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OpenTrials
Completed

NCT Number: NCT05244304

Phase 3, Randomized, Placebo-Controlled Study of Tinlarebant to Explore Safety and Efficacy in Adolescent Stargardt Disease

The primary objective of this trial is to assesses the efficacy of tinlarebant in slowing the rate of growth of atrophic lesion(s) in adolescent subjects with STGD1

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Key information

Age range

12 year–20 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Belite Study Site, Westmead, New South Wales, Australia

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About this study

Approximately 90 subjects will be enrolled in this study. Subjects will be assigned to study drug (tinlarebant 5 mg/placebo) with treatment period of upto 24 months with 28 days of follow-up.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or female subjects 12 to 20 years old, inclusive.
  • Subject must have clinically diagnosed STGD1 (Stargardt disease 1) with at least 1 mutation identified in the ABCA4 gene.
  • Subject must have a defined aggregate atrophic lesion size within 3 disc areas (7.62 mm2), as imaged by FAF in the study eye Subjects must have a BCVA of 20/200 or better for the study eye based on ETDRS letter score
  • Subject and their parent(s) or legal guardian are willing to provide their consent on an Institutional Review Board (IRB)/Independent Ethics Committee (IEC)/Human Research Ethics Committee (HREC)-approved informed consent form (ICF) prior to participating in any study-related procedures.
  • Subject agrees to comply with all protocol requirements.

Exclusion criteria

  • Any ocular disease other than Stargardt (STGD1) at baseline that, in the opinion of the investigator, would complicate assessment of a treatment effect.
  • History of ocular surgery in the study eye in the last 3 months.
  • Investigational drug use of any kind in the last 3 months or within 5 half-lives of the investigational drug, whichever is shorter.
  • Any prior gene therapy.
  • Vitamin A (retinol) deficiency as defined as a retinol serum level less than 20 mcg/dL (=0.7 μmol/L).

Treatment and study plan

Tinlarebant

Drug

Tinlarebant drug substance is a white to off-white substance and is dispensed as a tablet for oral administration.

Placebo

Drug

Not active drug

Primary outcomes

  1. To measure change in atrophic lesion size (definitely decreased autofluorescence, DDAF) by fundus autofluorescence (FAF) photography from baseline

    Time frame: Baseline thru month 24

Secondary outcomes

  1. To measure the change in retinal thickness assessed by spectral-domain optical coherence tomography (SD-OCT) from baseline

    Time frame: Baseline thru month 24

  2. To measure the change in retinal morphology assessed by spectral-domain optical coherence tomography (SD-OCT) from baseline

    Time frame: Baseline thru month 24

  3. To measure change in BCVA (Best Corrected Visual Acuity) score measured by the EDTRS method from baseline

    Time frame: Baseline thru month 24

  4. To measure change in plasma concentration of RBP4 levels (μM) from baseline

    Time frame: Baseline thru month 24

  5. The correlation between change in plasma RBP4 level and the rate of lesion size growth (definitely decreased autofluorescence, DDAF) by fundus autofluorescence (FAF) photography from baseline

    Time frame: Baseline thru month 24

  6. To assess the systemic and ocular safety and tolerability of tinlarebant

    Time frame: Baseline thru month 24

    Frequency, duration, and severity of AEs

Other outcomes

  1. To measure change in total decreased autofluorescence (DAF) by FAF photography from baseline

    Time frame: Baseline thru month 24

  2. To measure change in questionably decreased autofluorescence (QDAF) by FAF photography from baseline

    Time frame: Baseline thru month 24

  3. To measure change in quantitative autofluorescence (qAF) level from baseline

    Time frame: Baseline thru month 24

  4. To measure change in retinal sensitivity by microperimetry from baseline

    Time frame: Baseline thru month 24

Sponsors and collaborators

Lead sponsor

Belite Bio, Inc

Industry

Registry information

Official study title

Phase 3, Multicenter, Randomized, Double-Masked, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Tinlarebant in the Treatment of Stargardt Disease in Adolescent Subjects

Acronym: DRAGON

Important dates

Study start
2022
Primary completion
2025
Study completion
2025
First posted
Feb 17, 2022
Registry last updated
Jul 23, 2026

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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