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OPA1 Gene MutationPhase 1/2PYC-001-CL-102NCT06970106

Safety of Single and Repeat Dose of PYC-001 Eye Injections in People With Autosomal Dominant Optic Atrophy (Myrtle)

A Phase 1/2 study testing PYC-001 in people with OPA1 Gene Mutation and Autosomal Dominant Optic Atrophy, run by PYC Therapeutics at 3 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This study aims to gather safety data and determine the optimal dosing regimen for PYC-001 in participants with confirmed OPA1 mutation-associated ADOA. Approximately 18 participants from Australia, New Zealand, and other APAC countries are expected to be enrolled, depending on safety review committee (SRC) throughout… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
PYC-001
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
3 sitesin 2 countries
Study dates
30 Sep 2025to Nov 2029
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

  • Must give written informed consent before any study-related activity is carried out
  • Adult males and females, aged 18 years and above at screening;
  • Body mass index ≥18.0 and ≤35.0 kg/m2
  • Have a recent (within five years) genetic diagnosis of OPA1 mutation-associated (haploinsufficiency) ADOA and/or confirmed diagnosis during pre-screening or screening, as determined by the PI.
  • Treatment naïve participants with best-corrected visual acuity (BCVA) of between ≤20/40 (≤70 Early Treatment of Diabetic Retinopathy Study [ETDRS] letters) and ≥20/200 (≥35 ETDRS letters).
  • Treatment Naïve participants with mild to moderate visual field loss and retinal nerve fiber layer (RNFL) loss in the study eye only as determined by the Spectralis Glaucoma Module Premium Edition (GMPE) RNFL \& visual field structure function data (map)
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  • Medically healthy (in the opinion of the PI), as determined by pre-study medical history
  • Female participants must be of non-childbearing potential or if female participants are of childbearing potential, they must:
  • Have a negative pregnancy test at the screening visit and on study Day -1;
  • Agree not to attempt to become pregnant or donate ova from signing of the consent form until at least 130 days after final IVT dose administration of PYC-001;
  • Agree to use adequate contraception
  • Male participants must:
  • Agree not to donate sperm
  • If engaging in sexual intercourse with a female partner who could become pregnant, agree to use adequate contraception
  • If engaging in sexual intercourse with a female partner who is not of childbearing potential or a same-sex partner, agree to use a condom
  • Willing and able to comply with all study assessments and protocol schedule/ restrictions

Who cannot join

  • Participant has a known allergy to PYC-001 or any of its excipients;
  • Demonstrated clinically significant co-morbidities, which, in the opinion of the PI, would interfere with the participant's ability to participate in the study and/or confound study outcomes;
  • Females who are breastfeeding or planning to breastfeed;
  • Based on recent genetic testing, the participant has mutations in genes that cause ADOA, other than OPA1 (for example in case of dominant negative ADOA and ADOA Plus) or has other pathological variants that result in an ADOA-like optic atrophic phenotype or other pathologic genetic findings indicating presence of additional confounding ocular diseases based on comprehensive genetic screening.
  • Have received any prior cell or gene therapy for a retinal condition, excluding participation in study PYC-001-101;
  • Within three months prior to study Day -1, have undergone any vitreoretinal surgery or any other ocular surgery in the study eye.
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  • Within three months prior to study Day -1, have placement of an Ozurdex® implant. T
  • Within three years prior to study Day -1, have placement of Retisert® of Iluvien® implants.
  • Have ocular media opacity or poor pupillary dilation prohibiting quality ophthalmic evaluation or photography, ;
  • Macular edema (intraretinal, sub-retinal or other fluid) in the study eye requiring treatment.
  • History of recurrent uveitis (idiopathic or immune-related) or active ocular inflammation;
  • Have used within 30 days of the Screening visit or is using any investigational drug or over-the-counter drug such as Idebenone, Vitamin B6, Vitamin B12, A decision will be made on a case-by-case basis by the PI in consultation with the Sponsor.
  • Over-the-counter drugs like CoQ10 and other Nutraceutical usage will require a washout by five half-lives prior to baseline visit.
  • Have a recent history (<6 months) of or current excessive recreational drug or alcohol use, in the opinion of the PI.
  • Positive alcohol breath test as assessed at screening, and on study Day -1 and study Day 1;
  • Positive urine drugs of abuse as assessed at screening and on study Day -1 and study Day 1;
  • Any retinal pathology other than ADOA or any other condition or prior therapy that in the opinion of the PI would make the volunteer unsuitable for this study
  • Presence of illness or pathology that, per investigator, include symptoms and/or the associated treatments that can alter visual function including current ocular infection.
  • Positive test for human immunodeficiency virus, hepatitis B or C virus;
  • Clinically significant findings in clinical chemistry, hematology, coagulation and urinalysis tests at screening

Trial locations and contacts

3 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Jessica Stevenson contact

+61 8 6151 0992

adoa@pyctx.com

3 sites in 2 countries

Australia2 sites, 2 recruiting
  • Cerulea Clinical Trials

    East Melbourne

    Stefanie Mulabegovic, +61 3 9959 0063, smulabegovic@ceruleaclinicaltrials.org.au

    Doron Hickey

    Recruiting
  • Save Sight Institute - Sydney Eye Hospital

    Sydney, New South Wales, 2000

    Chanel Ling, +61 02 9382 7309, myrtle.mrg.coordinator@groups.sydney.edu.au

    Clare Fraser

    Recruiting

Other trials in Australia

New Zealand1 site, 1 recruiting
  • Retina Specialists

    Auckland, 1052

    Zanelle Angelo, +6493072020, nurses@retinaspecialists.co.nz

    Andrea Vincent

    Recruiting

Other trials in New Zealand

About this study

Official title: A Phase 1b Open-Label, Randomized, Single Dose and Repeat Dose Study to Evaluate the Single and Repeat Dose Safety and Tolerability of Intravitreally Administered PYC-001 in Participants With Confirmed OPA1 Mutation-Associated Autosomal Dominant Optic Atrophy

This study aims to gather safety data and determine the optimal dosing regimen for PYC-001 in participants with confirmed OPA1 mutation-associated ADOA. Approximately 18 participants from Australia, New Zealand, and other APAC countries are expected to be enrolled, depending on safety review committee (SRC) throughout the course of the study.

Participants may be assigned to any of the following:

  1. A single 60ug dose of PYC-001
  2. Three doses of 10ug PYC-001 at an interval of 8 weeks
  3. Three doses of 10ug PYC-001 at an interval of 12 weeks
  4. Three doses of 30ug PYC-001 at an interval of 8 weeks
  5. Three doses of 30ug PYC-001 at an interval of 12 weeks Following completion of the 4 week safety review of the single 60ug of PYC-001 cohort, and if the 60 μg dose level is deemed safe by the SRC, the following cohorts will also be available:
  6. Three doses of 60ug PYC-001 at an interval of 12 weeks
Read the detailed description

This is a phase 1b open-label, randomized, single and repeat dose study to evaluate the safety and tolerability of IVT administered PYC-001 in participants with confirmed OPA1 mutation-associated ADOA.

The primary objective of this study is to gather safety data and determine the optimal dosing regimen for PYC-001.

The exploratory objectives of this study include evaluating the ocular structural and functional changes following multiple doses of IVT administered PYC-001. The PK profile of PYC-001 following multiple doses will also be assessed.

In this open-label study, PYC-001 will be injected in a single eye and ocular safety will be assessed in both eyes.

Being tested
PYC-001
Medical subject headings
Optic Atrophy, Autosomal Dominant, Optic Atrophies, Hereditary

What participants receive

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

  • PYC-001Drug

    PYC-001 is a peptide-phosphorodiamidate morpholino oligonucleotide administered intravitreally

Study groups in NCT06970106
Study groupRoleWhat they receive
Cohort 1: Single Dose of 60ugExperimentalA single dose of 60ug of PYC-001 administered intravitreally
Receives: Drug: PYC-001
Cohort 2: 10ug of PYC-001, 8 weeksExperimentalUp to 12 doses of 10ug PYC-001, administered intravitreally in 8 weeks interval.
Receives: Drug: PYC-001
Cohort 3: 10ug of PYC-001, 12 weeksExperimentalUp to 12 doses of 10ug PYC-001, administered intravitreally in 12 weeks interval
Receives: Drug: PYC-001
Cohort 4: 30ug of PYC-001, 8 weeksExperimentalUp to 12 doses of 30ug PYC-001, administered intravitreally in 8 weeks interval
Receives: Drug: PYC-001
Cohort 5: 30ug of PYC-001, 12 weeksExperimentalUp to 12 doses of 30ug PYC-001, administered intravitreally in 12 weeks interval
Receives: Drug: PYC-001
Cohort 6: 60ug of PYC-001, 12 weeksExperimentalFollowing SRC, Single dose participant can continue to receive Up to 12 doses of 60ug PYC-001, administered intravitreally at 12 weeks interval; alternatively, treatment naive participants can be enrolled (once SRC is complete) to receive up to 12 doses
Receives: Drug: PYC-001

What is being measured

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

  1. [All Cohorts] Number of participants experiencing treatment emergent adverse events

    The incidence, type, severity, and relationship of treatment emergent ocular and non-ocular adverse events and treatment-emergent Serious Adverse Events will be recorded.

    An AE is any untoward medical occurrence in a clinical study participant that either occurs during the study or, if present predose, worsens during the study, and which does not necessarily have to have a causal relationship with the study treatment.

    An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease associated with study participation, whether or not considered related to the study treatment.

    Measured: Up to 164 weeks

  2. [All Cohorts] Changes from baseline in vital signs (heart rate)

    Measured: Up to 164 weeks

  3. [All Cohorts] Changes from baseline in vital signs (systolic and diastolic blood pressure)

    Measured: Up to 164 weeks

  4. [All Cohorts] Changes from baseline in vital signs (tympanic temperature)

    Measured: Up to 164 weeks

  5. [All Cohorts] Changes from baseline in vital signs (respiratory rate)

    Measured: Up to 164 weeks

  6. [All Cohorts] Change from baseline in white blood cells (WBC), platelets, white blood cell count with differential neutrophil count, eosinophil count, basophil count, lymphocyte count, monocyte count

    All measured in 10x^9L

    Measured: Up to 164 weeks

  7. [All Cohorts] Change from baseline in red blood cells

    Units x 10^12L

    Measured: Up to 164 weeks

  8. [All Cohorts] Change from baseline in hemoglobin and mean corpuscular hemaglobin concentration

    Units: grams per liter (g/L)

    Measured: Up to164 weeks

  9. [All Cohorts] Change from baseline in mean corpuscular volume and mean platelet volume

    measured in femtoliter (fL)

    Measured: Up to 164 weeks

  10. [All Cohorts] Change from baseline in hematocrit

    Units: litres per litre (L/L)

    Measured: Up to 164 weeks

  11. [All Cohorts] Change from baseline in mean corpuscular hemoglobin

    Units: picograms (pg)

    Measured: Up to 164 weeks

  12. [All Cohorts] Change from baseline in neutrophils, lymphocytes, monocytes, eosinophils, basophils and reticulocyte count

    Units: %

    Measured: Up to 164 weeks

  13. [All Cohorts] Change from baseline in Alanine Transaminase, Alkaline Phosphatase, Aspartate aminotransferase, Creatine Phosphokinase, Gamma Glutamyl Transferase, Lactate Dehydrogenase, Amylase and Lipase

    Units: units/Liter (U/L)

    Measured: Up to 164 weeks

  14. [All Cohorts] Change from baseline in Bilirubin (total, direct and indirect) and creatinine

    Units: micromoles per liter (mcmol/L)

    Measured: Up to 164 weeks

  15. [All Cohorts] Change from baseline in protein, albumin, globulin and fibrinogen

    Units:grams per liter (g/L)

    Measured: Up to 164 weeks

  16. [All Cohorts] Change from baseline in Blood Urea Nitrogen (BUN), Sodium, Potassium, Chloride, Bicarbonate, Calcium, Magnesium, Phosphorous, Total Cholesterol, Triglyceride, HDL, LD. Uric Acid and Glucose

    Units: millimoles per liter (mmol/L)

    Measured: Up to 164 weeks

  17. [All Cohorts] Change from baseline in Anion Gap

    Units: milliequivalents per liter (mEq/L)

    Measured: Up to 164 weeks

  18. [All Cohorts] Change from baseline in Estimated Glomerular Filtration Rate (eGFR)

    Measured: Up to 164 weeks

  19. [All Cohorts] Change from baseline in Prothrombin Time and Partial Thromboplastin Time, Activated (APTT)

    Measured: Up to 164 weeks

  20. [All Cohorts] Change from baseline in Prothrombin Time (INR)

    Measured: Up to 164 weeks

  21. [All Cohorts] Change from baseline in urinalysis (Protein, glucose, ketones, blood, bilirubin, leucocyte esterase and nitrites

    Presence (positive, negative, trace) captured

    Measured: Up to 164 weeks

  22. [All Cohorts] Change from baseline in urinalysis (pH)

    Measured: Up to 164 weeks

  23. [All Cohorts] Change from baseline in urinalysis (specific gravity)

    Measured: Up to 164 weeks

Secondary outcomes (11)
  1. [All Cohorts] Change from Baseline in Best Corrected Visual Acuity (BCVA)/ High Contrast Visual Acuity (HCVA) and Low Contrast Visual Acuity (LCVA) scores

    Early Treatment Diabetic Retinopathy Study (ETDRS) optotypes used, letter score will be captured for BCVA/HCVa and LCVA.

    Measured: Up to 164 weeks

  2. [All Cohorts] Change from Baseline in Visual field sensitivity by photopic static perimetry

    Measured: Up to 164 weeks

  3. [All Cohorts] Change from Baseline in posterior eye health by fundus examination using ultrawide fundoscopy

    Measured: Up to 164 weeks

  4. [All Cohorts] Change from Baseline in Color vision

    Measured: Up to 164 weeks

  5. [All Cohorts] Change from Baseline in Contrast sensitivity by Pelli Robson chart

    Measured: Up to 164 weeks

  6. [All Cohorts] Change from Baseline in Multifocal visual evoked potential OR Full field electroretinogram

    Measured: Up to 164 weeks

  7. [All Cohorts] Change from Baseline in Retinal nerve fiber layer (RNFL) by spectral domain optical coherence tomography

    Measured: Up to 164 weeks

  8. [All Cohorts] Change from Baseline for Ganglion Cell Layer (GCL) thickness determined by Spectral domain optical coherence tomography

    Measured: Up to 164 Weeks

  9. [All Cohorts] Change from Baseline for Bruch's membrane opening (BMO) disc size, as determined by spectral domain optical coherence tomography

    Measured: Up to 164 weeks

  10. [All Cohorts] Change from Baseline in Mitochondrial function test via flavoprotein fluorescence

    Measured: Up to 164 weeks

  11. [Repeat Dose Cohorts] Plasma concentrations of PYC-001 following multiple dose intravitreally administered PYC-001

    Measured: Up to 164 weeks

Timeline

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

  1. First posted14 May 2025
  2. Study start30 Sep 2025
  3. Primary completionOct 2029 (estimated)
  4. Study completionNov 2029 (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
10mcg and 30mcg dose groups will be enrolling in parallel. 60mcg dose enrollment will be sequential - SAD cohort will be filled first followed by 60mcg MAD (once safety review is completed)
Masking
None (open label)
Enrolment
24 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06970106
Sponsor's protocol ID
PYC-001-CL-102
Acronym
PYC-001-CL-102
Status last verified
Jun 2026
First submitted
28 Apr 2025
Last updated
29 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing PYC-001 in people with OPA1 Gene Mutation and Autosomal Dominant Optic Atrophy, run by PYC Therapeutics 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 16 inclusion and 20 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: looking for participants now, as of the sponsor's last update on 29 Jun 2026. 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 Australia, New Zealand. 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?

Contact Jessica Stevenson (+61 8 6151 0992, adoa@pyctx.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

[All Cohorts] Number of participants experiencing treatment emergent adverse events (time frame: Up to 164 weeks). The study lists 23 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 29 Jun 2026.

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