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Can a single eye injection restore sight in genetic blindness?

NCT ID NCT05203939

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing This study
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jul 31, 2026 · Last updated Jul 31, 2026

Summary

This trial tests an experimental gene therapy called OCU400 in people with retinitis pigmentosa or Leber congenital amaurosis, which are inherited conditions that cause progressive vision loss and can lead to blindness. The therapy is given as a single injection into the eye, with the goal of replacing or repairing faulty genes to slow or stop the disease. The study includes adults with specific genetic mutations and will monitor safety and any changes in vision over time.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
OCU400, an experimental gene therapy delivered by a single injection into the eye
What this could lead to
If successful, OCU400 could provide a one-time treatment that slows or stops vision loss in people with certain inherited retinal diseases, potentially preserving sight.
What could go wrong
This is an early-stage trial with a small number of participants, so safety and effectiveness are not yet proven. The injection itself carries risks like infection or retinal damage, and the therapy may not work for everyone.
Why investors are watching

Ocugen is a micro-cap company, so this Phase 1/2 trial of OCU400, a gene therapy for three inherited retinal diseases, is a core value driver. The trial tests safety and efficacy in 22 to 24 patients, and a positive readout could validate the therapy's broad approach across multiple mutations. For a company this size, the result of this small study carries outsized weight.

If it works: A positive safety and efficacy result could position OCU400 as a promising treatment for multiple forms of blindness, potentially attracting partners or funding. It could also support the company's path toward larger trials and eventual regulatory discussions.

If it fails: The trial could fail to show meaningful vision improvement or reveal safety problems, which would likely set the program back. Early-stage trials often fail, and a negative result for a micro-cap company could be severe, as the company has few other assets to fall back on.

AI-written from the trial record. Speculative, and not investment advice.

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

Phase 1/2

Runs two stages together: safety and dose first, then whether the treatment works.

Participants

22 people

The number who actually took part.

Started

Jan 2022

Expected to finish

Mar 2027

An estimate. End dates often move.

Lead sponsor

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

6 years and older

Sex

Anyone

Healthy volunteers

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Diagnosis and main criteria for inclusion: Subjects meeting all inclusion criteria and none of the exclusion criteria are eligible for study participation. Inclusion Criteria for Adult RP: 1. Males or females ≥ 18 years of age at the time of informed consent. 2. Confirmed genetic diagnosis of biallelic autosomal recessive NR2E3 mutations or autosomal dominant NR2E3 mutation for Subgroup 1 or autosomal dominant RHO mutations for Subgroup 2. 3. For the sentinel subject of Cohort 1-3, BCVA ≤ 20/160 in study eye or visual field less than 20° in any meridian, as measured by a III4e isopter or equivalent in study eye. 4. For non-sentinel subject, BCVA ≤ 20/50 or visual field less than 20° in any meridian, as measured by a III4e isopter or equivalent in study eye. 5. Able to perform a Multi-Luminance Mobility Testing (MLMT) using study eye, but unable to pass the MLMT at 1 lux, the lowest luminance level tested. Exclusion Criteria for Adult RP: 1. Subject lacks evidence of outer nuclear layer. 2. Considered unsuitable for any reason that may either place the subject at increased risk during participation or interfere with the interpretation of the study outcomes by the Investigator, or the Sponsor after reviewing medical, ocular, and psychiatric history, clinical examination, and laboratory evaluation, as determined by the Investigator. 3. Previous treatment with a gene therapy or cell therapy product. 4. Previous treatment with any investigational drug or device within one year. 5. Any contraindications for subretinal injection. 6. Cataract Surgery within 3 months. YAG capsulotomy within 1 month. Any other intraocular surgery within 6 months. 7. Breast-feeding, pregnancy, sperm donation or inability to practice strict contraception within the Treatment Observation Period. 8. Any medical condition with life expectancy \< 6 years. Inclusion Criteria for Adult LCA: 1. Males or females at least 18 years of age at the time of informed consent. 2. Clinical diagnosis of LCA and confirmed genetic diagnosis of CEP290 mutation. 3. Best corrected visual acuity (BCVA) equal to or worse than LogMAR +0.7 but equal to or better than LogMAR 3.8 (light perception) in the study eye. 4. Detectable outer nuclear layer in the macular region as determined by spectral-domain optical coherence tomography (SD-OCT). Exclusion Criteria for Adult LCA: 1. Any symptom of central nervous system involvement/disease that would impact the ability to measure visual function. 2. Considered unsuitable for any reason that may either place the patient at increased risk during participation or interfere with the interpretation of the study safety and efficacy outcomes by the Investigator, after reviewing medical, ocular, and psychiatric history, clinical examination, and laboratory evaluation, as determined by the Investigator. 3. Any contraindications for subretinal injection. 4. Any intraocular surgery within 6 months. 5. Active ocular/intraocular infection (e.g., conjunctivitis, keratitis, scleritis, endophthalmitis). 6. Breast-feeding, pregnancy, sperm donation or inability to practice strict contraception within the Treatment Observation Period. Inclusion Criteria for Pediatric RP: 1. Males or females 6 - 17 years of age (inclusive) at the time of parental permission and/or assent, whichever is applicable. 2. Confirmed genetic diagnosis of biallelic autosomal recessive NR2E3 mutations or autosomal dominant NR2E3 mutation for Subgroup 1 or autosomal dominant RHO mutations for Subgroup 2. 3. BCVA ≤ 20/32 or visual field less than 20° in any meridian, as measured by a III4e isopter or equivalent in study eye. 4. Able to perform a Multi-Luminance Mobility Testing (MLMT) using study eye, but unable to pass the MLMT at 1 lux, the lowest luminance level tested. Exclusion Criteria for Pediatric RP: 1. Subject lacks evidence of outer nuclear layer as determined by spectral-domain optical coherence tomography (SD-OCT). 2. Considered unsuitable for any reason that may either place the subject at increased risk during participation or interfere with the interpretation of the study outcomes by the Investigator, or the Sponsor after reviewing medical, ocular, and psychiatric history, clinical examination, and laboratory evaluation, as determined by the Investigator. 3. Previous treatment with a gene therapy or cell therapy product. 4. Previous treatment with any investigational drug or device within one year. 5. Any contraindications for subretinal injection. 6. Cataract surgery within 3 months. YAG capsulotomy within 1 month. Any other intraocular surgery within 6 months. 7. Breast-feeding, pregnancy, or inability to practice strict contraception within the Treatment Observation Period for subjects of childbearing potential. 8. Active ocular/intraocular infection (e.g., conjunctivitis, keratitis, scleritis, endophthalmitis). 9. Any medical condition with life expectancy \< 6 years. Inclusion Criteria for Pediatric LCA: 1. Males or females 6 - 17 years of age (inclusive) at the time of parental permission and/or assent, whichever is applicable. 2. Clinical diagnosis of LCA and confirmed genetic diagnosis of CEP290 mutation. 3. Best corrected visual acuity (BCVA) equal to or worse than LogMAR +0.7 but equal to or better than LogMAR 3.8 (light perception) in the study eye. 4. Detectable outer nuclear layer in the macular region as determined by spectral-domain optical coherence tomography (SD-OCT). Exclusion Criteria for Pediatric LCA: 1. Any symptom of central nervous system involvement/disease that would impact the ability to measure visual function. 2. Considered unsuitable for any reason that may either place the subject at increased risk during participation or interfere with the interpretation of the study safety and efficacy outcomes by the Investigator, after reviewing medical, ocular, and psychiatric history, clinical examination, and laboratory evaluation, as determined by the Investigator. 3. Any contraindications for subretinal injection. 4. Any Intraocular surgery within 6 months. 5. Active ocular/intraocular infection (e.g., conjunctivitis, keratitis, scleritis, endophthalmitis). 6. Breast-feeding, pregnancy, or inability to practice strict contraception within the Treatment Observation Period for subjects of childbearing potential.

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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

  • Associated Retina Consultants

    Phoenix, Arizona, 85020, United States

  • Ocugen Site 1 - Retina Foundation of the Southwest

    Dallas, Texas, 75231, United States

  • Ocugen Site 2 - Casey Eye Institute - OHSU

    Portland, Oregon, 97239, United States

  • Ocugen Site 3 - Bascom Palmer Eye Institute

    Miami, Florida, 33136, United States

  • Ocugen Site 5 - University of California, San Diego (UCSD) - Shiley Eye Institute

    La Jolla, California, 92093, United States

  • Ocugen Site 6 - Emory University

    Atlanta, Georgia, 30322, United States

  • Ocugen Site 8 - Mid Atlantic Retina - Wills Eye Hospital

    Philadelphia, Pennsylvania, 19107, United States

More trials for these conditions

Other studies related to the condition(s) this trial covers.