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Gene Therapy Trial Report

Summary

ATSN-201 Gene Therapy in RS1-Associated X-linked Retinoschisis


NCTID NCT05878860 (View at clinicaltrials.gov)
Description 🔄
Development Status Active
Indication X-Linked Retinoschisis
Disease Ontology Term DOID:0060763
Compound Name ATSN-201
Compound Description AAV.SPR-hGRK1-hRS1syn
Sponsor Atsena Therapeutics Inc.
Funder Type Industry
Recruitment Status
Enrollment Count 🔄 97 (ESTIMATED)
Results Posted Not Available

Therapy Information


Target Gene/Variant RS1
Therapy Type Gene transfer
Therapy Route In-vivo
Mechanism of Action Functional gene replacement
Route of Administration Subretinal
Drug Product Type Viral vector
Delivery System Viral transduction
Vector Type AAV.SPR
Editor Type none
Dose 1 1.5E10 vg/eye
Dose 2 3.0E10 vg/eye
Dose 3 5.0E10 vg/eye
Dose 4 1.5E10 vg/eye (150ul)
Dose 5 2.3E10 vg/eye (225ul)

Study Record Dates


Current Stage 🔄 Phase3
Submit Date 2023-05-12
Completion Date 🔄 2033-04
Last Update 🔄 2026-04-30

Participation Criteria


Eligible Age >=6 Years
Standard Ages Child, Adult, Older adult
Sexes Eligible for Study 🔄 ALL
Eligibility Criteria
Part A and B: Inclusion Criteria: 1. Age ≥ 18 for Cohorts 1 through 4, and age ≥ 6 years and \< 18 years for Cohort 5. 2. Male patients with clinical diagnosis of XLRS caused by mutations in RS1. 3. Best corrected visual acuity (BCVA) in study eye of 34 to 73 Early Treatment Diabetic Retinopathy Study (ETDRS) letters (corresponding to a Snellen acuity of 20/200 to 20/40). 4. Presence of foveal schisis and /or parafoveal/perifoveal schisis in the study eye on SD-OCT per the Principal Investigator. Exclusion Criteria: 1. Pre-existing eye conditions in the study eye that would contribute significantly to an increased risk of visual loss from a subretinal injection (eg, advanced glaucoma, optic neuropathy, uveitis, corneal transplants). 2. Any intraocular surgery (including laser treatment) in the study eye within 6 months prior to Screening or any intraocular surgery anticipated in the study eye during the first 12 months of the study. 3. Treatment in a prior ocular gene or cell therapy study. Part C: Inclusion Criteria: Note: For patients ineligible for bilateral dosing based on the ocular exclusion criteria, the same eye must meet all ocular inclusion criteria, but none of the ocular exclusion criteria, to be eligible for unilateral dosing. General All of the following criteria must be met for unilateral or bilateral dosing. 1. Age ≥ 6 years. 2. Genetically male patients with clinical diagnosis of XLRS caused by pathogenic or likely pathogenic mutations in RS1 OR Genetically female patients with clinical diagnosis of XLRS caused by biallelic pathogenic or likely pathogenic mutations in RS1. Ocular At least 1 eye must meet all of the following criteria for both unilateral and bilateral dosing. 3. BCVA of 34 to 73 ETDRS letters (corresponding to a Snellen acuity of 20/200 to 20/40). 4. Presence of foveal schisis on SD-OCT. Exclusion Criteria: General None of the following criteria can be met for unilateral or bilateral dosing. 1. Treatment with any carbonic anhydrase inhibitor (oral or topical) within 1 month prior to Screening. 2. Treatment in a prior ocular gene or cell therapy study. 3. Absence of macular schisis. 4. BCVA better than 75 ETDRS letters (corresponding to a Snellen acuity of 20/32). 5. Pre-existing eye conditions that would contribute significantly to an increased risk of visual loss from a subretinal injection (eg, advanced glaucoma, optic neuropathy, uveitis, corneal transplants). 6. Any intraocular surgery (including laser treatment) within 6 months prior to Screening or any intraocular surgery anticipated during the first 12 months of the study.
View Inclusion and Exclusion Criteria at ClinicalTrials.gov

Locations


No.of Trial Sites 4
Locations United States

Regulatory Information


Has US IND True
FDA Designations Fast Track, Orphan Drug Designation, Rare Pediatric Disease Designation, Regenerative Medicine Advanced Therapy (RMAT)
Recent Updates Enrollment in pivotal cohort is underway as of May 2026, interim Part B cohort data announced

Resources/Links