RGX-314 Gene Therapy Administered in the Suprachoroidal Space for Participants With Diabetic Retinopathy (DR) With and Without Center Involved-Diabetic Macular Edema (CI-DME)

Last updated: March 14, 2025
Sponsor: AbbVie
Overall Status: Active - Recruiting

Phase

2

Condition

Diabetic Retinopathy

Macular Edema

Retina

Treatment

RGX-314 Dose 2

ABBV-RGX-314 Dose 1

ABBV-RGX-314 Dose 3

Clinical Study ID

NCT04567550
RGX-314-2202 (M23-414)
  • Ages 25-89
  • All Genders

Study Summary

ABBV-RGX-314 is being developed as a novel, potential one-time gene therapy treatment for the treatment of Diabetic Retinopathy (DR) with and without Center-Involved Diabetic Macular Edema (CI-DME). DR is a chronic and progressive complication of diabetes mellitus. It is a sight-threatening disease characterized in the early stages by neuronal and vascular dysfunction in the retina, and later by neovascularization that leads to further deterioration of functional vision. Despite the availability of current treatments, diabetic retinopathy remains the leading cause of vision loss in working-age adults, those between the ages of 20 and 74. Existing treatment with anti-VEGF agents, although shown to be effective, are limited by short therapeutic half-lives, which then require frequent intravitreal injections over the patient's lifetime, resulting in increased risk of associated adverse events and significant treatment burden. Due to the burden of treatment, patients often do not closely adhere to treatment regimens and experience sub-optimal outcomes and a decline in vision.

Eligibility Criteria

Inclusion

Part 1 (DR without CI-DME):

Inclusion Criteria:

  • Patients 25-89 years of age with a diabetic retinopathy (DR) diagnosis ofnonproliferative diabetic retinopathy (NPDR) and proliferative diabetic retinopathy (PDR) secondary to diabetes mellitus Type 1 or 2 for which PRP or anti-VEGFinjections can be safely deferred for at least 6 months

  • HbA1c < 12%.

  • Best corrected visual acuity (BCVA) Early Treatment Diabetic Retinopathy Study (ETDRS) letter score in the study eye of ≥69 letters (approximate Snellen equivalentof 20/40 or better).

  • Prior history of CI-DME in the study eye is acceptable.

  • Must be willing and able to provide written, signed informed consent.

Exclusion

Exclusion Criteria:

  • Neovascularization in the study eye from a cause other than DR.

  • Presence of any active CI-DME.

  • Active or history of retinal detachment in the study eye.

  • Any evidence or documented history of PRP or retinal laser in the study eye.

  • Patients who had a prior vitrectomy surgery.

  • Women of childbearing potential.

Part 2 (DR with CI-DME):

Inclusion Criteria:

  • Patients 25-89 years of age with diabetic retinopathy secondary to diabetes mellitusType 1 or 2.

  • HbA1c < 12%

  • Macular thickening secondary to DME involving the center of the fovea, CST on SD-OCT (≥ 325 μm)

  • Best corrected visual acuity (BCVA) Early Treatment Diabetic Retinopathy Study (ETDRS) letter score in the study eye of 78-25 letters (approximate Snellenequivalent of 20/32 to 20/320)

  • Participants must have demonstrated a meaningful response to anti-VEGF therapy.

  • Must be willing and able to provide written, signed informed consent

Exclusion Criteria:

  • Neovascularization in the study eye from a cause other than DR.

  • Active or history of retinal detachment in the study eye.

  • Any evidence or documented history of PRP or retinal laser in the study eye.

  • Patients who had a prior vitrectomy surgery.

  • Women of childbearing potential.

Note: Other inclusions/exclusions criteria apply.

Study Design

Total Participants: 130
Treatment Group(s): 9
Primary Treatment: RGX-314 Dose 2
Phase: 2
Study Start date:
November 20, 2020
Estimated Completion Date:
September 30, 2026

Study Description

This phase 2, randomized, dose-escalation study is designed to evaluate the efficacy, safety and tolerability of ABBV-RGX-314 gene therapy in subjects with DR with and without center-involved diabetic macular edema (CI-DME).

Part 1: For subjects with DR without CI-DME, approximately 100 participants who meet the inclusion/exclusion criteria will be enrolled into one of 5 cohorts. Participants will be randomized in Cohorts 1, 2, 4 and 5 to receive ABBV-RGX-314 or to be observed, and participants enrolled in Cohort 3 will receive ABBV-RGX-314. Cohort 1 will evaluate ABBV-RGX-314 Dose 1, Cohorts 2 and 3 will evaluate ABBV-RGX-314 Dose 2, and Cohorts 4 and 5 will evaluate ABBV-RGX-314 Dose 3. Following SCS ABBV-RGX-314 administration, participants in Cohorts 4 and 5 will receive a protocol-mandated post-procedure steroid regimen for 7 weeks. Participants who are randomized to be observed in Cohorts 1, 2, 4 and 5 will be offered ABBV-RGX-314 after completing the study.

Part 2: For subjects with DR with CI-DME, approximately 30 participants who meet the inclusion/exclusion criteria will be enrolled into one cohort (Cohort A). Participants will be randomized to receive ABBV-RGX-314 or Aflibercept Control. Cohort A will evaluate ABBV-RGX-314 Dose 4. Participants randomized to receive SCS ABBV-RGX-314 will receive a protocol-mandated course of steroid. Participants who are randomized to the Aflibercept Control arm will be offered ABBV-RGX-314 after completing the study.

Connect with a study center

  • Barnet Dulaney Perkins Eye Center

    Phoenix, Arizona 85016
    United States

    Active - Recruiting

  • Retinal Research Institute, LLC

    Phoenix, Arizona 85014
    United States

    Active - Recruiting

  • California Retina Consultants

    Bakersfield, California 93309
    United States

    Active - Recruiting

  • Retina-Vitreous Associates Medical Group

    Beverly Hills, California 90017
    United States

    Active - Recruiting

  • Retinal Diagnostic Center

    Campbell, California 95008
    United States

    Active - Recruiting

  • Northern California Retina Vitreous Associates Medical Group, Inc.

    Mountain View, California 94040
    United States

    Active - Recruiting

  • California Eye Specialists Medical Group, Inc

    Pasadena, California 91107
    United States

    Active - Recruiting

  • Retinal Consultants San Diego

    Poway, California 92064
    United States

    Active - Recruiting

  • California Retina Consultants

    Santa Barbara, California 93103
    United States

    Active - Recruiting

  • Southeast Retina Center, PC

    Augusta, Georgia 30909
    United States

    Active - Recruiting

  • University Retina and Macula Associates, PC

    Oak Forest, Illinois 60452
    United States

    Active - Recruiting

  • Springfield Clinic

    Springfield, Illinois 62702
    United States

    Active - Recruiting

  • Wilmer Eye Institute/Johns Hopkins University School of Medicine

    Baltimore, Maryland 21287
    United States

    Active - Recruiting

  • Cumberland Valley Retina Consultants

    Hagerstown, Maryland 21740
    United States

    Active - Recruiting

  • Ophthalmic Consultants of Boston

    Boston, Massachusetts 02114
    United States

    Active - Recruiting

  • Sierra Eye Associates

    Reno, Nevada 89502
    United States

    Active - Recruiting

  • NJ Retina

    Teaneck, New Jersey 07666
    United States

    Active - Recruiting

  • Vision Research Center Eye Associates of New Mexico

    Albuquerque, New Mexico 87109
    United States

    Active - Recruiting

  • Duke University Eye Center

    Durham, North Carolina 27705
    United States

    Active - Recruiting

  • Mid Atlantic Retina

    Philadelphia, Pennsylvania 19107
    United States

    Active - Recruiting

  • Charles Retina Institute, P.C.

    Germantown, Tennessee 38138
    United States

    Active - Recruiting

  • Retina Research Institute of Texas, LLC

    Abilene, Texas 79606
    United States

    Active - Recruiting

  • Austin Clinical Research, LLC

    Austin, Texas 78750
    United States

    Active - Recruiting

  • Star Retina

    Burleson, Texas 76028
    United States

    Active - Recruiting

  • Retinal Consultants of Texas

    The Woodlands, Texas 77384
    United States

    Active - Recruiting

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