Safety and Efficacy Evaluation of LX111 Gene Therapy in DME Patients

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorShanghai General Hospital, Shanghai Jiao Tong University School of Medicine

About this trial

The goal of this study is to evaluate the safety and efficacy of LX111 treatment of DME. This study will enroll participants aged ≥ 18 vears old to receive a single unilateral intravitreal (lVT) injection of LX111 to evaluate its safety and efficacy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Willing to sign the informed consent, and willing to attend follow-up visits;

Age ≥ 18;

Type I or Type II diabetes mellitus with macular thickening secondary to DME involving the center of the fovea;

CST ≥ 300 μm in the study eye at Screening;

Disqualifiers

Active proliferative diabetic retinopathy (PDR);

Presence of iris neovascularization in the study eye at Screening;

Retinal laser photocoagulation in the study eye within 3 months prior to Screening;

Prior gene therapy in the study eye;

Trial design

Design model

Sequential

Treatments tested in this trial

  • LX111 Injection

    Genetic

    LX111 is an rAAV gene therapy vector carrying a coding sequence for VEGF-trap.

Treatment groups

32 Participants
are divided into 3 treatment groups
Group A: LX111 Dose Escalation up to 2 dose levelsExperimental treatment 1 intervention
Group B: LX111 Dose Expansion Dose 1Experimental treatment 1 intervention
Group C: LX111 Dose Expansion Dose 2Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Adverse events and serious adverse events in the eyes and throughout the body within 364 days after LX111 treatment

Incidence of adverse events and serious adverse events within 52 weeks of LX111 intravitreal injection in each dose group.

Time frame
52 weeks
2

Dose Limiting Toxicity

The incidence of DLT in each dose group.

Time frame
4 weeks

Secondary outcomes

1

Mean changes in BCVA from Baseline

The mean changes of BCVA scores on the ETDRS chart at different timepoints after LX111 treatment compared with baseline.

Time frame
12 weeks, 36 weeks, 52 weeks
2

Mean changes in Central Subfield Thickness (CST) from Baseline

The mean changes of CST at different timepoints after LX111 treatment compared with baseline.

Time frame
12 weeks, 36 weeks, 52 weeks
3

The percentage of participants who received anti-VEGF supplemental injection within 52 weeks after LX111 treatment

The proportion of participants who received anti-VEGF supplemental injection within 52 weeks after LX111 treatment

Time frame
52 weeks
4

Proportion of participants achieving an improvement or worsening in DR in the study eye per the ETDRS-DRSS on ultra-wide field fundus photography.

To evaluate the effect of LX111 on DR (ETDRS-DRSS) over time.

Time frame
52 weeks

Other outcomes

Sponsors and contacts

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