Custom drug targets rare blindness in One-Patient trial
NCT ID NCT07177196
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tests a custom-made drug called an antisense oligonucleotide, designed specifically for one person with retinal dystrophy caused by a PRPH2 gene mutation. The drug aims to correct the genetic error and potentially slow vision loss. The trial involves only one participant and focuses mainly on safety, while also checking for any changes in vision and eye structure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- personalized antisense oligonucleotide (nL-PRPH2-001)
- What this could lead to
- If it works, this could point toward a treatment for retinal dystrophy caused by PRPH2 mutations, potentially slowing vision loss.
- What could go wrong
- This is a very early, single-person trial, so results may not apply to others. The treatment is experimental and safety is the main focus; it may not improve vision.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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1 person
The number who actually took part.
- Started
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Aug 2025
- Expected to finish
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Aug 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Female participants only
- 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: * Have a clinical diagnosis of retinal dystrophy as a result of the PRPH2 variant * Have written informed consent (signed and dated), and able to comply with all study requirements, and any authorization required by local law * Be able to travel to the study site and adhere to study related follow-up examinations and/or procedures * Have a molecular diagnosis of a heterozygous PRPH2 variant: c.623G\>A (p.Gl208Asp) based on genetic testing at Screening (a historic genetic testing report from a certified laboratory is acceptable with Sponsor/Investigator approval) * Have a BCVA in the worse eye of at least Count Fingers (CF) or better * Have clear ocular media and adequate pupillary dilation to permit good quality retinal imaging, as determined by the Investigator * Be a non-pregnant and non-lactating female, and either surgically sterile (e.g., ≥6 weeks post bilateral salpingectomy, bilateral oophorectomy with or without hysterectomy, tubal ligation) or post-menopausal (12 months of spontaneous amenorrhea in females \>55 years of age or, in females \< 55 years, have had 12 months of spontaneous amenorrhea without alternative medical cause); male participants and their female partners of childbearing potential must use appropriate contraception methods, or refrain from sexual activity for the duration of the study and for 3 months after the last study treatment; for women of childbearing potential for whom the Investigator considers that the potential benefit outweighs any risk to the unborn fetus, a highly effective method of contraception must be used Exclusion Criteria: * There is any condition that in the opinion of the Investigator, would ultimately prevent the participant from completion of the study procedures * There is a present (current) active ocular infection (including herpes simplex virus, varicella zoster or cytomegalovirus) in either eye * There is current cystoid macular edema (CME) in the treatment eye(s); CME is permissible if stable for 3 months in the opinion of the Investigator (with or without treatment); past CME is permissible if resolved for more than 1 month * There are lens opacities in the eye(s) to be treated that are clinically significant in the opinion of the Investigator or that would prevent clinical and photographic evaluation of the retina * Receipt within 1 month prior to informed consent of any intraocular or periocular surgery, or IVT injection, or planned/anticipated intraocular surgery or procedure during the course of the study * There is current use of, or treatment within the past 3 months or planned treatment of drugs known to be toxic to the lens, retina or optic nerve including but not limited to systemic/intraocular steroids, amiodarone, desferriosamine/desferoxamine, chloroquine/hydroxychloroquine sulfate (Plaquenil), tamoxifen, ethambutol, phenothiazine derivatives including chlorpromazine, fluphenazine (deconoate) levomepromazine, and thioridazine; intermittent use of intraocular steroids may be considered for inclusion following approval by the Investigator * Any prior receipt of genetic or stem-cell therapy for ocular or non-ocular disease * There is any secondary or alternate genetic cause of retinal disease other than the heterozygous PRPH2 c.623G\>A (p.Gly208Asp) variant * There has been use of any investigational drug or device within 3 months or 5 half-lives of the first treatment day (Day 1), whichever is longer, or plans to participate in another study of a drug or device during the trial period and for 3 months after the end of the trial period * There is presence of any significant ocular/non-ocular disease/disorder (including laboratory abnormalities) which, in the opinion of the Investigator, may put the participant at risk, or may influence the results of the trial, or impact the ability of the participant to participate in the trial * The intraocular pressure in the eye(s) to be treated is greater than 25 mmHg (even in the presence of glaucoma or ocular hypertension which is stabilized on therapy) * Prior pars plana vitrectomy in the eye(s) to be treated that may affect treatment in the opinion of the Investigator * Presence of any intravitreal device (e.g., steroid implant)
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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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University of California San Diego
San Diego, California, 92093, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.