A Phase 1/2 interventional study of ATSN-101 and ATSN-101 Diluent Solution in Leber Congenital Amaurosis, LCA and LCA1, sponsored by Atsena Therapeutics Inc.. Active, not recruiting at 2 sites in United States. Open to participants aged 6 Years and older. Per ClinicalTrials.gov, last updated 2026-08-03.
Sponsored by Atsena Therapeutics Inc. · Phase 1/2, Interventional, and Treatment
Primary Objective:
To evaluate the safety and tolerability of ascending doses of ATSN-101 administered as a unilateral subretinal injection in patients with Leber Congenital Amaurosis (LCA) caused by autosomal recessive guanylate cyclase 2D (GUCY2D) mutations (GUCY2D-LCA).
Secondary Objective:
To evaluate the efficacy of ascending doses of ATSN-101 administered as a unilateral subretinal injection in patients with GUCY2D-LCA.
Study duration per participant is approximately 112 weeks including: an approximately 56-day screening/baseline period, an approximately 52-week study observation period including 1 treatment day, and an approximately 52-week safety follow-up period. The end of study visit will be approximately 260 weeks after the Investigational Medicinal Product (IMP) administration.
The study is separated into 2 parts including a dose escalation phase (Part A) and a dose expansion phase (Part B). In Part B participants will be treated at the maximum tolerated dose (MTD) or maximum administered dose (MAD) determined from Part A.
31 studies on the registry are indexed under Leber Congenital Amaurosis; 4 are open to participants now.
This study's enrollment of 15 is close to the median of 15 across 21 interventional studies indexed under Leber Congenital Amaurosis.
Browse Leber Congenital Amaurosis studies →Atsena Therapeutics Inc. is the lead sponsor of 2 studies on the registry; 1 is open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion criteria:
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
ATSN-101 single dose according to an ascending dose design (dose escalation phase) or ATSN-101 single dose (dose expansion phase)
Drug: ATSN-101 · Drug: ATSN-101 Diluent Solution · Drug: Prednisone · Drug: Triamcinalone Acetonide · Drug: 1% Prednisolone · Drug: Trimethoprim/polymyxin B
Pharmaceutical form:Solution for intraocular administration Route of administration: Subretinal injection
Pharmaceutical form:Solution for parenteral use Route of administration: Subretinal injection
Pharmaceutical form:Tablet Route of administration: Oral
Pharmaceutical form:Suspension Route of administration: Peri-ocular injection
Pharmaceutical form:Suspension Route of administration: Drops
Pharmaceutical form:Solution Route of administration: Topical
Number of Participants With Adverse Events (AEs) From Baseline up to the End of the Observation Period
Number of participants with treatment-emergent AEs will be summarized in each cohort (this includes cohorts 1 - 5)
Time frame: From Baseline to Week 52
Change From Baseline of Best-Corrected Visual Acuity (BCVA) Between the Treated and Untreated Eyes
Mean change from Baseline to Week 52 in BCVA (LogMAR) in the treated eye and untreated eye (control). In logMAR notation (logarithm of the minimum angle of resolution) is interpreted as follows: Lower LogMAR values indicates better vision. Higher LogMAR values indicates worse vision.
Time frame: Baseline to Week 52
Change From Baseline of Sensitivity Between the Treated and Untreated Eye - Light Adapted
Mean change from Baseline to Week 52 in sensitivity as measured by the full-field stimulus testing - Light Adapted in the treated eye and untreated eye. Full-field stimulus testing was performed for three stimulus colors - blue, red, and white.
Time frame: Baseline to Week 52
Mean Change From Baseline of Sensitivity Between the Treated and Untreated Eye - Dark Adapted
Mean change from Baseline to Week 52 in sensitivity as measured by the full-field stimulus testing - Dark Adapted in the treated eye and untreated eye. Full-field stimulus testing was performed for three stimulus colors - blue, red, and white.
Time frame: Baseline to Week 52
Number of Participants With Adverse Events (AEs) From Baseline up to the End of the Observation Period
Number of participants with treatment-emergent AEs will be summarized in each cohort (this includes cohorts 1 - 5)
Time frame: From Baseline to Week 260
Change From Baseline of Best-Corrected Visual Acuity (BCVA) Between the Treated and Untreated Eyes
Mean change from Baseline to Week 260 in BCVA (LogMAR) in the treated eye and untreated eye (control). In logMAR notation (logarithm of the minimum angle of resolution) is interpreted as follows: Lower LogMAR values indicates better vision. Higher LogMAR values indicates worse vision.
Time frame: Baseline to Week 260
Change From Baseline of Sensitivity Between the Treated and Untreated Eye - Light Adapted
Mean change from Baseline to Week 260 in sensitivity as measured by the full-field stimulus testing - Light Adapted in the treated eye and untreated eye. Full-field stimulus testing was performed for three stimulus colors - blue, red, and white.
Time frame: Baseline to Week 260
Mean Change From Baseline of Sensitivity Between the Treated and Untreated Eye - Dark Adapted
Mean change from Baseline to Week 260 in sensitivity as measured by the full-field stimulus testing - Dark Adapted in the treated eye and untreated eye. Full-field stimulus testing was performed for three stimulus colors - blue, red, and white.
Time frame: Baseline to Week 260
Study screening and enrollment occurred between October 2019 through May 2022. A total of 23 patients were screened, resulting in 2 enrollments at the Casey Eye Institute - Oregon Health and Science University and 13 enrollments at the Scheie Eye Institute - University of Pennsylvania to reach the study's goal of 15 enrolled patients across all cohorts.
| Milestone | ATSN-101 Cohort 1 | ATSN-101 Cohort 2 | ATSN-101 Cohort 3 | ATSN-101 Cohort 4 (Adult Expansion) | ATSN-101 Cohort 5 (Pediatric Expansion) |
|---|---|---|---|---|---|
| Started | 3 | 3 | 3 | 3 | 3 |
| Completed | 3 | 3 | 3 | 3 | 3 |
| Not completed | 0 | 0 | 0 | 0 | 0 |
| Milestone | ATSN-101 Cohort 1 | ATSN-101 Cohort 2 | ATSN-101 Cohort 3 | ATSN-101 Cohort 4 (Adult Expansion) | ATSN-101 Cohort 5 (Pediatric Expansion) |
|---|---|---|---|---|---|
| Started | 3 | 3 | 3 | 3 | 3 |
| Completed | 0 | 0 | 0 | 0 | 0 |
| Not completed | 3 | 3 | 3 | 3 | 3 |
Number of participants with treatment-emergent AEs will be summarized in each cohort (this includes cohorts 1 - 5)
| Participants | ATSN-101 Cohort 1 | ATSN-101 Cohort 2 | ATSN-101 Cohort 3 | ATSN-101 Cohort 4 (Adult Expansion) | ATSN-101 Cohort 5 (Pediatric Expansion) |
|---|---|---|---|---|---|
| Number of Participants With Adverse Events (AEs) From Baseline up to the End of the Observation Period | 3 | 3 | 3 | 3 | 3 |
Mean change from Baseline to Week 52 in BCVA (LogMAR) in the treated eye and untreated eye (control). In logMAR notation (logarithm of the minimum angle of resolution) is interpreted as follows: Lower LogMAR values indicates better vision. Higher LogMAR values indicates worse vision.
| LogMAR | Treated Eye | Untreated Eye |
|---|---|---|
| ATSN-101 Cohort 1 | -0.27 ± 0.30 | -0.19 ± 0.35 |
| ATSN-101 Cohort 2 | -0.08 ± 0.09 | -0.04 ± 0.04 |
| ATSN-101 Cohort 3 | -0.37 ± 0.47 | 0.00 ± 0.00 |
| ATSN-101 Cohort 4 (Adult Expansion) | -0.12 ± 0.11 | 0.03 ± 0.03 |
| ATSN-101 Cohort 5 (Pediatric Expansion) | -0.05 ± 0.18 | -0.01 ± 0.02 |
| ATSN-101 High Dose | -0.16 ± 0.25 | 0.01 ± 0.03 |
Mean change from Baseline to Week 52 in sensitivity as measured by the full-field stimulus testing - Light Adapted in the treated eye and untreated eye. Full-field stimulus testing was performed for three stimulus colors - blue, red, and white.
| dB | Treated Eye | Untreated Eye |
|---|---|---|
| ATSN-101 Cohort 1 - Blue | 0.81 ± 3.09 | -1.11 ± 3.10 |
| ATSN-101 Cohort 2 - Blue | 1.44 ± 3.10 | 3.14 ± 4.21 |
| ATSN-101 Cohort 3 - Blue | 1.00 ± 0.94 | 4.83 ± 2.12 |
| ATSN-101 Cohort 4 (Adult Expansion) - Blue | -0.87 ± 6.09 | -1.51 ± 3.74 |
| ATSN-101 Cohort 5 (Pediatric Expansion) - Blue | 5.53 ± 14.29 | 6.92 ± 10.31 |
| ATSN-101 High Dose - Blue | 2.00 ± 8.84 | 3.24 ± 7.15 |
| ATSN-101 Cohort 1 - Red | 2.06 ± 2.71 | 0.78 ± 2.04 |
| ATSN-101 Cohort 2 - Red | 3.12 ± 5.72 | 1.71 ± 2.89 |
| ATSN-101 Cohort 3 - Red | 14.20 ± 1.90 | 6.67 ± 5.66 |
| ATSN-101 Cohort 4 (Adult Expansion) - Red | 2.67 ± 2.36 | -0.17 ± 4.01 |
| ATSN-101 Cohort 5 (Pediatric Expansion) - Red | -3.67 ± 0.47 | 0.17 ± 2.59 |
| ATSN-101 High Dose - Red | 4.40 ± 8.22 | 2.22 ± 4.78 |
| ATSN-101 Cohort 1 - White | 1.13 ± 2.80 | 1.67 ± 3.33 |
| ATSN-101 Cohort 2 - White | 1.70 ± 2.52 | 0.90 ± 3.73 |
| ATSN-101 Cohort 3 - White | 2.50 ± 1.41 | 3.00 ± 3.54 |
| ATSN-101 Cohort 4 (Adult Expansion) - White | 3.10 ± 4.00 | 0.32 ± 1.74 |
| ATSN-101 Cohort 5 (Pediatric Expansion) - White | 4.60 ± 13.87 | -2.00 ± 4.24 |
| ATSN-101 High Dose - White | 3.51 ± 7.79 | 0.42 ± 3.20 |
Mean change from Baseline to Week 52 in sensitivity as measured by the full-field stimulus testing - Dark Adapted in the treated eye and untreated eye. Full-field stimulus testing was performed for three stimulus colors - blue, red, and white.
| dB | Treated Eye | Untreated Eye |
|---|---|---|
| ATSN-101 Cohort 1 - Blue | 6.89 ± 6.19 | 2.78 ± 3.91 |
| ATSN-101 Cohort 2 - Blue | 2.11 ± 3.34 | -0.78 ± 3.10 |
| ATSN-101 Cohort 3 - Blue | 29.92 ± 11.67 | -2.49 ± 1.63 |
| ATSN-101 Cohort 4 (Adult Expansion) - Blue | 25.53 ± 21.88 | 1.60 ± 6.57 |
| ATSN-101 Cohort 5 (Pediatric Expansion) - Blue | 6.54 ± 5.95 | 2.59 ± 6.27 |
| ATSN-101 High Dose - Blue | 21.36 ± 17.16 | 0.95 ± 5.35 |
| ATSN-101 Cohort 1 - Red | 6.22 ± 6.05 | 1.33 ± 1.76 |
| ATSN-101 Cohort 2 - Red | 3.33 ± 9.43 | -4.00 ± 3.77 |
| ATSN-101 Cohort 3 - Red | 28.67 ± 14.61 | 0.17 ± 4.01 |
| ATSN-101 Cohort 4 (Adult Expansion) - Red | 18.49 ± 11.16 | 2.89 ± 4.73 |
| ATSN-101 Cohort 5 (Pediatric Expansion) - Red | 12.18 ± 10.97 | -3.69 ± 15.73 |
| ATSN-101 High Dose - Red | 18.67 ± 12.13 | -0.26 ± 9.42 |
| ATSN-101 Cohort 1 - White | 5.37 ± 7.16 | 1.22 ± 2.91 |
| ATSN-101 Cohort 2 - White | 0.89 ± 5.50 | -0.78 ± 7.30 |
| ATSN-101 Cohort 3 - White | 28.50 ± 21.21 | -2.00 ± 4.95 |
| ATSN-101 Cohort 4 (Adult Expansion) - White | 24.94 ± 20.18 | 1.04 ± 5.13 |
| ATSN-101 Cohort 5 (Pediatric Expansion) - White | 7.17 ± 6.60 | 4.20 ± 6.65 |
| ATSN-101 High Dose - White | 20.88 ± 17.56 | 1.08 ± 5.16 |
Number of participants with treatment-emergent AEs will be summarized in each cohort (this includes cohorts 1 - 5)
Results for this outcome have not been posted.
Mean change from Baseline to Week 260 in BCVA (LogMAR) in the treated eye and untreated eye (control). In logMAR notation (logarithm of the minimum angle of resolution) is interpreted as follows: Lower LogMAR values indicates better vision. Higher LogMAR values indicates worse vision.
Results for this outcome have not been posted.
Mean change from Baseline to Week 260 in sensitivity as measured by the full-field stimulus testing - Light Adapted in the treated eye and untreated eye. Full-field stimulus testing was performed for three stimulus colors - blue, red, and white.
Results for this outcome have not been posted.
Mean change from Baseline to Week 260 in sensitivity as measured by the full-field stimulus testing - Dark Adapted in the treated eye and untreated eye. Full-field stimulus testing was performed for three stimulus colors - blue, red, and white.
Results for this outcome have not been posted.
Collected over From Baseline through Week 52. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| ATSN-101 Cohort 1 | 0/3 (0%) | 0/3 (0%) | 3/3 (100%) |
| ATSN-101 Cohort 2 | 0/3 (0%) | 1/3 (33.3%) | 3/3 (100%) |
| ATSN-101 Cohort 3 | 0/3 (0%) | 0/3 (0%) | 3/3 (100%) |
| ATSN-101 Cohort 4 (Adult Expansion) | 0/3 (0%) | 0/3 (0%) | 3/3 (100%) |
| ATSN-101 Cohort 5 (Pediatric Expansion) | 0/3 (0%) | 1/3 (33.3%) | 3/3 (100%) |
| Event | ATSN-101 Cohort 1 | ATSN-101 Cohort 2 | ATSN-101 Cohort 3 | ATSN-101 Cohort 4 (Adult Expansion) | ATSN-101 Cohort 5 (Pediatric Expansion) |
|---|---|---|---|---|---|
| Macular HoleEye disorders | 0/3 | 1/3 | 0/3 | 0/3 | 0/3 |
| EndopthalmitisInfections and infestations | 0/3 | 0/3 | 0/3 | 0/3 | 1/3 |
| Retinal DetachmentEye disorders | 0/3 | 0/3 | 0/3 | 0/3 | 1/3 |
| Event | ATSN-101 Cohort 1 | ATSN-101 Cohort 2 | ATSN-101 Cohort 3 | ATSN-101 Cohort 4 (Adult Expansion) | ATSN-101 Cohort 5 (Pediatric Expansion) |
|---|---|---|---|---|---|
| Conjunctival HaemorrhageEye disorders | 3/3 | 3/3 | 2/3 | 2/3 | 3/3 |
| Ocular DiscomfortEye disorders | 3/3 | 3/3 | 2/3 | 2/3 | 2/3 |
| Hypotony Of EyeEye disorders | 2/3 | 2/3 | 1/3 | 2/3 | 1/3 |
| Retinal TearEye disorders | 1/3 | 0/3 | 0/3 | 0/3 | 0/3 |
| Vitreal CellsEye disorders | 1/3 | 0/3 | 0/3 | 1/3 | 1/3 |
| Ocular HypertensionEye disorders | 1/3 | 0/3 | 0/3 | 0/3 | 0/3 |
| NasopharyngitisInfections and infestations | 0/3 | 1/3 | 1/3 | 1/3 | 1/3 |
| Eye InflammationEye disorders | 0/3 | 0/3 | 1/3 | 1/3 | 0/3 |
| Eye PainEye disorders | 0/3 | 0/3 | 1/3 | 0/3 | 1/3 |
| Conjunctival HyperaemiaEye disorders | 0/3 | 0/3 | 1/3 | 1/3 | 1/3 |
The baseline for a given parameter is defined as the last assessment for this parameter before first administration of the investigational medicinal product (IMP).
| Age, Continuous(Years) | ATSN-101 Cohort 1 | ATSN-101 Cohort 2 | ATSN-101 Cohort 3 | ATSN-101 Cohort 4 (Adult Expansion) | ATSN-101 Cohort 5 (Pediatric Expansion) | Total |
|---|---|---|---|---|---|---|
| Mean | 33.7 ± 11.06 | 23.3 ± 7.57 | 23.7 ± 7.37 | 39.0 ± 32.08 | 14.0 ± 1.73 | 26.7 ± 16.21 |
| Sex: Female, Male(Participants) | ATSN-101 Cohort 1 | ATSN-101 Cohort 2 | ATSN-101 Cohort 3 | ATSN-101 Cohort 4 (Adult Expansion) | ATSN-101 Cohort 5 (Pediatric Expansion) | Total |
|---|---|---|---|---|---|---|
| Female | 2 | 1 | 3 | 2 | 2 | 10 |
| Male | 1 | 2 | 0 | 1 | 1 | 5 |
| Race/Ethnicity, Customized(Participants) | ATSN-101 Cohort 1 | ATSN-101 Cohort 2 | ATSN-101 Cohort 3 | ATSN-101 Cohort 4 (Adult Expansion) | ATSN-101 Cohort 5 (Pediatric Expansion) | Total |
|---|---|---|---|---|---|---|
| Race — American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 | 0 |
| Race — Asian | 1 | 0 | 1 | 1 | 0 | 3 |
| Race — Black or African American | 0 | 0 | 0 | 0 | 0 | 0 |
| Race — Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 |
| Race — White | 2 | 3 | 2 | 2 | 1 | 10 |
| Race — Not Reported | 0 | 0 | 0 | 0 | 2 | 2 |
| Race — Unknown | 0 | 0 | 0 | 0 | 0 | 0 |
| Ethnicity(Participants) | ATSN-101 Cohort 1 | ATSN-101 Cohort 2 | ATSN-101 Cohort 3 | ATSN-101 Cohort 4 (Adult Expansion) | ATSN-101 Cohort 5 (Pediatric Expansion) | Total |
|---|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 | 0 | 2 | 2 |
| Not Hispanic or Latino | 3 | 3 | 3 | 3 | 1 | 13 |
| Not Reported | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown | 0 | 0 | 0 | 0 | 0 | 0 |
| Baseline Height (cm)(cm) | ATSN-101 Cohort 1 | ATSN-101 Cohort 2 | ATSN-101 Cohort 3 | ATSN-101 Cohort 4 (Adult Expansion) | ATSN-101 Cohort 5 (Pediatric Expansion) | Total |
|---|---|---|---|---|---|---|
| Mean | 165.0 ± 11.27 | 174.7 ± 7.57 | 165.7 ± 1.15 | 163.7 ± 8.33 | 158.0 ± 10.15 | 165.4 ± 9.05 |
| Baseline Weight (kg)(kg) | ATSN-101 Cohort 1 | ATSN-101 Cohort 2 | ATSN-101 Cohort 3 | ATSN-101 Cohort 4 (Adult Expansion) | ATSN-101 Cohort 5 (Pediatric Expansion) | Total |
|---|---|---|---|---|---|---|
| Mean | 77.9 ± 26.29 | 69.3 ± 15.61 | 60.5 ± 11.03 | 65.7 ± 18.34 | 54.5 ± 1.46 | 65.6 ± 16.32 |
| Baseline BMI (kg/m^2)(kg/m^2) | ATSN-101 Cohort 1 | ATSN-101 Cohort 2 | ATSN-101 Cohort 3 | ATSN-101 Cohort 4 (Adult Expansion) | ATSN-101 Cohort 5 (Pediatric Expansion) | Total |
|---|---|---|---|---|---|---|
| Mean | 28.0 ± 5.44 | 22.6 ± 3.94 | 22.0 ± 3.70 | 24.4 ± 5.69 | 22.1 ± 3.50 | 23.8 ± 4.51 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://www.clinicalstudydatarequest.com/
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Atsena Therapeutics Inc.