ClinicalTrials.gg
RecruitingNCT05805007Updated Oct 15, 2026

Safety and Tolerability Study of Gene Editing Drug ZVS203e in Participants With Retinitis Pigmentosa

An Early Phase 1 interventional study of ZVS203e in Retinitis Pigmentosa, sponsored by Peking University Third Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-15.

Sponsored by Peking University Third Hospital · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2023; still recruiting 3 years 2 months later.
Updated Oct 15, 2026Primary completion movedStudy completion moved+4 moreGo to Updates ↓

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Phase
Early Phase 1
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 17 studies in Retinitis Pigmentosa with a site in China — 12 open to participants now, 13 under way, 1 of them phase 3. Retinitis Pigmentosa · China.

Planned enrollment
13th of 15
9 · median 25
Started
2023
with 3 others
Phase 1
8 of 17
6 open now
Primary completion
2026-12
later than 6 of 12 live
Registered
7th of 17
by date
Lead sponsor
1 of 17
Peking University Third Hospital

Among the 17 studies in Retinitis Pigmentosa with a site in China, this one is the 13th largest by planned enrollment of the 15 interventional ones that give a count, is one of 4 that started in 2023, is one of 8 in phase 1, reaches primary completion later than 6 of the 12 other live ones, and was the 7th registered.

Retinitis Pigmentosa

278 studies on the registry are indexed under Retinitis Pigmentosa; 72 are open to participants now.

Browse Retinitis Pigmentosa studies →

Open to participants now

12 of the 17 studies in Retinitis Pigmentosa with a site in China are open now. Recruiting first, the newest first:

6 more — sign in →

All 12 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 49 Retinitis Pigmentosa studies recruiting now, 37 (76%) set no upper age limit and 7 (14%) stop at 75 or younger; 16 take children under 18; 10 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 17 studies in Retinitis Pigmentosa with a site in China, or all of them as a file.
02

Study summary

The purpose of this study is to evaluate the safety, tolerability and efficacy of a single escalating doses of ZVS203e administered via subretinal injection in participants with RP caused by RHO site-specific gene mutation (RHO-RP). This is a single-arm, open-label, single ascending dose study.

Read the detailed description

ZVS203e injection is an experimental rAAV8-mediated gene therapy drug intended for the treatment of retinitis pigmentosa caused by specific mutations in the RHO gene. Administered via subretinal injection, it directly delivers gene-editing tools to photoreceptor cells and retinal pigment epithelial (RPE) cells. Up to 9 participants will be enrolled in this study. Safety, efficacy and vector shedding characteristics of ZVS203e are then measured. The study duration for each subject includes the screening period, treatment period, core visit period, 1-year safety follow-up, and end of study.

03

Conditions studied

  • Retinitis Pigmentosa

Browse trials for

Keywords

  • gene editing
  • retinitis pigmentosa
  • RHO
  • rAAV
04

Who can participate

The criteria were revised on the registry on Oct 15, 2026. See what changed

Ages eligible
18 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. Patients with clinical diagnosis of Retinitis Pigmentosa (RP) (age ≥ 18 years) ;
  • 2. Genetic test confirmed to carry a fix mutation of RHO and carry no pathogenic mutations of other ophthalmic genetic diseases;
  • 3. Meet the following target eye selection criteria: Best corrected visual acuity between 2.3 LogMAR and 0.5 LogMAR (including 2.3 LogMAR and 0.5 LogMAR, equivalent to Snellen visual acuity of hand move to 20/63) ;
  • 4. Agree to take effective measures from the beginning of the study to 1 year after the administration;
  • 5.Willingness to adhere to protocol as evidenced by written ;

    • Definition of the study eye: The study eye is defined as the eye with worse visual acuity between the two eyes of each prospective subject. For all subjects, only one eye shall be designated as the "study eye" (i.e., the eye receiving treatment). If both eyes of a patient meet the eligibility criteria and have equal visual acuity, the investigator shall determine the study eye based on clinical judgment.

Exclusion criteria

Exclusion Criteria:

  • 1. Existing or pre-existing of macular lesions such as retinoschisis or macular membrane, or other eye conditions interfering with the surgery or the interpretation of the clinical endpoint, in the investigators' opinion;
  • 2. The study eye has been treated with other drugs within 3 months that could affect the evaluation of the drug;
  • 3. The study eye has been treated with the following intraocular procedures: retinal detachment surgery, vitrectomy;
  • 4. The presence of an ocular/visual disease, disorder or lesion known to cause, or to be associated with, vision loss, or whose associated treatment or therapy is known to cause, or to be associated with, vision loss;
  • 5. Currently taking or may require systemic medications that can cause ocular toxicity, such as psoralen, risedronate, or tamoxifen;
  • 6. Known allergy to the drug planned for use in the study;
  • 7.Those with the following laboratory abnormalities which are : Liver function: chronic liver disease, increased >2 times the ; With uncontrolled hypertension, mean systolic blood pressure ≥ 160 mmHg or mean diastolic blood pressure ≥ 100 mmHg; With uncontrolled diabetes, >10%; Patients with abnormal coagulation function ( ≥ upper limit of normal (3 seconds' longer), activated partial thromboplastin time ≥ upper limit of normal (10 seconds' longer)); Serum virology test: Active , virus antibody (HCV-Ab), antibody (HIV-Ab) or syphilis antibody positive;
  • 8. Having any past or present medical history that may affect the safety of the trial or the in vivo process of the drug, especially the medical history of cardiovascular, hepatic, renal, endocrine, gastrointestinal, pulmonary, neurological, hematological, oncologic, immunological or metabolic disorders and others that are thought clinically significant by the investigator;
  • 9. Participation in any medicine or medical device clinical trials within 3 months prior to enrollment;
  • 10. Neutralizing antibodies to rAAV> 1:1000 by immunologic test;
  • 11. For females in pregnancy or lactation period;
  • 12. Any other conditions which leads the investigator to determine the participant is unsuitable for this study.
Terms in these criteria, in plain language(11)

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.

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.

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.

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.

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.

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.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

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

Study arms

  • Experimental
    Dose escalation

    Three cohorts of 3 patients each. All the patients enrolled in the study will receive a single subretinal injection in one eye. Cohort 1: Subretinal administration of a single low dose ZVS203e at Day 0. Cohort 2: Subretinal administration of a single medium dose ZVS203e at Day 0. Cohort 3: Subretinal administration of a single high dose ZVS203e at Day 0.

    Drug: ZVS203e

Interventions

  • DrugZVS203e

    ZVS203e is a rAAV-mediated gene editing drug that silences RHO mutant protein expression by CRISPR/Cas9 editing system.

06

What researchers measure

Primary outcomes

  1. AEs and SAEs

    Type, severity, and incidence of ocular and systemic adverse events (AEs) and serious adverse events (SAEs) in the study eye after ZVS203e administration.

    Time frame: Baseline up to Week 52

  2. Immunogenicity Testing

    Immunogenicity following subretinal administration of ZVS203e injection, including T-cell immune responses against SauriCas9 and AAV8, and titers of anti-SauriCas9 binding antibodies, anti-AAV8 binding antibodies, and anti-AAV8 neutralizing antibodies.

    Time frame: Baseline up to Week 52

  3. Vector Shedding

    Vector DNA shedding in blood and tears following subretinal administration of ZVS203e injection.

    Time frame: Baseline up to Week 52

Secondary outcomes

  1. Change from Baseline in BCVA after ZVS203e Treatment

    BCVA of both eyes will be assessed using the early treatment of diabetic retinopathy study (ETDRS) chart.

    Time frame: Baseline up to Week 52

  2. Change from Baseline in Visual Field

    Visual field will be assessed by Humphrey perimetry, changes in VFI, MD, PSD will be analyzed.

    Time frame: Baseline up to Week 52

  3. Change from Baseline in Contrast Sensitivity

    Change from baseline in contrast sensitivity will be measured using the CSV-1000E instrument.

    Time frame: Baseline up to Week 52

  4. Change from Baseline in Color Vision

    Subjects' color vision was classified and graded by Farnsworth Munsell 100 hue.

    Time frame: Baseline up to Week 52

  5. Change from Baseline in mfERG

    The measurement will be performed based on the standards of international society for clinical electrophysiology of vision (ISCEV).

    Time frame: Baseline up to Week 52

  6. Change from Baseline in Retinal Thickness

    Retinal thickness will be assessed for both eyes using OCT.

    Time frame: Baseline up to Week 52

  7. Change from Baseline in Fundus Autofluorescence (FAF)

    FAF is a noninvasive test to explore the health and metabolic status of retinal pigment epithelial cell/photoreceptor complex.

    Time frame: Baseline up to Week 52

Other outcomes

  1. Change from Baseline in NEI VFQ-25 Total Score

    National eye institute 25-item visual function questionnaire (NEI VFQ-25) consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs. All items are scored so that a high score represents better functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points, respectively.

    Time frame: Baseline up to Week 52

  2. Improvement in BCVA, Retinal Structure, and Visual Function from Baseline in the contralateral Eye

    Evaluation of mean changes from baseline in BCVA, OCT, FAF, mfERG, color vision, visual field function, and contrast sensitivity in the contralateral eye.

    Time frame: Baseline up to Week 52

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Started Sep 2023 (actual). Primary completion is estimated for Dec 2026, 39 months after the start.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 15, 2026: primary completion Apr 2026 → Dec 2026 and completion Apr 2026 → Dec 2028.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Mar 14, 2023
First posted
Apr 7, 2023
StartActual
Sep 12, 2023
Primary completionEst.
Dec 2026was Apr 2026
CompletionEst.
Dec 2028was Apr 2026
Last update
Oct 15, 2026
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.
Sites
1 site added, 1 site removed
Show site
  • Peking University Third Hospital · Beijing, China
Show 1 removed
  • Peking University Third Hospital · Beijing, China
Oct 15, 2026
Primary completion
Apr 2026→Dec 2026
Oct 15, 2026
Study completion
Apr 2026→Dec 2028
Oct 15, 2026
Eligibility
1 inclusion criterion added
What changed in the criteria
Inclusion criteria
  • AddedDefinition of the study eye: The study eye is defined as the eye with worse visual acuity between the two eyes of each prospective subject. For all subjects, only one eye shall be designated as the "study eye" (i.e., the eye receiving treatment). If both eyes of a patient meet the eligibility criteria and have equal visual acuity, the investigator shall determine the study eye based on clinical judgment.
Oct 15, 2026
Primary outcomes
3 added, 2 removed
What changed in the outcomes
  • AddedAEs and SAEsTime frame: Baseline up to Week 52
  • AddedImmunogenicity TestingTime frame: Baseline up to Week 52
  • AddedVector SheddingTime frame: Baseline up to Week 52
  • RemovedIncidence of adverse events (AEs)Time frame: Baseline up to Week 52
  • RemovedIncidence of serious adverse events (SAEs)Time frame: Baseline up to Week 52
Oct 15, 2026
Secondary outcomes
6 edited, 2 added, 2 removed
What changed in the outcomes
  • EditedMean changeChange from baselineBaseline in BCVA after ZVS203e treatmentTreatmentTime frame: Baseline up to Week 52
  • EditedChange from Baseline in visual fieldVisual FieldTime frame: Baseline up to Week 52
  • EditedChange from Baseline in contrast sensitivityContrast SensitivityTime frame: Baseline up to Week 52
  • EditedChange from Baseline in multi-luminance mobility testFundus Autofluorescence (MLMTFAF)Time frame: Baseline up to Week 52
  • EditedChange from Baseline in retinal thicknessColor VisionTime frame: Baseline up to Week 52
  • EditedChange from Baseline in fundus autofluorescence (FAF)Retinal ThicknessTime frame: Baseline up to Week 52
  • RemovedChange from Baseline in color visionTime frame: Baseline up to Week 52
  • RemovedChange from Baseline in NEI VFQ-25 total scoreTime frame: Baseline up to Week 52
  • Addedother outcomeChange from Baseline in NEI VFQ-25 Total ScoreTime frame: Baseline up to Week 52
  • Addedother outcomeImprovement in BCVA, Retinal Structure, and Visual Function from Baseline in the contralateral EyeTime frame: Baseline up to Week 52
Oct 15, 2026
Show all 1 update
  1. Oct 15, 2026
    1 site added, 1 site removed
    Show site
    • Peking University Third Hospital · Beijing, China
    Show 1 removed
    • Peking University Third Hospital · Beijing, China
    Primary completion Apr 2026→Dec 2026
    Study completion Apr 2026→Dec 2028
    Eligibility 1 inclusion criterion added
    What changed in the criteria
    Inclusion criteria
    • AddedDefinition of the study eye: The study eye is defined as the eye with worse visual acuity between the two eyes of each prospective subject. For all subjects, only one eye shall be designated as the "study eye" (i.e., the eye receiving treatment). If both eyes of a patient meet the eligibility criteria and have equal visual acuity, the investigator shall determine the study eye based on clinical judgment.
    Primary outcomes 3 added, 2 removed
    What changed in the outcomes
    • AddedAEs and SAEsTime frame: Baseline up to Week 52
    • AddedImmunogenicity TestingTime frame: Baseline up to Week 52
    • AddedVector SheddingTime frame: Baseline up to Week 52
    • RemovedIncidence of adverse events (AEs)Time frame: Baseline up to Week 52
    • RemovedIncidence of serious adverse events (SAEs)Time frame: Baseline up to Week 52
    Secondary outcomes 6 edited, 2 added, 2 removed
    What changed in the outcomes
    • EditedMean changeChange from baselineBaseline in BCVA after ZVS203e treatmentTreatmentTime frame: Baseline up to Week 52
    • EditedChange from Baseline in visual fieldVisual FieldTime frame: Baseline up to Week 52
    • EditedChange from Baseline in contrast sensitivityContrast SensitivityTime frame: Baseline up to Week 52
    • EditedChange from Baseline in multi-luminance mobility testFundus Autofluorescence (MLMTFAF)Time frame: Baseline up to Week 52
    • EditedChange from Baseline in retinal thicknessColor VisionTime frame: Baseline up to Week 52
    • EditedChange from Baseline in fundus autofluorescence (FAF)Retinal ThicknessTime frame: Baseline up to Week 52
    • RemovedChange from Baseline in color visionTime frame: Baseline up to Week 52
    • RemovedChange from Baseline in NEI VFQ-25 total scoreTime frame: Baseline up to Week 52
    • Addedother outcomeChange from Baseline in NEI VFQ-25 Total ScoreTime frame: Baseline up to Week 52
    • Addedother outcomeImprovement in BCVA, Retinal Structure, and Visual Function from Baseline in the contralateral EyeTime frame: Baseline up to Week 52
    + 4 other changes: index terms, verification date, description and design details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05805007
Responsible party
Sponsor
First posted
Apr 7, 2023
Start date
Sep 12, 2023
Primary completion
Dec 2026 (estimated)
Completion
Dec 2028 (estimated)
Last update
Oct 15, 2026

Study contacts

Liping Yang, MD
Contact
alexlipingyang@bjmu.edu.cn
010-82266595
Jinlu Zhang, MD
Contact
zhangjinlu@bjmu.edu.cn
15810570898
Liping Yang, MD
principal investigator · Peking University Third Hospital

Oversight

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

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