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NCT Number: NCT06699108

Study to Evaluate the Efficacy and Safety of VGR-R01 Gene Therapy in Patients With Bietti Crystalline Dystrophy

This is a phase 3 study to evaluate the efficacy and safety of VGR-R01 in subjects with Bietti Crystalline Dystrophy.

This is a multicenter, randomized controlled study which will enroll 45 subjects.

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This study is active but is not currently recruiting participants.

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Key information

Age range

18 year–69 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Shanghai Vitalgen Biopharma Co.,Ltd.

Shanghai, Shanghai Municipality, China

About this study

VGR-R01 is a novel AAV vector carrying the human CYP4v2 coding sequence. This study is intended to assess the efficacy of VGR-R01 in subjects with Bietti crystalline dystrophy (BCD) based on the change from baseline in best corrected visual acuity (BCVA) of the study eyes.

30 subjects will be enrolled in the intervention group and will receive monocular administration of VGR-R01, and 15 subjects in the control group will not receive any intervention. After completion of the trial, the untreated eyes will receive administration of VGR-R01 in subsequent clinical trial.

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Able to provide informed consent and comply with requirements of the study;
  • ≥18 years and <70 years of age;
  • Confirmed diagnosis of Bietti Crystalline Dystrophy and molecular diagnosis of CYP4V2 mutations (homozygotes or compound heterozygotes);
  • Hand Motion ≤ BCVA ≤ 60 ETDRS letters in the study eye;

Key Exclusion Criteria:

  • Have insufficient viable retinal photoreceptor cells based on investigator's decision;
  • Have current ocular or periocular infections, or endophthalmitis;
  • Have any significant ocular disease/disorder other than BCD, including age-related macular degeneration, diabetic retinopathy, optic neuropathy, significant lens opacity, glaucoma, uveitis, retinal detachment, etc;
  • Have intraocular surgery history except cataract surgery in the study eye;
  • Have or potentially require of systemic medications that may cause eye injure;
  • Have contraindications for corticosteroids or immunosuppressant;
  • Unwilling or unable to have the planned follow-up;
  • Abnormal coagulation function or other clinically significant abnormal laboratory results;
  • Have malignancies or history of malignancies;
  • History of immunodeficiency (acquired or congenital); Other protocol defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

VGR-R01

Drug

Subretinal injection of VGR-R01 (0.1 mL)

Primary outcomes

  1. Number of subjects with change in BCVA in the study eyes of BCD subjects as assessed by ETDRS

    Time frame: Baseline up to Week 52

    Change in the BCVA assessment from screening in the study eye of BCD subjects will be compared to controls

Secondary outcomes

  1. Change from baseline in BCVA

    Time frame: Baseline up to Week 52

    BCVA will be assessed with the Early Treatment of Diabetic Retinopathy Study (ETDRS) visual acuity (VA) chart. Testing Protocol will be followed (confidential). Change in the BCVA assessment from baseline in treated eyes of intervention group will be compared to controls.

  2. Change from baseline in multi-luminance mobility test (MLMT) score of the study eye

    Time frame: Baseline up to Week 52

    Subjects will navigate a standardized mobility maze under set conditions as specified times during the study. The mobility testing will follow a standardized administration and data acquisition protocol and may only be administered by site staff certified in the methodology.

  3. Changes from baseline in Microperimetry indexes

    Time frame: Baseline up to Week 52

    Number of subjects with change in fixation stability or light sensitivity in treated eyes of intervention group will be compared to controls

  4. Change from baseline in optical coherence tomography (OCT)

    Time frame: Baseline up to Week 52

    Change from baseline in central retinal thickness (CRT) as imaged by OCT

  5. Counts, frequencies and percentages of AE, SAE and other safety evaluation

    Time frame: Baseline up to Week 52

    Ocular/non-ocular adverse events are collected. The ophthalmic examination will include BCVA, IOP, slitlamp examination, angiography and SD-OCT, etc. If any potential changes accompanied by clinical symptoms, or results in a change of medical intervention, the findings will be considered as clinically significant based on investigator's decision

  6. Number of subjects with the presence of immunogenicity

    Time frame: Baseline up to Week 52

    Assessed as presence of systemic cell-mediated or humoral responses to capsid or transgene product

Other outcomes

  1. Changes from baseline in visual field index

    Time frame: Baseline up to Week 52

    Assessed by Humphery static visual field testing.

  2. Change from baseline in PRO measures

    Time frame: Baseline up to Week 52

    As assessed by the NEI-VFQ-25 questionnaire

Sponsors and collaborators

Lead sponsor

Shanghai Vitalgen BioPharma Co., Ltd.

Industry

Registry information

Official study title

A Multi-Center, Randomized, Controlled Phase III Clinical Study to Evaluate the Efficacy and Safety of VGR-R01 in Subjects With Bietti Crystalline Dystrophy

Important dates

Study start
2024
Primary completion
2026
Study completion
2027
First posted
Nov 21, 2024
Registry last updated
Dec 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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