Gene therapy shot could end need for repeated eye needles in diabetes
NCT ID NCT04567550
First seen Jun 26, 2026 · Last updated Aug 20, 2026 · Updated 2 times
Summary
This phase 2 trial tests RGX-314, a gene therapy given as a single injection into the eye, for people with diabetic retinopathy. The goal is to see if it can improve vision and reduce the need for frequent anti-VEGF injections. About 139 adults with diabetes-related eye damage are participating.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- RGX-314 gene therapy (a single injection into the eye that produces anti-VEGF protein)
- What this could lead to
- If successful, this could offer a one-time treatment for diabetic retinopathy, reducing or eliminating the need for repeated eye injections.
- What could go wrong
- This is a phase 2 trial with only 139 participants, so results are preliminary. The therapy may not work for everyone, and there are risks from the injection and steroid use.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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139 people
The number who actually took part.
- Started
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Nov 2020
- Expected to finish
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Dec 2026
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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25 to 89 years
- 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 1 (DR without CI-DME): Inclusion Criteria: * Patients 25-89 years of age with a diabetic retinopathy (DR) diagnosis of nonproliferative diabetic retinopathy (NPDR) and proliferative diabetic retinopathy (PDR) secondary to diabetes mellitus Type 1 or 2 for which PRP or anti-VEGF injections can be safely deferred for at least 6 months * HbA1c \< 12%. * Best corrected visual acuity (BCVA) Early Treatment Diabetic Retinopathy Study (ETDRS) letter score in the study eye of ≥69 letters (approximate Snellen equivalent of 20/40 or better). * Prior history of CI-DME in the study eye is acceptable. * Must be willing and able to provide written, signed informed consent. Exclusion Criteria: * Neovascularization in the study eye from a cause other than DR. * Presence of any active CI-DME. * Active or history of retinal detachment in the study eye. * Any evidence or documented history of PRP or retinal laser in the study eye. * Patients who had a prior vitrectomy surgery. * Women of childbearing potential. Part 2 (DR with CI-DME): Inclusion Criteria: * Patients 25-89 years of age with diabetic retinopathy secondary to diabetes mellitus Type 1 or 2. * HbA1c \< 12% * Macular thickening secondary to DME involving the center of the fovea, CST on SD-OCT (≥ 325 μm) * Best corrected visual acuity (BCVA) Early Treatment Diabetic Retinopathy Study (ETDRS) letter score in the study eye of 78-25 letters (approximate Snellen equivalent of 20/32 to 20/320) * Participants must have demonstrated a meaningful response to anti-VEGF therapy. * Must be willing and able to provide written, signed informed consent Exclusion Criteria: * Neovascularization in the study eye from a cause other than DR. * Active or history of retinal detachment in the study eye. * Any evidence or documented history of PRP or retinal laser in the study eye. * Patients who had a prior vitrectomy surgery. * Women of childbearing potential. Note: Other inclusions/exclusions criteria apply.
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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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Austin Clinical Research, LLC
Austin, Texas, 78750, United States
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Barnet Dulaney Perkins Eye Center
Phoenix, Arizona, 85016, United States
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California Eye Specialists Medical Group, Inc
Pasadena, California, 91107, United States
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California Retina Consultants
Bakersfield, California, 93309, United States
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California Retina Consultants
Santa Barbara, California, 93103, United States
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Charles Retina Institute, P.C.
Germantown, Tennessee, 38138, United States
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Cumberland Valley Retina Consultants
Hagerstown, Maryland, 21740, United States
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Duke University Eye Center
Durham, North Carolina, 27705, United States
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Mid Atlantic Retina
Philadelphia, Pennsylvania, 19107, United States
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NJ Retina
Teaneck, New Jersey, 07666, United States
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Northern California Retina Vitreous Associates Medical Group, Inc.
Mountain View, California, 94040, United States
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Ophthalmic Consultants of Boston
Boston, Massachusetts, 02114, United States
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Retina Research Institute of Texas, LLC
Abilene, Texas, 79606, United States
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Retina-Vitreous Associates Medical Group
Beverly Hills, California, 90017, United States
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Retinal Consultants San Diego
Poway, California, 92064, United States
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Retinal Consultants of Texas
The Woodlands, Texas, 77384, United States
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Retinal Diagnostic Center
Campbell, California, 95008, United States
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Retinal Research Institute, LLC
Phoenix, Arizona, 85014, United States
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Sierra Eye Associates
Reno, Nevada, 89502, United States
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Southeast Retina Center, PC
Augusta, Georgia, 30909, United States
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Springfield Clinic
Springfield, Illinois, 62702, United States
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Star Retina
Burleson, Texas, 76028, United States
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University Retina and Macula Associates, PC
Oak Forest, Illinois, 60452, United States
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Vision Research Center Eye Associates of New Mexico
Albuquerque, New Mexico, 87109, United States
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Wilmer Eye Institute/Johns Hopkins University School of Medicine
Baltimore, Maryland, 21287, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a One-Time gene therapy offer lasting protection for diabetic retinopathy?
- Can tight blood sugar control protect the eyes? a study uses advanced imaging to find out
- Could the speed of blood sugar drop harm the eyes? a study puts it to the test.
- AI eye doctor: could a computer spot Blindness-Causing diseases faster than humans?
- Could a common supplement protect eyes in diabetes?
- Eye scan showdown: faricimab vs ranibizumab in diabetic retinopathy