ClinicalTrials.gg
TerminatedNCT05158296Updated Jul 12, 2024Results posted

Study to Evaluate the Efficacy Safety and Tolerability of Ultevursen in Subjects With RP Due to Mutations in Exon 13 of the USH2A Gene (Sirius)

A Phase 2/3 interventional study of Ultevursen and Sham-procedure in Retinitis Pigmentosa, Usher Syndrome Type 2 and Deaf Blind, sponsored by Laboratoires Thea. Terminated at 15 sites in 4 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2024-07-12.

Primary conditionUsher SyndromesRegistry: Retinitis PigmentosaReclassifiedWhy we changed it
Registry
Retinitis Pigmentosa — the first condition term the registry derived for this study.
ClinicalTrials.gg
Usher Syndromes
Why
  1. The study's listed conditions name Usher Syndromes, a narrower term within Retinitis Pigmentosa.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Laboratoires Thea · Phase 2/3, Interventional, and Treatment

Why this study was terminated
Business decision
Phase
Phase 2/3
Study type
Interventional
Enrollment
7
Allocation
Randomized
Ages
12 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy safety and tolerability of ultevursen administered via intravitreal injection (IVT) in subjects with Retinitis Pigmentosa (RP) due to mutations in exon 13 of the USH2A gene.

Read the detailed description

The purpose of this study is to evaluate the efficacy safety and tolerability of ultevursen administered via intravitreal injection (IVT) in subjects with Retinitis Pigmentosa (RP) due to mutations in exon 13 of the USH2A gene.

The below dose levels of ultevursen will be evaluated with the loading dose administered at Day 1 and maintenance dose administered at Month 3 and every 6 months thereafter:

  1. Loading dose of 60 µg, maintenance dose of 60 µg
  2. Loading dose of 180 µg, maintenance dose of 60 µg

Dose levels will include subjects randomized to sham-procedure or treatment with ultevursen.

02

Conditions studied

  • Retinitis Pigmentosa
  • Usher Syndrome Type 2
  • Deaf Blind
  • Retinal Disease
  • Eye Diseases
  • Eye Diseases, Hereditary
  • Eye Disorders Congenital
  • Vision Disorders

Keywords

  • Retinitis Pigmentosa
  • USH2A
  • RP
  • exon 13
  • RNA therapies
  • antisense oligonucleotide
  • exon skipping
  • Sirius
  • IVT
  • mutations in exon 13 of the USH2A gene
  • NSRP
  • Non-Syndromic RP
  • Inherited Retinal Disorders
  • Usher Syndrome
  • Intravitreal Injection
  • ultevursen
03

In context

Usher Syndromes Reclassified

33 studies on the registry are indexed under Usher Syndromes; 13 are open to participants now.

This study's enrollment of 7 is below the median of 39 across 18 interventional studies indexed under Usher Syndromes.

Browse Usher Syndromes studies →

Lead sponsor

Laboratoires Thea is the lead sponsor of 64 studies on the registry; 6 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 6 (75%) have results posted.

Compared within Usher Syndromes, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Retinitis Pigmentosa. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
12 Years and older
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. Male or female, ≥ 18 years of age OR a minor (12 to \< 18 years) with permission from a parent or legal guardian. The lower age limit for pediatric populations is subject to local regulatory and ethics committee requirements.
  2. An adult willing to comply with the protocol, follow study instructions, attend study visits as required and willing and able to complete all study assessments. OR A minor able to complete all study assessments and comply with the protocol and has a parent or caregiver willing and able to follow study instructions, and attend study visits with the subject as required.
  3. Clinical presentation consistent with RP with Usher syndrome type 2 or nonsyndromic form of RP (NSRP), based on ophthalmic, audiologic, and vestibular examinations.
  4. A molecular diagnosis of homozygosity or compound heterozygosity for 1 or more pathogenic exon 13 mutations in the USH2A gene, based on genetic analysis at screening.
  5. BCVA between ≥30 and ≤68 letters (approximate Snellen equivalent 20/250 - 20/50) in the treatment eye using the mean BCVA reading at screening. Subjects with a mean BCVA between >68 and ≤73 letters will be allowed with documented historic evidence of a BCVA equivalent decline of >5 letters in both eyes.
  6. BCVA between ≥30 and ≤73 letters (approximate Snellen equivalent 20/250 - 20/40) in the contralateral eye (CE), using the mean BCVA reading at Screening.
  7. A difference in mean BCVA readings at Screening between the TE and CE of

    ≤10 letters (based on ETDRS). BCVA differences between eyes that are greater than 10 letters may be allowed however, the Investigator should discuss the case with the Medical Monitor.

  8. Stable BCVA in the TE and CE, defined as 2 separate BCVA measurements at Screening that fall within ≤ 5 letters for each respective eye.
  9. A visible EZ layer on SD-OCT in the TE, as determined by the Investigator.
  10. No limitations to SD-OCT image collection that would prevent high quality, reliable images from being obtained in both eyes, as determined by the Investigator.
  11. Reliable BCVA, perimetry, and other measurements in both eyes, as described in the Study Reference Manual and Imaging Manual and determined by the Investigator.
  12. No visually significant ocular media opacities and adequate pupillary dilation to permit good quality retinal imaging in both eyes, as assessed by the Investigator.

Exclusion criteria

Exclusion Criteria:

  1. Presence of additional non-exon 13 USH2A pathogenic mutation(s) on the USH2A allele carrying the exon 13 mutation in subjects who have monoallelic exon-13 mutations.
  2. Presence of non-exon 13 USH2A pathogenic mutation(s) on both USH2A alleles in subjects who have biallelic exon 13 mutations.
  3. Presence of pathogenic mutations in genes (other than the USH2A gene) associated with Usher syndrome Type 2 or NSRP, or other inherited retinal degenerative diseases or syndromes. Note: The confirmed presence of homozygous or compound heterozygous known disease-causing mutations in other genes involved in recessive retinal dystrophies (RD), or the confirmed presence of known disease-causing mutations in genes involved in dominant or X-linked retinal dystrophies is exclusionary.
  4. Presence of any significant ocular (in either eye) or non-ocular disease/disorder (or medication and/or laboratory test abnormalities) which, in the opinion of the Investigator and with concurrence of the Medical Monitor, may either put the subject at risk because of participation in the study, may influence the results of the study, or the subject's ability to participate in the study. This includes but is not limited to a subject who has uncontrolled cystoid macular edema (CME). CME is permissible if stable for 3 months (with or without treatment). Past CME is permissible if resolved for more than 1 month.
  5. History or presence of ocular herpetic diseases (including herpes simplex virus, varicella zoster or cytomegalovirus) in either eye.
  6. Presence of any active ocular infection in either eye.
  7. Presence of any of the following lens opacities in the study eye: cortical opacity ≥

    +2, posterior subcapsular opacity ≥ +2, or a nuclear sclerosis ≥ +2, and which are: 1) in the opinion of the Investigator, 2) would adequately prevent clinical and photographic evaluation of the retina.

  8. History of amblyopia in either eye that resulted in significant vision loss, in the opinion of the Investigator.
  9. Receipt within 3 months prior to Screening of any intraocular or periocular surgery (including refractive surgery), or an IVT injection or planned intraocular surgery or procedure in either eye during the course of the study. For YAG laser treatment of a posterior capsular opacity, receipt within 1 month prior to Screening or planned procedure in either eye during the course of the study.
  10. Current treatment or treatment within the past 12 months with therapies known to influence the immune system (including but not limited to implants, cytostatics, interferons, tumor necrosis factor (TNF)-binding proteins, drugs acting on immunophilins, or antibodies with known impact on the immune system). Subjects that have been treated with systemic steroids within the past 12 months or that require intermittent use of topical steroids may be considered for inclusion following approval by the Medical Monitor.
  11. A history of glaucoma or an IOP greater than 21 mmHg in either eye that is not controlled with medication or surgery. IOP measurements between 21 and 24 mmHg may be allowed however, the Investigator should discuss the case with the Medical Monitor.
  12. Use of any drug or device within 90 days or 5 half-lives preceding the first dose of study medication, whichever is longer, or plans to participate in another study of an investigational drug or device during the course of the study.
  13. Any prior treatment with genetic or stem-cell therapy for ocular or non-ocular disease.
  14. History of within 2 years prior to Screening, except adequately treated squamous or basal cell carcinoma of the skin or carcinoma in situ of the cervix that has been successfully treated.
  15. Known to antisense oligonucleotides or any constituents of the injection.
  16. Pregnant and breastfeeding subjects. Females of and males must comply with using highly effective methods of as defined in the protocol. Women of non-childbearing potential may be included without the use of adequate birth control.
Terms in these criteria, in plain language(7)

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.

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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

Study arms

  • Experimental
    Ultevursen 60/60 µg

    60 µg loading dose administered on Day 1, 60 µg maintenance dose administered at Month 3 and every 6 months thereafter

    Drug: Ultevursen

  • Experimental
    Ultevursen 180/60 µg

    180 µg loading dose administered on Day 1, 60 µg maintenance dose administered at Month 3 and every 6 months thereafter

    Drug: Ultevursen

  • Sham comparator
    Sham-procedure

    Sham-procedure (no experimental drug administered) on Day 1, Month 3 and every 6 months thereafter

    Other: Sham-procedure

Interventions

  • DrugUltevursen

    RNA antisense oligonucleotide for intravitreal injection

    Also known as: RNA antisense oligonucleotide for intravitreal injection

  • OtherSham-procedure

    Sham-procedure (no experimental drug administered)

06

What researchers measure

Primary outcomes

  1. Mean Change From Baseline in Best Corrected Visual Acuity (BCVA)

    Mean change from baseline in best corrected visual acuity(BCVA) based on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart

    Time frame: 18 months of treatment versus sham-procedure

Secondary outcomes

  1. Proportion of Patients Who Maintain Vision Defined by BCVA Loss Less Than 15 Letters (ETDRS)

    Proportion of patients who maintain vision defined by BCVA loss less than 15 Letters based on ETDRS

    Time frame: 27 months

  2. Change From Baseline in Other Analyses of Best Corrected Visual Acuity (BCVA)

    Change from baseline in other analyses of Best Corrected Visual Acuity (BCVA)

    Time frame: 27 months

  3. Change From Baseline in Ellipsoid Zone (EZ) Area and Width as Imaged by Spectral Domain Optical Coherence Tomography (SD-OCT)

    Change from baseline in ellipsoid zone (EZ) area and width as imaged by spectral domain optical coherence tomography (SD-OCT)

    Time frame: 27 months

  4. Change From Baseline in Low Luminance Visual Acuity (LLVA)

    Change from baseline in Low Luminance Visual Acuity (LLVA)

    Time frame: 27 months

  5. Change From Baseline in Microperimetry

    Change from baseline in Microperimetry

    Time frame: 27 months

  6. Change From Baseline in Full-field Stimulus Threshold (FST)

    Change from baseline in Full-field Stimulus Threshold (FST)

    Time frame: 27 months

  7. Change From Baseline in PRO Measures

    As assessed by the Veteran Affairs Low Vision Visual Functioning Questionnaire (VA LV VFQ-20), Patient Global Impressions of Severity (PGI-S) and Patient Global Impressions of Change (PGI-C)

    Time frame: 27 months

  8. Ocular and Non-ocular Adverse Events (AEs)

    Ocular and non-ocular adverse events (AEs)

    Time frame: 27 months

  9. Cmax of Ultevursen in Serum

    Maximum concentration (Cmax) of ultevursen in serum

    Time frame: 27 months

07

Results

Posted Jul 12, 2024
Limitations and caveats
Study prematurely terminated due to sponsor decision for reasons unrelated to safety.

Participant flow

Participant flow — Overall Study
MilestoneUltevursen 60/60 µgUltevursen 180/60 µgSham-procedure
Started232
Completed000
Not completed232
Withdrew: Sponsor decision232

Outcome measures

PrimaryMean Change From Baseline in Best Corrected Visual Acuity (BCVA)

Mean change from baseline in best corrected visual acuity(BCVA) based on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart

Time frame:
18 months of treatment versus sham-procedure

No measurements were reported for this outcome.

SecondaryProportion of Patients Who Maintain Vision Defined by BCVA Loss Less Than 15 Letters (ETDRS)

Proportion of patients who maintain vision defined by BCVA loss less than 15 Letters based on ETDRS

Time frame:
27 months

Results for this outcome have not been posted.

SecondaryChange From Baseline in Other Analyses of Best Corrected Visual Acuity (BCVA)

Change from baseline in other analyses of Best Corrected Visual Acuity (BCVA)

Time frame:
27 months

Results for this outcome have not been posted.

SecondaryChange From Baseline in Ellipsoid Zone (EZ) Area and Width as Imaged by Spectral Domain Optical Coherence Tomography (SD-OCT)

Change from baseline in ellipsoid zone (EZ) area and width as imaged by spectral domain optical coherence tomography (SD-OCT)

Time frame:
27 months

Results for this outcome have not been posted.

SecondaryChange From Baseline in Low Luminance Visual Acuity (LLVA)

Change from baseline in Low Luminance Visual Acuity (LLVA)

Time frame:
27 months

Results for this outcome have not been posted.

SecondaryChange From Baseline in Microperimetry

Change from baseline in Microperimetry

Time frame:
27 months

Results for this outcome have not been posted.

SecondaryChange From Baseline in Full-field Stimulus Threshold (FST)

Change from baseline in Full-field Stimulus Threshold (FST)

Time frame:
27 months

Results for this outcome have not been posted.

SecondaryChange From Baseline in PRO Measures

As assessed by the Veteran Affairs Low Vision Visual Functioning Questionnaire (VA LV VFQ-20), Patient Global Impressions of Severity (PGI-S) and Patient Global Impressions of Change (PGI-C)

Time frame:
27 months

Results for this outcome have not been posted.

SecondaryOcular and Non-ocular Adverse Events (AEs)

Ocular and non-ocular adverse events (AEs)

Time frame:
27 months

Results for this outcome have not been posted.

SecondaryCmax of Ultevursen in Serum

Maximum concentration (Cmax) of ultevursen in serum

Time frame:
27 months

Results for this outcome have not been posted.

Adverse events

Collected over up to 10 months for each participant. Study was terminated prematurely, therefore follow-up maximum range is first patient first visit to last patient last visit.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ultevursen 60/60 µg0/2 (0%)0/2 (0%)1/2 (50%)
Ultevursen 180/60 µg0/3 (0%)0/3 (0%)2/3 (66.7%)
Sham-procedure0/2 (0%)0/2 (0%)1/2 (50%)
Most frequent other events
Showing 10 of 14
Most frequent other events
EventUltevursen 60/60 µgUltevursen 180/60 µgSham-procedure
Conjunctival haemorrhageEye disorders1/22/30/2
Eye painEye disorders1/21/30/2
Urinary tract infectionInfections and infestations0/20/31/2
TonsillitisInfections and infestations1/20/30/2
SinusitisInfections and infestations1/20/30/2
Iron deficiencyMetabolism and nutrition disorders0/20/31/2
Tooth injuryInjury, poisoning and procedural complications1/20/30/2
Vertigo labyrinthineEar and labyrinth disorders1/20/30/2
ArthralgiaMusculoskeletal and connective tissue disorders1/20/30/2
Visual impairmentEye disorders0/21/30/2

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Ultevursen 60/60 µgUltevursen 180/60 µgSham-procedureTotal
<=18 years0000
Between 18 and 65 years2226
>=65 years0101
Age, Continuous
Age, Continuous(years)Ultevursen 60/60 µgUltevursen 180/60 µgSham-procedureTotal
Mean54.0 ± 1.447.3 ± 20.556.0 ± 4.251.7 ± 12.7
Sex: Female, Male
Sex: Female, Male(Participants)Ultevursen 60/60 µgUltevursen 180/60 µgSham-procedureTotal
Female2114
Male0213
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Ultevursen 60/60 µgUltevursen 180/60 µgSham-procedureTotal
Hispanic or Latino0000
Not Hispanic or Latino2327
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Ultevursen 60/60 µgUltevursen 180/60 µgSham-procedureTotal
American Indian or Alaska Native0000
Asian0000
Native Hawaiian or Other Pacific Islander0000
Black or African American0000
White2327
More than one race0000
Unknown or Not Reported0000
Genotype
Genotype(Participants)Ultevursen 60/60 µgUltevursen 180/60 µgSham-procedureTotal
Homozygous0011
Heterozygous2316
Phenotype
Phenotype(Participants)Ultevursen 60/60 µgUltevursen 180/60 µgSham-procedureTotal
Syndromic2226
Non-Syndromic0101
Baseline Best Corrected Visual Acuity (BCVA) - Treated Eye
Baseline Best Corrected Visual Acuity (BCVA) - Treated Eye(letters)Ultevursen 60/60 µgUltevursen 180/60 µgSham-procedureTotal
Mean53.0 ± 14.154.7 ± 11.159.0 ± 11.355.4 ± 10.1

1 further baseline measures are reported on the registry.

08

Study locations

15 sites
  • Shiley Eye Institute - UC San Diego
    San Diego, California 92093-0946, United States
  • University of California, San Francisco
    San Francisco, California 94158, United States
  • University of Miami, Bascom Palmer Eye Institute
    Miami, Florida 33136, United States
  • Emory Eye Center
    Atlanta, Georgia 30322, United States
  • Wilmer Eye Institute, Johns Hopkins Hospital
    Baltimore, Maryland 21287, United States
  • Center for Clinical Research Operations, Massachusetts Eye and Ear
    Boston, Massachusetts 02114, United States
  • University of Michigan, Kellogg Eye Center
    Ann Arbor, Michigan 48105, United States
  • Columbia University
    New York, New York 10032, United States
  • Retina Foundation of the Southwest
    Dallas, Texas 75231, United States
  • University of Wisconsin - Madison
    Madison, Wisconsin 53705, United States
  • Universitaetsklinikum Tuebingen Department für Augenheilkunde
    Tuebingen, 72076, Germany
  • RadboudUMC
    Nijmegen, 6525 GA, Netherlands
  • Het Oogziekenhuis Rotterdam
    Rotterdam, 3011 BH, Netherlands
  • Oxford Eye Hospital
    Headington, Oxford OX3 9DU, United Kingdom
  • Moorfields Eye Hospital
    London, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2021 to primary completion in Oct 2022, 10 months.

Results were first posted in Jul 2024, 1 year 9 months after primary completion.

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

Registered
Nov 23, 2021
First posted
Dec 15, 2021
StartActual
Dec 8, 2021
Primary completionActual
Oct 12, 2022
CompletionActual
Oct 12, 2022
Results first posted
Jul 12, 2024
Last update
Jul 12, 2024
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 Jul 12, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05158296
Lead sponsor
Laboratoires Thea
Collaborators
Sepul Bio
Responsible party
Sponsor
First posted
Dec 15, 2021
Start date
Dec 8, 2021
Primary completion
Oct 12, 2022
Completion
Oct 12, 2022
Results posted
Jul 12, 2024
Last update
Jul 12, 2024

Study contacts

Sepul Bio Medical Monitor
study director · Sepul Bio
Sepul Bio Clinical Operations Director
study director · Sepul Bio

Oversight

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

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