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CompletedNCT04516369Updated Jun 4, 2026

Study of Efficacy and Safety of Voretigene Neparvovec in Japanese Patients With Biallelic RPE65 Mutation-associated Retinal Dystrophy

A Phase 3 interventional study of voretigene neparvovec in Biallelic RPE65 Mutation-associated Retinal Dystrophy, sponsored by Novartis Pharmaceuticals. Completed at 1 site in Japan. Open to participants aged 4 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-06-04.

Sponsored by Novartis Pharmaceuticals · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
4
Allocation
Not applicable
Ages
4 Years to 100 Years
Sex
All
01

Study summary

The purpose of this study is to provide safety and efficacy data for voretigene neparvovec, administered as subretinal injection, in Japanese patients with biallelic RPE65 mutation-associated retinal dystrophy.

Read the detailed description

This is an open-label, single-arm study to evaluate the safety and efficacy of bilateral subretinal administration of voretigene neparvovec in Japanese patients with biallelic RPE65 mutation-associated retinal dystrophy. Assessments will include full-field light sensitivity threshold testing, visual fields, visual acuity, vector shedding, immunogenicity and adverse events. Participants will be monitored for 5 years after treatment.

02

Conditions studied

  • Biallelic RPE65 Mutation-associated Retinal Dystrophy

Keywords

  • LTW888
  • voretigene neparvovec
  • Biallelic RPE65 mutation-associated retinal dystrophy
  • Japanese patients
03

In context

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

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

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Who can participate

Ages eligible
4 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Japanese participants with biallelic RPE65 mutation-associated retinal dystrophy; molecular diagnosis of RPE65 mutation must be confirmed by a Novartis designated laboratory in Japan.
  • Age four years or older.
  • Visual acuity worse than 20/60 (both eyes) and/or visual field less than 20 degrees in any meridian as measured by a III4e isopter or equivalent (both eyes).
  • Sufficient viable retinal cells as determined by non-invasive means, such as optical coherence tomography (OCT) and/ or ophthalmoscopy. Must have either:

    • An area of retina within the posterior pole of > 100 µm thickness shown on OCT, or
    • ≥ 3 disc areas of retina without atrophy or pigmentary degeneration within the posterior pole, or
    • Remaining visual field within 30 degrees of fixation as measured by a III4e isopter or equivalent

Exclusion criteria

Exclusion Criteria:

  • Any prior participation in a study in which a gene therapy vector was administered.
  • Participation in a clinical study with an investigational drug in the past 6 months from screening visit.
  • Known hypersensitivity to any of the study treatments including excipients or to medications planned for use in the peri-operative period.
  • Unable to reliably perform the FST assessment.
  • Use of retinoid compounds or precursors that could potentially interact with the biochemical activity of the RPE65 enzyme in the past 6 months from screening visit.
  • Prior intraocular surgery within 6 months from screening visit.
  • Prior use of any medicines that, in the opinion of the investigator, may have caused retinal damage (e.g., sildenafil or related compounds, hydroxychloroquine, chloroquine, thioridazine, any other retino-toxic compounds)
  • Pre-existing eye conditions or complicating systemic diseases that would preclude the planned surgery or interfere with the interpretation of study. Complicating systemic diseases would include those in which the disease itself, or the treatment for the disease, can alter ocular function.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
4 participants (actual)

Study arms

  • Experimental
    Voretigene neparvovec

    1.5 E11 vg (0.3 mL subretinal injection in each eye, 6-18 days apart)

    Genetic: voretigene neparvovec

Interventions

  • Geneticvoretigene neparvovec

    Voretigene neparvovec is an adeno-associated viral type 2 (AAV2) gene therapy vector driving expression of normal human retinal pigment epithelium 65 kDa protein (hRPE65) gene.

06

What researchers measure

Primary outcomes

  1. Change from Baseline in full-field light sensitivity threshold

    Full-field light sensitivity threshold (FST) is evaluated using white light, as averaged over both eyes.

    Time frame: Baseline, Day 30, 90, 180, 270, and Year 1 after second eye injection

Secondary outcomes

  1. Change from Baseline in visual field

    Visual Field is assessed using the sum total degrees for VF, averaged over both eyes, as measued using Goldmann kinetic perimetry testing with a III4e target.

    Time frame: Baseline, Day 14, 30, 90, 180, 270, and Year 1, 2, 3, 4, 5 after second eye injection

  2. Change from Baseline in macular threshold

    Macular threshold is assessed as averaged over both eyes, as measured using Humphrey static visual field testing.

    Time frame: Baseline, Day 14, 30, 90, 180, 270, and Year 1, 2, 3, 4, 5 after second eye injection

  3. Change from Baseline in visual acuity

    Visual acuity is assessed as averaged over both eyes.

    Time frame: Baseline, Day 1, and 3 after first eye injection; Day 1, 3, 14, 30, 90, 180, 270, and Year 1, 2, 3, 4, 5 after second eye injection

  4. Change from Baseline in FST for long-term period

    FST is assessed using white light, as averaged over both eyes.

    Time frame: Baseline, Year 2, 3, 4 and 5 after second eye injection

  5. Proportion of subject with the presence of vector shedding of voretigene neparvovec during the study period

    Assessed as the presence of vector in peripheral blood or collected tear.

    Time frame: Baseline, Day 0, 1 and 3 after first eye injection; Day 0, 1, 3, 14, 30, 90, 180, 270, and Year 1 after second eye injection

  6. Proportion of subject with the presence of immunogenicity of voretigene neparvovec during the study period

    Assessed as presence of systemic cell-mediated or humoral responses to capsid or transgene product .

    Time frame: Baseline, Day 30, 90, 180, 270, and Year 1 after second eye injection

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Study locations

1 site
  • Novartis Investigative Site
    Meguro-ku, Tokyo 152-8902, Japan
08

References and documents

Individual participant data

Plan to share: Yes — 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

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04516369
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Aug 18, 2020
Start date
Nov 24, 2020
Primary completion
Apr 5, 2022
Completion
May 19, 2026
Last update
Jun 4, 2026

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
No
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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