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RecruitingNCT07439887AURORAUpdated Apr 15, 2026

Phase 1/2 Open-Label Dose-Escalation Study to Evaluate Safety of a Single Intravitreal Injection of RTx-021 in Patients With Stargardt Disease

A Phase 1/2 interventional study of RTx-021 in Stargardt Disease, sponsored by Ray Therapeutics, Inc.. Recruiting at 3 sites in United States. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2026-04-15.

Sponsored by Ray Therapeutics, Inc. · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2026; still recruiting 8 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
18
Allocation
Non-randomized
Ages
16 Years and older
Sex
All
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Study summary

A Phase 1/2, open-label, non-randomized, dose-escalation study, where a minimum of 9 and a maximum of 18 eligible patients with Stargardt Disease will be enrolled sequentially in up to 3 dose cohorts of RTx-021. Enrolled patients will receive a single, unilateral intravitreal injection of RTx-021 in the study eye and be followed for 5 years.

Read the detailed description

This Phase 1/2, open-label, non-randomized, sequential assignment, first-in-human dose-escalation study is to evaluate the safety and preliminary efficacy of a single, uniocular intravitreal injection of an investigational optogenetic gene therapy, RTx-021, in patients with Stargardt Disease. Up to 3 dose cohorts of RTx-021 are planned, and each cohort will consist initially of 3 patients. The study is a traditional dose escalation design with the potential for cohort expansion and is intended to support dose selection for further clinical development. Patients will receive a single, unilateral intravitreal injection of RTx-021 in the study eye and be followed for 5 years with visits being more frequent in the initial 12 months after treatment.

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Conditions studied

  • Stargardt Disease

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Keywords

  • AURORA
  • RTx-021
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In context

Stargardt Disease

67 studies on the registry are indexed under Stargardt Disease; 26 are open to participants now.

This study's planned enrollment of 18 is below the median of 28 across 44 interventional studies indexed under Stargardt Disease.

Browse Stargardt Disease studies →

Lead sponsor

Ray Therapeutics, Inc. is the lead sponsor of 4 studies on the registry; 3 are open to participants now.

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

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Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and female patients >= 16 years of age
  • Able to comply with the study visit schedule and all protocol assessments
  • Diagnosis of Stargardt Disease (genetic testing required)
  • Study eye and fellow eye Best Corrected Visual Acuity meeting study criteria
  • Presence of retinal ganglion cells and/or retinal nerve fiber layer on Spectral Domain Optical Coherence Tomography testing at Screening confirmed by central image reading center
  • Adequate organ function and general good health

Exclusion criteria

Exclusion Criteria:

  • Participation in a clinical study (ocular or non-ocular) with an investigational drug, agent, or therapy in the past six months
  • Concurrent participation in another interventional clinical ocular study
  • Prior receipt of any gene therapy (ocular or other), retinal implant, or ocular cell therapy
  • Pre-existing eye conditions in either eye that would preclude the planned treatment or are significant enough to interfere with the interpretation of study endpoints or procedural complications
  • Known steroid responders if their intraocular pressure was not able to be managed effectively with topical pressure-lowering medications after prior use of steroid medications
  • Complicating systemic diseases including those in which the disease itself, or the treatment of the disease, can alter ocular and/or central nervous system function (e.g. radiation treatment of the orbit; leukemia with optic nerve involvement)
  • Any immunological response dysfunction including, immuno-compromising diseases or use of immunosuppressive medications, among others
  • Cataract or other ocular (including refractive) surgery, intraocular and/or peri-ocular injection in either eye within the prior four months (i.e. 120 days) prior to screening
  • Prior vitrectomy or aphakia in the study eye
  • Known sensitivity to any component of the study treatment or contraindication to medications planned for use in the peri-procedural period (e.g. povidone-iodine to prep for intravitreal injection)
  • Known contraindication to prophylactic steroid regimen
  • Current pregnancy or breastfeeding
  • Any other condition that would not allow the patient to complete follow-up examinations during the study
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
18 participants (estimated)

Study arms

  • Experimental
    Low Dose RTx-021

    Intravitreal injection using gene therapy to deliver an optogenetic gene to the eye. Cells in the retina use this optogenetic gene to make a protein that responds to light.

    Genetic: RTx-021

  • Experimental
    Middle Dose RTx-021

    Intravitreal injection using gene therapy to deliver an optogenetic gene to the eye. Cells in the retina use this optogenetic gene to make a protein that responds to light.

    Genetic: RTx-021

  • Experimental
    High Dose RTx-021

    Intravitreal injection using gene therapy to deliver an optogenetic gene to the eye. Cells in the retina use this optogenetic gene to make a protein that responds to light.

    Genetic: RTx-021

Interventions

  • GeneticRTx-021

    Optogenetic gene therapy

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What researchers measure

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events

    The number of patients in each cohort with treatment-emergent adverse events categorized using MedDRA v24.0 or higher

    Time frame: 6 Months

Secondary outcomes

  1. Best Corrected Visual Acuity (BCVA)

    Change from Baseline to Month 6 after injection with RTx-021 in BCVA

    Time frame: 6 Months

  2. Low Luminance Visual Acuity (LLVA)

    Change from Baseline to Month 6 after injection with RTx-021 in LLVA

    Time frame: 6 Months

  3. MNREAD Reading Assessment

    Change from Baseline to Month 6 after injection with RTx-021 in reading acuity and reading speed.

    Time frame: 6 Months

  4. Contrast Sensitivity

    Change from Baseline to Month 6 after injection with RTx-021 in contrast sensitivity

    Time frame: 6 Months

  5. Visual Field

    Change from Baseline to Month 6 after injection with RTx-021 in the total area in which objects can be seen

    Time frame: 6 Months

  6. Low Vision Quality of Life (VA LV VFQ-48)

    Change from Baseline to Month 6 after injection with RTx-021 in low vision quality of life questionnaire VA LV VFQ-48. A total score will be calculated with higher scores indicating an improvement.

    Time frame: 6 Months

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Study locations

3 of 3 sites recruiting
  • RayTx Clinical Site
    Bakersfield, California 93309, United States
    Recruiting
  • UPMC Vision Institute
    Pittsburgh, Pennsylvania 15219, United States
    Recruiting
  • RayTx Clinical Site
    Bellaire, Texas 77401, United States
    Recruiting
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References and documents

Individual participant data

Plan to share: No — IPD is not currently being shared as this investigational treatment has not received regulatory approval.

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 Apr 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07439887
Lead sponsor
Ray Therapeutics, Inc.
Responsible party
Sponsor
First posted
Feb 27, 2026
Start date
Jan 28, 2026
Primary completion
Dec 1, 2030 (estimated)
Completion
Dec 1, 2030 (estimated)
Last update
Apr 15, 2026

Study contacts

Executive Clinical Director
Contact
clinicaltrials@raytherapeutics.com
858-617-8610

Oversight

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

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