RecruitingPhase 2NCT06942520

Phase 2 Trial of RGX-314 in Adults With Center Involved - Diabetic Macular Edema (CI - DME)

A Randomized, Open Label, Controlled, Phase 2 Clinical Study to Evaluate the Efficacy and Safety of RGX-314 AAV Gene Therapy Administered Via Subretinal Delivery in Participants With Center Involved Diabetic Macular Edema


Sponsor

Sierra Eye Associates

Enrollment

18 participants

Start Date

Mar 18, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Phase 2 open label, randomized, active controlled, dose-ranging trial in adults with Center Involved - Diabetic Macular Edema (CI - DME)


Eligibility

Min Age: 25 YearsMax Age: 89 Years

Inclusion Criteria6

  • Type I or Type II diabetes mellitus with center involving diabetic macular edema with previous treatment
  • HbA1c ≤12%
  • BCVA in study eye 78 to 25 ETDRS letters (~20/32 to 20/320) at screening
  • Decreased visual acuity attributable primarily due to CI - DME
  • Demonstrate clinical response to aflibercept injection in the study eye
  • Provide written informed consent

Exclusion Criteria12

  • Women of childbearing potential
  • Neovascularization in the study eye from a cause other than DR
  • Evidence in the study eye of optic nerve pallor on clinical examination
  • History of pan retinal photocoagulation in the study eye
  • Any concurrent ocular condition in the study eye other than CI-DME that could require surgical intervention within 6 months or any condition in the study eye that may increase the risk to the participant, require either medical or surgical intervention during the study to prevent or treat vision loss, or interfere with the study procedures or assessments
  • Presence of an implant in the study eye at screening (excluding intraocular lens)
  • Any condition in the investigator's opinion that could limit VA improvement in the study eye
  • Active or history of glaucoma, steroid response, or ocular hypertension
  • Any prior intravitreal steroid injection in the study eye within 6 months prior to screening, administration in the study eye of Ozudrex® within 12 months prior to screening, or administration in the study eye if Iluven® within 36 months prior to screening
  • Diabetic macular edema diagnosis ≥ 7 years
  • History of chronic renal failure requiring dialysis or kidney transplant
  • Participation in any other gene therapy study or receipt of any investigational product within 30 days prior to enrollment or 5 half-lives of the investigational product, whichever is longer, or any plans to use an investigational product within 6 months following enrollment

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Interventions

GENETICRGX-314 Dose 1

AAV8 vector containing a transgene for anti-VEGF fab (Dose 1)

GENETICRGX-314 Dose 2

AAV8 vector containing a transgene for anti-VEGF fab (Dose 2)

BIOLOGICALAflibercept (2.0 mg)

Commercially available Active Comparator


Locations(1)

Sierra Eye Associates

Reno, Nevada, United States

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NCT06942520


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