Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| 2024-515199-10-00 | EU Trial (CTIS) Number |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Sepul Bio | INDUSTRY |
Not provided
Not provided
Not provided
Not provided
The purpose of this Phase 2b study is to evaluate the safety and tolerability of ultevursen administered via intravitreal injection (IVT) in subjects with Retinitis Pigmentosa (RP) due to mutations in exon 13 of the USH2A gene. This is a multicenter Double-masked, Randomized, Sham-controlled study which will enroll 81 subjects.
A total of eighty-one (81) RP subjects will be enrolled in this study, randomized in a 2:1 ratio to either ultevursen or sham procedure, respectively. Subjects randomized to the active treatment group will receive therapy with ultevursen administered via intravitreal (IVT) injection to the treatment eye (TE) on Day 1 and at Months 6, 12, and 18. Subjects randomized to sham will undergo a sham procedure in the TE at the corresponding timepoints.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ultevursen 180/60 μg | Experimental | Subjects will receive an intravitreal injection (IVT) of ultevursen with concentrations of 3.6 mg/mL for initial dose and 1.2 mg/mL for maintenance doses every 6 months thereafter through Month 18 (up to 4 doses). |
|
| Sham Procedure | Sham Comparator | Sham-procedure (no experimental drug administered) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intravitreal Injection of Ultevursen | Drug | Up to 4 doses over a 24-month period |
| |
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate efficacy after 24 months of treatment | Annualized percent change from baseline in ellipsoid zone (EZ) width as measured by spectral-domain optical coherence tomography (SD-OCT) up to Month 24. | 24 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Annualized change from baseline in static perimetry (SP) mean sensitivity | Month 24 | |
| Annualized change from baseline in microperimetry (MP) mean sensitivity | Month 24 | |
Not provided
Inclusion Criteria:
An adult (≥18 years) willing and able to provide informed consent for participation prior to performing any study related procedures
OR A minor (8 to <18 years) able to provide age-appropriate assent for study participation 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. An adult willing to comply with the protocol, follow study instructions, attend study visits as required and willing and able to complete all study assessments, in the opinion of the Investigator.
OR A minor able to complete all study assessments and comply with the protocol and has a parent or caregiver willing and able to follow study instructions and attend study visits with the subject as required, in the opinion of the Investigator.
Both eyes exhibit clinical presentation consistent with RP involving Usher syndrome type 2 or NSRP based on ophthalmic, audiologic, or vestibular examinations. At screening, the Investigator will make the clinical diagnosis of "Usher syndrome type 2a," defined as RP with congenital hearing loss, or "non-syndromic RP," defined as RP without congenital hearing loss.
A molecular diagnosis of biallelic disease causing variants (pathogenic or likely pathogenic) in the USH2A gene where at least one of the variants is located on exon 13. A historic genotyping report from a certified laboratory is acceptable with Sponsor approval.
Clearly visible and measurable SD-OCT horizontal EZ width of ≥2.2 mm in both eyes based on the assessment of the CRC.
BCVA ≥55 letters based on ETDRS (equivalent to 20/80 based on Snellen notation, or logarithm of the minimum angle of resolution [logMAR] +0.6) in both eyes.
Impairment of VF as assessed by SP with a mean sensitivity greater than 4 decibels (dB) and less than 25 dB measured by a V target size in the TE at screening.
Mean sensitivity greater than 2 dB as determined by MP in the TE at screening.
Symmetry of baseline disease in both eyes, defined as the mean BCVA (based on ETDRS) of one eye within ≤10 letters of the mean BCVA of the other eye at screening.
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of California, San Francisco | San Francisco | California | 94143 | United States | ||
| Bascom Palmer Eye Institute/University of Miami |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40339601 | Derived | Stephenson KAJ, Dhanji SR, Kolawole OU, Gregory-Evans CY, Gregory-Evans K. Ethnic disparities in inherited retinal degenerations. Can J Ophthalmol. 2025 Dec;60(6):e869-e878. doi: 10.1016/j.jcjo.2025.04.007. Epub 2025 Jun 6. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| No intervention, will not receive any active study intervention |
| Other |
Sham-procedure (no experimental drug administered) |
|
| Change from baseline in low luminance visual acuity (LLVA) using the Early Treatment Diabetic Retinopathy Study (ETDRS) chart |
| Month 24 |
| Change from baseline in best-corrected visual acuity (BCVA) using the ETDRS chart | Month 24 |
| Percent change from baseline in EZ area by SD-OCT | Month 24 |
| Percent change from baseline in EZ width by SD-OCT | Month 24 |
| Change from baseline in the Michigan Retinal Degeneration Questionnaire (MRDQ) for subjects ≥13 years of age | Michigan Retinal Degeneration Questionnaire (MRDQ) scores in central vision, color vision, contrast sensitivity, scotopic function, photopic peripheral vision, mesopic peripheral vision, and photosensitivity Unabbreviated scale title: Michigan Retinal Degeneration Questionnaire Minimum and Maximum values: -3 and +3 Higher scores indicate a worse outcome. | Month 24 |
| Change from baseline in the Michigan Vision-Related Anxiety Questionnaire (MVAQ) for subjects ≥13 years of age | Michigan Vision-Related Anxiety Questionnaire (MVAQ) scores in rod-function anxiety and cone-function anxiety. Unabbreviated scale title: Michigan Vision-Related Anxiety Questionnaire Minimum and Maximum values: -3 and +3 Higher scores indicate a worse outcome. | Month 24 |
| Frequency and severity of ocular and non-ocular adverse events (AEs) | Up to month 24 |
| Systemic Exposure | Systemic serum concentration of ultevursen | Up to month 24 |
| Miami |
| Florida |
| 33136 |
| United States |
| Emory University | Atlanta | Georgia | 30322 | United States |
| Massachusetts Eye and Ear | Boston | Massachusetts | 02114 | United States |
| University of Michigan- Kellogg Eye Center | Ann Arbor | Michigan | 48105 | United States |
| Casey Eye Institute, Oregon Health & Science University | Portland | Oregon | 97239 | United States |
| University of Pennsylvania, Scheie Eye Institute | Philadelphia | Pennsylvania | 19104 | United States |
| Retina Foundation of the Southwest | Dallas | Texas | 75231 | United States |
| Baylor College of Medicine | Houston | Texas | 77030 | United States |
| University of Wisconsin- Madison | Madison | Wisconsin | 53705 | United States |
| Ghent University Hospital | Ghent | B-9000 | Belgium |
| INRET Clínica/ Santa Casa de Misericórdia de Belo Horizonte | Belo Horizonte | 30150270 | Brazil |
| Federal University of São Paulo - Hospital São Paulo (UNIFESP-HSP) | São Paulo | 04021-001 | Brazil |
| Hospital for Sick Children | Toronto | Ontario | M5G1E8 | Canada |
| McGill University Health Centre for Innovative Medicine | Montreal | Quebec | H4A3J1 | Canada |
| Rigshospitalet and University of Copenhagen | Glostrup Municipality | 2600 | Denmark |
| Hôpital Gui de Chauliac - CHRU de Montpellier - Maladies Sensorielles Génétique | Montpellier | 34295 | France |
| Centre de maladies rares CHNO des Quinze Vingt | Paris | 75012 | France |
| Universitätsklinikum Tübingen | Tübingen | 72076 | Germany |
| ASST Santi Paolo e Carlo Hospital, University of Milan | Milan | 20142 | Italy |
| Amsterdam University Medical Center - Locatie AMC | Amsterdam | 1105 AZ | Netherlands |
| Radboud Universitair Medisch Centrum | Nijmegen | 6525 GA | Netherlands |
| Het Oogziekenhuis Rotterdam | Rotterdam | 3011 BH | Netherlands |
| Oxford Eye Hospital | Headington | Oxford | OX3 9DU | United Kingdom |
| University of Edinburgh / NHS Lothian | Edinburgh | EH39HA | United Kingdom |
| Moorfields Eye Hosptial | London | EC1V 2PD | United Kingdom |
| ID | Term |
|---|---|
| D012174 | Retinitis Pigmentosa |
| D052245 | Usher Syndromes |
| D012164 | Retinal Diseases |
| D015785 | Eye Diseases, Hereditary |
| D005124 | Eye Abnormalities |
| D014786 | Vision Disorders |
| ID | Term |
|---|---|
| D005128 | Eye Diseases |
| D058499 | Retinal Dystrophies |
| D012162 | Retinal Degeneration |
| D030342 | Genetic Diseases, Inborn |
| 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 |
Not provided
Not provided