Gene therapy shows promise for rare eye disease causing blindness
NCT ID NCT02652780
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a one-time gene therapy injection, GS010, in 37 adults with Leber Hereditary Optic Neuropathy (LHON), a genetic condition that causes rapid vision loss. Participants had vision loss for 6 to 12 months before treatment. The goal was to see if the therapy could improve eyesight compared to a sham injection. Results measured changes in visual acuity over 48 and 96 weeks.
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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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37 people
The number who actually took part.
- Started
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Jan 2016
- Finished
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Dec 2018
- 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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15 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.
Inclusion Criteria: Selection Criteria: Participants must meet all the following criteria at the Screening Visit (Visit 1) in order to be included into the study. 1. Age 15 years or older. 2. Onset of vision loss based on medically documented history or participants testimony, in both eyes for 181 and ≤365 days in duration. 3. Each eye of the participant maintaining visual ability to allow at least for counting of the examiner's fingers at any distance. 4. Female participants (if of childbearing potential) must agree to use effective methods of birth control up to 6 months after IVT injection and male participants must agree to use condoms for up to 6 months after IVT injection. 5. Ability to obtain adequate pupillary dilation to permit thorough ocular examination and testing. 6. Signed written informed consent. Inclusion Criteria: Participants included in the study must satisfy all the following criteria at the Inclusion Visit (Visit 2). 1. Documented results of genotyping showing the presence of the G11778A mutation in the ND4 gene and the absence of the other primary LHON-associated mutations (ND1 or ND6) in the participant's mitochondrial DNA. 2. Review of all selection criteria to ensure continued compliance. 3. Have a negative test for infection with human immunodeficiency virus (HIV). 4. Have a negative pregnancy test for women of childbearing potential (a woman who is two years post-menopausal or surgically sterile is not considered to be of childbearing potential). Exclusion Criteria: Non-Selection Criteria: Participants who meet at least one of the following criteria at the Screening Visit (Visit 1) will not be included into the study. 1. Any known allergy or hypersensitivity to GS010 or its constituents. 2. Contraindication to IVT injection. 3. IVT drug delivery to either eye within 30 days prior to the Screening Visit (Visit 1). 4. Previous vitrectomy in either eye. 5. Narrow angle in either eye contra-indicating pupillary dilation. 6. Presence of disorders of the ocular media, such as the cornea and lens, which may interfere with visual acuity and other ocular assessments during the study period. 7. Vision disorders, other than LHON, involving visual disability or with the potential to cause further vision loss during the trial period. 8. Causes of optic neuropathy other than LHON and glaucoma. 9. Participants with known mutations of other genes involved in pathological retinal or optic nerve conditions. 10. Presence of ocular or systemic disease, other than LHON, whose pathology or associated treatments might affect the retina or the optic nerve. 11. History of amblyopia associated with a Snellen visual acuity equivalent of worse than 20/80 (equivalent to 6/24 at 6 meters, decimal acuity 0.25, LogMAR +0.6) in the affected eye. 12. Presence of ocular conditions, which in the opinion of the Investigator will prevent good quality SD-OCT imaging from being obtained. 13. Presence, in either eye, of uncontrolled glaucoma, defined as an IOP greater than 25 mmHg, despite maximal medical therapy with intraocular pressure (IOP)-lowering agents. 14. Active ocular inflammation or history of idiopathic or autoimmune-associated uveitis. 15. Participants participating in another clinical trial and receiving an IMP within 90 days prior to the Screening Visit (Visit 1). 16. Previous treatment with an ocular gene therapy product. 17. Participants who have undergone ocular surgery of clinical relevance (per Investigator opinion) within 90 days preceding the Screening Visit (Visit 1). 18. Female participants who are or who intend to breast feed during the trial period. Exclusion Criteria: Participants who meet at least one of the following criteria at the Inclusion Visit (Visit 2) will not be included in the study. 1. Any non-selection criteria which may have appeared after the screening visit. 2. Participants taking idebenone who have not completely discontinued the idebenone at least 7 days prior to Visit 2. If the participant has not discontinued idebenone at least 7 days prior to Visit 2, the visit may be delayed until the 7-day period is complete. 3. Presence, at the time of study inclusion, of infectious conjunctivitis, keratitis, scleritis or endophthalmitis in either eye. 4. Presence of systemic illness, including alcohol and drug abuse (except nicotine), or medically significant abnormal laboratory values that are deemed by the Investigator to preclude the participant's safe participation in the study. 5. Presence of illness or disease that, in the opinion of the Investigator, include symptoms and/or the associated treatments that can alter visual function, for instance cancers or pathology of the central nervous system. 6. Any medical or psychological condition that, in the opinion of the Investigator, may compromise the safe participation of the participant in the study or would preclude compliance with the study protocol or ability of the participant to successfully complete the study. 7. Participants unable or unwilling to comply with the protocol requirements.
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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.
Contacts and locations
Locations
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Centre National Hospitalier d'Ophtalmologie des Quinze-Vingt
Paris, Paris, France
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Department of Neurology, University of Munich, Friedrich-Baur-Institute
Munich, 80336, Germany
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Department of Ophthalmology, Emory University School of Medicine
Atlanta, Georgia, 30322, United States
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Doheny Eye Center, University of California, Los Angeles
Los Angeles, California, United States
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IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Ospedale Bellaria
Bologna, Bologna, Italy
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Moorfields Eye Hospital NHS Foundation Trust
London, EC1V 2PD, United Kingdom
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Neuro Ophthalmologic Associates, Wills Eye Hospital, Thomas Jefferson University
Philadelphia, Pennsylvania, 19107, United States
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