Gene Therapy with 4D-110 for Choroideremia

Not currently recruiting at 1 trial location
TA
XT
Overseen ByXuan Tran
Age: 18+
Sex: Male
Trial Phase: Phase 1
Sponsor: 4D Molecular Therapeutics
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new gene therapy, 4D-110, to determine its safety and effectiveness in treating choroideremia, a genetic condition that gradually leads to vision loss. The study involves a single eye injection of 4D-110 and examines the efficacy of different doses. Men with choroideremia confirmed by genetic testing and some remaining vision (approximately 20/200 vision) may qualify as candidates. As a Phase 1 trial, this research aims to understand how the treatment works in people, providing participants the opportunity to be among the first to receive this new therapy.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

Is there any evidence suggesting that 4D-110 is likely to be safe for humans?

Research has shown that 4D-110 is well-tolerated in early tests. Initial safety data from studies indicated that 4D-110 did not cause serious side effects, even at higher doses, and found no major adverse reactions. The treatment employs a gene therapy method involving an injection into the eye, differing from some other gene therapy techniques. Overall, early findings suggest that 4D-110 is safe for further testing.12345

Why do researchers think this study treatment might be promising for Choroideremia?

Researchers are excited about 4D-110 because it offers a novel approach to treating choroideremia. Unlike current treatments, which primarily focus on managing symptoms, 4D-110 is a gene therapy designed to address the root cause of the disease by delivering a functional copy of the CHM gene directly into the eye. This innovative method has the potential to halt or even reverse vision loss, providing hope for long-term improvement rather than just temporary relief. Additionally, 4D-110 is administered via an intravitreal injection, offering a targeted approach that could enhance effectiveness and patient outcomes.

What evidence suggests that 4D-110 might be an effective treatment for Choroideremia?

Research has shown that 4D-110, a gene therapy, could help treat choroideremia, a genetic eye condition. In this trial, participants will receive one of the different doses of 4D-110. In previous studies, patients who received this treatment saw an average improvement in their vision, reading 4.5 more letters on an eye chart. Early results also suggest that lower doses of 4D-110 are safe, with no serious side effects reported. This therapy provides a healthy version of the gene that is faulty in choroideremia, aiming to improve vision by addressing the underlying issue. Overall, the initial findings are promising for people with this condition.24678

Who Is on the Research Team?

SL

Schonmei Lee, MD

Principal Investigator

4D Molecular Therapeutics

Are You a Good Fit for This Trial?

This trial is for male patients with a confirmed genetic condition called Choroideremia. Participants must have a certain level of vision, roughly around 20/200 or better in both eyes. They can't join if they've had previous AAV treatments, active eye infections/inflammation, or other eye conditions that could affect the treatment's success.

Inclusion Criteria

Both eyes must have ≥ 34 ETDRS letters (~20/200)
I have a confirmed CHM gene mutation.

Exclusion Criteria

My eyes are healthy enough for the treatment and won't affect the study's results.
I have received AAV treatment before.
I have an active eye infection or inflammation.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a single intravitreal injection of 4D-110 at one of three dose levels

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

24 months
Regular visits as per study protocol

What Are the Treatments Tested in This Trial?

Interventions

  • 4D-110
Trial Overview The study is testing a single injection into the eye of gene therapy called 4D-110 to see how safe and effective it is for treating Choroideremia. This involves using a virus (AAV) to deliver genetic material into cells.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Group I: 4D-110 Dose 3Experimental Treatment1 Intervention
Group II: 4D-110 Dose 2Experimental Treatment1 Intervention
Group III: 4D-110 Dose 1Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

4D Molecular Therapeutics

Lead Sponsor

Trials
9
Recruited
850+

Published Research Related to This Trial

The long-term safety of AAV2-REP1 in choroideremia patients showed some adverse effects, including localized intraretinal immune responses and permanent retinal damage, raising concerns about its effectiveness in late-stage disease.
Antisense oligonucleotide (ASO) therapy demonstrated potential benefits, recovering significant amounts of normal RNA and protein in fibroblasts from trial patients, suggesting it may be a promising alternative treatment for certain subgroups of choroideremia patients.
AAV2-Mediated Gene Therapy for Choroideremia: 5-Year Results and Alternate Anti-sense Oligonucleotide Therapy.Zhai, Y., Xu, M., Radziwon, A., et al.[2023]

Citations

1.ir.4dmoleculartherapeutics.comir.4dmoleculartherapeutics.com/node/7056/pdf
4D Molecular Therapeutics Presents Interim Results from ...4DMT is currently conducting three clinical trials: 4D-125 is in a. Phase 1/2 clinical trial for XLRP patients, 4D-110 is in a Phase 1 clinical ...
Release Details - 4D Molecular Therapeutics4D-110 is currently being studied in an ongoing Phase 1/2 dose escalation clinical trial in patients with choroideremia. To date, six patients ...
Gene Therapies Show Efficacy in Fabry Disease ...The lower dose of 4D-110 has been well-tolerated, with no DLTs or serious AEs observed. Anatomical measurements of the retinal pigment ...
Update on Gene Therapy Clinical Trials for Choroideremia ...This review gives a summary on the outcomes of phase I/II CHM gene therapy trials and describes other potential experimental therapies.
Gene Therapy with 4D-110 for ChoroideremiaIn a clinical trial, patients treated with this approach experienced a median gain of 4.5 letters in visual acuity, suggesting that this type of gene therapy ...
Release Details - 4D Molecular Therapeutics4D-110: Initial clinical safety data at both of the two dose levels in the Phase 1 clinical trial indicate that 4D-110 was well-tolerated ...
4D Molecular reports positive safety data of rare eye ...Initial safety results of the drug candidate's two dose levels showed favourable tolerability without any dose-limiting toxicity.
AAV Gene Therapy Trials To WatchA phase 1 dose-escalation study of 4D-110 (4D Molecular Therapeutics) gene therapy is evaluating the safety, tolerability, and preliminary efficacy of a single ...
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