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Retinitis PigmentosaPhase 1/2PRODYGYNCT05748873

Promising ROd-cone DYstrophy Gene therapY

A Phase 1/2 study testing SPVN06 in people with Retinitis Pigmentosa, run by SparingVision at 6 sites in 2 countries.

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 two-step, multicenter, Phase I/II study including an open-label dose-escalation phase (Step 1) and a three-arm, controlled, double-masked, randomized extension phase (Step 2), in subjects with advanced RCD due to a mutation in the RHO, PDE6A, or PDE6B gene (Step 1), or in any RCD-causative gene (Step 2). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Retinitis Pigmentosa
What is being tested?
SPVN06
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
33 participants
Where
6 sitesin 2 countries
Study dates
12 Apr 2023to Feb 2031
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects will be eligible to participate in this study only if all the following criteria apply:
  • Able to give signed informed consent and comply with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol.
  • Age ≥18 years at the time of ICF signature.
  • Subjects of either gender previously diagnosed with advanced RCD due to: in Step 1, biallelic mutations in the rod cGMP phosphodiesterase 6 beta (PDE6B) or rod cGMP phosphodiesterase alpha (PDE6A) genes, or a monoallelic dominant mutation in the rhodopsin (RHO) gene; in Step 2, mutations in any RCD-causative gene (such as variants classified as 'pathogenic/likely pathogenic'). The genotyping results must be documented before the initiation of the Screening Visit. Subjects should be retested by the investigator if their genotyping tests were not performed within the 7 previous years, or if they were not performed by an accredited laboratory.
  • Advanced stage is defined as a stage of the natural history of the disease where both distance visual acuity and visual field are affected in both eyes. The Study Eye should meet the definition of one of the following substages within the advanced stage (monocular measurements, horizontal axis of isopter III4e for the visual field):
  • Severe stage is defined by both a BCVA below or equal to 20/200 and above or equal to 20/800, and a visual field below or equal to 20 degrees (subjects of Cohorts 1 to 3)
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  • Intermediate stage is defined by both a BCVA below or equal to 20/40 and above or equal 20/200, and a visual field below or equal to 30 degrees (subjects of Cohorts 4 to 6)
  • For subjects with severe advanced RCD enrolled in Step 1 only, the difference in visual acuity between the two eyes of a given subject should be equal to or below 0.3 logarithm of the minimal angle (LogMAR) (≤3 ETDRS lines), with a tolerance margin of 3 ETDRS letters.
  • Clinical diagnosis of RCD based on past medical and family history, mid-peripheral visual field dysfunction, photopsia, night blindness (nyctalopia), and fundoscopic appearance (including but not restricted to bone spicule pigmentation, attenuation of the retinal vessels, and waxy pallor of the optic nerve).
  • Diagnosis of RCD is confirmed on prior full-field ERG (any previously performed ERG is acceptable).
  • Documented preservation of cone inner and outer segments considered good enough by the investigator for the subject to be included in the study.
  • Negative serum pregnancy test for women of childbearing potential (please refer to Schedule of Assessments for details).
  • Women of childbearing potential (WOCBP) and men and/or their partner(s) of childbearing potential must agree to use a highly effective contraceptive method. This applies to the time period between ICF signature and 12 months after SPVN06 subretinal injection SRI (i.e., no longer applicable to subjects of Cohort 4 after randomization). The definition of highly effective contraceptive methods follows CTFG recommendations. Highly effective contraceptive methods are limited to:
  • Combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation:
  • Oral
  • Intravaginal
  • Transdermal
  • Progestogen-only hormonal contraception associated with inhibition of ovulation:
  • Oral
  • Injectable
  • Implantable
  • Intrauterine device (IUD)
  • Intrauterine hormone-releasing system (IUS)
  • Bilateral tubal occlusion
  • Vasectomized partner
  • Sexual abstinence
  • Subjects must be affiliated to a health security system, if they are included in a clinical site based in France (per law).
  • No out-of-range values for clinical laboratory tests, however, if outside, must be considered as non-clinically relevant by the investigator using a multidisciplinary approach and compatible with a participation in the clinical study.
  • 12-lead electrocardiogram within normal limits, however, when outside, must be documented by the investigator using a multidisciplinary approach as not clinically relevant and compatible with a participation in the clinical study. Nota bene: This criterion of eligibility is only applicable to subjects assigned to a treatment cohort (Cohorts 1, 2, 3, 5, or 6), and is not required to authorize randomization in Step 2.
  • Physical examination without any clinical findings of clinical relevance (per medical/anesthesia staffs judgment) that could compromise participation in the clinical study or could affect the collection and/or evaluation of the study parameters. The findings of clinical relevance considered as contraindications to SPVN06 treatment include, but are not limited to, pulmonary pathology such as COPD, asthma, cardiac conditions such as congestive heart failure or valve disease, renal issues such as renal insufficiency and endocrine issues such as diabetes.

Who cannot join

  • Subjects are not eligible to participate in this study if any of the following criteria apply:
  • Subjects with prior administration of any gene therapy or any previous treatment with stem cell therapy for ocular or non-ocular disease.
  • Subjects participating in another clinical trial and receiving an investigational medicinal product (IMP) within 5 half-lives or 90 days prior to the injection of SPVN06.
  • Subjects with systemic disease or other pathology not related to their diagnosis of RCD, and whose symptoms or associated treatments may affect vision, for example cancers or pathology of the central nervous system.
  • Subjects with narrow irido-corneal angles or any other medical situation contraindicating pupillary dilation.
  • Subjects known to be allergic to any of the delivery vehicle constituents or to any other drugs planned to be used during the clinical study.
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  • Subjects with known allergies to corticosteroids, or who will be unable to tolerate the corticosteroid regimen as described in the protocol
  • Subjects with systemic disease or other medical or psychiatric conditions that preclude safe participation in the study.
  • Subjects receiving immunosuppressive therapies, other than the immune modulating regimen described in this protocol, or any other therapy known to influence the immune system including but not limited to steroid implants, cytostatics, interferons, tumor necrosis factor (TNF)-binding proteins, drugs acting on immunophilins, or antibodies with known impact on the immune system.
  • Subjects of reproductive potential unwilling to use effective contraception starting right after ICF signature and for 12 months after SPVN06 SRI (i.e., no longer applicable to subjects of Cohort 4 after randomization).
  • Subjects who are pregnant or breastfeeding.
  • Subjects who are unwilling or unable (based on the investigator's judgment) to comply with the study protocol.
  • Subjects with any condition that would not allow them to complete follow-up examinations during the study and, in the opinion of the investigator, would make them unsuitable for the study.
  • Subjects positive for human immunodeficiency virus (HIV) or any other systemic immunocompromising disease.
  • Subjects who have undergone, within 6 months before inclusion, any significant ocular surgery (per investigator's judgment) that could interfere with the evaluation of SPVN06 study objectives.
  • Presence of eye disorders that could interfere with the assessment of visual acuity and/or any other ocular assessments, including SD-OCT, during the study.
  • Presence of any systemic or ocular diseases, other than non-syndromic retinitis pigmentosa (RP), that can cause vision loss.
  • Prior full core vitrectomy or vitreomacular surgery in the Study Eye.
  • Presence of vitreomacular adhesion or traction, epiretinal membrane macular pucker or macular hole, evident by ophthalmoscopy and/or SD-OCT examinations and assessed by the investigator to significantly affect central vision.
  • Current evidence of retinal detachment assessed by the investigator to significantly affect central vision.
  • Active ocular inflammation or recurrent history of idiopathic or autoimmune-associated uveitis.
  • Subjects with presence of any suspected or active ocular or periocular infection (conjunctivitis, keratitis, scleritis, endophthalmitis).
  • Subjects with history of glaucoma.
  • Subjects with uncontrolled intraocular pressure (IOP).
  • Subjects with active cancer or currently receiving any therapy for cancer treatment.
  • Subjects with any history of ocular malignancy.
  • Subjects with a clinically significant cardiac disease on routine clinical examination (history, physical examination), or known congestive heart failure, myocardial infarction, clinically significant valvular heart disease, clinically significant cardiac rhythm or conduction abnormalities.
  • Subjects with unstable/uncontrolled hypertension, defined by national recommendations.
  • Subjects with pulmonary dysfunction or severe obstructive pulmonary disease.
  • Subjects with active tuberculosis.
  • Subjects with liver or renal insufficiency.
  • Subjects with unstable endocrine disease, including unstable diabetes or thyroid disease.
  • Subjects with active Hepatitis B or Hepatitis C.
  • Subjects with clinically active infection of herpetic diseases, including herpes simplex virus, varicella zoster virus (VZV), cytomegalovirus (CMV) or EBV.
  • Subjects with known history of ocular infection with herpes simplex virus.
  • Subjects with active (extraocular) infection (requiring or not the prolonged or chronic use of antimicrobial agents).
  • Immunocompromised subjects with previous solid organ or bone marrow transplant.
  • Subjects who receive a live vaccine less than 4 weeks prior to SPVN06 injection
  • Subjects who were infected by COVID-19 less than 2 weeks prior to SPVN06 injection.
  • Subjects who have recently received (less than 4 weeks) or plan to receive a COVID-19 vaccination.
  • Incapacitated subjects, as defined by national laws.

Trial locations and contacts

6 sites in 2 countries.

6 sites in 2 countries

United States5 sites
  • Mass Eye and Ear

    Boston, Massachusetts, 02114

  • Retina Foundation of the Southwest

    Dallas, Texas, 75231

  • Bascom Palmer Eye Institute/University of Miami

    Miami, Florida, 33136

  • UPMC Eye Center

    Pittsburgh, Pennsylvania, 15213

  • Casey Eye Institute

    Portland, Oregon, 97239

Other trials in United States

France1 site
  • CHNO XV-XX Paris - CIC 1423

    Paris, 75012

Other trials in France

About this study

Official title: A Phase I/II Study to Assess the Safety and Tolerability of a Single Subretinal Administration of SPVN06 Gene Therapy in Subjects With Rod-Cone Dystrophy (RCD)

This is a two-step, multicenter, Phase I/II study including an open-label dose-escalation phase (Step 1) and a three-arm, controlled, double-masked, randomized extension phase (Step 2), in subjects with advanced RCD due to a mutation in the RHO, PDE6A, or PDE6B gene (Step 1), or in any RCD-causative gene (Step 2).

Being tested
SPVN06
Keywords
RHO, PDE6A, PDE6B, Pathogenic Mutation, Retinal Disease, Eye Disease, Rod-Cone Dystrophy, Gene Therapy, Retinal Dystrophies, Retinal Degeneration
Medical subject headings
Retinitis Pigmentosa, Retinal Diseases, Eye Diseases, Cone-Rod Dystrophies, Retinal Dystrophies, Retinal Degeneration

What participants receive

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

  • SPVN06Drug

    AAV-RdCVF-RdCVFL

Study groups in NCT05748873
Study groupRoleWhat they receive
Step 1 : SPVN06 dose 1ExperimentalParticipants will receive a single subretinal injection of SPVN06 Dose 1 on Day 0.
Receives: Drug: SPVN06
Step 1 : SPVN06 dose 2ExperimentalParticipants will receive a single subretinal injection of SPVN06 Dose 2 on Day 0
Receives: Drug: SPVN06
Step 1 : SPVN06 dose 3ExperimentalParticipants will receive a single subretinal injection of SPVN06 Dose 3 on Day 0
Receives: Drug: SPVN06
Step 2 : SPVN06 Dose Recommended 1ExperimentalParticipants will receive a single subretinal injection of SPVN06 recommended dose 1 on Day 0
Receives: Drug: SPVN06
Step 2 : SPVN06 Dose Recommended 2ExperimentalParticipants will receive a single subretinal injection of SPVN06 recommended dose 2 on Day 0
Receives: Drug: SPVN06
Step 2 : Control groupNo interventionNot described

What is being measured

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

  1. Evaluation of the safety and tolerability of a single injection of SPVN06 in subjects with advanced RCD, 12 months after administration of gene therapy.

    Incidence and severity of systemic and ocular AEs and SAEs

    Measured: Baseline to 12 months after administration of gene therapy

Secondary outcomes (12)
  1. Evaluation of the long-term safety and tolerability of a single injection of SPVN06 in subjects with advanced RCD, up to 5 years after treatment administration.

    Incidence and severity of systemic and ocular AEs and SAEs

    Measured: up to 5 years after treatment

  2. Evaluation of viral shedding and bio-dissemination up to 1 year after treatment administration.

    Quantification of viral DNA copies in tears (viral shedding) and in blood (bio-dissemination)

    Measured: up to 1 year after treatment

  3. Evaluation of the immune response against the viral vector and the transgene products of SPVN06 up to 5 years after treatment administration.

    Titration of total antibodies against the viral capsid

    Measured: up to 5 years after treatment

  4. Evaluation of preliminary efficacy as assessed by visual acuity

    BCVA change from baseline (EDTRS chart)

    Measured: up to 5 years after treatment

  5. Evaluation of preliminary efficacy as assessed by optical coherence tomography

    Anatomical change from baseline (SD-OCT)

    Measured: up to 5 years after treatment

  6. Evaluation of preliminary efficacy as assessed by color vision

    Change from baseline of parameters collected by color vision assessment

    Measured: up to 5 years after treatment

  7. Evaluation of preliminary efficacy as assessed by visual field

    Change from baseline of static perimetry, kinetic perimetry and microperimetry

    Measured: up to 5 years after treatment

  8. Evaluation of preliminary efficacy as assessed by retinal sensitivity

    Change from baseline of parameters collected by full-field electroretinography

    Measured: up to 5 years after treatment

  9. Evaluation of preliminary efficacy as assessed by retinal sensitivity

    Change from baseline of parameters collected by FST

    Measured: up to 5 years after treatment

  10. Evaluation of preliminary efficacy as assessed by FAF

    Change from baseline of parameters collected by fundus autofluorescence

    Measured: up to 5 years after treatment

  11. Evaluation of preliminary efficacy as assessed by quality of life

    Change from baseline of parameters collected by VFQ-25

    Measured: up to 5 years after treatment

  12. Evaluation of preliminary efficacy as assessed by quality of life

    Change from baseline of parameters collected by ViSIO-PRO

    Measured: up to 5 years after treatment

Timeline

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

  1. First posted1 Mar 2023
  2. Study start12 Apr 2023
  3. Primary completionFeb 2027 (estimated)
  4. Study completionFeb 2031 (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
Randomised
Intervention model
Parallel groups
Model description
Phase I/II study including an open-label dose-escalation phase (Step 1) and a three-arm, controlled, double-masked, randomized extension phase (Step 2)
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05748873
Sponsor's protocol ID
SPVN06-CLIN-01
Acronym
PRODYGY
Status last verified
May 2026
First submitted
7 Feb 2023
Last updated
15 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Clerin E, Yang Y, Pagan D, Achiedo S, Blond F, Millet-Puel G, Ait-Ali N, Harichane I, Degardin J, Cesar Q, Simonutti M, Bennett J, Zeitz C, Audo I, Cronin T, Leveillard T, Sahel JA. Combined Expression of hRdCVF and hRdCVFL Through AAV-Mediated Delivery for the Treatment of Retinitis Pigmentosa. Invest Ophthalmol Vis Sci. 2026 Mar 2;67(3):2. doi: 10.1167/iovs.67.3.2.

    PubMed 41769936
  • Marie M, Churet L, Gautron AS, Farjo R, Mizuyoshi K, Stevenson V, Khabou H, Leveillard T, Sahel JA, Lorget F. Preclinical safety and biodistribution of SPVN06, a novel gene- and mutation-independent gene therapy for rod-cone dystrophies. Gene Ther. 2025 Aug 4. doi: 10.1038/s41434-025-00556-3. Online ahead of print.

    PubMed 40759732

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing SPVN06 in people with Retinitis Pigmentosa, run by SparingVision at 6 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 30 inclusion and 41 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 15 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States, France. 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?

Evaluation of the safety and tolerability of a single injection of SPVN06 in subjects with advanced RCD, 12 months after administration of gene therapy. (time frame: Baseline to 12 months after administration of gene therapy). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05748873, which also lists 2 linked publications.

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 May 2026.

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