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A Multicenter, Open-Label, Non-Randomized, Uncontrolled Study of VGR-R01 in Patients with Bietti Crystalline Dystrophy.
VGR-R01 is a novel AAV vector carrying the human CYP4V2 coding sequence. This study is intended to evaluate the safety and tolerability of a single subretinal administration of VGR-R01. All subjects will undergo at least 52 weeks of safety observation and will be encouraged to enroll in an extension study to evaluate the long-term safety of VGR-R01 for a total of five years.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| VGR-R01 | Experimental | Single-dose Subretinal Administration of VGR-R01 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VGR-R01 | Genetic | CYP4v2-coding gene delivered by AAV vector |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse events | An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant administered a product; the event will not need to have a causal relationship with the treatment. | Baseline up to Week 52 |
| Incidence of serious adverse events | A serious adverse event (SAE) is any untoward medical occurrence at any dose that resulted in death; life threatening; require inpatient hospitalization or prolongation of existing hospitalization; result in persistent or significant disability/incapacity; result in congenital anomaly/birth defect. | Baseline up to Week 52 |
| Number of Participants with Clinically Significant Change from Baseline in Vital Signs | Vital signs (temperature, respiratory rate, pulse rate, systolic and diastolic blood pressure) will be obtained with participant in the seated position, after having sat calmly for at least 5 minutes. Clinical significance of vital signs will be determined at the investigator's discretion. | Baseline up to Week 52 |
| Number of Participants with Clinically Laboratory Abnormalities | Laboratory Tests will include hematology, coagulation, blood chemistry, urinalysis, serology, and pregnancy test, etc. If any potential changes accompanied by clinical symptoms, or results in a change of medical intervention, the findings will be considered as clinically significant based on investigator's decision. | Baseline up to Week 52 |
| Number of Participants with Clinically Significant Change from Baseline in Ophthalmic Examination Findings | Ophthalmic Examination will include BCVA, IOP, slitlamp examination, angiography and SD-OCT, etc. If any potential changes accompanied by clinical symptoms, or results in a change of medical intervention, the findings will be considered as clinically significant based on investigator's decision. |
| Measure | Description | Time Frame |
|---|---|---|
| Best-Corrected Visual Acuity (BCVA) | BCVA will be assessed for both eyes using the Early Treatment of Diabetic Retinopathy Study (ETDRS) visual acuity (VA) chart. BCVA test should be performed prior to pupil dilation, and distance refraction should be carried out before BCVA is measured. | Week 52 |
| Changes from baseline of Visual Field Index (%) in Visual Field (Humphery perimetry) indexes |
| Measure | Description | Time Frame |
|---|---|---|
| Patient reported outcome: Changes of NEI-VFQ-25 | NEI-VFQ-25 questionnaire measures dimensions of self-reported vision-targeted health status that are most important to persons with eye disease. Total score ranges from 0-100, where a score of 0 represents the worst outcome and 100 represents the best outcome. | Week 52 |
Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Wenbin Wei | Beijing Tongren Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Vitalgen Biopharma Co.,Ltd. | Shanghai | Shanghai Municipality | China |
IPD will be shared with other researchers when VGR-R01 is fully approved.
IPD will be shared with other researchers when VGR-R01 is fully approved.
IPD will be shared with other researchers when VGR-R01 is fully approved.
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| ID | Term |
|---|---|
| C535440 | Bietti Crystalline Dystrophy |
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| Baseline up to Week 52 |
The VFI can range from 100% (normal visual field) to 0% (perimetrically blind field). |
| Week 52 |
| Changes from baseline of Mean Deviation (dB) in Visual Field (Humphery perimetry) indexes | Normal values are typically within 0dB and -2dB. | Week 52 |
| Changes from baseline of Pattern Standard Deviation (dB) in Visual Field (Humphery perimetry) indexes | A typical "normal" dB reading is around 30. The numeric dB graph should be studied next. The dBs tested by the Humphrey analyzer range between 0 and 50 dB (0 is the brightest and 50 is the dimmest). | Week 52 |
| Changes from baseline in Mobility testing scores | The mobility score range is between -1 (the worst functional vision) and 6 (the best). | Week 52 |