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NCT Number: NCT07362927

Safety and Efficacy Evaluation of LX111 Gene Therapy in DME Patients

The goal of this study is to evaluate the safety and efficacy of LX111 treatment of DME. This study will enroll participants aged ≥ 18 vears old to receive a single unilateral intravitreal (lVT) injection of LX111 to evaluate its safety and efficacy.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Early Phase 1

Primary location

Shanghai General Hospital, Shanghai, China

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About this study

This trial is a prospective, multicenter, dose-ranging trial to evaluate the safety and efficacy of LX111 in participants with DME. The trial will be conducted in two parts: Dose Confirmation and Dose Expansion.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Willing to sign the informed consent, and willing to attend follow-up visits;
  • Age ≥ 18;
  • Type I or Type II diabetes mellitus with macular thickening secondary to DME involving the center of the fovea;
  • CST ≥ 300 μm in the study eye at Screening;
  • BCVA ETDRS letters between 19 and 73;
  • Participants must have received anti-VEGF therapy within 12 months prior to screening and demonstrated a meaningful response;
  • Male subjects whose partner is a fertile female or female subjects who are fertile, agree to take effective contraceptive measures from the screening period until the last follow-up.

Exclusion criteria

  • Active proliferative diabetic retinopathy (PDR);
  • Presence of iris neovascularization in the study eye at Screening;
  • Retinal laser photocoagulation in the study eye within 3 months prior to Screening;
  • Prior gene therapy in the study eye;
  • The study eye has been treated with an intravitreal dexamethasone implant (Ozurdex®) within 6 months prior to Screening.
  • Systemic anti-VEGF treatment within 3 months before Screening;
  • Received an investigational drug, agent, device, or therapy (ocular or non-ocular) in the 3 months (or at least 5 half-lives, whichever is longer) prior to Screening;

Treatment and study plan

LX111 Injection

Genetic

LX111 is an rAAV gene therapy vector carrying a coding sequence for VEGF-trap.

Primary outcomes

  1. Adverse events and serious adverse events in the eyes and throughout the body within 364 days after LX111 treatment

    Time frame: 52 weeks

    Incidence of adverse events and serious adverse events within 52 weeks of LX111 intravitreal injection in each dose group.

  2. Dose Limiting Toxicity

    Time frame: 4 weeks

    The incidence of DLT in each dose group.

Secondary outcomes

  1. Mean changes in BCVA from Baseline

    Time frame: 12 weeks, 36 weeks, 52 weeks

    The mean changes of BCVA scores on the ETDRS chart at different timepoints after LX111 treatment compared with baseline.

  2. Mean changes in Central Subfield Thickness (CST) from Baseline

    Time frame: 12 weeks, 36 weeks, 52 weeks

    The mean changes of CST at different timepoints after LX111 treatment compared with baseline.

  3. The percentage of participants who received anti-VEGF supplemental injection within 52 weeks after LX111 treatment

    Time frame: 52 weeks

    The proportion of participants who received anti-VEGF supplemental injection within 52 weeks after LX111 treatment

  4. Proportion of participants achieving an improvement or worsening in DR in the study eye per the ETDRS-DRSS on ultra-wide field fundus photography.

    Time frame: 52 weeks

    To evaluate the effect of LX111 on DR (ETDRS-DRSS) over time.

Study contacts

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

Sponsors and collaborators

Lead sponsor

Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine

Other

Collaborators

  • Innostellar Biotherapeutics Co.,Ltd

Registry information

Official study title

An Exploratory Clinical Study Evaluating LX111 Gene Therapy in Patients With Diabetic Macular Edema (DME)

Important dates

Study start
2026
Primary completion
2027
Study completion
2031
First posted
Jan 23, 2026
Registry last updated
Mar 10, 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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