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CompletedNCT03374657Updated Jun 11, 2026

A First-in-human, Proof of Concept Study of CPK850 in Patients With RLBP1 Retinitis Pigmentosa

A Phase 1/2 interventional study of CPK850 in Retinitis Pigmentosa, sponsored by Novartis Pharmaceuticals. Completed at 1 site in Sweden. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-06-11.

Sponsored by Novartis Pharmaceuticals · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
12
Allocation
Non-randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The purpose of this first-in-human study is to explore the maximum tolerated dose (MTD) of CPK850 as determined by the single ascending dose ranging portion of the study. This study will also evaluate the safety and potential efficacy of CPK850 on improving visual function in patients with decreased visual function from RLBP1 retinitis pigmentosa due to biallelic mutations in the RLBP1 gene.

Read the detailed description

This study will potentially include 4 cohorts with a minimum of 3 patients per cohort. This trial design used a staggered patient enrollment with continuous data reviews to limit as much unforeseen risk as possible prior to enrolling each patient in each cohort or initiating another cohort. Only one eye (designated as the study or treated eye) will be dosed per patient. Each patient will be followed for 5 years after the subretinal injection of CPK850.

02

Conditions studied

  • Retinitis Pigmentosa

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Keywords

  • Clinical trials, dark adaptation, gene therapy, RLBP1 mutation, retinitis pigmentosa.
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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and female patients aged 18 to 70 years inclusive.
  • The visual acuity in the study eye at the screening 1 visit should be no better than 60 ETDRS letters.
  • Clinical diagnosis of Bothnia dystrophy, Newfoundland rod-cone dystrophy or other progressive retinitis pigmentosa phenotype with mutations in the RLBP1 gene verified by genetic testing.
  • Visible photoreceptor (outer nuclear) and Retinal Pigment Epithelium (RPE) layers on standard OCT scan in the study eye at the screening 1 visit.

Exclusion criteria

Exclusion Criteria:

  • History of hypersensitivity to the study drug or to drugs of similar classes or to any of the medications required in the perioperative period.
  • Pre-existing eye conditions that would preclude the planned surgery or interfere with the interpretation of study endpoints
  • Any contraindication to the planned surgery or anesthesia as determined by the treating physician (surgeon, anesthesiologist, internist, or designee).
  • Women who are pregnant, or lactating or women of childbearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for two months after treatment
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
Single (Outcomes assessor)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    CPK Dose 1 (lowest dose)

    CPK850, one subretinal injection to the study eye

    Biological: CPK850

  • Experimental
    CPK Dose 2 (next lowest dose)

    CPK850, one subretinal injection to the study eye

    Biological: CPK850

  • Experimental
    CPK Dose 3 (third lowest dose)

    CPK850, one subretinal injection to the study eye

    Biological: CPK850

  • Experimental
    CPK Dose 4 (highest dose)

    CPK850, one subretinal injection to the study eye

    Biological: CPK850

Interventions

  • BiologicalCPK850

    In one of 4 dose levels administered via subretinal injection under anesthesia

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What researchers measure

Primary outcomes

  1. Number of participants with adverse events (AEs), serious adverse events (SAEs) and deaths

    Safety events

    Time frame: Up to Year 5

  2. Number of responders in dark adaptation

    A patient is considered a responder if sensitivity recovery values at 1 hour post-bleach are observed to be outside of the patient's prediction interval at ≥2 consecutive post-treatment visits within one year after treatment.

    Time frame: Screening/baseline up to Year 1

Secondary outcomes

  1. Number of responders with recovery of the cone system

    cone recovery during dark adaptation

    Time frame: Screening/baseline up to Year 1

  2. Change from screening/baseline in Visual field perimetry mean deviation

    Assessed using automated static perimetry

    Time frame: Screening/baseline up to Year 2

  3. Change from screening/baseline in Total contrast sensitivity score

    Contrast sensitivity (ie, the ability to detect relatively dim objects) will be assessed

    Time frame: Screening/baseline up to Year 2

  4. Change from screening/baseline in Light-adapted microperimetry sensitivity

    Assessed using standard microperimetry equipment

    Time frame: Screening/baseline up to Year 5

  5. Change from screening/baseline in the local electrical activity of the retina

    Assessed using a system designed to record multifocal electroretinogram (ERG) responses from a number of locations at one time

    Time frame: Screening/baseline up to Year 2

  6. Change from screening/baseline in the electrical activity of the retina

    Assessed using a system designed to record full-field electroretinogram (ERG) responses with Ganzfeld stimulation.

    Time frame: Screening/baseline up to Year 5

  7. Change from screening/baseline in Reading speed

    Assessed using standard reading speed charts

    Time frame: Screening/baseline up to Year 2

  8. Change from screening/baseline in eye dominance

    Dominant eye for viewing targets at distance

    Time frame: Screening/baseline up to Year 5

  9. Change from screening/baseline in Change from baseline in mobility test scores

    Assessed using a system designed to measure the ability to navigate obstacles in a maze-like environment under varying light conditions

    Time frame: Screening/baseline up to Year 2

  10. Change from screening/baseline in the National Eye Institute - Visual function questionnaire 25 (NEI-VFQ 25) composite score

    Questionnaire completed by the participant to measure the influence of visual impairment on quality of life

    Time frame: Screening/baseline up to Year 5

  11. Change from screening/baseline in the low luminance questionnaire (LLQ) responses

    Questionnaire completed by the participant to assess visual problems under low luminance conditions, including nighttime

    Time frame: Screening/baseline up to Year 5

06

Study locations

1 site
  • Novartis Investigative Site
    Stockholm, SE-112 82, Sweden
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References and documents

Publications

  • Kvanta A, Rangaswamy N, Holopigian K, Watters C, Jennings N, Liew MSH, Bigelow C, Grosskreutz C, Burstedt M, Venkataraman A, Westman S, Geirsdottir A, Stasi K, Andre H. Interim safety and efficacy of gene therapy for RLBP1-associated retinal dystrophy: a phase 1/2 trial. Nat Commun. 2024 Sep 10;15(1):7438. doi: 10.1038/s41467-024-51575-4. PubMed 39256350 ↗

Individual participant data

Plan to share: Undecided — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.

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Registry details

Key details

Study ID
NCT03374657
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Dec 15, 2017
Start date
Aug 22, 2018
Primary completion
May 12, 2026
Completion
May 12, 2026
Last update
Jun 11, 2026

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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