ClinicalTrials.gg
Active, not recruitingNCT03913143ILLUMINATEUpdated Mar 17, 2022

A Study to Evaluate Efficacy, Safety, Tolerability and Exposure After a Repeat-dose of Sepofarsen (QR-110) in LCA10 (ILLUMINATE)

A Phase 2/3 interventional study of sepofarsen and Sham in Leber Congenital Amaurosis 10, Blindness and Leber Congenital Amaurosis, sponsored by ProQR Therapeutics. Active, not recruiting at 14 sites in 9 countries. Open to participants aged 8 Years and older. Per ClinicalTrials.gov, last updated 2022-03-17.

Sponsored by ProQR Therapeutics · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
8 Years and older
Sex
All
01

Study summary

The purpose of this double-masked, randomized, controlled, multiple-dose study is to evaluate the efficacy, safety, tolerability and systemic exposure of sepofarsen (QR-110) administered via intravitreal injection in subjects with Leber's Congenital Amaurosis (LCA) due to the CEP290 p.Cys998X mutation after 24 months of treatment

Read the detailed description

The purpose of this double-masked, randomized, controlled, multiple-dose study is to evaluate the efficacy, safety, tolerability and systemic exposure of sepofarsen (QR-110) administered via intravitreal injection in subjects with Leber's Congenital Amaurosis (LCA) due to the CEP290 p.Cys998X mutation after 24 months of treatment.

At study start subjects will be randomized to one of 3 treatment groups with either active study drug or sham treatment.

Sepofarsen (QR-110) will be administered via intravitreal (IVT) injection into the subject's treatment eye (the subject's worse eye).

Subjects in the sham-procedure group will undergo a procedure that will closely mimic the active injection.

After each dosing subjects will be assessed for safety and tolerability at follow up visits.

After the first eye has been treated for at least 12 months, treatment of the contralateral eye and cross-over of subjects assigned to sham procedure may be initiated in eligible eyes (in a masked manner) based on assessment of benefit/risk (including review of data from all clinical trials), and with concurrence of the Medical Monitor.

02

Conditions studied

  • Leber Congenital Amaurosis 10
  • Blindness
  • Leber Congenital Amaurosis
  • Vision Disorders
  • Sensation Disorders
  • Neurologic Manifestations
  • Eye Diseases
  • Eye Diseases, Hereditary
  • Eye Disorders Congenital
  • Retinal Disease

Keywords

  • LCA10
  • CEP290
  • p.Cys998X
  • c.2991+1655A>G
  • Leber's Congenital Amaurosis
  • Antisense oligonucleotide
  • RNA therapy
  • QR-110
  • sepofarsen
03

In context

Blindness

144 studies on the registry are indexed under Blindness; 33 are open to participants now.

This study's enrollment of 36 is close to the median of 37 across 101 interventional studies indexed under Blindness.

Browse Blindness studies →

Lead sponsor

ProQR Therapeutics is the lead sponsor of 7 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
8 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Main Inclusion Criteria Relating to Study Initiation:

  • Male or female, ≥ 8 years of age at Screening with a clinical diagnosis of LCA10 and a molecular diagnosis of homozygosity or compound heterozygosity for the c.2991+1655A>G mutation, based on genotyping analysis at Screening. A historic genotyping report from a certified laboratory is acceptable with Sponsor approval.
  • BCVA better or equal to Logarithm of the Minimum Angle of Resolution (LogMAR) +3.0 (Hand Motion), and equal to or worse than LogMAR +0.4 in the treatment eye.
  • Detectable outer nuclear layer (ONL) in the area of the macula.
  • An electroretinogram (ERG) result consistent with LCA. A historic ERG result may be acceptable for eligibility.

Main Exclusion Criteria Relating to Study Initiation:

  • Presence of any significant ocular or non-ocular disease/disorder (including medication and laboratory test abnormalities).
  • Prior receipt of intraocular surgery, periocular surgery, or IVT injection within 1 month prior to study start or planned intraocular surgery or procedure during the course of the study.Subjects who received an intraocular or periocular surgery between 1 to 3 months prior Screening, may only be considered for inclusion if there are no complications of surgery present, and following approval by the Medical Monitor.
  • History or presence of ocular herpetic diseases.
  • Presence of any active ocular infection in the either eye.
  • Presence of lens opacities/cataracts in the treatment eye.
  • Current treatment or treatment within the past 12 months with therapies known to influence the immune system.
  • History of glaucoma, or an IOP greater than 24 mmHg, at is not controlled with medication.
  • History of amblyopia
  • Use of any drug or device within 90 days or 5 half-lives of Day 1, whichever is longer, or plans to participate in another study of a drug or device during the PQ-110-003 study period.
  • Any prior receipt of genetic or stem-cell therapy.
  • Known to antisense oligonucleotides or any constituents of the injection.
  • Pregnant and breastfeeding subjects.

Main Inclusion Criteria Relating to Treatment Initiation Contralateral Eye:

  • BCVA equal to or better than LP (logMAR +4), using the best BCVA reading at Month 12 and based on ETDRS or BRVT.
  • Detectable outer nuclear layer (ONL) in the area of the macula.
  • Clear ocular media and adequate pupillary dilation to permit good quality retinal imaging.

Main Exclusion Criteria Relating to Treatment Initiation Contralateral Eye:

  • Presence of any significant ocular or non-ocular disease/disorder (including medication and laboratory test abnormalities).
  • History or presence of ocular herpetic diseases.
  • Presence of any active ocular infection in either eye.
  • Presence of any lens opacities which are clinically significant, would adequately prevent clinical and photographic evaluation of the retina.
  • A planned IVT injection or intraocular or periocular surgery/procedure (including refractive surgery) during the course of the study.
  • A history of glaucoma or an IOP greater than 24 mmHg that is not controlled with medication.
  • History of amblyopia.
  • Plans to participate in another study of a drug or device during the study period.
  • Pregnant and breastfeeding subjects.
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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
36 participants (actual)

Study arms

  • Experimental
    Group 1: Dose 1 sepofarsen (QR-110)

    Initial loading dose, followed by maintenance doses at month 3 and every 6 months there after, administered by intravitreal injection (24 months duration of treatment). After 12 months treatment of the contralateral eye may be initiated

    Drug: sepofarsen

  • Active comparator
    Group 2: Dose 2 sepofarsen (QR-110)

    Initial loading dose, followed by maintenance doses at month 3 and every 6 months there after, administered by intravitreal injection (24 months duration of treatment). After 12 months treatment of the contralateral eye may be initiated

    Drug: sepofarsen

  • Sham comparator
    Group 3: Sham

    Sham procedure (no experimental drug administered), Day 1, month 3 and every six months there after. After 12 months cross over to active study drug may be initiated

    Other: Sham

Interventions

  • RNA antisense oligonucleotide for intravitreal injection

    Also known as: QR-110

  • OtherSham

    Sham-Procedure (no experimental drug administered)

06

What researchers measure

Primary outcomes

  1. Change in BCVA

    Change in Best-corrected visual acuity (BCVA) relative to baseline after 12 months of treatment versus sham-procedure

    Time frame: 12 months

Secondary outcomes

  1. Change from baseline in BCVA ≤ -0.3 LogMAR

    Change from baseline in BCVA in subjects with BCVA better than 1.7 Logarithm of the minimum angle of resolution (LogMAR) at baseline

    Time frame: 12 and 24 months

  2. Clinical meaningful improvement in subjects with BCVA ≤ 1.7 LogMAR

    Change from baseline in BCVA by a clinically meaningful improvement in subjects with BCVA equal to or worse than 1.7 LogMAR at baseline.

    Time frame: 12 and 24 months

  3. Change in BCVA based on FrACT

    Change from baseline in BCVA based on Freiburg visual acuity and contrast test (FrACT)

    Time frame: 12 and 24 months

  4. Change in mobility course score

    Change from baseline in mobility course score

    Time frame: 12 and 24 months

  5. Change in ellipsoid zone (EZ) width/area assessed by SD-OCT

    Change from baseline in ellipsoid zone (EZ) width/area assessed by SD-OCT

    Time frame: 12 and 24 months

  6. Change in oculomotor instability (OCI)

    Change in oculomotor instability from baseline

    Time frame: 12 and 24 months

  7. Change in FST light sensitivity

    Change from baseline in light sensitivity Full-field light sensitivity threshold (FST) testing (white, red, blue)

    Time frame: 12 and 24 months

  8. Change in LLVA

    Change from baseline in low luminance visual acuity (LLVA)

    Time frame: 12 and 24 months

  9. Change in patient reported visual function via VFQ-25 (adults)

    Change in patient reported visual function, as measured by the Visual Function Questionnaire-25 (VFQ-25) score for adult subjects relative to baseline

    Time frame: 12 and 24 months

  10. Change in patient reported visual function via CVAQC (pediatrics)

    Change in patient reported visual function, as measured by the Cardiff Visual Ability Questionnaire for Children (CVAQC) for pediatric subjects relative to baseline

    Time frame: 12 and 24 months

  11. Change in the Patient Global Impressions of Severity (PGI-S)

    Change in the patient-reported outcome (PRO) Patient Global Impressions of Severity (PGI-S)

    Time frame: 12 and 24 months

  12. Change in the Patient Global Impressions of Change (PGI-C)

    Change in the PRO Patient Global Impressions of Change (PGI-C)

    Time frame: 12 and 24 months

  13. Change in FAF

    Change from baseline as determined by fundus autofluorescence (FAF) imaging

    Time frame: 12 and 24 months

  14. Changes in microperimetry

    Change from baseline as determined by microperimetry

    Time frame: 12 and 24 months

  15. Systemic exposure to QR-110

    Systemic exposure to QR-110

    Time frame: 12 and 24 months

  16. Ocular and non-ocular AEs

    Frequency and severity of ocular and non-ocular AEs

    Time frame: 12 and 24 months

07

Study locations

14 sites
08

References and documents

Related links

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2019 to primary completion in Jan 2022, 33 months.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 21, 2019
First posted
Apr 12, 2019
StartActual
Apr 4, 2019
Primary completionActual
Jan 31, 2022
CompletionEst.
Mar 2023
Last update
Mar 17, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 17, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03913143
Lead sponsor
ProQR Therapeutics
Responsible party
Sponsor
First posted
Apr 12, 2019
Start date
Apr 4, 2019
Primary completion
Jan 31, 2022
Completion
Mar 2023 (estimated)
Last update
Mar 17, 2022

Study contacts

ProQR Medical Monitor
study director · ProQR Therapeutics

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Sepofarsen

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