Gene therapy trial aims to save sight in boys and men with rare retinal disease
NCT ID NCT05878860
First seen Jun 27, 2026 · Last updated Sep 09, 2026 · Updated 8 times
Summary
This study tests a gene therapy called ATSN-201 in males aged 6 and older with X-linked retinoschisis, a genetic eye condition that leads to vision loss. The therapy delivers a working copy of the RS1 gene to the retina. The trial has three parts: first, finding the right dose; second, expanding to more people; and third, a randomized phase to see if it improves vision compared to no treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ATSN-201 gene therapy
- What this could lead to
- If successful, this could become a treatment that improves vision and slows vision loss in people with X-linked retinoschisis.
- What could go wrong
- This is an early-to-mid stage trial with a small number of participants. Gene therapy carries risks like inflammation or immune reactions, and it may not work for everyone.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 97 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2023
- Expected to finish
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Apr 2033
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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6 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Part A and B: Inclusion Criteria: 1. Age ≥ 18 for Cohorts 1 through 4, and age ≥ 6 years and \< 18 years for Cohort 5. 2. Male patients with clinical diagnosis of XLRS caused by mutations in RS1. 3. Best corrected visual acuity (BCVA) in study eye of 34 to 73 Early Treatment Diabetic Retinopathy Study (ETDRS) letters (corresponding to a Snellen acuity of 20/200 to 20/40). 4. Presence of foveal schisis and /or parafoveal/perifoveal schisis in the study eye on SD-OCT per the Principal Investigator. Exclusion Criteria: 1. Pre-existing eye conditions in the study eye that would contribute significantly to an increased risk of visual loss from a subretinal injection (eg, advanced glaucoma, optic neuropathy, uveitis, corneal transplants). 2. Any intraocular surgery (including laser treatment) in the study eye within 6 months prior to Screening or any intraocular surgery anticipated in the study eye during the first 12 months of the study. 3. Treatment in a prior ocular gene or cell therapy study. Part C: Inclusion Criteria: Note: For patients ineligible for bilateral dosing based on the ocular exclusion criteria, the same eye must meet all ocular inclusion criteria, but none of the ocular exclusion criteria, to be eligible for unilateral dosing. General All of the following criteria must be met for unilateral or bilateral dosing. 1. Age ≥ 6 years. 2. Genetically male patients with clinical diagnosis of XLRS caused by pathogenic or likely pathogenic mutations in RS1 OR Genetically female patients with clinical diagnosis of XLRS caused by biallelic pathogenic or likely pathogenic mutations in RS1. Ocular At least 1 eye must meet all of the following criteria for both unilateral and bilateral dosing. 3. BCVA of 34 to 73 ETDRS letters (corresponding to a Snellen acuity of 20/200 to 20/40). 4. Presence of foveal schisis on SD-OCT. Exclusion Criteria: General None of the following criteria can be met for unilateral or bilateral dosing. 1. Treatment with any carbonic anhydrase inhibitor (oral or topical) within 1 month prior to Screening. 2. Treatment in a prior ocular gene or cell therapy study. 3. Absence of macular schisis. 4. BCVA better than 75 ETDRS letters (corresponding to a Snellen acuity of 20/32). 5. Pre-existing eye conditions that would contribute significantly to an increased risk of visual loss from a subretinal injection (eg, advanced glaucoma, optic neuropathy, uveitis, corneal transplants). 6. Any intraocular surgery (including laser treatment) within 6 months prior to Screening or any intraocular surgery anticipated during the first 12 months of the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
21 sites in 3 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Associated Retina Consultants
RECRUITINGPhoenix, Arizona, 85020, United States
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Bascom Palmer Eye Institute
RECRUITINGMiami, Florida, 33136, United States
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Boston Children's Hospital
NOT_YET_RECRUITINGBoston, Massachusetts, 02115, United States
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Children's Hospital of Los Angeles
RECRUITINGLos Angeles, California, 90027, United States
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Children's Hospital of Philadelphia
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Columbia University
RECRUITINGNew York, New York, 100032, United States
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Duke University
RECRUITINGDurham, North Carolina, 27710, United States
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Flaum Eye Institute, University of Rochester
NOT_YET_RECRUITINGRochester, New York, 14642, United States
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Massachusetts Eye and Ear
RECRUITINGBoston, Massachusetts, 02114, United States
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Mayo Clinic
RECRUITINGRochester, Minnesota, 55905, United States
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McGill University (MUHC)
NOT_YET_RECRUITINGMontreal, Quebec, H4A 3J1, Canada
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Moran Eye Center
RECRUITINGSalt Lake City, Utah, 84132, United States
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Oregon Health Sciences University
RECRUITINGPortland, Oregon, 97239, United States
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Oxford Eye Hospital
NOT_YET_RECRUITINGOxford, England, OX3 9DU, United Kingdom
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Retina Foundation of the Southwest
RECRUITINGDallas, Texas, 75231, United States
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Shiley Eye Institute
NOT_YET_RECRUITINGLa Jolla, California, 92093, United States
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Stanford University
NOT_YET_RECRUITINGPalo Alto, California, 94303, United States
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The Hospital for Sick Children
NOT_YET_RECRUITINGToronto, Ontario, M5G 0A4, Canada
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UC San Francisco
RECRUITINGSan Francisco, California, 94158, United States
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University of Michigan
NOT_YET_RECRUITINGAnn Arbor, Michigan, 48105, United States
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University of Wisconsin
NOT_YET_RECRUITINGMadison, Wisconsin, 53705, United States
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