A Study to Evaluate Efficacy, Safety, Tolerability and Exposure After a Repeat-dose of Sepofarsen (QR-110) in LCA10 (ILLUMINATE)

Last updated: March 2, 2022
Sponsor: ProQR Therapeutics
Overall Status: Active - Not Recruiting

Phase

2/3

Condition

Eye Disorders/infections

Vision Loss

Retina

Treatment

N/A

Clinical Study ID

NCT03913143
PQ-110-003
2018-003501-25
  • Ages > 8
  • All Genders

Study Summary

The purpose of this double-masked, randomized, controlled, multiple-dose study is to evaluate the efficacy, safety, tolerability and systemic exposure of sepofarsen (QR-110) administered via intravitreal injection in subjects with Leber's Congenital Amaurosis (LCA) due to the CEP290 p.Cys998X mutation after 24 months of treatment

Eligibility Criteria

Inclusion

Main Inclusion Criteria Relating to Study Initiation:

  • Male or female, ≥ 8 years of age at Screening with a clinical diagnosis of LCA10 and a molecular diagnosis of homozygosity or compound heterozygosity for the c.2991+1655A>G mutation, based on genotyping analysis at Screening. A historic genotyping report from a certified laboratory is acceptable with Sponsor approval.

  • BCVA better or equal to Logarithm of the Minimum Angle of Resolution (LogMAR) +3.0 (Hand Motion), and equal to or worse than LogMAR +0.4 in the treatment eye.

  • Detectable outer nuclear layer (ONL) in the area of the macula.

  • An electroretinogram (ERG) result consistent with LCA. A historic ERG result may be acceptable for eligibility.

Main Exclusion Criteria Relating to Study Initiation:

  • Presence of any significant ocular or non-ocular disease/disorder (including medication and laboratory test abnormalities).

  • Prior receipt of intraocular surgery, periocular surgery, or IVT injection within 1 month prior to study start or planned intraocular surgery or procedure during the course of the study.Subjects who received an intraocular or periocular surgery between 1 to 3 months prior Screening, may only be considered for inclusion if there are no clinically significant complications of surgery present, and following approval by the Medical Monitor.

  • History or presence of ocular herpetic diseases.

  • Presence of any active ocular infection in the either eye.

  • Presence of lens opacities/cataracts in the treatment eye.

  • Current treatment or treatment within the past 12 months with therapies known to influence the immune system.

  • History of glaucoma, or an IOP greater than 24 mmHg, at is not controlled with medication.

  • History of amblyopia

  • Use of any investigational drug or device within 90 days or 5 half-lives of Day 1, whichever is longer, or plans to participate in another study of a drug or device during the PQ-110-003 study period.

  • Any prior receipt of genetic or stem-cell therapy.

  • Known hypersensitivity to antisense oligonucleotides or any constituents of the injection.

  • Pregnant and breastfeeding subjects.

Main Inclusion Criteria Relating to Treatment Initiation Contralateral Eye:

  • BCVA equal to or better than LP (logMAR +4), using the best BCVA reading at Month 12 and based on ETDRS or BRVT.

  • Detectable outer nuclear layer (ONL) in the area of the macula.

  • Clear ocular media and adequate pupillary dilation to permit good quality retinal imaging.

Main Exclusion Criteria Relating to Treatment Initiation Contralateral Eye:

  • Presence of any significant ocular or non-ocular disease/disorder (including medication and laboratory test abnormalities).

  • History or presence of ocular herpetic diseases.

  • Presence of any active ocular infection in either eye.

  • Presence of any lens opacities which are clinically significant, would adequately prevent clinical and photographic evaluation of the retina.

  • A planned IVT injection or intraocular or periocular surgery/procedure (including refractive surgery) during the course of the study.

  • A history of glaucoma or an IOP greater than 24 mmHg that is not controlled with medication.

  • History of amblyopia.

  • Plans to participate in another study of a drug or device during the study period.

  • Pregnant and breastfeeding subjects.

Study Design

Total Participants: 36
Study Start date:
April 04, 2019
Estimated Completion Date:
March 31, 2023

Study Description

The purpose of this double-masked, randomized, controlled, multiple-dose study is to evaluate the efficacy, safety, tolerability and systemic exposure of sepofarsen (QR-110) administered via intravitreal injection in subjects with Leber's Congenital Amaurosis (LCA) due to the CEP290 p.Cys998X mutation after 24 months of treatment.

At study start subjects will be randomized to one of 3 treatment groups with either active study drug or sham treatment.

Sepofarsen (QR-110) will be administered via intravitreal (IVT) injection into the subject's treatment eye (the subject's worse eye).

Subjects in the sham-procedure group will undergo a procedure that will closely mimic the active injection.

After each dosing subjects will be assessed for safety and tolerability at follow up visits.

After the first eye has been treated for at least 12 months, treatment of the contralateral eye and cross-over of subjects assigned to sham procedure may be initiated in eligible eyes (in a masked manner) based on assessment of benefit/risk (including review of data from all clinical trials), and with concurrence of the Medical Monitor.

Connect with a study center

  • Universitair Ziekenhuis Gent (UZ)

    Ghent,
    Belgium

    Site Not Available

  • INRET Clínica/ Santa Casa de Misericórdia de Belo Horizonte

    Belo Horizonte, MG 30150270
    Brazil

    Site Not Available

  • Federal University of São Paulo - Hospital São Paulo (UNIFESP-HSP)

    São Paulo, SP 04023-062
    Brazil

    Site Not Available

  • The Hospital for Sick Children - SickKids

    Toronto, Ontario M5G 2L3
    Canada

    Site Not Available

  • McGill University Health Centre - Centre for Innovative Medicine

    Montréal, Quebec H4A 3J1
    Canada

    Site Not Available

  • Centre de maladies rares CHNO des Quinze Vingt

    Paris, 75012
    France

    Site Not Available

  • Hospital Civil de Strasbourg

    Strasbourg, 67091
    France

    Site Not Available

  • Justus-Liebig Universität - Department of Ophthalmology

    Gießen, 35392
    Germany

    Site Not Available

  • University of Tuebingen - Inst. for Ophthalmic Research

    Tuebingen, 72076
    Germany

    Site Not Available

  • Eye Clinic University of Campania Luigi Vanvitelli

    Naples, 80131
    Italy

    Site Not Available

  • Amsterdam University Medica Center - Locatie AMC

    Amsterdam, 1105 AZ
    Netherlands

    Site Not Available

  • Radboud Universitair Medisch Centrum

    Nijmegen, 6525 GA
    Netherlands

    Site Not Available

  • Het Oogziekenhuis Rotterdam

    Rotterdam, 3011 BH
    Netherlands

    Site Not Available

  • Moorfields Eye Hospital - NHS Foundation Trust

    London, EC1V 2PD
    United Kingdom

    Site Not Available

  • University of Miami - Bascom Palmer Eye Institute

    Miami, Florida 33156
    United States

    Site Not Available

  • University of Iowa

    Iowa City, Iowa 52242
    United States

    Site Not Available

  • Columbia University Medical Center

    New York, New York 10032
    United States

    Site Not Available

  • Casey Eye Institute - Oregon Health & Science University

    Portland, Oregon 97239-4197
    United States

    Site Not Available

  • University of Pennsylvania - Center for Advanced Retinal & Ocular Therapeutics

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • Baylor College of Medicine

    Houston, Texas 77030
    United States

    Site Not Available

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