestinal disorders | MedDRA v25.1 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA v25.1 | Systematic Assessment |
|
| Gingival pain | Gastrointestinal disorders | MedDRA v25.1 | Systematic Assessment |
|
| Pancreatic cyst | Gastrointestinal disorders | MedDRA v25.1 | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA v25.1 | Systematic Assessment |
|
| Chest pain | General disorders | MedDRA v25.1 | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA v25.1 | Systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA v25.1 | Systematic Assessment |
|
| COVID-19 | Infections and infestations | MedDRA v25.1 | Systematic Assessment |
|
| Oral herpes | Infections and infestations | MedDRA v25.1 | Systematic Assessment |
|
| Sinusitis | Infections and infestations | MedDRA v25.1 | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA v25.1 | Systematic Assessment |
|
| Dental restoration failure | Injury, poisoning and procedural complications | MedDRA v25.1 | Systematic Assessment |
|
| Hand fracture | Injury, poisoning and procedural complications | MedDRA v25.1 | Systematic Assessment |
|
| Iliotibial band syndrome | Injury, poisoning and procedural complications | MedDRA v25.1 | Systematic Assessment |
|
| Ligament rupture | Injury, poisoning and procedural complications | MedDRA v25.1 | Systematic Assessment |
|
| Ligament sprain | Injury, poisoning and procedural complications | MedDRA v25.1 | Systematic Assessment |
|
| Muscle strain | Injury, poisoning and procedural complications | MedDRA v25.1 | Systematic Assessment |
|
| Suture related complication | Injury, poisoning and procedural complications | MedDRA v25.1 | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA v25.1 | Systematic Assessment |
|
| Aspartate aminotransferase increase | Investigations | MedDRA v25.1 | Systematic Assessment |
|
| Blood calcium decreased | Investigations | MedDRA v25.1 | Systematic Assessment |
|
| Blood glucose increased | Investigations | MedDRA v25.1 | Systematic Assessment |
|
| Intraocular pressure increased | Investigations | MedDRA v25.1 | Systematic Assessment |
|
| Lymphocyte percentage abnormal | Investigations | MedDRA v25.1 | Systematic Assessment |
|
| Urine analysis abnormal | Investigations | MedDRA v25.1 | Systematic Assessment |
|
| Urobilinogen urine increased | Investigations | MedDRA v25.1 | Systematic Assessment |
|
| Vitamin D deficiency | Metabolism and nutrition disorders | MedDRA v25.1 | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA v25.1 | Systematic Assessment |
|
| Bursitis | Musculoskeletal and connective tissue disorders | MedDRA v25.1 | Systematic Assessment |
|
| Neck mass | Musculoskeletal and connective tissue disorders | MedDRA v25.1 | Systematic Assessment |
|
| Synovial cyst | Musculoskeletal and connective tissue disorders | MedDRA v25.1 | Systematic Assessment |
|
| Neuroma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA v25.1 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA v25.1 | Systematic Assessment |
|
| Ophthalmic migraine | Nervous system disorders | MedDRA v25.1 | Systematic Assessment |
|
| Syncope | Nervous system disorders | MedDRA v25.1 | Systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA v25.1 | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA v25.1 | Systematic Assessment |
|
| Obsessive-compulsive disorder | Psychiatric disorders | MedDRA v25.1 | Systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA v25.1 | Systematic Assessment |
|
| Rhinitis allergic | Respiratory, thoracic and mediastinal disorders | MedDRA v25.1 | Systematic Assessment |
|
| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA v25.1 | Systematic Assessment |
|
| Dellen | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
| Visual Acuity Reduced | Eye disorders | MedDRA v25.1 | Systematic Assessment |
|
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| D030342 |
| Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D040181 | Genetic Diseases, X-Linked |