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NCT Number: NCT06942520

Phase 2 Trial of RGX-314 in Adults With Center Involved - Diabetic Macular Edema (CI - DME)

Phase 2 open label, randomized, active controlled, dose-ranging trial in adults with Center Involved - Diabetic Macular Edema (CI - DME)

Recruiting

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Key information

Age range

25 year–89 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Sierra Eye Associates

Reno, Nevada, 89502, United States

Location status: Recruiting

Location contact

Arshad M Khanani, MD

PRINCIPAL_INVESTIGATOR

Clinical Research Study Coordinator

CONTACT

[email protected]

775-329-0286

About this study

This Phase 2 trial is an open label, randomized, active controlled, dose-ranging trial to allow for preliminary safety and efficacy data on subretinal (SR) delivery of RGX-314 in participants with CI - DME

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Type I or Type II diabetes mellitus with center involving diabetic macular edema with previous treatment
  • HbA1c ≤12%
  • BCVA in study eye 78 to 25 ETDRS letters (~20/32 to 20/320) at screening
  • Decreased visual acuity attributable primarily due to CI - DME
  • Demonstrate clinical response to aflibercept injection in the study eye
  • Provide written informed consent

Exclusion criteria

  • Women of childbearing potential
  • Neovascularization in the study eye from a cause other than DR
  • Evidence in the study eye of optic nerve pallor on clinical examination
  • History of pan retinal photocoagulation in the study eye
  • Any concurrent ocular condition in the study eye other than CI-DME that could require surgical intervention within 6 months or any condition in the study eye that may increase the risk to the participant, require either medical or surgical intervention during the study to prevent or treat vision loss, or interfere with the study procedures or assessments
  • Presence of an implant in the study eye at screening (excluding intraocular lens)
  • Any condition in the investigator's opinion that could limit VA improvement in the study eye
  • Active or history of glaucoma, steroid response, or ocular hypertension
  • Any prior intravitreal steroid injection in the study eye within 6 months prior to screening, administration in the study eye of Ozudrex® within 12 months prior to screening, or administration in the study eye if Iluven® within 36 months prior to screening
  • Diabetic macular edema diagnosis ≥ 7 years
  • History of chronic renal failure requiring dialysis or kidney transplant
  • Participation in any other gene therapy study or receipt of any investigational product within 30 days prior to enrollment or 5 half-lives of the investigational product, whichever is longer, or any plans to use an investigational product within 6 months following enrollment

Note: Other inclusion/exclusion criteria apply

Treatment and study plan

RGX-314 Dose 1

Genetic

AAV8 vector containing a transgene for anti-VEGF fab (Dose 1)

RGX-314 Dose 2

Genetic

AAV8 vector containing a transgene for anti-VEGF fab (Dose 2)

Aflibercept (2.0 mg)

Biological

Commercially available Active Comparator

Primary outcomes

  1. Mean change from baseline in BCVA in the study eye at Week 52

    Time frame: 52 Weeks

    To evaluate the effect of RGX-314 on BCVA at Week 52

Secondary outcomes

  1. Mean change from baseline in BCVA in the study eye over time

    Time frame: 52 Weeks

    To evaluate the effect of RGX-314 on BCVA over time

  2. Proportion of participants with BCVA of 20/40 or better (ETDRS ≥ 69 letters) in the study eye over time

    Time frame: 52 Weeks

    To evaluate the effect of RGX-314 on BCVA over time

  3. Mean change from baseline in central subfield thickness (CST) in the study at week 52

    Time frame: 52 Weeks

    To evaluate the effect of RGX-314 on anatomic outcomes and CST (as determined by SD OCT measurement) at Week 52

  4. Mean change from baseline in CST in the study eye on SD-OCT at Week 26 and Week 52

    Time frame: 52 Weeks

    To evaluate the effect of RGX-314 on anatomic outcomes and CST (as determined by SD OCT measurement) at Week 52

  5. Proportion of participants with an absence of CI-DME in the study eye at Week 26 and Week 52

    Time frame: 52 Weeks

    To evaluate the effect of RGX-314 on anatomic outcomes and CST (as determined by SD OCT measurement) at Week 52

  6. Proportion of participants achieving a 2-step or greater improvement or any improvement (a 1-step or greater improvement) in DR in the study eye by ETDRS DRSS on 4 widefield digital stereoscopic fundus photography at Week 52

    Time frame: 52 Weeks

    To evaluate the effect of RGX-314 on DR by the ETDRS DRSS at Week 52

  7. Incidences of overall and ocular adverse events (AEs)

    Time frame: 52 Weeks

    To assess the safety and tolerability of RGX-314

  8. Proportion of participants requiring any additional intervention for ocular diabetic complications to Week 52

    Time frame: 52 Weeks

    To evaluate the need for additional standard of care intervention due to ocular diabetic complications

  9. Proportion of participants with any sight-threatening ocular diabetic complications to Week 52

    Time frame: 52 Weeks

    To evaluate the need for additional standard of care intervention due to ocular diabetic complications

  10. Proportion of participants developing ocular diabetic complications requiring treatment per standard of care (anti-VEGF treatment, steroid treatment, pan retinal photocoagulation, laser, or surgery) through Week 52

    Time frame: 52 Weeks

    To evaluate the need for additional standard of care intervention due to ocular diabetic complications

  11. Proportion of participants developing ocular diabetic complications (e.g., neovascularization due to DR) requiring treatment per standard of care (pan retinal photocoagulation or anti-VEGF treatment) through Week 52

    Time frame: 52 Weeks

    To evaluate the need for additional standard of care intervention due to ocular diabetic complications

  12. Proportion of participants developing ocular diabetic complications (e.g., retinal detachments) requiring surgical intervention per standard of care through Week 52

    Time frame: 52 Weeks

    To evaluate the need for additional standard of care intervention due to ocular diabetic complications

  13. Aqueous RGX-314 transgene (TP) concentration at assessed time points

    Time frame: 52 Weeks

    To measure aqueous RGX-314 TP concentrations

  14. Proportion of participants with visual stability in the study eye from baseline to Week 52

    Time frame: 52 Weeks

    To evaluate the effect of RGX-314 on vision outcomes

  15. Proportion of participants with vision gain or vision loss ≥ to 5, 10, or 15 ETDRS letters in the study eye from baseline to Week 52

    Time frame: 52 Weeks

    To evaluate the effect of RGX-314 on vision outcomes

Study contacts

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

Clinical Research Study Coordinator

CONTACT

[email protected]

775-329-0286

Sponsors and collaborators

Lead sponsor

Sierra Eye Associates

Other

Collaborators

  • REGENXBIO Inc.

Registry information

Official study title

A Randomized, Open Label, Controlled, Phase 2 Clinical Study to Evaluate the Efficacy and Safety of RGX-314 AAV Gene Therapy Administered Via Subretinal Delivery in Participants With Center Involved Diabetic Macular Edema

Acronym: ELAAVATE

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Apr 24, 2025
Registry last updated
Apr 24, 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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