ClinicalTrials.gg
Active, not recruitingNCT05099094Updated May 18, 2025

VEGFA-targeting Gene Therapy to Treat Retinal and Choroidal Neovascularization Diseases

An Early Phase 1 interventional study of BD311 in Neovascular Age-related Macular Degeneration, Diabetic Macular Edema and Retinal Vein Occlusion, sponsored by Shanghai BDgene Co., Ltd.. Active, not recruiting at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-05-18.

Sponsored by Shanghai BDgene Co., Ltd. · Early Phase 1, Interventional, and Treatment

Phase
Early Phase 1
Study type
Interventional
Enrollment
3
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
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Study summary

Patients who respond to anti-VEGF therapy but with refractory retinal and choroidal neovascularization diseases including neovascular age-related macular degeneration (nAMD), diabetic macular edema (DME), and retinal vein occlusion-Macular edema (RVO-ME).

Read the detailed description

Choroidal and retinal angiogenesis diseases are a group of diseases characterized by choroidal or retinal angiogenesis. These diseases are often correlated with the macular area, which may lead to significant visual loss. In this study, The IDLV vector is engineered to carry the VEGFA antibody gene. The gene is delivered to the RPE cells to express the VEGFA antibody which neutralizes the VEGFA activity in the posterior segment of the eye of individuals who have progressed to various forms of neovascular macular degeneration.

02

Conditions studied

  • Neovascular Age-related Macular Degeneration
  • Diabetic Macular Edema
  • Retinal Vein Occlusion

Keywords

  • Retinal diseases
  • Choroidal diseases
  • Neovascularization
  • nAMD
  • neovascular age-related macular degeneration
  • DME
  • Diabetic macular edema
  • RVO-ME
  • Retinal vein occlusion-Macular edema
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In context

Retinal Vein Occlusion

289 studies on the registry are indexed under Retinal Vein Occlusion; 32 are open to participants now.

This study's enrollment of 3 is below the median of 51 across 208 interventional studies indexed under Retinal Vein Occlusion.

Browse Retinal Vein Occlusion studies →

Lead sponsor

Shanghai BDgene Co., Ltd. is the lead sponsor of 10 studies on the registry; 4 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients with nAMD at the age ≥50; Or patients with diabetic macular edema (DME) at the age ≥18; Or patients with macular edema following retinal vein occlusion (RVO-ME) at the age ≥18.
  2. Early Treatment Diabetic Retinopathy Study (ETDRS) best corrected visual acuity ≤63 and letter score ≥19 Corresponding Snellen vision ≤20/63 and ≥20/400).
  3. OCT confirms the presence of intraretinal fluid or subretinal fluid in the fovea.
  4. Have received anti-VEGF therapy in the past and have responded to anti-VEGF therapy.
  5. With conditions: repeated anti-VEGF treatments are required due to the disease condition. When the treatment is interrupted, the disease condition recurs (OCT examination indicates increased subretinal/inner effusion in the macula)
  6. For patients with both eyes suffered, enroll the one with more severe condition.
  7. Routine blood test, liver and kidney function, coagulation index of patients is normal:/ALT \< 2.5 × ; TB \< 1.5 × ULN; PT \< 1.5 × ULN; > 10 g/dL (male) and > 9 g/dL (female); > 100 × 10\^3/µL; > 30 mL/min/1.73 m\^2.

Subjects voluntarily join the study, sign an form, have good compliance, and cooperate with follow-up.

Exclusion criteria

Exclusion Criteria:

  1. Choroidal neovascularization or macular edema induced by other diseases.
  2. Any other factors that affect vision improvement in the study eye, such as fibrosis, atrophy, or RPE tear in the fovea of the macula.
  3. The study eye already has severe proliferative retinopathy, such as retinal neovascularization, traction retinal detachment, etc. (only for DME and RVO-ME patients) .
  4. Retinal detachment or advanced glaucoma in the study eye.
  5. Implants in the study eye (except intraocular lenses).
  6. Received internal eye surgery within 3 months prior to enrollment.
  7. Vitrectomy surgery on the study eye.
  8. Received intravitreal or other clinical research drugs (except anti-VEGF therapy) within 6 months prior to enrollment.
  9. Myocardial infarction, cerebrovascular accident or occurred within 6 months prior to enrollment.
  10. Poorly controlled hypertension under maximum medication (systolic blood pressure>180 mmHg, diastolic blood pressure>100 mmHg).
  11. Poor blood glucose control under medication (fasting blood glucose is greater than or equal to 10.0 umol/L).
  12. Women who are willing to give birth; pregnant/breastfeeding women Have received gene therapy in the past.
Terms in these criteria, in plain language(9)

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    BD311 Adults single group

    Administered by suprachoroidal injection. Dosage form: injection solution. Dose: 500uL. Frequency of administration: one time injection.

    Genetic: BD311

Interventions

  • GeneticBD311

    Integration-deficient lentiviral vector (IDLV) expressing VEGFA antibody

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What researchers measure

Primary outcomes

  1. Treatment-related adverse events

    Observe and record incidences of AE and SAE related to VEGFA-targeting gene therapy drug BD311 (IDLV expressing VEGFA antibody) administration.

    Time frame: At multiple timepoints after infusion up to 12 months.

Secondary outcomes

  1. Changes in macular intraretinal fluid (IRF)

    The presence of macular intraretinal fluid (IRF) will be determined by optical coherence tomography (OCT).

    Time frame: At multiple timepoints after infusion up to 12 months.

  2. Changes in subretinal fluid (SRF)

    The presence of subretinal fluid (SRF) will be determined by optical coherence tomography (OCT).

    Time frame: At multiple timepoints after infusion up to 12 months.

  3. Change in central retinal thickness (CRT)

    Central retinal thickness will be measured by Optical Coherence Tomography (OCT).

    Time frame: At multiple timepoints after infusion up to 12 months.

  4. Changes in the area of choroidal neovascularization

    Using Fluorescein angiography (FFA) and indocyanine green angiography (ICGA) to assess the areas of choroidal neovascularization. Only for patients with nAMD.

    Time frame: At multiple timepoints after infusion up to 12 months.

  5. Changes in the area of fluorescein leakage

    Using Fluorescein angiography (FFA) and indocyanine green angiography (ICGA) to assess the areas of fluorescein leakage. Only for patients with nAMD.

    Time frame: At multiple timepoints after infusion up to 12 months.

  6. The number of rescue treatments

    Rescue treatments that require vitreous anti-VEGF injections due to illness.

    Time frame: At multiple timepoints after infusion up to 12 months.

  7. Evaluate the visual improvement

    Subjects will be examined for best corrected visual acuity (BCVA).

    Time frame: At multiple timepoints after infusion up to 12 months.

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2021 to primary completion in Nov 2024, 36 months.

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

Registered
Sep 18, 2021
First posted
Oct 29, 2021
StartActual
Nov 25, 2021
Primary completionActual
Nov 30, 2024
CompletionEst.
Sep 2025
Last update
May 18, 2025
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 May 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05099094
Lead sponsor
Shanghai BDgene Co., Ltd.
Responsible party
Sponsor
First posted
Oct 29, 2021
Start date
Nov 25, 2021
Primary completion
Nov 30, 2024
Completion
Sep 2025 (estimated)
Last update
May 18, 2025

Study contacts

Gezhi Xu, Dr
study director · Eye & ENT Hospital of Fudan University

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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