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Leber Congenital Amaurosis 10Phase 1/2INSIGHTNCT03913130

Extension Study to Study PQ-110-001 (NCT03140969)

A Phase 1/2 study testing QR-110 in people with Leber Congenital Amaurosis 10 and Blindness, run by Laboratoires Thea at 3 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Subjects completing participation in study PQ-110-001 (EudraCT 2017-000813-22 / NCT03140969) will be given the opportunity to enroll into the extension study for continued dosing if available data support current and/or future benefits for the subject. Read more about this study

Who is it for?
Ages 6 years and older
What is being tested?
QR-110
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
3 sitesin 2 countries
Study dates
13 May 2019to 3 Oct 2022
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Subjects who completed participation in the study PQ-110-001 and who may derive benefit from continued treatment with QR 110, as assessed by the Investigator, in consultation with the Medical Monitor
  • Persistence of detectable outer nuclear layer (ONL) in the area of the macula in the opinion of the Investigator, as determined by OCT.
  • Clear ocular media and adequate pupillary dilation to permit good quality retinal imaging, as assessed by the Investigator.
  • An adult (≥ 18 years) willing and able to provide informed consent for participation OR a minor (6 to < 18 years) 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, and pediatric subjects able to provide age-appropriate assent for study participation.
  • Female subjects who have reached menarche and male subjects must either practice true abstinence in accordance with their preferred and usual lifestyle, or agree to use acceptable, highly effective methods of contraception for up to 3 months following their last dose QR-110. Acceptable methods of contraception are defined in the protocol. Women of non-childbearing potential may be included without the use of adequate birth control, provided they meet the criteria in the protocol.

Who cannot join

  • Any contraindication to IVT injection according to the Investigator's clinical judgment and international guidelines (Avery 2014).
  • Safety issue during study PQ-110-001 that may compromise subject safety when continued dosing, as determined by the Investigator, and in consultation with the Medical Monitor.
  • Any ocular or systemic disease or condition (including medications and laboratory test abnormalities) that could compromise subject safety or interfere with assessment of efficacy and safety, as determined by the Investigator and in consultation with the Medical Monitor.
  • Pregnant or breast-feeding female.

Trial locations and contacts

3 sites in 2 countries.

3 sites in 2 countries

United States2 sites
  • University of Iowa

    Iowa City, Iowa, 52242

  • Scheie Eye Institute, University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

Other trials in United States

Belgium1 site
  • Ghent University Hospital and Ghent University

    Ghent, B-9000

Other trials in Belgium

About this study

Official title: An Open-Label, Extension Study to Evaluate the Safety, Tolerability, Efficacy and Pharmacokinetics of QR-110 in Subjects With Leber's Congenital Amaurosis (LCA) Due to the c.2991+1655A>G Mutation (p.Cys998X) in the CEP290 Gene

Subjects completing participation in study PQ-110-001 (EudraCT 2017-000813-22 / NCT03140969) will be given the opportunity to enroll into the extension study for continued dosing if available data support current and/or future benefits for the subject. Study PQ-110-002 will provide long-term safety, tolerability, pharmacokinetic (PK), and efficacy data of QR-110.

Read the detailed description

Subjects completing participation in study PQ-110-001 (EudraCT 2017-000813-22 / NCT03140969) will be given the opportunity to enroll into the extension study for continued dosing if available data support current and/or future benefits for the subject.

Subjects will be given the opportunity to enroll into this extension study for continued dosing if available data support current and/or future benefits for the subject. The Investigator, in consultation and agreement with the Medical Monitor, will decide on enrollment of each individual subject, as well as on dosing of the first treated eye and treatment initiation of the contralateral eye. Continued subject treatment in this study is desirable, but cannot be guaranteed, since it will depend on the risks and benefit of further treatment on a case-by-case basis, as discussed and agreed upon with the Medical Monitor.

The contralateral eye and the first treated eye will be injected 3 months apart. The injection interval of 3 months between both eyes will limit burden for the subjects, with a 3 month-visit frequency during the course of the study. This between-eye interval could be adapted if safety data are supportive, and for logistic reasons, and in agreement with the Medical Monitor.

The same safety monitoring protocol and efficacy assessments will apply to both eyes.

QR-110 will be administered via intravitreal (IVT) injection.

Being tested
QR-110
Keywords
LCA10, CEP290, p.Cys998X, c.2991+1655A>G, Leber's Congenital Amaurosis, Antisense oligonucleotide, RNA therapy
Medical subject headings
Leber Congenital Amaurosis 10, Blindness, Leber Congenital Amaurosis, Vision Disorders, Sensation Disorders, Neurologic Manifestations, Eye Diseases, Eye Diseases, Hereditary

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • QR-110Drug

    First treated eye: maintenance dose every 6 months, intravitreal administration Contralateral eye: loading dose followed by maintenance dose, every 6 months, intravitreal administration

Study groups in NCT03913130
Study groupRoleWhat they receive
Drug QR-110ExperimentalFirst treated eye: maintenance dose every 6 months, intravitreal administration Contralateral eye: loading dose followed by maintenance dose, every 6 months, intravitreal administration
Receives: Drug: QR-110

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Frequency of Ocular AEs

    Frequency of ocular adverse events (AEs)

    Measured: 24 months

  2. Frequency of Non-ocular AEs

    Frequency of non-ocular AEs

    Measured: 24 months

Secondary outcomes (12)
  1. Change in BCVA in First Treated Eye

    Change in Best Corrected Visual Acuity (BCVA) in First Treated Eye

    Measured: 24 months

  2. Change in Mobility Course Score

    Change in Mobility course score

    Measured: 24 months

  3. Change in Photoreceptor Outer Segment Layer Thickness

    Change in photoreceptor outer segment layer thickness by Optical Coherence Tomography (OCT)

    Measured: 24 months

  4. Change in OCI

    Change in Oculomotor Instability (OCI)

    Measured: 24 months

  5. Change in FST Blue

    Change in Full-Field Stimulus Testing (FST) - blue stimuli

    Measured: 24 months

  6. Change in FST Red

    Change in Full-Field Stimulus Testing (FST) - red stimuli

    Measured: 24 months

  7. Change in VFQ-25

    Change in Visual Function Questionnaire-25 (VFQ-25) score (adult subjects)

    Measured: 24 months

  8. Change in CVAQ

    Change in Cardiff Visual Ability Questionnaire for Children (CVAQC) score (pediatric subjects)

    Measured: 24 months

  9. Change in PLR

    Change in Pupillary Light Reflex (PLR) (latency and amplitude)

    Measured: 24 months

  10. Change in NIRAF

    Change in Near Infrared AutoFluorescence (NIRAF)

    Measured: 24 months

  11. Change in BCVA in Treated Contralateral Eye

    Change in Best Corrected Visual Acuity (BCVA) in Treated Contralateral Eye

    Measured: 24 months

  12. Change in BCVA in Non-Treated Contralateral Eye

    Change in Best Corrected Visual Acuity (BCVA) in Non-Treated Contralateral Eye

    Measured: 24 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Apr 2019
  2. Study start13 May 2019
  3. Primary completion3 Oct 2022
  4. Study completion3 Oct 2022

Why it stopped: Terminated \[Study prematurely terminated due to sponsor decision for reasons unrelated to safety\]

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03913130
Sponsor's protocol ID
PQ-110-002
Other IDs
2018-003500-40, 2018
Acronym
INSIGHT
Status last verified
Oct 2024
First submitted
21 Feb 2019
Last updated
15 Oct 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing QR-110 in people with Leber Congenital Amaurosis 10 and Blindness, run by Laboratoires Thea at 3 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 15 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States, Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Jan 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Frequency of Ocular AEs (time frame: 24 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Oct 2024; AzTrials last refreshed its copy on 1 Nov 2026.

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