Study to Evaluate Sepofarsen in Subjects with Leber Congenital Amaurosis (LCA) Type 10 (HYPERION)

Thea Pharma

Status and phase: Not yet enrolling; Phase 3

Conditions: Eye Diseases, Hereditary; Eye Disorders Congenital; Leber Congenital Amaurosis 10; Neurological Manifestations; Retinal Disease; Vision Disorder; Eye Diseases; Sensation Disorders; Leber Congenital Amaurosis; Blindness

Treatments: Other: Placebo IVT; Drug: sepofarsen

Study type: Interventional

Funder types: Industry

Identifiers

NCT06891443

2024-518378-14-00 (EU Trial (CTIS) Number)

SB-110-007

Details and patient eligibility

About

The purpose of this double-masked, randomized, placebo-controlled, paired-eye study is to evaluate the efficacy, safety and tolerability of Sepofarsen in subjects with Leber Congenital Amaurosis (LCA) due to the c.2991+1655A>G (p.Cys998X) mutation in the CEP290.

Full description

This is a double-masked, randomized, placebo-controlled, paired-eye study in which one eye of each subject will serve as a control.

At the start of the study the two eyes of each subject will be randomized such that one eye receives sepofarsen and the other eye receives placebo for the first year. In the second year, for all subjects, the eye that was randomized to receive sepofarsen will continue to receive sepofarsen. For the eye that was randomized to placebo in the first year, treatment in the second year will be allocated, as follows: 50% of the eyes will continue to receive placebo, and 50% of the eyes will receive sepofarsen.

Sepofarsen and placebo will be administered via intravitreal injection every 6 months.

Enrollment: 32 estimated patients

Sex: All

Ages: 6+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Confirmed clinical diagnosis of LCA10 and a molecular diagnosis of homozygosity or compound heterozygosity for the c.2991+1655A>G mutation in CEP290.
2. Adults: >=18 years / Minors: 6 to <18 years.
3. BCVA (FrACT) equal to or worse than logMAR +0.4 (approximate Snellen equivalent 20/50) to +2.9 logMAR based on quantifiable, reliable FrACT. LP subjects with documented evidence of prior better vision eligible.
4. Symmetrical disease between the two eyes as defined by a BCVA (FrACT) within 0.2 logMAR at baseline.
5. Detectable ONL in the macular area as determined by the CRC at Screening.

Exclusion criteria

1. Mutations in genes other than the CEP290 gene associated with other IRD diseases or syndromes.
2. Presence of any ocular pathology in either eye that may make comparison of the eyes not feasible.
3. Presence of unstable concurrent CME, or subject started on (or changed dose of) topical or systemic carbonic anhydrase inhibitor treatment in the 3 months prior to enrollment. CME is allowed if stable for 3 months (with or without treatment).
4. Presence of any clinically significant lens opacities/cataracts based on the AREDS lens grading scale.
5. Any prior receipt of genetic or stem-cell therapy for ocular or non-ocular disease.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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32 participants in 7 patient groups, including a placebo group

Sepofarsen - Treatment Eye - up to Month 12

Active Comparator group

Description:

Subjects to receive Sepofarsen in one eye (160µg first then 40µg) and Placebo in the fellow eye at baseline and at month 6.

Treatment:

Drug: sepofarsen

Placebo - Fellow Eye - up to Month 12

Placebo Comparator group

Description:

Subjects to receive Sepofarsen in one eye (160µg first then 40µg) and Placebo in the fellow eye at baseline and at month 6.

Treatment:

Other: Placebo IVT

Continued - Treatment Eye - up to Month 24

Active Comparator group

Description:

Subjects to receive Sepofarsen (40µg) in one eye and Placebo in the fellow eye at Month 12 and Month 18.

Treatment:

Drug: sepofarsen

Continued - Fellow Eye - up to Month 24

Placebo Comparator group

Description:

Subjects to receive Sepofarsen (40µg) in one eye and Placebo in the fellow eye at Month 12 and Month 18.

Treatment:

Other: Placebo IVT

Mixed - Treatment Eye - up to Month 24

Active Comparator group

Description:

Subjects to receive Sepofarsen (40µg) in one eye and Sepofarsen in the fellow eye (160µg first then 40µg) at Month 12 and at Month 18.

Treatment:

Drug: sepofarsen

Mixed - Fellow Eye - Month 12 to Month 24

Active Comparator group

Description:

Subjects to receive Sepofarsen (40µg) in one eye and Sepofarsen in the fellow eye (160µg first then 40µg) at Month 12 and at Month 18.

Treatment:

Drug: sepofarsen

Mixed - Fellow Eye - up to Month 12

Placebo Comparator group

Description:

Subjects to receive Sepofarsen (40µg) in one eye and Sepofarsen in the fellow eye (160µg first then 40µg) at Month 12 and at Month 18 Note: up to Month 12 these subjects receive placebo in the Fellow Eye, as all subjects do.

Treatment:

Other: Placebo IVT