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Gene Therapy

RGX-314 Gene Therapy for Wet Age-Related Macular Degeneration (ATMOSPHERE Trial)

Phase 2 & 3
Recruiting
Research Sponsored by REGENXBIO, Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Age ≥ 50 years and ≤ 89 years
Participants must have demonstrated a meaningful response to anti-VEGF therapy at study entry
Timeline
Screening 3 weeks
Treatment Varies
Follow Up at week 14, week 26, week 38, week 54, and week 98
Awards & highlights

ATMOSPHERE Trial Summary

This trial is studying a new gene therapy called RGX-314 for wet age-related macular degeneration. Wet AMD is when new, leaky blood vessels form in the retina and cause vision loss. Current treatments require life-long intraocular injections, typically repeated every four to twelve weeks, to maintain efficacy. RGX-314 is being developed as a potential one-time treatment for wet AMD.

Who is the study for?
This trial is for people aged 50-89 with wet age-related macular degeneration (AMD) who've had a positive response to anti-VEGF therapy. They must have certain vision scores, be pseudophakic post-cataract surgery, and able to consent. Excluded are those with other eye conditions or treatments, gene therapy history, or recent severe cardiovascular events.Check my eligibility
What is being tested?
The study tests RGX-314, a potential one-time gene therapy for wet AMD against Ranibizumab (LUCENTIS®), the current standard requiring frequent injections. The goal is to see if RGX-314 can maintain vision without regular treatments.See study design
What are the potential side effects?
While specific side effects of RGX-314 aren't listed here, gene therapies may cause immune reactions, changes in vision, discomfort at injection site or inflammation inside the eye.

ATMOSPHERE Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am between 50 and 89 years old.
Select...
I have shown improvement with anti-VEGF therapy.
Select...
My eye condition was treated with injections due to AMD.

ATMOSPHERE Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~at week 14, week 26, week 38, week 54, and week 98
This trial's timeline: 3 weeks for screening, Varies for treatment, and at week 14, week 26, week 38, week 54, and week 98 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Mean change from baseline in Best Corrected Visual Acuity (BCVA)
Secondary outcome measures
Aqueous RGX-314 target protein (TP) concentrations
Incidences of ocular and overall adverse events (AEs)
Mean change from baseline in BCVA
+3 more

Side effects data

From 2021 Phase 1 & 2 trial • 42 Patients • NCT03066258
67%
Retinal Haemorrhage
67%
Intraocular Inflammation
50%
Visual Acuity Reduced/Impairment
33%
Conjunctival Haemorrhage
33%
Photopsia
17%
Pneumonia
17%
Eye Pain
17%
Hypervolaemia
17%
Arthritis
17%
Respiratory Failure
17%
Intraocular Pressure Increased
17%
Vision Blurred
17%
Dry Age-Related Macular Degeneration
17%
Photophobia
100%
80%
60%
40%
20%
0%
Study treatment Arm
Cohort 1
Cohort 4
Cohort 2
Cohort 3
Cohort 5

ATMOSPHERE Trial Design

3Treatment groups
Experimental Treatment
Active Control
Group I: RGX-314 Dose 2Experimental Treatment1 Intervention
RGX-314 Dose 2 administered via subretinal delivery one time.
Group II: RGX-314 Dose 1Experimental Treatment1 Intervention
RGX-314 Dose 1 administered via subretinal delivery one time.
Group III: Control ArmActive Control1 Intervention
Ranibizumab administered via intravitreal injection approximately every 28 days
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
RGX-314
2021
Completed Phase 2
~110

Find a Location

Who is running the clinical trial?

REGENXBIO, Inc.Lead Sponsor
19 Previous Clinical Trials
1,993 Total Patients Enrolled
Regenxbio Inc.Lead Sponsor
19 Previous Clinical Trials
1,993 Total Patients Enrolled
REGENXBIO Inc.Lead Sponsor
23 Previous Clinical Trials
2,235 Total Patients Enrolled

Media Library

RGX-314 (Gene Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT04704921 — Phase 2 & 3
Age-Related Macular Degeneration Research Study Groups: RGX-314 Dose 1, RGX-314 Dose 2, Control Arm
Age-Related Macular Degeneration Clinical Trial 2023: RGX-314 Highlights & Side Effects. Trial Name: NCT04704921 — Phase 2 & 3
RGX-314 (Gene Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04704921 — Phase 2 & 3
Age-Related Macular Degeneration Patient Testimony for trial: Trial Name: NCT04704921 — Phase 2 & 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are participants in this research project required to be under 75 years old?

"Elderly individuals that are within 10 years of the age limit are being sought out for this study."

Answered by AI

In how many different locations is this trial being conducted?

"There are four main sites for this trial: Houston Location in Houston, Texas, Madison Location in Madison, Wisconsin, Pasadena Location in Pasadena, California. Additionally, there are 67 other locations where the study is taking place."

Answered by AI

How many people have signed up to participate in this experiment?

"The sponsor, REGENXBIO Inc., needs to enroll 300 individuals that meet the inclusion criteria in order to move forward with the study. The trial will take place in Houston, Texas and Madison, Wisconsin."

Answered by AI

Could I qualify to participate in this research?

"This study is recruiting 300 patients aged 50-89 with AMD. The most notable requirements for participants are as follows: the ability to provide written informed consent, previous treatment of subfoveal CNV related to AMD with anti-VEGF therapy, pseudophakic status in the study eye (at least 12 weeks post-cataract surgery), and a demonstrated response to anti-VEGF therapy at study entry."

Answered by AI

For what type of ailment is RGX-314 most commonly prescribed?

"RGX-314 is not only useful for branch vein occlusion, but also other medical conditions such as wet age-related macular degeneration (wamd), macular edema, and myopic choroidal neovascularization."

Answered by AI

Could you walk me through the other times RGX-314 has been used in research?

"RGX-314 was first explored in 2008 at the Ludwig Boltzmann Institute for Retinology and Biomicroscopic Lasersurgery. As of now, there have been a total of 311 completed studies. 33 more are currently recruiting patients, many located in Houston, Texas."

Answered by AI

Are researchers still looking for more people to participate in this clinical trial?

"Yes, this is an ongoing trial that was originally posted on December 29th, 2020. To date, the 67 clinical sites recruiting for this trial have enrolled 300 participants."

Answered by AI

Who else is applying?

What state do they live in?
Ontario
Florida
Other
Mississippi
How old are they?
65+
What site did they apply to?
San Francisco 2 Location
Miami Location
Germantown Location
Other
What portion of applicants met pre-screening criteria?
Met criteria
Did not meet criteria
How many prior treatments have patients received?
1
0
3+

Why did patients apply to this trial?

For my health. I have an acclusion in my left eye. What motivates me that can be part of a cure for me and my mother and thousands of people.
PatientReceived 2+ prior treatments
I feel confident that the DNA implantation will be successful and I want to be able to see well enough to read music and play the organ and piano again.
PatientReceived no prior treatments
I've had the Eylea shots in the right eye from 2019 -2021. They were helpful but I believe that gene-therapy treatment would be restorative. I am excited about the possibility!
PatientReceived no prior treatments

What questions have other patients asked about this trial?

How does the trail work? How many trips would I need to make to Pensacola?
PatientReceived 1 prior treatment
When will screening visits be scheduled and how long would I need to plan to be in the city?
PatientReceived no prior treatments
~69 spots leftby May 2025