RecruitingPhase 3NCT06891443

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

A Double-Masked, Randomized, Placebo-Controlled, Paired-Eye Study 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 Gene


Sponsor

Laboratoires Thea

Enrollment

32 participants

Start Date

Jun 4, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

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.


Eligibility

Min Age: 6 Years

Inclusion Criteria5

  • Confirmed clinical diagnosis of LCA10 and a molecular diagnosis of homozygosity or compound heterozygosity for the c.2991+1655A\>G mutation in CEP290.
  • Adults: \>=18 years / Minors: 6 to \<18 years.
  • 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.
  • Symmetrical disease between the two eyes as defined by a BCVA (FrACT) within 0.2 logMAR at baseline.
  • Detectable ONL in the macular area as determined by the CRC at Screening.

Exclusion Criteria5

  • Mutations in genes other than the CEP290 gene associated with other IRD diseases or syndromes.
  • Presence of any ocular pathology in either eye that may make comparison of the eyes not feasible.
  • 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).
  • Presence of any clinically significant lens opacities/cataracts based on the AREDS lens grading scale.
  • Any prior receipt of genetic (RNA or DNA therapy) or stem-cell therapy for ocular or non-ocular disease, including sepofarsen.

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Interventions

DRUGsepofarsen

RNA antisense oligonucleotide for intravitreal injection

OTHERPlacebo IVT

Placebo with identical appearance to sepofarsen


Locations(14)

UCSF Wayne and Gladys Valley Center for Vision

San Francisco, California, United States

University of Miami - Bascom Palmer Eye Institute

Miami, Florida, United States

University of Iowa

Iowa City, Iowa, United States

University of Minnesota Medical School

Minneapolis, Minnesota, United States

University of Pennsylvania - Center for Advanced Retinal & Ocular Therapeutics

Philadelphia, Pennsylvania, United States

Universitair Ziekenhuis Gent (UZ)

Ghent, Belgium

University of Alberta

Edmonton, Alberta, Canada

The Hospital for Sick Children - SickKids

Toronto, Ontario, Canada

Centre de maladies rares CHNO des Quinze Vingt

Paris, France

Justus-Liebig Universität - Department of Ophthalmology

Giessen, Germany

Klinikum der Ludwig-Maximilian Universität München

München, Germany

University of Tuebingen - Inst. for Ophthalmic Research

Tübingen, Germany

Radboud Universitair Medisch Centrum

Nijmegen, Netherlands

Moorfields Eye Hospital NHS Foundation Trust

London, United Kingdom

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NCT06891443


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