One-Time gene injection aims to halt rare eye disease
NCT ID NCT05832684
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a single injection of ZVS101e, a gene therapy that delivers a working copy of the CYP4V2 gene directly into the retina. It is for adults with Bietti's crystalline dystrophy, a rare inherited condition that leads to progressive vision loss. The trial will check whether the treatment is safe and can help preserve or improve eyesight.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ZVS101e (a gene therapy carrying a working copy of the CYP4V2 gene)
- What this could lead to
- If successful, this could become the first treatment to slow or stop vision loss in people with Bietti's crystalline dystrophy.
- What could go wrong
- This is an early-phase trial with only 24 participants, so results may not apply to everyone. Gene therapy injections carry risks like inflammation or retinal damage.
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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About 24 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2023
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
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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18 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: * 1\. Fully understand the purpose and requirements of this trial, voluntarily participate in the clinical trial, sign the informed consent form, and be able to complete the whole trial processes as required by the protocol; * 2\. Patients with clinical diagnosis of Bietti's crystalline dystrophy (BCD) (age ≥ 18 years) (including the critical value, and the age is based on the time of signing the informed consent form); * 3\. Genetic test confirmed to carry two pathogenic variants of CYP4V2 and carry no pathogenic mutations of other ophthalmic genetic diseases; * 4\. The study eye must meet the following requirements: Best-corrected visual acuity between 2.3 LogMAR and 0.5 LogMAR (including 2.3 LogMAR and 0.5 LogMAR). Exclusion Criteria: * 1\. Subjects with insufficient viable retinal cells, or macular retinal less than 100 μm thick; * 2\. Pre-existing eye conditions in the study eye that the investigator determines could interfere with ocular evaluation, preclude surgery, interfere with interpretation of study endpoints or pose surgical complications; * 3\. The study eye has been treated with the following intraocular procedures: retinal detachment surgery, vitrectomy; * 4\. The study eye has been treated with other drugs within 3 months that could affect the evaluation of the investigational drug (such as ranibizumab, bevacizumab, aflibercept, conbercept); * 5\. Currently taking or may require systemic medications that can cause ocular toxicity, such as psoralen, risedronate, or tamoxifen; * 6\. Those with the following laboratory abnormalities which are clinically significant: * Liver function: chronic liver disease, ALT increased \> 2 times the upper limit of normal; * Hypertension, mean SBP ≥ 160 mmHg or mean DBP ≥ 100 mmHg; * Coagulation function (prothrombin time ≥ upper limit of normal (3 seconds' longer), activated partial thromboplastin time ≥ upper limit of normal (10 seconds' longer)); * Serum virology test: Active hepatitis B, hepatitis C virus antibody (HCV-Ab), human immunodeficiency virus antibody (HIV-Ab) or syphilis antibody positive; * 7\. Patients with rAAV8 neutralizing antibody titer ≥ 1:1000; * 8\. Complicating systemic diseases (such as medical conditions causing immunosuppression) that would preclude the gene transfer, ocular surgery and drug in vivo activity; * 9\. Known drug allergy to the drug planned to be used in the study; * 10\. Patients who cannot communicate or cooperate with medical staff due to neurological, mental illness or language disorder, which affects patient compliance; * 11\. Treatment of either eye with gene therapy drugs for BCD and other ocular diseases, including but not limited to other viral vector gene therapies, mRNA therapy, etc.; * 12\. Has or has had a systemic immune-compromising disease; * 13\. Subjects of reproductive age without any effective contraception and female subjects who have tested positive for pregnancy or are lactating at screening or baseline; * 14\. A condition that, in the opinion of the investigator, would preclude participation in 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.
Contacts and locations
Locations
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Peking University Third Hospital
Beijing, Beijing Municipality, 100191, China
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Tianjin Medical University Eye Hospital
Tianjin, Tianjin Municipality, 300392, China
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West China Hospital, Sichuan University
Chengdu, Sichuan, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.