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NCT Number: NCT07311863

UGX202 Injection in Patients With Advanced Retinitis Pigmentosa

The primary objective of this clinical trial is to evaluate the safety and tolerability of a single intravitreal injection of the gene therapy drug UGX202 in patients with advanced RP. The secondary objective is, to assess the preliminary efficacy of a single intravitreal injection of the gene therapy drug UGX202 in treating patients with advanced RP.

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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

About this study

This study is a non-randomized, open-label investigator-initiated trial (IIT). It plans to enroll approximately 6 subjects with non-syndromic retinitis pigmentosa (RP) who have extremely low vision (the study eye is the eye with lower vision, and the best corrected visual acuity [BCVA] > logMAR 1.9).

The study drug is divided into two dose groups: low dose and high dose. A modified "3+3" dose escalation approach is adopted. The low-dose group (4.2E+10 vg/eye) is planned to include 3 subjects. First, 1 subject (sentinel) will be enrolled and observed for 28 days. If no dose-limiting toxicity (DLT) occurs, 2 more subjects (non-sentinel) will be enrolled and observed for 28 days. The second and third subjects will be enrolled with a 7-day interval.

The high-dose group (1.2E+11 vg/eye) is planned to include 3 subjects. Subjects in the high-dose group will be enrolled and administered the drug in sequence after passing the screening. There will be at least a 1-week interval between each subject. The timing of enrolling the full 3 subjects or stopping enrollment will be determined by the investigator's assessment of safety.All subjects will receive intravitreal injection of the study drug UGX202 after enrollment and will be followed up for 52 weeks to evaluate the safety, tolerability, and preliminary efficacy of UGX202.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Provide written informed consent form (ICF).
  • Age ≥18 years at ICF signing.
  • Diagnosed as non-syndromic RP;
  • BCVA > logMAR 1.9 (assessed by FrACT) in the study eye.
  • Confirmation of preserved memory of visual experience
  • Spherical equivalent between -9D and +6D.

Exclusion criteria

  • Prior gene therapy in either eye.
  • Received any interventional investigational drug within 90 days prior to screening.
  • Any Study eye disease or systemic disease judged by the investigator to affect visual function assessment.
  • Hypersensitivity to corticosteroids, intolerance to corticosteroid regimen, active concurrent infection contraindicating treatment.
  • History or tendency of psychiatric disorders impacting safety and/or efficacy assessment.
  • Any other factor deemed unsuitable by the investigator.

Treatment and study plan

UGX202 injection

Genetic

Comparison of different dosages of UGX202

Primary outcomes

  1. Incidence of adverse events and serious adverse events

    Time frame: baseline to Day 3, Day 7, Week 2, Week 4, Week 6, Week 8, Week 12, Week 24, Week 36, Week 52

    From the time of administration of UGX202 injection until the 52nd week, based on the topical and systemic safety data, the incidence rates of AEs, TEAEs during treatment, TRAEs related to the study drug, TRAEs related to the study procedures, SAEs, TRSAEs related to the study drug, and TRSAEs related to the study procedures during the study period were summarized by the investigators, and the correlations between AEs and the study drug and study procedures were determined.

  2. The average change in IOP

    Time frame: baseline to Day 3, Day 7, Week 2, Week 4, Week 6, Week 8, Week 12, Week 24, Week 36, Week 52

    The average change in IOP of the study eyes and non-study eyes from after treatment to the 52nd week compared to the baseline. The IOP was measured three times consecutively at each visit and the average value was taken.

Secondary outcomes

  1. The changes in BCVA

    Time frame: baseline to Day 3, Day 7, Week 2, Week 4, Week 6, Week 8, Week 12, Week 24, Week 36, Week 52

    The changes in BCVA of the study eyes and non-study eyes at each follow-up visit compared to the baseline were evaluated. BCVA was assessed using the Freiburg Vision Test (FrACT) system. If the subjects had no light perception at the baseline: the proportion of subjects whose BCVA improved to having light perception after treatment was evaluated, and the change in their vision compared to the baseline was assessed;

  2. The changes in the average stimulus threshold

    Time frame: baseline to Week 4, Week 12, Week 24, Week 52

    The changes in the average stimulus threshold measured by the full-field stimulus threshold test (FST) of the study eyes and/or non-study eyes at each follow-up visit compared to the baseline;

  3. The changes in the visual function questionnaire (VFQ-25) scores

    Time frame: baseline to Day 3, Day 7, Week 2, Week 4, Week 6, Week 8, Week 12, Week 24, Week 36, Week 52

    The changes in the visual function questionnaire (VFQ-25) scores of the subjects at each follow-up visit after the treatment compared to the baseline.

Other outcomes

  1. The change in Latency of N2, latency of P2, N2-P2 amplitude difference will be evaluated in VEP

    Time frame: Baseline, week4, week 8, week 12, week 24, week 52/EoS

    Latency of N2, latency of P2, N2-P2 amplitude difference will be evaluated in VEP both in the study eye and non-study eyes at each visits compared with baseline.

  2. The change in dark-adapted 0.01 ERG, dark- adapted 3.0 ERG, dark-adapted 30.0 ERG and light-adapted 3.0 ERG

    Time frame: Baseline, week4, week 8, week 12, week 24, week 52/EoS

    Dark-adapted 0.01 ERG, dark- adapted 3.0 ERG, dark-adapted 30.0 ERG and light-adapted 3.0 ERG will be evaluated in electroretinogram both in the study eye and non-study eyes at each visits compared with baseline.

  3. Change of mean defect (MD) in the visual fields

    Time frame: Baseline, week 24, week 52/EoS

    Change of mean defect (MD) in the visual fields of the study eyes and non-study eyes

  4. Change of visual field index (VFI) in the visual fields

    Time frame: Baseline, week 24, week 52/EoS

    Change of visual field index (VFI) in the visual fields of the study eyes and non-study eyes

  5. The benefit outcomes of patients with retinitis pigmentosa (RP) of different genotypes in either best-corrected visual acuity (BCVA) or the multi-luminance mobility test (MLMT)

    Time frame: Baseline

    The benefit outcomes of patients with retinitis pigmentosa (RP) of different genotypes either in best-corrected visual acuity (BCVA) or the multi-luminance mobilitytest (MLMT), and will conduct correlation the above analysis between factors.

  6. Changes in the scores of MLMT

    Time frame: Baseline,week4, week 8, week 12, week 24, week 52/EoS

    Changes in the scores of multi-luminance mobility test (MLMT)

  7. Change of Color Vision Test score

    Time frame: Baseline, week4, week 12, week 24, week 52/EoS

    Color vision test will be conducted to patients' assess judgment and discrimination abilities for different channels, with comparisons of the changes in scores at different study visits related to the baseline scores.

  8. Titer of viral vector DNA detected in blood, tears, and urine

    Time frame: Baseline,Day3, Day7, week2, week 12, week 24, week 52/EoS

    Detection of viral vector DNA in blood, tears, and urine

  9. Number of participants with positive Anti-drug antibodies(ADA) and neutralizing antibodies(Nab)

    Time frame: Baseline, week2, week4, week 12, week 24, week 36, week 52/EoS

    From the time of administration of UGX202 injection until the 52nd cycle, the detection of anti-drug antibodies (ADA) and neutralizing antibodies (Nab) for the viral vector capsid protein was carried out.

  10. Number of participants with positive anti-target photosensitive protein

    Time frame: Baseline, week2, week4, week 12, week 24, week 36, week 52/EoS

    From the time of administration of UGX202 injection until the 52nd cycle, ADA (anti-target photosensitive protein) detection was conducted.

  11. Concentration of T-cell immune responses against the viral vector capsid protein and the target photosensitive protein.

    Time frame: Baseline, week 12, week 24

    From the time of UGX202 injection treatment until the 52nd cycle, ELISpot was used to detect T-cell immune responses against the viral vector capsid protein and the target photosensitive protein.

Study contacts

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

Jihong Wu, MD, PHD

CONTACT

[email protected]

+86 21 6437 7134

Xiuqian Yi, MD, PHD

CONTACT

[email protected]

+86 21 6437 7134

Sponsors and collaborators

Lead sponsor

Suzhou UgeneX Therapeutics Co., Ltd.

Other

Collaborators

  • Eye & ENT Hospital of Fudan University

Registry information

Official study title

Study to Evaluate the Safety and Preliminary Efficacy of UGX202 Injection in Patients With Advanced Retinitis Pigmentosa

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Dec 31, 2025
Registry last updated
Dec 31, 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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