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| ID | Type | Description | Link |
|---|---|---|---|
| 2021-002070-93 | EudraCT Number |
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The sponsor decided to terminate the study early
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| Name | Class |
|---|---|
| Sepul Bio | INDUSTRY |
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PQ-421a-002 (Helia) is an open-label, extension study to evaluate the safety, tolerability and efficacy of QR 421a (ultevursen) administered via intravitreal (IVT) injection in one or both eyes, in subjects ≥ 12 years of age with RP due to mutations in exon 13 of the USH2A gene, for an anticipated period of 24 months, or until provision of continued treatment by other means is available, provided the subject's benefit-risk determination remains positive.
PQ-421a-002 is an open-label, extension study to evaluate the safety, tolerability and efficacy of QR-421a (ultevursen) in subjects with RP due to mutations in exon 13 of the USH2A gene.
Subjects that have participated in QR-421a clinical studies, i.e. PQ-421a-001 (Stellar), PQ-421a-003 (Sirius) and PQ-421a-004 (Celeste), will be given the opportunity to enroll into this extension study for continued dosing, provided the subject's benefit-risk assessment is positive, or for additional follow up.
The Investigator, in consultation and agreement with the Medical Monitor, will decide on subject's enrollment upon assessment of subject's benefit-risk.
QR-421a will be first administered to the Contralateral Eye (CE or fellow eye), as defined in the preceding study, and will be repeated every 6 months.
Administration of QR-421a to the Treatment Eye (TE or study eye), as defined in the preceding study, can commence 3 months (9 months for subjects from study PQ-421a-001) after the treatment of the contralateral eye has been initiated and will be repeated every 6 months as well.
The Investigator, in consultation and agreement with the Medical Monitor, will decide on dosing of both eyes. Continued subject treatment in this study will be pursued provided that the benefit-risk balance is positive for the individual subject, as discussed and agreed upon with the Medical Monitor.
The same safety monitoring protocol and efficacy assessments will apply to both eyes.
Baseline functional and structural measurements for the treatment eye will be those from the preceding QR-421a study. Baseline functional and structural measurements for the contralateral eye will be those from the Screening /Day 1 visit of the current study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| QR421a RNA antisense oligonucleotide for intravitreal injection | Other | There is only one treatment arm in the PQ-421a-002 study; All participants that are eligible to be dosed will receive QR-421a in an open label fashion. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RNA antisense oligonucleotide for intravitreal injection | Drug | QR-421a will be first administered to the fellow eye (as defined in the preceding study), and will be repeated every 6 months. Treatment of the study eye (as defined in the preceding study) can commence 3 months (9 months for subjects from study PQ-421a-001) after the treatment of the fellow eye has been initiated and will be repeated every 6 months as well. Continued subject treatment in this study will be pursued provided that the benefit-risk balance is positive for the individual subject. |
| Measure | Description | Time Frame |
|---|---|---|
| Ocular Adverse Events (AEs) | Number of subjects with ocular treatment emergent adverse events (TEAEs) in the contralateral eye (CE) is presented. Frequency of individual TEAEs by system organ class and preferred term is presented in the safety section and clinical trial summary report. Time frame of reporting is the maximum followup period from first subject first visit to last end of study visit. | 1 year, 1 month |
| Non-ocular Adverse Events (AEs) | Number of subjects with non-ocular treatment emergent adverse events (TEAEs) is presented. Frequency of individual TEAEs by system organ class and preferred term is presented in the safety section and clinical trial summary report. Time frame of reporting is the maximum follow up period from first subject first visit to last end of study visit. | 1 year, 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Best Corrected Visual Acuity (BCVA) | Change from baseline | 24 months |
| Low Luminance Visual Acuity (LLVA) | Change from baseline | 24 months |
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Principal Inclusion Criteria:
OR A minor (12 to < 18 years) able to provide age-appropriate assent for study participation, and with a parent or legal guardian willing and able to provide written permission for the subject's participation prior to performing any study related procedures.
Principal Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sepul Bio Medical Monitor | Sepul Bio | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Clinical Research Operations, Massachusetts Eye and Ear | Boston | Massachusetts | 02114 | United States | ||
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In total 21 participants were enrolled: 19 participants were enrolled after they completed the previous PQ-421a-001 (Stellar) study and 2 participants were enrolled after premature termination of the PQ-421a-004 (Celeste) study.
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| ID | Title | Description |
|---|---|---|
| FG000 | Ultevursen 180ug/60ug (N=21) | 180ug loading dose of QR-421a will be first administered to the contralateral (fellow) eye (as defined in the preceding study), and 60ug will be repeated every 6 months. |
| FG001 | Ultevursen 60ug/60ug (N=0) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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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 | May 24, 2022 | Nov 11, 2022 |
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Eligible participants from previous QR-421a study can be enrolled into this extension study to receive continuous dosing of QR-421a for 24 months or until treatment becomes available (whichever is longer). Subject who receive follow up only, will be in this study for 12 months.
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|
| Ellipsoid Zone (EZ) Area/Width by Spectral Domain Optical Coherence Tomography (SD-OCT) | Change from baseline | 24 months |
| Static Perimetry | Change from baseline | 24 months |
| Microperimetry | Change from baseline | 24 months |
| Exposure of QR-421a in Serum | Exposure of QR-421a in serum | 12 months |
| University of Michigan, Kellogg Eye Center |
| Ann Arbor |
| Michigan |
| 48105 |
| United States |
| Casey Eye Institute, Oregon Health & Science University | Portland | Oregon | 97239 | United States |
| Retina Foundation of the Southwest | Dallas | Texas | 75231 | United States |
| Centre for Innovative Medicine, Department of Paediatric Surgery, Montreal Children's Hospital at the McGill University Health Centre | Montreal | H4A 3J1 | Canada |
| Hôpital Gui de Chauliac - CHRU de Montpellier - Maladies Sensorielles Génétique | Montpellier | 34295 | France |
| Centre de maladies rares CHNO des Quinze Vingts | Paris | 75012 | France |
60ug loading dose of QR-421a will be first administered to the contralateral (fellow) eye (as defined in the preceding study), and 60ug will be repeated every 6 months. |
| COMPLETED |
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| NOT COMPLETED |
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No participants were enrolled to the 60ug/60ug treatment group for either eye.
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| ID | Title | Description |
|---|---|---|
| BG000 | Ultevursen 180ug/60ug | 180ug loading dose of QR-421a will be first administered to the contralateral (fellow) eye (as defined in the preceding study), and 60ug will be repeated every 6 months. |
| BG001 | Ultevursen 60ug/60ug | 60ug loading dose of QR-421a will be first administered to the contralateral (fellow) eye (as defined in the preceding study), and 60ug will be repeated every 6 months. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Region of Enrollment | Count of Participants | Participants |
|
| 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 | Ocular Adverse Events (AEs) | Number of subjects with ocular treatment emergent adverse events (TEAEs) in the contralateral eye (CE) is presented. Frequency of individual TEAEs by system organ class and preferred term is presented in the safety section and clinical trial summary report. Time frame of reporting is the maximum followup period from first subject first visit to last end of study visit. | All participants who were enrolled and received at least 1 dose of ultevursen. | Posted | Count of Participants | Participants | 1 year, 1 month |
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| Primary | Non-ocular Adverse Events (AEs) | Number of subjects with non-ocular treatment emergent adverse events (TEAEs) is presented. Frequency of individual TEAEs by system organ class and preferred term is presented in the safety section and clinical trial summary report. Time frame of reporting is the maximum follow up period from first subject first visit to last end of study visit. | All participants who were enrolled and received at least 1 dose of ultevursen. | Posted | Count of Participants | Participants | 1 year, 1 month |
|
| ||||||||||||||||||||||||||||||||
| Secondary | Best Corrected Visual Acuity (BCVA) | Change from baseline | Not Posted | 24 months | Participants | ||||||||||||||||||||||||||||||||||||
| Secondary | Low Luminance Visual Acuity (LLVA) | Change from baseline | Not Posted | 24 months | Participants | ||||||||||||||||||||||||||||||||||||
| Secondary | Ellipsoid Zone (EZ) Area/Width by Spectral Domain Optical Coherence Tomography (SD-OCT) | Change from baseline | Not Posted | 24 months | Participants | ||||||||||||||||||||||||||||||||||||
| Secondary | Static Perimetry | Change from baseline | Not Posted | 24 months | Participants | ||||||||||||||||||||||||||||||||||||
| Secondary | Microperimetry | Change from baseline | Not Posted | 24 months | Participants | ||||||||||||||||||||||||||||||||||||
| Secondary | Exposure of QR-421a in Serum | Exposure of QR-421a in serum | Not Posted | 12 months | Participants |
1 year,1 month
All ocular (CE) and non-ocular TEAEs reported in subjects that received at least 1 dose of study drug.
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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 | Ultevursen 180ug/60ug | 180 ug loading dose of QR-421a will be first administered to the contralateral (fellow) eye (as defined in the preceding study), and 60ug will be repeated every 6 months. | 0 | 21 | 0 | 21 | 11 | 21 |
| EG001 | Ultevursen 60ug/60ug | 60 ug loading dose of QR-421a will be first administered to the contralateral (fellow) eye (as defined in the preceding study), and 60ug will be repeated every 6 months. | 0 | 0 | 0 | 0 | 0 | 0 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Conjunctival haemorrhage | Eye disorders | MedDRA 24.1 | Systematic Assessment |
| |
| Eye pain | Eye disorders | MedDRA 24.1 | Systematic Assessment |
| |
| Conjunctival hyperaemia | Eye disorders | MedDRA 24.1 | Systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA 24.1 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 24.1 | Systematic Assessment |
|
Study prematurely terminated due to sponsor decision for reasons unrelated to safety.
Institution shall be free to publish, present, or use any Data and results arising out of its performance of the protocol. At least 30 days prior to submission for publication, institution shall submit to Sponsor for review and comment any proposed oral or written publication. Institution will consider any such comments in good faith but is under no obligation to incorporate Sponsor's suggestions. The review period for abstracts or poster presentations shall be 30 days.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Zuhal Butuner - Chief Medical Officer | Sepul Bio | (905) 599-7887 | contact@sepulbio.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Oct 19, 2022 | Nov 11, 2022 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D012174 | Retinitis Pigmentosa |
| D052245 | Usher Syndromes |
| D009755 | Night Blindness |
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
| D014786 | Vision Disorders |
| D030342 | Genetic Diseases, Inborn |
| ID | Term |
|---|---|
| D015785 | Eye Diseases, Hereditary |
| D058499 | Retinal Dystrophies |
| D012162 | Retinal Degeneration |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D054062 | Deaf-Blind Disorders |
| D003638 | Deafness |
| D034381 | Hearing Loss |
| D006311 | Hearing Disorders |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D006319 | Hearing Loss, Sensorineural |
| D012678 | Sensation Disorders |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D001766 | Blindness |
| D000015 | Abnormalities, Multiple |
| D000013 | Congenital Abnormalities |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D058449 | Intravitreal Injections |
| ID | Term |
|---|---|
| D056965 | Injections, Intraocular |
| D007267 | Injections |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
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| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| United States |
|
| France |
|
|