Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
hRPC is a cell therapy for retinitis pigmentosa. This is a first-in-human, dose escalation study in which participants with retinitis pigmentosa will receive a single subretinal injection of hRPC cells in one eye to evaluate safety and tolerability.
Participants will be followed for two years to evaluate the safety and tolerability of hRPC Additional testing will seek to establish any preliminary efficacy from hRPC.
This is a first-in-human open label phase I/II dose-escalation study in which participants with retinitis pigmentosa will receive a single uni-ocular subretinal implantation of one of three doses of hRPC.
Treated eyes will be carefully monitored for any ocular or systemic adverse events for 2 years.
Testing will comprise a series of detailed ophthalmic examinations and imaging together with blood testing and systemic evaluations, as necessary.
Ophthalmic testing will also be evaluated for any preliminary efficacy signal.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| human retinal progenitor cells (hRPC) | Experimental | Single subretinal administration of human retinal progenitor cells (hRPC) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| hRPC | Drug | Participants will undergo vitrectomy surgery and subretinal implantation of hRPC in the study eye. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety over the six months after treatment as assessed by the incidence of treatment emergent adverse events (TEAEs) and changes from baseline in other safety parameters. | Safety measures will be assessed by review of important events, including but not limited to inflammation, complications of the surgical procedure and worsening of vision. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Safety (Visual function measure: change in visual acuity) | A summary of the ETDRS +/- BRVT BCVA letter score and the change from baseline to end of study in the treated eye presented by treatment group. | 24 months |
| Safety (Visual function measure: change in visual field: Goldmann visual field, microperimetry and FST) |
Not provided
Inclusion Criteria:
Have ability to give written informed consent as evidenced by signature on the subject consent form.
Be adult male or female over 18 years of age.
Have clinical diagnosis of RP, based upon one or more of the following: clinical features, medical imaging, electrophysiological measures and genetic testing, if available. Genetic confirmation is not obligatory.
Have Best Corrected ETDRS visual acuity of 35 letters or less (approximately 20/200 or worse) in the study eye for cohorts 1-5; have Best Corrected ETDRS visual acuity of 63 letters (approximately 20/63) to 36letters (approximately 20/200) in the study eye for cohorts 6-8, and Best Corrected ETDRS visual acuity of 8 letters (approximately 20/800) to 68 letters (approximately 20/50) for cohorts 9 and on.
Be able to complete the entire microperimetry test, and demonstrate adequate fixation and consistency between baseline readings such that the accuracy of both baseline and follow on testing should enable the detection of clinically significant changes in retinal sensitivity.
Be medically able to undergo vitrectomy and subretinal injection.
Have good general health as defined by:
Females of childbearing potential must have a confirmed negative pregnancy test at Visits 1 and 3; and be willing to use highly effective method of contraception (e.g. oral contraceptive and condom, intra-uterine device (IUD) and condom, diaphragm with spermicide and condom) for the duration of this study.
Males must be willing to use a reliable method of contraception (e.g. barrier and spermicide) for the duration of this study; unless have been surgically sterilized with confirmed azoospermia.
Be willing and able to attend all scheduled clinical assessments, ability to communicate well with the Investigator and to comply with the expectations of the study.
Exclusion Criteria:
m) Known hypersensitivity to any of ingredients of the excipient.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Jason Comander, MD | Massachusetts Eye and Ear Infirmary (MEEI) | Principal Investigator |
| Vince Holmes | ReNeuron Limited | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Retinal Research Institute | Phoenix | Arizona | 85053 | United States | ||
| Massachusetts Eye and Ear Infirmary |
Not provided
| ID | Term |
|---|---|
| D012174 | Retinitis Pigmentosa |
| ID | Term |
|---|---|
| D015785 | Eye Diseases, Hereditary |
| D005128 | Eye Diseases |
| D058499 | Retinal Dystrophies |
| D012162 | Retinal Degeneration |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
A summary of the perimetry and change from baseline to end of study in the treated eye presented by treatment group. |
| 24 months |
| Safety (Change in retinal sensitivity in the area overlying the implanted hRPC as compared with untreated retina) | ERG results and change from baseline to end of study summarized descriptively and presented by treatment group. | 24 months |
| Safety (Anatomical endpoint relating to retinal function in implant location - Color Fundus Photography) | A qualitative description of the change in retinal appearance of treated and untreated retinal area in the treated eye from baseline to end of study presented by treatment group. | 24 months |
| Safety (Anatomical endpoint relating to retinal function in implant location - Fundus autofluorescence) | A qualitative description of the change in retinal appearance of treated and untreated retinal area in the treated eye from baseline to end of study presented by treatment group. | 24 months |
| Safety (Anatomical endpoint relating to retinal function in implant location - Spectral domain-OCT) | Summary of the overall retinal thickness, outer nuclear layer thickness and ellipsoid zone measurement and change from baseline to the end of study of treated retina compared with untreated retina in the treated eye by treatment group. | 24 months |
| Boston |
| Massachusetts |
| 02114 |
| United States |
| Oregon Health and Science University | Portland | Oregon | 97239 | United States |
| Institut de la Màcula | Barcelona | Spain |
| Oxford Eye Hospital | Oxford | OX3 9DU | United Kingdom |
| D012164 |
| Retinal Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |