Trial Outcomes & Findings for Study to Evaluate the Efficacy Safety and Tolerability of QR-421a in Subjects With RP Due to Mutations in Exon 13 of the USH2A Gene With Early to Moderate Vision Loss (Celeste) (NCT NCT05176717)

NCT ID: NCT05176717

Last Updated: 2024-08-07

Results Overview

Change from baseline in mean sensitivity (based on static perimetry) at 12 months of treatment versus sham-procedure

Recruitment status

TERMINATED

Study phase

PHASE2/PHASE3

Target enrollment

5 participants

Primary outcome timeframe

12 months

Results posted on

2024-08-07

Participant Flow

Participant milestones

Participant milestones
Measure
QR-421a 180/60 µg
180 µg loading dose administered on Day 1, 60 µg maintenance dose administered at Month 3 and every 6 months thereafter QR-421a: RNA antisense oligonucleotide for intravitreal injection
QR-421a 60/60 µg
60 µg loading dose administered on Day 1, 60 µg maintenance dose administered at Month 3 and every 6 months thereafter QR-421a: RNA antisense oligonucleotide for intravitreal injection
Sham-procedure
Sham-procedure (no experimental drug administered) on Day 1, Month 3 and every 6 months thereafter Sham-procedure: Sham-procedure (no experimental drug administered)
Overall Study
STARTED
1
2
2
Overall Study
COMPLETED
0
0
0
Overall Study
NOT COMPLETED
1
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
QR-421a 180/60 µg
180 µg loading dose administered on Day 1, 60 µg maintenance dose administered at Month 3 and every 6 months thereafter QR-421a: RNA antisense oligonucleotide for intravitreal injection
QR-421a 60/60 µg
60 µg loading dose administered on Day 1, 60 µg maintenance dose administered at Month 3 and every 6 months thereafter QR-421a: RNA antisense oligonucleotide for intravitreal injection
Sham-procedure
Sham-procedure (no experimental drug administered) on Day 1, Month 3 and every 6 months thereafter Sham-procedure: Sham-procedure (no experimental drug administered)
Overall Study
Sponsor Decision
1
2
2

Baseline Characteristics

Study to Evaluate the Efficacy Safety and Tolerability of QR-421a in Subjects With RP Due to Mutations in Exon 13 of the USH2A Gene With Early to Moderate Vision Loss (Celeste)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
QR-421a 180/60 µg
n=1 Participants
180 µg loading dose administered on Day 1, 60 µg maintenance dose administered at Month 3 and every 6 months thereafter QR-421a: RNA antisense oligonucleotide for intravitreal injection
QR-421a 60/60 µg
n=2 Participants
60 µg loading dose administered on Day 1, 60 µg maintenance dose administered at Month 3 and every 6 months thereafter QR-421a: RNA antisense oligonucleotide for intravitreal injection
Sham-procedure
n=2 Participants
Sham-procedure (no experimental drug administered) on Day 1, Month 3 and every 6 months thereafter Sham-procedure: Sham-procedure (no experimental drug administered)
Total
n=5 Participants
Total of all reporting groups
Age, Continuous
13 Years
n=99 Participants
34 Years
STANDARD_DEVIATION 11.3 • n=107 Participants
27 Years
STANDARD_DEVIATION 19.8 • n=206 Participants
27 Years
STANDARD_DEVIATION 14.3 • n=7 Participants
Age, Customized
Age Group · Adult (>= 18 years)
0 Participants
n=99 Participants
2 Participants
n=107 Participants
1 Participants
n=206 Participants
3 Participants
n=7 Participants
Age, Customized
Age Group · Pediatric (<18 years)
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
2 Participants
n=7 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Sex: Female, Male
Male
1 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
5 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
1 Participants
n=107 Participants
0 Participants
n=206 Participants
1 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
4 Participants
n=7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
White
1 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
5 Participants
n=7 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Genotype - Heterozygous
1 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
5 Participants
n=7 Participants
Phenotype
Syndromic
1 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
3 Participants
n=7 Participants
Phenotype
Non-Syndromic
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
2 Participants
n=7 Participants
Baseline Best Corrected Visual Acuity (BCVA) - Treated Eye
73 Letters
n=99 Participants
78.5 Letters
STANDARD_DEVIATION 0.7 • n=107 Participants
74 Letters
STANDARD_DEVIATION 1.4 • n=206 Participants
75.6 Letters
STANDARD_DEVIATION 2.8 • n=7 Participants
Baseline Best Corrected Visual Acuity (BCVA) - Contralateral Eye
74.0 Letters
n=99 Participants
83.5 Letters
STANDARD_DEVIATION 6.4 • n=107 Participants
74 Letters
STANDARD_DEVIATION 8.5 • n=206 Participants
77.8 Letters
STANDARD_DEVIATION 7.4 • n=7 Participants

PRIMARY outcome

Timeframe: 12 months

Population: Study prematurely terminated due to sponsor decision for reasons unrelated to safety

Change from baseline in mean sensitivity (based on static perimetry) at 12 months of treatment versus sham-procedure

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 27 months

Ellipzoid Zone area (EZ) as measured by Spectral Domain optical coherence tomography SD-OCT

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 27 months

Change from baseline in Best Corrected Visual Acuity (BCVA)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 27 months

Change from baseline in Spectral domain optical coherence tomography (SD-OCT) (other measures)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 27 months

Change from baseline in Low Luminance Visual Acuity (LLVA) using the ETDRS vision chart

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 27 months

Change from baseline in other measures of static perimetry on the Octopus 900 as assessed by a central reading center

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 27 months

Change from baseline in Full-field Stimulus Threshold (FST) on the Diagnosys FST as assessed by a central reading center

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 27 months

Change from baseline in PRO measure as assessed by Michigan Retinal Degeneration Questionnaire (MRDQ)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 27 months

Change from baseline in PRO measures as assessed by Patient Global Impressions of Severity (PGI-S)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 27 months

Change from baseline in PRO measures as assessed by Patient Global Impressions of Change (PGI-C)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 27 months

Ocular and non-ocular adverse events (AEs)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 27 months

Maximum concentration (Cmax) of QR-421a in serum

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 27 months

Change from baseline in mobility course score

Outcome measures

Outcome data not reported

Adverse Events

QR-421a 180/60 µg

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

QR-421a 60/60 µg

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Sham-procedure

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
QR-421a 180/60 µg
n=1 participants at risk
180 µg loading dose administered on Day 1, 60 µg maintenance dose administered at Month 3 and every 6 months thereafter QR-421a: RNA antisense oligonucleotide for intravitreal injection
QR-421a 60/60 µg
n=2 participants at risk
60 µg loading dose administered on Day 1, 60 µg maintenance dose administered at Month 3 and every 6 months thereafter QR-421a: RNA antisense oligonucleotide for intravitreal injection
Sham-procedure
n=2 participants at risk
Sham-procedure (no experimental drug administered) on Day 1, Month 3 and every 6 months thereafter Sham-procedure: Sham-procedure (no experimental drug administered)
Eye disorders
Conjunctival haemorrhage
0.00%
0/1 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
100.0%
2/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
50.0%
1/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
Eye disorders
Eye irritation
0.00%
0/1 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
50.0%
1/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
0.00%
0/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
Eye disorders
Photophobia
100.0%
1/1 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
0.00%
0/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
0.00%
0/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
Eye disorders
Retinal pigmentation
0.00%
0/1 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
50.0%
1/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
0.00%
0/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
Eye disorders
Vitreous detachment
0.00%
0/1 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
50.0%
1/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
0.00%
0/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
Eye disorders
Vitreous floaters
0.00%
0/1 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
50.0%
1/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
0.00%
0/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
Eye disorders
Lacrimation increased
100.0%
1/1 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
0.00%
0/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
0.00%
0/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
Skin and subcutaneous tissue disorders
Pruritus
100.0%
1/1 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
0.00%
0/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
0.00%
0/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
Skin and subcutaneous tissue disorders
Erythema
100.0%
1/1 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
0.00%
0/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
0.00%
0/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
Eye disorders
Eye pain
0.00%
0/1 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
50.0%
1/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).
0.00%
0/2 • 7 months, 18 days - Study was terminated prematurely, therefore follow-up maximum range is from the Screening visit to the End of Study visit, for each participant.
Any event/condition noted once the subject receives their first dose of study drug until the End of study visit (30 days +/- 14 days post last dose of study drug).

Additional Information

Zuhal Butuner - Chief Medical Officer

Sepul Bio

Phone: (905) 599-7887

Results disclosure agreements

  • Principal investigator is a sponsor employee Institution shall be free to publish, present, or use any Data and results arising out of its performance of the protocol. At least 30 days prior to submission for publication, institution shall submit to Sponsor for review and comment any proposed oral or written publication. Institution will consider any such comments in good faith but is under no obligation to incorporate Sponsor's suggestions. The review period for abstracts or poster presentations shall be 30 days.
  • Publication restrictions are in place

Restriction type: OTHER