A Study of the Safety, Tolerability and Prelinminary Efficacy of BD111 in Herpes Simplex Virus Type I Stromal Keratitis

Last updated: May 14, 2025
Sponsor: Shanghai BDgene Co., Ltd.
Overall Status: Active - Not Recruiting

Phase

1

Condition

Eye Disorders/infections

Treatment

BD111 Injection (Investigative New Drug)

Triple-drugs therapy of HSV-1 stromal keratitis

Clinical Study ID

NCT06474416
BD-HSK-111002-Ⅰ
  • Ages 18-70
  • All Genders

Study Summary

This Phase I study is intended to evaluate the safety, tolerability, PK/PD profiles and preliminary efficacy via corneal intrastromal administration in patients with herpes simplex virus-1 stromal keratitis (HSK), with a dose exploration of four ascending doses of BD111 (investigative drug product).

Eligibility Criteria

Inclusion

Inclusion Criteria: Participants must meet all of the following inclusion criteria to be enrolled in this study

  1. Aged 18 to 70 years old;

  2. Clinically diagnosed patients with recurrent herpes simplex virus type I stromalkeratitis (HSK). Definition of recurrence: the patient had been diagnosed with HSKand received "local antiviral eye drugs and oral antiviral drugs + localglucocorticoid eye drops" for 3 weeks with successful clinical efficacy. Beforeenrollment, the clinical recurrence of HSK occurred again with symptoms includingtearing, photophobia, pain, blurred vision and foreign body sensation, and signs asrecurrence of active inflammatory lesions examined by slit lamp;

  3. HSV-1 nucleic acid test (qPCR method) positive;

  4. No use of other systemic antiviral drugs or corticosteroids within 48 hours beforeenrollment;

  5. No systemic immune diseases;

  6. Good eyelid structure and blinking function;

  7. Eye structure and function assessment showing potential for visual recovery;

  8. No retinal detachment;

  9. No history of corneal trauma;

  10. The best visual acuity in the fellow eye (BCVA) ≥ 38 (ETDRS);

  11. Fertile males or females must use highly effective contraceptive methods, such as,oral contraceptives, intrauterine devices, abstinence, or barrier contraceptioncombined with spermicides, during the trial and continue contraception for 12 monthsafter administration;

  12. Participants voluntarily join the study, sign an informed consent form, have goodcompliance, and cooperate with follow-up visits.

Exclusion

Exclusion Criteria: Patients with any of the following conditions cannot be enrolled in this study

  1. Active ocular infection caused by other pathogens in the target eye or the felloweye within 30 days before enrollment, including but not limited to infectiousconjunctivitis, keratitis, scleritis, and endophthalmitis;

  2. Patients with bilateral viral keratitis

  3. Previous corneal transplant surgery in the study eye;

  4. Any medicine or food allergic history;

  5. Absence of tear film and blinking function;

  6. Severe dry eye disease;

  7. Ocular surface tumor;

  8. Glaucoma;

  9. Patients with systemic autoimmune diseases;

  10. Signs of systemic infection before enrollment, including fever and receivingantibiotic treatment (systemic infection in this trial is defined as abnormal valuesin white blood cells, lymphocytes, and neutrophils in routine blood tests);

  11. Severe diseases in the major organs including but not limited to cardiovascular,lung, liver, kidney, or other uncontrolled diseases;

  12. HIV infection;

  13. Pregnant and lactating women (pregnancy in this trial is defined as a positive urineor blood pregnancy test);

  14. Participation in other drug or medical device clinical trials at present;

  15. Alcohol or drug abuse;

  16. Lack of compliance with the trial or the ability to sign an informed consent form;

  17. Other situations deemed unsuitable for participation in the trial by theinvestigator.

Study Design

Total Participants: 16
Treatment Group(s): 2
Primary Treatment: BD111 Injection (Investigative New Drug)
Phase: 1
Study Start date:
September 04, 2023
Estimated Completion Date:
March 13, 2026

Study Description

Herpes simplex keratitis is an infectious diseases of the cornea that is primarily caused by Herpes Simplex Virus 1 (HSV-1). The stromal type, also known as HSV-1 stromal keratitis (HSK), is characterized by recurrent or chronic inflammation attributed to residual virus-triggered antigen-antibody-complement cascade reactions. BD111 is a lentivirus-like particle that is an active drug substance delivering gRNA-expressing cassettes and SpCas9 mRNA.The mechanism of action (MOA) is based on CRISPR/Cas9 gene editing technology.

This is a multicenter, open-label, dose-escalation, Phase I trial to evaluate the safety, tolerability, PK/PD profiles and preliminary efficacy of BD111 in patients with herpes simplex virus-1 stromal keratitis (HSK) in China. About 16 patients will be enrolled, dividing into open-label, four dose groups and one positive control (triple-drugs therapy) group. A rapid titration dose group combined with "3+3" dose escalation is designed for dose exploration.

Connect with a study center

  • Huashan Hospital, Fudan University

    Shanghai, Shanghai City 200000
    China

    Site Not Available

  • The Second Affiliated Hospital, Zhejiang University School of Medicine

    Hangzhou, Zhejiang 310009
    China

    Site Not Available

  • Eye Hospital of Wenzhou Medical University

    Wenzhou, Zhejiang 310009
    China

    Site Not Available

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