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NCT Number: NCT07063251

An Clinical Study Evaluating the Safety, Tolerability, and efficAcy of HG005 in StaRgardT Disease

Stargardt disease type 1 (STGD1) is a rare genetic eye condition that causes progressive vision loss, often beginning in childhood or adolescence. It is the most common form of inherited macular degeneration and can lead to legal blindness. STGD1 is caused by mutations in the ABCA4 gene, which normally helps clear waste from the photoreceptor cells in the retina. When ABCA4 gene doesn't function properly, toxic substances like A2E accumulate and damage the retinal pigment epithelium (RPE), leading to vision loss.

There are currently no approved treatments for STGD1. HG005 is an investigational gene therapy designed to deliver a healthy copy of the ABCA4 gene to the retina. Because the gene is too large to fit into a single AAV (adeno-associated virus) vector, HG005 used two AAV vectors that work together in retinal cells to produce the full-length, functional ABCA4 protein. The goal of HG005 is to restore normal waste removal, protect retinal cells from further damage, and slow or stop vision loss.

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Key information

Age range

6 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Early Phase 1

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient ≥ 6 and ≤17 years at the time of signing informed consent, with clinical diagnosis of Stargardt disease;
  • At least one ABCA4 allele on each chromosome;
  • Both eyes must have well-defined macular atrophic lesions consistent with the diagnosis of Stargardt macular dystrophy.
  • Meet visual acuity criteria based on ETDRS letter chart
  • Subject must agree to contraception during the study.
  • Acceptable hematology, clinical chemistry, urine laboratory, and protocol required eye examination.

Exclusion criteria

  • Presence of active intraocular inflammation or uveitis history in either eye;
  • Presence of ocular or periocular infection history in either eye within 2 weeks prior to selection;
  • History or presence of corneal dystrophy in the study eye;
  • History of HIV or hepatitis A, B, or C infection;
  • Previous treatment with any gene therapy or cell therapy (e.g., stem cell transplantation);
  • Additional intraocular surgery in study eye 3 months prior to baseline visit;
  • Participation in an oral therapeutic STGD clinical trial within 3 months (or within 5 half-lives after last dose) prior to Screening
  • Any concomitant treatment that, in the opinion of the investigator, might interfere with the surgical procedure or healing process of the eye
  • Any other conditions that would not allow the potential subject to complete follow-up examinations during the study and would, in the opinion of the investigator, make the potential subject unsuitable for the study.

Treatment and study plan

HG005

Genetic

Once subretinal injection; The duration of the study is about 52 weeks for each subject, including a 4 weeks screening period, enrollment visit, treatment visit, and 56 weeks follow-up period.

Primary outcomes

  1. Incidence and severity of systemic adverse events

    Time frame: 26 & 52 weeks

    Number of adverse events (AEs), serious adverse events (SAEs), and dose-limiting toxicities (DLTs)

Secondary outcomes

  1. Change of study eye versus control eye in Low Luminance Visual Acuity(LLVA)

    Time frame: 52 weeks

  2. Change of study eye versus control eye in Fundus Autofluorescence (FAF)

    Time frame: 52 weeks

  3. Change of study eye versus control eye in Optical Coherence Tomography (OCT)

    Time frame: 52 weeks

Study contacts

Contact information is provided by the study sponsor or research team.

Study Director

CONTACT

[email protected]

+86 021-25076143

Sponsors and collaborators

Lead sponsor

HuidaGene Therapeutics Co., Ltd.

Industry

Registry information

Official study title

An Investigator-initiated, Open-label, Dose-escalation Study to Evaluate the Safety, Tolerability, and Preliminary Efficacy of HG005 in Pediatric Patients With Stargardt Disease (STGD1) Caused by Biallelic ABCA4 Mutations

Acronym: START

Important dates

Study start
2025
Primary completion
2027
Study completion
2028
First posted
Jul 14, 2025
Registry last updated
Aug 27, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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