ClinicalTrials.gg
CompletedNCT03496012STARUpdated Dec 7, 2023Results posted

Efficacy and Safety of BIIB111 for the Treatment of Choroideremia

A Phase 3 interventional study of BIIB111 in Choroideremia, sponsored by Biogen. Completed at 18 sites in 8 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-07.

Sponsored by Biogen · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
169
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

The objective of the study is to evaluate the efficacy and safety of a single sub-retinal injection of BIIB111 in participants with choroideremia (CHM).

Read the detailed description

This study was previously posted by NightstaRx Ltd. In October 2020, sponsorship of the trial was transferred to Biogen.

02

Conditions studied

  • Choroideremia

Browse trials for

Keywords

  • NightstaRx
  • NSR-REP1
  • Gene Therapy
  • AAV
  • REP1
  • Timrepigene Emparvovec
03

In context

Choroideremia

34 studies on the registry are indexed under Choroideremia; 7 are open to participants now.

This study's enrollment of 169 is above the median of 15 across 22 interventional studies indexed under Choroideremia.

Browse Choroideremia studies →

Lead sponsor

Biogen is the lead sponsor of 511 studies on the registry; 24 are open to participants now.

Of its 100 completed or terminated interventional studies of FDA-regulated products, 50 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Are willing and able to give for participation in the study.
  • Have a documented genetically-confirmed diagnosis of CHM.
  • Have active disease clinically visible within the macular region in the study eye.
  • Have a BCVA of 34-73 ETDRS letters (equivalent to worse than or equal to 6/12 or 20/40 Snellen acuity, but better than or equal to 6/60 or 20/200 Snellen acuity) in the study eye.

Key Exclusion Criteria:

  • Have a history of amblyopia in the eligible eye.
  • Have had previous intraocular surgery performed in the study eye within 3 months of Visit 1.
  • Have any other significant ocular or non-ocular disease/disorder which, in the opinion of the investigator, may either put the participants at risk because of participation in the study, or may influence the results of the study, or the participant's ability to participate in the study.
  • Have participated in another research study involving an product in the past 12 weeks or received a gene/cell-based therapy at any time previously.
  • Are unwilling to use barrier methods, or abstain from sexual intercourse, for a period of 3 months, if treated with AAV2-REP1.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
169 participants (actual)

Study arms

  • Experimental
    BIIB111 High Dose

    Participants will receive a single administration of high dose BIIB111 in one eye through sub-retinal injection after vitrectomy.

    Genetic: BIIB111

  • Experimental
    BIIB111 Low Dose

    Participants will receive a single administration of low dose BIIB111 in one eye through sub-retinal injection after vitrectomy.

    Genetic: BIIB111

  • No intervention
    Untreated Control Group

    Participants will receive no sham surgery or study medication.

Interventions

  • GeneticBIIB111

    Administered as specified in the treatment arm.

    Also known as: AAV2-REP1

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With a ≥15 -Letter Improvement From Baseline in Best Corrected Visual Acuity (BCVA) at Month 12 as Measured by the Early Treatment of Diabetic Retinopathy Study (ETDRS) Chart

    BCVA was assessed for both eyes using the ETDRS visual acuity (VA) chart. BCVA test should be performed prior to pupil dilation, and distance refraction should be carried out before BCVA is measured. Initially, letters are read at a distance of 4 meters from the chart. If \<20 letters are read at 4 meters, testing at 1 meter should be performed. The lower the number of letters read correctly on the eye chart, the worse the vision (or VA). Percentage of participants with a ≥15 -letter improvement from baseline in BCVA at Month 12 was reported for both eyes.

    Time frame: Month 12

Secondary outcomes

  1. Change From Baseline in BCVA at Month 12 Reported as Letters Measured by the ETDRS Chart in Study Eye

    BCVA was assessed for study eye using the ETDRS VA chart. BCVA test should be performed prior to pupil dilation, and distance refraction should be carried out before BCVA is measured. Initially, letters are read at a distance of 4 meters from the chart. If \<20 letters are read at 4 meters, testing at 1 meter should be performed. BCVA was reported as number of letters read correctly by the participant using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or VA). An increase in the number of letters read correctly means that vision has improved. Here negative values indicate decline in BCVA.

    Time frame: Baseline, Month 12

  2. Percentage of Participants With a ≥10 -Letter Improvement From Baseline in BCVA at Month 12 Measured by the ETDRS Chart

    BCVA was assessed for both eyes using the ETDRS VA chart. BCVA test should be performed prior to pupil dilation, and distance refraction should be carried out before BCVA is measured. Initially, letters are read at a distance of 4 meters from the chart. If \<20 letters are read at 4 meters, testing at 1 meter should be performed. The lower the number of letters read correctly on the eye chart, the worse the vision (or VA). Percentage of participants with a ≥10 -letter improvement from baseline in BCVA at Month 12 was reported for both eyes.

    Time frame: Month 12

  3. Percentage of Participants With No Decrease From Baseline in BCVA or a Decrease From Baseline in BCVA of <5 ETDRS Letters at Month 12 Measured by the EDRS Chart

    BCVA was assessed for both eyes using the ETDRS VA chart. BCVA test should be performed prior to pupil dilation, and distance refraction should be carried out before BCVA is measured. Initially, letters are read at a distance of 4 meters from the chart. If \<20 letters are read at 4 meters, testing at 1 meter should be performed. The lower the number of letters read correctly on the eye chart, the worse the vision (or VA). Percentage of participants with no decrease or a decrease of \<5 letters from baseline in BCVA at Month 12 was reported for both eyes.

    Time frame: Month 12

  4. Change From Baseline in BCVA at Months 4 and 8 Reported as Letters Measured by the ETDRS Chart

    BCVA was assessed for both eyes using the ETDRS VA chart. BCVA test should be performed prior to pupil dilation, and distance refraction should be carried out before BCVA is measured. Initially, letters are read at a distance of 4 meters from the chart. If \<20 letters are read at 4 meters, testing at 1 meter should be performed. BCVA was reported as number of letters read correctly by the participant using the ETDRS Scale (ranging from 0 to 100 letters) in both the study and fellow eyes. The lower the number of letters read correctly on the eye chart, the worse the vision (or VA). An increase in the number of letters read correctly means that vision has improved. Here negative values indicate decline in BCVA.

    Time frame: Baseline, Months 4 and 8

  5. Change From Baseline in Total Area of Preserved Autofluorescence (AF) at Month 12 in Study Eye

    Fundus AF was used to assess change in total area of preserved AF. Areas of preserved AF were identified as well-demarcated regions of relative hyper AF compared with the background areas of surrounding atrophy. A negative change from baseline indicate decline in total area of preserved AF.

    Time frame: Baseline, Month 12

  6. Change From Baseline in Distance From Foveal Center to Nearest Border of Preserved AF at Month 12 in Study Eye

    Fundus AF was used to assess change in distance from foveal center (FC) to nearest border of preserved AF. A negative change from baseline indicate decline in distance from FC to nearest border of AF.

    Time frame: Baseline, Month 12

  7. Change From Baseline in the Foveal Subfield Thickness Using Spectral Domain Optical Coherence Tomography (SD-OCT) at Month 12 in Study Eye

    SD-OCT was used to assess change in foveal subfield thickness. The measurements were taken after dilation of the participant's pupil. A negative change from baseline indicates decline in foveal subfield thickness.

    Time frame: Baseline, Month 12

  8. Change From Baseline in the Total Macular Volume Using SD-OCT at Month 12 in Study Eye

    SD-OCT was used to assess change in total macular volume. The measurements were taken after dilation of the participant's pupil. A negative change from baseline indicates decline in total macular volume.

    Time frame: Baseline, Month 12

  9. Change From Baseline in the Central Horizontal Ellipsoid Width Using SD-OCT at Month 12 in Study Eye

    SD-OCT was used to assess change in central horizontal ellipsoid width. The measurements were taken after dilation of the participant's pupil. A negative change from baseline indicates decline in central horizontal ellipsoid width.

    Time frame: Baseline, Month 12

  10. Change From Baseline in the Central Ellipsoid Area Using SD-OCT at Month 12 in Study Eye

    SD-OCT was used to assess change in central ellipsoid area. The measurements were taken after dilation of the participant's pupil. A negative change from baseline indicates decline in central ellipsoid area.

    Time frame: Baseline, Month 12

  11. Change From Baseline in the Choroidal Thickness Using SD-OCT at Month 12 in Study Eye

    SD-OCT was used to assess change in choroidal thickness. The measurements were taken after dilation of the participant's pupil. A negative change from baseline indicates decline in choroidal thickness.

    Time frame: Baseline, Month 12

  12. Change From Baseline in the Mean Retinal Sensitivity Using Microperimetry at Month 12 in Study Eye

    Microperimetry was conducted to assess change in mean retinal sensitivity within the macula. Retinal mean sensitivity to light was measured in decibels (dBs) in multiple spots across the central and peripheral retina (entire visual field). Higher numbers (dBs) indicate higher retinal sensitivity. A negative change from baseline indicates decline in retinal sensitivity.

    Time frame: Baseline, Month 12

  13. Change From Baseline in the Bivariate Contour Ellipse Area 63% Using Microperimetry at Month 12 in Study Eye

    Microperimetry was conducted to assess change in bivariate contour ellipse area 63%. A negative change from baseline indicates decline in bivariate contour ellipse area 63%.

    Time frame: Baseline, Month 12

  14. Change From Baseline in the Bivariate Contour Ellipse Area 95% Using Microperimetry at Month 12 in Study Eye

    Microperimetry was conducted to assess change in bivariate contour ellipse area 95%. A negative change from baseline indicates decline in bivariate contour ellipse area 95%.

    Time frame: Baseline, Month 12

  15. Change From Baseline in Contrast Sensitivity Score at Month 12 in Study Eye

    Change in contrast sensitivity was assessed by Pelli-Robson chart which uses a single large letter size (20/60 optotype), with contrast varying across groups of letters (6 per line), whose contrast varies from high to low. Participants read letters, starting with highest contrast, until they are unable to read 2 or 3 letters in a single group. Each group had three letters of the same contrast level, so there were three trials per contrast level. Score is assigned based on contrast of last group in which 2 or 3 letters were correctly read. Score is a measure of participant's log contrast sensitivity ranging from 0 (no letters read) to 2.25 (all letters read). Total CS score=\[(total letters correct-3) x 0.05\]. A negative change from baseline indicates worsening in contrast sensitivity score.

    Time frame: Baseline, Month 12

  16. Change From Baseline in Colour Vision Total Error Score at Month 12 in Study Eye

    Colour vision total error scores were assessed by the Farnsworth Munsell 100 Hue Sort Test. Farnsworth Munsell 100 Hue Test requires placing 100 colour palettes in the correct order based upon colour hue. Scores are determined by the frequency and severity of any displacement in the correct order. One error equates to one misplaced hue, by one step or position. An error score of 0 indicates no errors in ordering the hues while error score greater than 500 indicates virtually no color discrimination. A Total Error Score of 0 to 128 could be seen in a normal population.

    Time frame: Baseline, Month 12

  17. Change From Baseline in Reading Speed Test at Month 12 in Study Eye

    The reading speed (words per minute) was calculated using the following formula: \[number of words in the text - number of misread words\] / reading time x 60. The number of misread words and reading time is collected. A negative change from baseline indicates decline in reading speed.

    Time frame: Baseline, Month 12

  18. Change From Baseline in the 25-Item Visual Function Questionnaire (VFQ-25) Composite Scores at Month 12 in Study Eye

    VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A score of 0 represents the worst outcome and 100 represents the best outcome. A negative change from baseline indicates decline in VFQ-25 score.

    Time frame: Baseline, Month 12

07

Results

Posted Dec 7, 2023

Participant flow

Participants were enrolled at the investigative sites in the United States, Germany, Finland, France, the United Kingdom, Canada, Netherlands, and Denmark from 11 December 2017 to 01 December 2020.

Participant flow — Overall Study
MilestoneUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Started663469
Completed623465
Not completed404
Withdrew: Withdrawal by subject202
Withdrew: Adverse event001
Withdrew: Reason not specified201

Outcome measures

PrimaryPercentage of Participants With a ≥15 -Letter Improvement From Baseline in Best Corrected Visual Acuity (BCVA) at Month 12 as Measured by the Early Treatment of Diabetic Retinopathy Study (ETDRS) Chart

BCVA was assessed for both eyes using the ETDRS visual acuity (VA) chart. BCVA test should be performed prior to pupil dilation, and distance refraction should be carried out before BCVA is measured. Initially, letters are read at a distance of 4 meters from the chart. If \<20 letters are read at 4 meters, testing at 1 meter should be performed. The lower the number of letters read correctly on the eye chart, the worse the vision (or VA). Percentage of participants with a ≥15 -letter improvement from baseline in BCVA at Month 12 was reported for both eyes.

Time frame:
Month 12
Reported as:
Number · percentage of participants
Percentage of Participants With a ≥15 -Letter Improvement From Baseline in Best Corrected Visual Acuity (BCVA) at Month 12 as Measured by the Early Treatment of Diabetic Retinopathy Study (ETDRS) Chart
percentage of participantsUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Study Eye0 (0 to 5.8)2.9 (0.1 to 15.3)4.6 (1.0 to 12.9)
Fellow Eye0 (0 to 5.8)0 (0 to 10.3)3.1 (0.4 to 10.7)
Statistical analysis
  • Untreated Control Group vs BIIB111 Low Dose · Fisher's Exact · p = =0.354 · Difference in proportions: 2.9 · 95% CI -3.1 to 15
  • Untreated Control Group vs BIIB111 High Dose · Fisher's Exact · p = =0.245 · Difference in proportions: 4.6 · 95% CI -1.4 to 12.8
SecondaryChange From Baseline in BCVA at Month 12 Reported as Letters Measured by the ETDRS Chart in Study Eye

BCVA was assessed for study eye using the ETDRS VA chart. BCVA test should be performed prior to pupil dilation, and distance refraction should be carried out before BCVA is measured. Initially, letters are read at a distance of 4 meters from the chart. If \<20 letters are read at 4 meters, testing at 1 meter should be performed. BCVA was reported as number of letters read correctly by the participant using the ETDRS Scale (ranging from 0 to 100 letters) in the study eye. The lower the number of letters read correctly on the eye chart, the worse the vision (or VA). An increase in the number of letters read correctly means that vision has improved. Here negative values indicate decline in BCVA.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · letters
Change From Baseline in BCVA at Month 12 Reported as Letters Measured by the ETDRS Chart in Study Eye
lettersUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in BCVA at Month 12 Reported as Letters Measured by the ETDRS Chart in Study Eye-2.3 (-5.31 to 0.61)-1.5 (-5.47 to 2.50)-0.3 (-3.18 to 2.64)
SecondaryPercentage of Participants With a ≥10 -Letter Improvement From Baseline in BCVA at Month 12 Measured by the ETDRS Chart

BCVA was assessed for both eyes using the ETDRS VA chart. BCVA test should be performed prior to pupil dilation, and distance refraction should be carried out before BCVA is measured. Initially, letters are read at a distance of 4 meters from the chart. If \<20 letters are read at 4 meters, testing at 1 meter should be performed. The lower the number of letters read correctly on the eye chart, the worse the vision (or VA). Percentage of participants with a ≥10 -letter improvement from baseline in BCVA at Month 12 was reported for both eyes.

Time frame:
Month 12
Reported as:
Number · percentage of participants
Percentage of Participants With a ≥10 -Letter Improvement From Baseline in BCVA at Month 12 Measured by the ETDRS Chart
percentage of participantsUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Study Eye1.6 (0.0 to 8.7)17.6 (6.8 to 34.5)13.8 (6.5 to 24.7)
Fellow Eye0 (0.0 to 5.8)8.8 (1.9 to 23.7)6.2 (1.7 to 15.0)
Statistical analysis
  • Untreated Control Group vs BIIB111 Low Dose · Difference in proportions: 16 · 95% CI 5.3 to 32.2
  • Untreated Control Group vs BIIB111 High Dose · Difference in proportions: 12.2 · 95% CI 3.5 to 23
SecondaryPercentage of Participants With No Decrease From Baseline in BCVA or a Decrease From Baseline in BCVA of <5 ETDRS Letters at Month 12 Measured by the EDRS Chart

BCVA was assessed for both eyes using the ETDRS VA chart. BCVA test should be performed prior to pupil dilation, and distance refraction should be carried out before BCVA is measured. Initially, letters are read at a distance of 4 meters from the chart. If \<20 letters are read at 4 meters, testing at 1 meter should be performed. The lower the number of letters read correctly on the eye chart, the worse the vision (or VA). Percentage of participants with no decrease or a decrease of \<5 letters from baseline in BCVA at Month 12 was reported for both eyes.

Time frame:
Month 12
Reported as:
Number · percentage of participants
Percentage of Participants With No Decrease From Baseline in BCVA or a Decrease From Baseline in BCVA of <5 ETDRS Letters at Month 12 Measured by the EDRS Chart
percentage of participantsUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Study Eye67.7 (54.7 to 79.1)70.6 (52.5 to 84.9)83.1 (71.7 to 91.2)
Fellow Eye75.8 (63.3 to 85.8)85.3 (68.9 to 95.0)90.8 (81.0 to 96.5)
Statistical analysis
  • Untreated Control Group vs BIIB111 Low Dose · Difference in proportions: 2.8 · 95% CI -17.2 to 21
  • Untreated Control Group vs BIIB111 High Dose · Difference in proportions: 15.3 · 95% CI 0.3 to 30.1
SecondaryChange From Baseline in BCVA at Months 4 and 8 Reported as Letters Measured by the ETDRS Chart

BCVA was assessed for both eyes using the ETDRS VA chart. BCVA test should be performed prior to pupil dilation, and distance refraction should be carried out before BCVA is measured. Initially, letters are read at a distance of 4 meters from the chart. If \<20 letters are read at 4 meters, testing at 1 meter should be performed. BCVA was reported as number of letters read correctly by the participant using the ETDRS Scale (ranging from 0 to 100 letters) in both the study and fellow eyes. The lower the number of letters read correctly on the eye chart, the worse the vision (or VA). An increase in the number of letters read correctly means that vision has improved. Here negative values indicate decline in BCVA.

Time frame:
Baseline, Months 4 and 8
Reported as:
Mean · letters
Change From Baseline in BCVA at Months 4 and 8 Reported as Letters Measured by the ETDRS Chart
lettersUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline at Month 4: Study Eye0.2 ± 4.34-0.4 ± 14.160.6 ± 11.11
Change From Baseline at Month 4: Fellow Eye-1.1 ± 8.450.9 ± 6.672.0 ± 6.63
Change From Baseline at Month 8: Study Eye-0.8 ± 4.93-1.1 ± 13.130.1 ± 11.71
Change From Baseline at Month 8: Fellow Eye-0.4 ± 8.311.9 ± 7.061.6 ± 5.91
SecondaryChange From Baseline in Total Area of Preserved Autofluorescence (AF) at Month 12 in Study Eye

Fundus AF was used to assess change in total area of preserved AF. Areas of preserved AF were identified as well-demarcated regions of relative hyper AF compared with the background areas of surrounding atrophy. A negative change from baseline indicate decline in total area of preserved AF.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · square millimeters (mm^2)
Change From Baseline in Total Area of Preserved Autofluorescence (AF) at Month 12 in Study Eye
square millimeters (mm^2)Untreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in Total Area of Preserved Autofluorescence (AF) at Month 12 in Study Eye-0.3872 ± 0.0389-0.5413 ± 0.0501-0.5136 ± 0.0371
SecondaryChange From Baseline in Distance From Foveal Center to Nearest Border of Preserved AF at Month 12 in Study Eye

Fundus AF was used to assess change in distance from foveal center (FC) to nearest border of preserved AF. A negative change from baseline indicate decline in distance from FC to nearest border of AF.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · micrometers (µm)
Change From Baseline in Distance From Foveal Center to Nearest Border of Preserved AF at Month 12 in Study Eye
micrometers (µm)Untreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in Distance From Foveal Center to Nearest Border of Preserved AF at Month 12 in Study Eye21.7796 ± 9.623423.6171 ± 12.376521.1660 ± 9.1863
SecondaryChange From Baseline in the Foveal Subfield Thickness Using Spectral Domain Optical Coherence Tomography (SD-OCT) at Month 12 in Study Eye

SD-OCT was used to assess change in foveal subfield thickness. The measurements were taken after dilation of the participant's pupil. A negative change from baseline indicates decline in foveal subfield thickness.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · µm
Change From Baseline in the Foveal Subfield Thickness Using Spectral Domain Optical Coherence Tomography (SD-OCT) at Month 12 in Study Eye
µmUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in the Foveal Subfield Thickness Using Spectral Domain Optical Coherence Tomography (SD-OCT) at Month 12 in Study Eye-6.3152 ± 2.7779-19.8654 ± 3.6998-15.7993 ± 2.7233
SecondaryChange From Baseline in the Total Macular Volume Using SD-OCT at Month 12 in Study Eye

SD-OCT was used to assess change in total macular volume. The measurements were taken after dilation of the participant's pupil. A negative change from baseline indicates decline in total macular volume.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · cubic millimeters (mm^3)
Change From Baseline in the Total Macular Volume Using SD-OCT at Month 12 in Study Eye
cubic millimeters (mm^3)Untreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in the Total Macular Volume Using SD-OCT at Month 12 in Study Eye-0.0895 ± 0.0485-0.2876 ± 0.0646-0.2088 ± 0.0476
SecondaryChange From Baseline in the Central Horizontal Ellipsoid Width Using SD-OCT at Month 12 in Study Eye

SD-OCT was used to assess change in central horizontal ellipsoid width. The measurements were taken after dilation of the participant's pupil. A negative change from baseline indicates decline in central horizontal ellipsoid width.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · µm
Change From Baseline in the Central Horizontal Ellipsoid Width Using SD-OCT at Month 12 in Study Eye
µmUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in the Central Horizontal Ellipsoid Width Using SD-OCT at Month 12 in Study Eye-81.9178 ± 20.6192-116.3811 ± 27.8213-170.7214 ± 20.4062
SecondaryChange From Baseline in the Central Ellipsoid Area Using SD-OCT at Month 12 in Study Eye

SD-OCT was used to assess change in central ellipsoid area. The measurements were taken after dilation of the participant's pupil. A negative change from baseline indicates decline in central ellipsoid area.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · mm^2
Change From Baseline in the Central Ellipsoid Area Using SD-OCT at Month 12 in Study Eye
mm^2Untreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in the Central Ellipsoid Area Using SD-OCT at Month 12 in Study Eye-0.2382 ± 0.0364-0.4229 ± 0.0527-0.3440 ± 0.0332
SecondaryChange From Baseline in the Choroidal Thickness Using SD-OCT at Month 12 in Study Eye

SD-OCT was used to assess change in choroidal thickness. The measurements were taken after dilation of the participant's pupil. A negative change from baseline indicates decline in choroidal thickness.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · µm
Change From Baseline in the Choroidal Thickness Using SD-OCT at Month 12 in Study Eye
µmUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in the Choroidal Thickness Using SD-OCT at Month 12 in Study Eye-5.4897 ± 2.1873-7.9579 ± 2.9207-4.6371 ± 2.1446
SecondaryChange From Baseline in the Mean Retinal Sensitivity Using Microperimetry at Month 12 in Study Eye

Microperimetry was conducted to assess change in mean retinal sensitivity within the macula. Retinal mean sensitivity to light was measured in decibels (dBs) in multiple spots across the central and peripheral retina (entire visual field). Higher numbers (dBs) indicate higher retinal sensitivity. A negative change from baseline indicates decline in retinal sensitivity.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · dBs
Change From Baseline in the Mean Retinal Sensitivity Using Microperimetry at Month 12 in Study Eye
dBsUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in the Mean Retinal Sensitivity Using Microperimetry at Month 12 in Study Eye-0.3443 ± 0.1134-0.2965 ± 0.1478-0.5015 ± 0.1112
SecondaryChange From Baseline in the Bivariate Contour Ellipse Area 63% Using Microperimetry at Month 12 in Study Eye

Microperimetry was conducted to assess change in bivariate contour ellipse area 63%. A negative change from baseline indicates decline in bivariate contour ellipse area 63%.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · square degrees (deg^2)
Change From Baseline in the Bivariate Contour Ellipse Area 63% Using Microperimetry at Month 12 in Study Eye
square degrees (deg^2)Untreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in the Bivariate Contour Ellipse Area 63% Using Microperimetry at Month 12 in Study Eye-3.2161 ± 1.2623-3.3771 ± 1.6405-2.5555 ± 1.2403
SecondaryChange From Baseline in the Bivariate Contour Ellipse Area 95% Using Microperimetry at Month 12 in Study Eye

Microperimetry was conducted to assess change in bivariate contour ellipse area 95%. A negative change from baseline indicates decline in bivariate contour ellipse area 95%.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · deg^2
Change From Baseline in the Bivariate Contour Ellipse Area 95% Using Microperimetry at Month 12 in Study Eye
deg^2Untreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in the Bivariate Contour Ellipse Area 95% Using Microperimetry at Month 12 in Study Eye-10.1986 ± 4.1004-14.6926 ± 5.3134-11.6863 ± 4.0207
SecondaryChange From Baseline in Contrast Sensitivity Score at Month 12 in Study Eye

Change in contrast sensitivity was assessed by Pelli-Robson chart which uses a single large letter size (20/60 optotype), with contrast varying across groups of letters (6 per line), whose contrast varies from high to low. Participants read letters, starting with highest contrast, until they are unable to read 2 or 3 letters in a single group. Each group had three letters of the same contrast level, so there were three trials per contrast level. Score is assigned based on contrast of last group in which 2 or 3 letters were correctly read. Score is a measure of participant's log contrast sensitivity ranging from 0 (no letters read) to 2.25 (all letters read). Total CS score=\[(total letters correct-3) x 0.05\]. A negative change from baseline indicates worsening in contrast sensitivity score.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · score on a scale
Change From Baseline in Contrast Sensitivity Score at Month 12 in Study Eye
score on a scaleUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in Contrast Sensitivity Score at Month 12 in Study Eye-0.0595 ± 0.0315-0.0130 ± 0.0417-0.0386 ± 0.0304
SecondaryChange From Baseline in Colour Vision Total Error Score at Month 12 in Study Eye

Colour vision total error scores were assessed by the Farnsworth Munsell 100 Hue Sort Test. Farnsworth Munsell 100 Hue Test requires placing 100 colour palettes in the correct order based upon colour hue. Scores are determined by the frequency and severity of any displacement in the correct order. One error equates to one misplaced hue, by one step or position. An error score of 0 indicates no errors in ordering the hues while error score greater than 500 indicates virtually no color discrimination. A Total Error Score of 0 to 128 could be seen in a normal population.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · score on a scale
Change From Baseline in Colour Vision Total Error Score at Month 12 in Study Eye
score on a scaleUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in Colour Vision Total Error Score at Month 12 in Study Eye35.0003 ± 23.597343.5915 ± 31.772054.3777 ± 24.0358
SecondaryChange From Baseline in Reading Speed Test at Month 12 in Study Eye

The reading speed (words per minute) was calculated using the following formula: \[number of words in the text - number of misread words\] / reading time x 60. The number of misread words and reading time is collected. A negative change from baseline indicates decline in reading speed.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · words per minute
Change From Baseline in Reading Speed Test at Month 12 in Study Eye
words per minuteUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in Reading Speed Test at Month 12 in Study Eye-149.5590 ± 10.9857-122.1333 ± 14.3276-127.4706 ± 9.9110
SecondaryChange From Baseline in the 25-Item Visual Function Questionnaire (VFQ-25) Composite Scores at Month 12 in Study Eye

VFQ-25 consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively. A score of 0 represents the worst outcome and 100 represents the best outcome. A negative change from baseline indicates decline in VFQ-25 score.

Time frame:
Baseline, Month 12
Reported as:
Least squares mean · score on a scale
Change From Baseline in the 25-Item Visual Function Questionnaire (VFQ-25) Composite Scores at Month 12 in Study Eye
score on a scaleUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Change From Baseline in the 25-Item Visual Function Questionnaire (VFQ-25) Composite Scores at Month 12 in Study Eye-2.6971 ± 1.27861.7236 ± 1.66240.7964 ± 1.2308

Adverse events

Collected over From signing of informed consent through end of study (up to 12 months). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Untreated Control Group0/65 (0%)10/65 (15.4%)9/65 (13.8%)
BIIB111 Low Dose0/34 (0%)9/34 (26.5%)30/34 (88.2%)
BIIB111 High Dose0/65 (0%)11/65 (16.9%)54/65 (83.1%)
Most frequent serious events
Showing 10 of 21
Most frequent serious events
EventUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Visual acuity reducedEye disorders8/655/345/65
Angina pectorisCardiac disorders0/651/340/65
Myocardial infarctionCardiac disorders0/651/340/65
CataractEye disorders0/651/340/65
Retinal vascular occlusionEye disorders0/651/340/65
UreterolithiasisRenal and urinary disorders0/651/340/65
DiverticulitisInfections and infestations0/651/340/65
Pilonidal cystInfections and infestations0/651/340/65
SepsisInfections and infestations0/651/340/65
Angina unstableCardiac disorders0/650/341/65
Most frequent other events
Showing 10 of 29
Most frequent other events
EventUntreated Control GroupBIIB111 Low DoseBIIB111 High Dose
Anterior chamber cellEye disorders0/6514/3424/65
Conjunctival haemorrhageEye disorders0/6513/3426/65
VitritisEye disorders0/6510/3416/65
Eye painEye disorders0/656/3411/65
Eye irritationEye disorders0/655/348/65
CataractEye disorders3/653/349/65
Foreign body sensation in eyesEye disorders0/653/349/65
Cataract subcapsularEye disorders0/654/344/65
Conjunctival hyperaemiaEye disorders0/654/347/65
Ocular hyperaemiaEye disorders0/654/347/65

Baseline characteristics

Safety population included all randomized participants who either received study treatment (BIIB111) or a post-randomization study visit (control group).

Age, Continuous
Age, Continuous(years)Untreated Control GroupBIIB111 Low DoseBIIB111 High DoseTotal
Mean49.4 ± 13.7349.8 ± 12.6247.5 ± 12.9148.7 ± 13.15
Sex: Female, Male
Sex: Female, Male(Participants)Untreated Control GroupBIIB111 Low DoseBIIB111 High DoseTotal
Female0000
Male653465164
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Untreated Control GroupBIIB111 Low DoseBIIB111 High DoseTotal
Hispanic or Latino3148
Not Hispanic or Latino512654131
Unknown or Not Reported117725
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Untreated Control GroupBIIB111 Low DoseBIIB111 High DoseTotal
Race — Asian0011
Race — American Indian or Alaska Native1001
Race — Black or African American1001
Race — White553059144
Race — Other1001
Race — Not Reported74516
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Study locations

18 sites
  • Research Site
    Los Angeles, California 90095, United States
  • Research Site
    Miami, Florida 33136, United States
  • Research Site
    Baltimore, Maryland 21287, United States
  • Research Site
    New York, New York 10032, United States
  • Research Site
    Cincinnati, Ohio 45242, United States
  • Research Site
    Portland, Oregon 97232, United States
  • Research Site
    Dallas, Texas 75231, United States
  • Research Site
    Madison, Wisconsin 53705, United States
  • Research Site
    Montréal, H3A 0E7, Canada
  • Research Site
    Vancouver, V5Z 3N9, Canada
  • Research Site
    Glostrup, Denmark
  • Research Site
    Helsinki, 00290, Finland
  • Research Site
    Montpellier, France
  • Research Site
    Bonn, 53127, Germany
  • Research Site
    Tübingen, Germany
  • Research Site
    Nijmegen, Netherlands
  • Research Site
    Manchester, M13 9WL, United Kingdom
  • Research Site
    Oxford, OX3 9DU, United Kingdom
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References and documents

Publications

  • Davis JL. The Blunt End: Surgical Challenges of Gene Therapy for Inherited Retinal Diseases. Am J Ophthalmol. 2018 Dec;196:xxv-xxix. doi: 10.1016/j.ajo.2018.08.038. Epub 2018 Sep 5. PubMed 30194931 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/

Data sharing details ↗ · vivli.org

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 7, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03496012
Lead sponsor
Biogen
Responsible party
Sponsor
First posted
Apr 12, 2018
Start date
Dec 11, 2017
Primary completion
Dec 1, 2020
Completion
Dec 1, 2020
Results posted
Dec 7, 2023
Last update
Dec 7, 2023

Study contacts

Medical Director
study director · Biogen

Oversight

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

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