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Retinitis PigmentosaPhase 1/2NCT05203939

Study to Assess the Safety and Efficacy of OCU400 for Retinitis Pigmentosa and Leber Congenital Amaurosis

A Phase 1/2 study testing OCU400 Low Dose, OCU400 Med Dose and OCU400 High Dose in people with Retinitis Pigmentosa and Leber Congenital Amaurosis, run by Ocugen at 7 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This is a Phase 1/2 Study to Assess the Safety and Efficacy of OCU400 in patients with retinitis pigmentosa associated with NR2E3 and RHO mutations and in patients with LCA due to mutation(s) in CEP290 gene (OCU400-101). Read more about this study

Who is it for?
Ages 6 years and older
What is being tested?
OCU400 Low Dose, OCU400 Med Dose and OCU400 High Dose
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
22 participants
Where
7 sitesUnited States
Study dates
24 Jan 2022to Mar 2027
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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

  • Males or females ≥ 18 years of age at the time of informed consent.
  • Confirmed genetic diagnosis of biallelic autosomal recessive NR2E3 mutations or autosomal dominant NR2E3 mutation for Subgroup 1 or autosomal dominant RHO mutations for Subgroup 2.
  • For the sentinel subject of Cohort 1-3, BCVA ≤ 20/160 in study eye or visual field less than 20° in any meridian, as measured by a III4e isopter or equivalent in study eye.
  • For non-sentinel subject, BCVA ≤ 20/50 or visual field less than 20° in any meridian, as measured by a III4e isopter or equivalent in study eye.
  • Able to perform a Multi-Luminance Mobility Testing (MLMT) using study eye, but unable to pass the MLMT at 1 lux, the lowest luminance level tested.
  • Males or females at least 18 years of age at the time of informed consent.
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  • Clinical diagnosis of LCA and confirmed genetic diagnosis of CEP290 mutation.
  • Best corrected visual acuity (BCVA) equal to or worse than LogMAR +0.7 but equal to or better than LogMAR 3.8 (light perception) in the study eye.
  • Detectable outer nuclear layer in the macular region as determined by spectral-domain optical coherence tomography (SD-OCT).
  • Males or females 6 - 17 years of age (inclusive) at the time of parental permission and/or assent, whichever is applicable.
  • Confirmed genetic diagnosis of biallelic autosomal recessive NR2E3 mutations or autosomal dominant NR2E3 mutation for Subgroup 1 or autosomal dominant RHO mutations for Subgroup 2.
  • BCVA ≤ 20/32 or visual field less than 20° in any meridian, as measured by a III4e isopter or equivalent in study eye.
  • Able to perform a Multi-Luminance Mobility Testing (MLMT) using study eye, but unable to pass the MLMT at 1 lux, the lowest luminance level tested.
  • Males or females 6 - 17 years of age (inclusive) at the time of parental permission and/or assent, whichever is applicable.
  • Clinical diagnosis of LCA and confirmed genetic diagnosis of CEP290 mutation.
  • Best corrected visual acuity (BCVA) equal to or worse than LogMAR +0.7 but equal to or better than LogMAR 3.8 (light perception) in the study eye.
  • Detectable outer nuclear layer in the macular region as determined by spectral-domain optical coherence tomography (SD-OCT).

Who cannot join

  • Subject lacks evidence of outer nuclear layer.
  • Considered unsuitable for any reason that may either place the subject at increased risk during participation or interfere with the interpretation of the study outcomes by the Investigator, or the Sponsor after reviewing medical, ocular, and psychiatric history, clinical examination, and laboratory evaluation, as determined by the Investigator.
  • Previous treatment with a gene therapy or cell therapy product.
  • Previous treatment with any investigational drug or device within one year.
  • Any contraindications for subretinal injection.
  • Cataract Surgery within 3 months. YAG capsulotomy within 1 month. Any other intraocular surgery within 6 months.
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  • Breast-feeding, pregnancy, sperm donation or inability to practice strict contraception within the Treatment Observation Period.
  • Any medical condition with life expectancy < 6 years.
  • Any symptom of central nervous system involvement/disease that would impact the ability to measure visual function.
  • Considered unsuitable for any reason that may either place the patient at increased risk during participation or interfere with the interpretation of the study safety and efficacy outcomes by the Investigator, after reviewing medical, ocular, and psychiatric history, clinical examination, and laboratory evaluation, as determined by the Investigator.
  • Any contraindications for subretinal injection.
  • Any intraocular surgery within 6 months.
  • Active ocular/intraocular infection (e.g., conjunctivitis, keratitis, scleritis, endophthalmitis).
  • Breast-feeding, pregnancy, sperm donation or inability to practice strict contraception within the Treatment Observation Period.
  • Subject lacks evidence of outer nuclear layer as determined by spectral-domain optical coherence tomography (SD-OCT).
  • Considered unsuitable for any reason that may either place the subject at increased risk during participation or interfere with the interpretation of the study outcomes by the Investigator, or the Sponsor after reviewing medical, ocular, and psychiatric history, clinical examination, and laboratory evaluation, as determined by the Investigator.
  • Previous treatment with a gene therapy or cell therapy product.
  • Previous treatment with any investigational drug or device within one year.
  • Any contraindications for subretinal injection.
  • Cataract surgery within 3 months. YAG capsulotomy within 1 month. Any other intraocular surgery within 6 months.
  • Breast-feeding, pregnancy, or inability to practice strict contraception within the Treatment Observation Period for subjects of childbearing potential.
  • Active ocular/intraocular infection (e.g., conjunctivitis, keratitis, scleritis, endophthalmitis).
  • Any medical condition with life expectancy < 6 years.
  • Any symptom of central nervous system involvement/disease that would impact the ability to measure visual function.
  • Considered unsuitable for any reason that may either place the subject at increased risk during participation or interfere with the interpretation of the study safety and efficacy outcomes by the Investigator, after reviewing medical, ocular, and psychiatric history, clinical examination, and laboratory evaluation, as determined by the Investigator.
  • Any contraindications for subretinal injection.
  • Any Intraocular surgery within 6 months.
  • Active ocular/intraocular infection (e.g., conjunctivitis, keratitis, scleritis, endophthalmitis).
  • Breast-feeding, pregnancy, or inability to practice strict contraception within the Treatment Observation Period for subjects of childbearing potential.

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

United States7 sites
  • Ocugen Site 6 - Emory University

    Atlanta, Georgia, 30322

  • Ocugen Site 1 - Retina Foundation of the Southwest

    Dallas, Texas, 75231

  • Ocugen Site 5 - University of California, San Diego (UCSD) - Shiley Eye Institute

    La Jolla, California, 92093

  • Ocugen Site 3 - Bascom Palmer Eye Institute

    Miami, Florida, 33136

  • Ocugen Site 8 - Mid Atlantic Retina - Wills Eye Hospital

    Philadelphia, Pennsylvania, 19107

  • Associated Retina Consultants

    Phoenix, Arizona, 85020

  • Ocugen Site 2 - Casey Eye Institute - OHSU

    Portland, Oregon, 97239

Other trials in United States

About this study

Official title: A Phase 1/2 Study to Assess the Safety and Efficacy of OCU400 for Retinitis Pigmentosa Associated With NR2E3 and RHO Mutations and Leber Congenital Amaurosis With Mutation(s) in CEP290 Gene

This is a Phase 1/2 Study to Assess the Safety and Efficacy of OCU400 in patients with retinitis pigmentosa associated with NR2E3 and RHO mutations and in patients with LCA due to mutation(s) in CEP290 gene (OCU400-101). To document prospective eye pathology in the above subjects Investigators will also conduct a Natural History Study (OCU400-104)i

This is a multicenter study, which will be conducted in two phases and will enroll up to a total of 24 subjects in the OCU400-101 and 100 subjects in the OCU400-104 study.

Read the detailed description

This study will be conducted in two phases enrolling up to 24 subjects. Treated subjects will receive a single subretinal injection of OCU400 in the study eye.

This is a multicenter, open-label, dose-ranging study in two subgroups of subjects with three consecutive cohorts.

A total of 18 adult RP subjects from each of the following subgroups with Biallelic autosomal recessive NR2E3 mutations, autosomal dominant NR2E3 mutations or Autosomal dominant RHO mutations will be selected for dose escalation.

For the Phase I portion of the study, the 3+3 design for sequential dose-escalating cohorts will be used with scheduled 3 dosing levels between 9 and 18 subjects will be used to follow the design.

Up to 3 additional adult LCA patients with CEP290 mutations and at least 1 pediatric LCA subject, will be enrolled in the Phase 2 portion.

Sample Size Justification:

The trial will enroll up to 24 patients (18 adult RP, up to 3 LCA patients, and at least 1 pediatric LCA patient) in both Phase 1 and Phase 2 components.

Participants who meet eligibility criteria will be enrolled and receive a single subretinal injection of OCU400 in one study eye. Participants are considered to have completed this study if they complete the final EOS visit Week 48 (12 months following the IP dose). The study duration will be approximately 58 weeks for each participant and will be followed in Long Term Safety Follow Up for an additional 2 years.

Participants from the Phase 1/2 study who previously received the investigational product (OCU400) in one eye may be eligible to receive OCU400 in the untreated fellow eye, provided they meet the inclusion/exclusion criteria and have completed week 48 follow up visit.

Natural History Study (OCU400-104, A Prospective and Retrospective Natural History Study of RP and LCA):

This is an observatory study for the prospective natural history of RP and LCA in adult and pediatric subjects. The study will also collect and review retrospective data and ophthalmology examination of natural history and progression of disease for all subjects starting with the earliest timepoint on or after the date of their diagnosis of RP or LCA. Enrollment for this study has closed.

Being tested
OCU400 Low Dose, OCU400 Med Dose, OCU400 High Dose, OCU400 Second Eye Dosing
Keywords
NR2E3, Rhodopsin, Enhanced S-cone syndrome, Cep290
Medical subject headings
Retinitis Pigmentosa, Leber Congenital Amaurosis, Night Blindness, Congenital Stationary, Autosomal Dominant 1, Enhanced S-Cone Syndrome, Meckel Syndrome, Type 4

What participants receive

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

  • OCU400 Low DoseDrug

    subretinal injection of up to 1.66×10E10 vg/mL

  • OCU400 Med DoseDrug

    subretinal injection of up to 3.33×10E10 vg/mL

  • OCU400 High DoseDrug

    subretinal injection of up to 1.66×10E11 vg/mL

  • OCU400 Second Eye DosingDrug

    subretinal injection of 1.0x10E11vg/mL in 250 μl

Study groups in NCT05203939
Study groupRoleWhat they receive
Cohort 1 (Low Dose)ExperimentalBiallelic autosomal recessive NR2E3 mutations subgroup or Autosomal dominant NR2E3 mutation or RHO mutations subgroup
Receives: Drug: OCU400 Low Dose
Cohort 2 (Mid Dose)ExperimentalBiallelic autosomal recessive NR2E3 mutations subgroup or Autosomal dominant NR2E3 mutation or RHO mutations subgroup
Receives: Drug: OCU400 Med Dose
Cohort 3 (High Dose)ExperimentalBiallelic autosomal recessive NR2E3 mutations subgroup or Autosomal dominant NR2E3 mutation, RHO mutations subgroup
Receives: Drug: OCU400 High Dose
Pediatric ArmExperimentalPediatric subjects will receive the medium dose concentration
Receives: Drug: OCU400 Med Dose
Phase 2 (High and Medium Dose)ExperimentalFollowing DSMB confirmation, adult RP subjects with Biallelic autosomal recessive NR2E3 mutations, autosomal dominant NR2E3 mutations, Autosomal dominant RHO mutations will receive a high dose concentration of OCU400 or LCA patients with CEP290 mutation will receive a medium dose concentration of OCU400.
Receives: Drug: OCU400 Med Dose; Drug: OCU400 High Dose
Adult ArmExperimentalBiallelic autosomal recessive NR2E3 mutations subgroup or Autosomal dominant NR2E3 mutation, RHO mutations subgroup will receive a high dose concentration of OCU400 and LCA patients with CEP290 will receive a medium dose concentration of OCU400
Receives: Drug: OCU400 Med Dose; Drug: OCU400 High Dose
Second Eye DosingExperimentalEligible RP participants will be dosed in the untreated fellow eye with a therapeutic dose used in Phase 3 study of OCU400 (1.0x10E11vg/mL in 250 μl ) and will be followed for an additional 48 weeks.
Receives: Drug: OCU400 Second Eye Dosing
Natural History Study (OCU400-104)No interventionA Prospective and Retrospective Natural History Study of RP and LCA: This is an observatory study for the prospective natural history of RP and LCA in adult and pediatric subjects. The study will also collect and review retrospective data and ophthalmology examination of natural history and progression of disease for all subjects starting with earliest timepoint on or after the date of their diagnosis of RP or LCA. Subjects will be seen up to a total of four times during the 12 months of the Observational Period, at baseline, 3 months, 6 months and 12 months. A total of up to 100 subjects will be enrolled in the study, including: Approximately 76 newly enrolled subjects consisting of 50 adult RP subjects, 6 adult LCA subjects, 20 pediatric RP/LCA subjects. Up to 24 subjects that reconsent from the OCU400-101 study (subjects from OCU400-101 will provide data on their untreated eye)

What is being measured

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

  1. Study Drug-related adverse events (SDAE)

    Counts, frequencies and percentages of SDAEs. SDAE is a primary adverse event of interest and defined as AEs and SAEs that are direct subjects to the Study Drug only.

    Measured: 1 year

  2. Treatment-Emergent adverse events (TEAEs)

    Counts, frequencies and percentages TEAEs. TEAEs are defined as an event that was not present prior to administration of the dose of study drug and present after the dose, or if it represents the exacerbation of an event that was present prior to the dose.

    Measured: 1 year

  3. Serious adverse events (SAEs)

    Counts, frequencies and percentages of SAEs including Resulted in Death, Life-threatening, Hospitalization, Disabling/incapacitating, Congenital anomaly or birth defect and medically significant AEs ( AE that did not meet any of the above criteria but could have jeopardized the subject and might have required medical or surgical intervention to prevent one of the outcomes listed above).

    Measured: 1 year

Secondary outcomes (8)
  1. Best-corrected visual acuity (BCVA)

    Measured as the ETDRS letter score on the EVA tester or E-ETDRS charts. Electronic ETDRS Visual Acuity Testing Protocol will be followed (confidential).

    Measured: 1 year (Changes from baseline)

  2. Low-luminance visual acuity (LLVA)

    Electronic Visual Acuity Tester (EVA) and a Sponsor specific Low-Luminance lens will be used. Early Treatment of Diabetic Retinopathy Study (ETDRS) will also be accepted as a backup.

    Measured: 1 year (Changes from baseline)

  3. Slit-lamp biomicroscopy

    Changes in visual function.

    Measured: 1 year (Changes from baseline)

  4. Intraocular pressure (IOP)

    IOP measurement by applanation or rebound tonometry. Confirmation with Goldmann tonometer if IOP reading is outside the normal range (8-21mmHg).

    Measured: 1 year (Changes from baseline)

  5. Indirect ophthalmoscopy

    If visual acuity is so poor that the participant is unable to count fingers or perceive hand motion, light perception will be tested with the indirect ophthalmoscope as the light source.

    Measured: 1 year (Changes from baseline)

  6. anti-AAV5 (anti Adeno-associated virus type 5)

    Blood samples will be collected for the assessment. These samples will be analyzed using validated assays at a bioanalytical laboratory.

    Measured: 1 year

  7. anti-hNR2E3 antibodies (hNR2E3 gene)

    Blood samples will be collected for the assessment. These samples will be analyzed using validated assays at a bioanalytical laboratory.

    Measured: 1 year

  8. T-cell response

    Blood samples will be collected for the assessment. These samples will be analyzed using validated assays at a bioanalytical laboratory.

    Measured: 1 year

Timeline

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

  1. First posted24 Jan 2022
  2. Study start24 Jan 2022
  3. Primary completionMar 2027 (estimated)
  4. Study completionMar 2027 (estimated)

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
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05203939
Sponsor's protocol ID
OCU400-101
Status last verified
Jul 2026
First submitted
16 Nov 2021
Last updated
31 Jul 2026
Results posted
No
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 OCU400 Low Dose, OCU400 Med Dose and OCU400 High Dose in people with Retinitis Pigmentosa and Leber Congenital Amaurosis, run by Ocugen at 7 sites in United States.

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 17 inclusion and 29 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: under way, not looking for participants, as of the sponsor's last update on 31 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in United States. 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?

This study is still under way. Results are not available in the source record yet.

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?

Study Drug-related adverse events (SDAE) (time frame: 1 year). The study lists 3 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 31 Jul 2026.

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