Phase 1/2 Open-Label Dose-Escalation Study to Evaluate Safety of a Single Intravitreal Injection of RTx-021 in Patients With Stargardt Disease

Last updated: April 13, 2026
Sponsor: Ray Therapeutics, Inc.
Overall Status: Active - Recruiting

Phase

1/2

Condition

Myopic Macular Degeneration

Treatment

RTx-021

Clinical Study ID

NCT07439887
RTx-021-CP-101
  • Ages > 16
  • All Genders

Study Summary

A Phase 1/2, open-label, non-randomized, dose-escalation study, where a minimum of 9 and a maximum of 18 eligible patients with Stargardt Disease will be enrolled sequentially in up to 3 dose cohorts of RTx-021. Enrolled patients will receive a single, unilateral intravitreal injection of RTx-021 in the study eye and be followed for 5 years.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Male and female patients >= 16 years of age

  • Able to comply with the study visit schedule and all protocol assessments

  • Diagnosis of Stargardt Disease (genetic testing required)

  • Study eye and fellow eye Best Corrected Visual Acuity meeting study criteria

  • Presence of retinal ganglion cells and/or retinal nerve fiber layer on SpectralDomain Optical Coherence Tomography testing at Screening confirmed by central imagereading center

  • Adequate organ function and general good health

Exclusion

Exclusion Criteria:

  • Participation in a clinical study (ocular or non-ocular) with an investigationaldrug, agent, or therapy in the past six months

  • Concurrent participation in another interventional clinical ocular study

  • Prior receipt of any gene therapy (ocular or other), retinal implant, or ocular celltherapy

  • Pre-existing eye conditions in either eye that would preclude the planned treatmentor are significant enough to interfere with the interpretation of study endpoints orprocedural complications

  • Known steroid responders if their intraocular pressure was not able to be managedeffectively with topical pressure-lowering medications after prior use of steroidmedications

  • Complicating systemic diseases including those in which the disease itself, or thetreatment of the disease, can alter ocular and/or central nervous system function (e.g. radiation treatment of the orbit; leukemia with optic nerve involvement)

  • Any immunological response dysfunction including, immuno-compromising diseases oruse of immunosuppressive medications, among others

  • Cataract or other ocular (including refractive) surgery, intraocular and/orperi-ocular injection in either eye within the prior four months (i.e. 120 days)prior to screening

  • Prior vitrectomy or aphakia in the study eye

  • Known sensitivity to any component of the study treatment or contraindication tomedications planned for use in the peri-procedural period (e.g. povidone-iodine toprep for intravitreal injection)

  • Known contraindication to prophylactic steroid regimen

  • Current pregnancy or breastfeeding

  • Any other condition that would not allow the patient to complete follow-upexaminations during the study

Study Design

Total Participants: 18
Treatment Group(s): 1
Primary Treatment: RTx-021
Phase: 1/2
Study Start date:
January 28, 2026
Estimated Completion Date:
December 01, 2030

Study Description

This Phase 1/2, open-label, non-randomized, sequential assignment, first-in-human dose-escalation study is to evaluate the safety and preliminary efficacy of a single, uniocular intravitreal injection of an investigational optogenetic gene therapy, RTx-021, in patients with Stargardt Disease. Up to 3 dose cohorts of RTx-021 are planned, and each cohort will consist initially of 3 patients. The study is a traditional dose escalation design with the potential for cohort expansion and is intended to support dose selection for further clinical development. Patients will receive a single, unilateral intravitreal injection of RTx-021 in the study eye and be followed for 5 years with visits being more frequent in the initial 12 months after treatment.

Connect with a study center

  • RayTx Clinical Site

    Bakersfield, California 93309
    United States

    Active - Recruiting

  • UPMC Vision Institute

    Pittsburgh, Pennsylvania 15219
    United States

    Active - Recruiting

  • RayTx Clinical Site

    Bellaire, Texas 77401
    United States

    Active - Recruiting

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