Overview
Sponsor-declared trial summary
Stargardt Disease
The objective of this study is to evaluate the safety, tolerability, and preliminary efficacy of subretinal SB-007 administration to determine dose selection in subjects with Stargardt disease type 1 (STGD1) confirmed genotypically to have bi-allelic ABCA4 gene mutations.
Key facts
- Sponsor
- Splicebio S.L.
- Participant type
- Patients
- Age range
- 18-64 years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Eye Diseases [C11]
- Decision date (initial)
- 2026-05-06
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- Yes
- Vulnerable population
- Yes
- Funding sources
- SpliceBio, S.L.
External identifiers
- EU CT number
- 2024-519535-42-00
- WHO UTN
- U1111-1317-4444
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Safety, Therapy
The objective of this study is to evaluate the safety, tolerability, and preliminary efficacy of subretinal SB-007 administration to determine dose selection in subjects with Stargardt disease type 1 (STGD1) confirmed genotypically to have bi-allelic ABCA4 gene mutations.
Conditions and MedDRA coding
Stargardt Disease
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.1 | PT | 10062766 | Stargardt's disease | 100000004850 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 8
- 1. Provide written consent.
- 2. Are male or female subjects ≥18 to ≤65 years (inclusive).
- 3. Are able to understand and comply with the study procedures.
- 4. Have a diagnosis of Stargardt disease type 1 (STGD1).
- 5. Clinical evidence consistent with Stargardt Disease type 1.
- 6. For women of child-bearing potential (WOCBP), have a negative pregnancy test at Screening and, if due to receive active treatment, at Day 0.
- 7. For both WOCBP and male subjects (or their female partners who are of child-bearing potential), agree to either strict abstinence or, if sexually active, use an acceptable contraception measure for 4 months from Day 0.
- 8. Must have clear ocular media and adequate pupillary dilation in the study eye, including no allergy to dilating eyedrops, to permit good quality retinal imaging.
Exclusion criteria 10
- 1. Have had any intraocular surgery (including cataract surgery) or thermal laser within 90 days of the Screening Visit or planned intraocular surgery (including cataract surgery) or thermal laser during the period of the study, in the study eye.
- 2. Have had any major surgical procedure within 30 days of the Screening Visit or planned or anticipated major surgery during the period of the study.
- 3. Have two pathogenic or likely pathogenic variants in inherited retinal dystrophy (IRD) genes (other than ABCA4) or a single pathogenic or likely pathogenic variant in autosomal dominant or X-linked IRD genes.
- 4. Have a history of amblyopia in the study eye.
- 5. Are unwilling to stop taking the following products at Screening and throughout the study: a. Supplements containing vitamin A or beta-carotene, liver-based products. b. Prescription oral retinoids. Topical products containing vitamin A or retinoids are not exclusionary.
- 6. Have any ophthalmic history of gene therapy, stem cell therapy, surgical implantation of prosthetic retinal chips, or intravitreal or sub-retinal or supra-choroidal injections.
- 7. Have received any investigational therapy within 90 days of the Screening Visit or 5 half-lives, whichever is longer.
- 8. Have known serious allergies to the fluorescein dye.
- 9. Have any significant ocular or non-ocular disease/disorder.
- 10. Are an immediate family member (e.g., child, sibling) of the Sponsor or study site personnel.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- The primary endpoint is safety and tolerability through Week 96 assessed by incidence and/or clinically significant changes in ocular and non-ocular adverse events (AEs).
Secondary endpoints 8
- 1. Change from baseline in lesion size growth (as measured by definitely decreased autofluorescence [DDAF]) on fundus autofluorescence (FAF) imaging compared between SB-007 and untreated control.
- 2. Change from baseline in lesion size growth (as measured by DDAF) on FAF imaging.
- 3.Change from baseline in total lesion size growth (as measured by DDAF and well demarcated questionably decreased autofluorescence (QDAF)) on FAF imaging.
- 4. Change from baseline in ellipsoid zone area as measured by spectral-domain optical coherence tomography (SD-OCT).
- 5. Change from baseline in retinal sensitivity based on microperimetry.
- 6. Change from baseline in best-corrected visual acuity (BCVA) using Early Treatment Diabetic Retinopathy Study (ETDRS).
- 7. Change from baseline in low luminance visual acuity (LLVA) using ETDRS.
- 8. Change from baseline in contrast sensitivity scores.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD12064621 · Product
- Active substance
- Adeno-Associated Virus Vector Serotype 8 Encoding the ABCA4 Protein, N-Region
- Substance synonyms
- AAV-ABCA4-Int-N
- Pharmaceutical form
- INJECTION
- Route of administration
- SUBRETINAL USE
- Authorisation status
- Not Authorised
- MA holder
- SPLICEBIO, S.L.
- Paediatric formulation
- No
- Orphan designation
- Yes
- Orphan designation number
- EU/3/23/2788
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Splicebio S.L.
- Sponsor organisation
- Splicebio S.L.
- Address
- Carrer De Baldiri Reixac 10-12, Poligono Industrial Parc Cientific De Barcelona Poligono Industrial Parc Cientific De Barcelona
- City
- Barcelona
- Postcode
- 08028
- Country
- Spain
Scientific contact point
- Organisation
- Splicebio S.L.
- Contact name
- Leigh Shaw
Public contact point
- Organisation
- Splicebio S.L.
- Contact name
- Leigh Shaw
Third parties 7
| Organisation | City, country | Duties |
|---|---|---|
| Global Eye Trials Limited ORG-100051097
|
Horsham, United Kingdom | Other |
| Precision Vision ORL-000013479
|
Illinois, United States | Other |
| Blueprint Genetics Oy ORG-100050758
|
Espoo, Finland | Laboratory analysis |
| Medpace Finland Oy ORG-100009147
|
Helsinki, Finland | On site monitoring, Code 10, Code 11, Code 12, Code 13, Code 2, Interactive response technologies (IRT), Code 5, Data management, E-data capture, Code 8, Code 9 |
| Almac Pharma Services Limited ORG-100000286
|
Craigavon, United Kingdom (Northern Ireland) | Code 14 |
| Precision For Medicine Inc. ORG-100041895
|
Frederick, United States | Laboratory analysis |
| Doheny Eye Institute ORG-100044128
|
Pasadena, United States | Other |
Locations
2 EU/EEA countries · 3 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Belgium | Authorised, recruitment pending | 3 | 1 |
| Germany | Authorised, recruitment pending | 10 | 2 |
| Rest of world
United States, United Kingdom
|
— | 73 | — |
Investigational sites
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 23 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2024-519535-42_SpliceBio_redacted | 6.2 |
| Protocol (for publication) | D4_Licensed Questionnaire statement_SpliceBio | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_BE_SpliceBio | 1.1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_DE_SpliceBio | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Genetic Adult_SpliceBio_DU | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Genetic Adult_SpliceBio_EN | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Genetic Adult_SpliceBio_FR | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Genetic Parental ICF historical report_SpliceBio | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Genetic Parental ICF historical report_SpliceBio_DU | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Genetic Parental ICF historical report_SpliceBio_EN | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Genetic Parental ICF historical report_SpliceBio_FR | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_SpliceBio_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_SpliceBio_DU_redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_SpliceBio_EN_redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_SpliceBio_FR_redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PP_SpliceBio_DU | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PP_SpliceBio_EN | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PP_SpliceBio_FR | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner_SpliceBio | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_DE_2024-519535-42_SpliceBio_redacted | 6.2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_DU_2024-519535-42_SpliceBio_redacted | 6.2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_EN_2024-519535-42_SpliceBio_redacted | 6.2 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_FR_2024-519535-42_SpliceBio_redacted | 6.2 |
Application history
5 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-03-27 | Germany | Acceptable 2025-07-11
|
2025-07-14 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-12-11 | Germany | Acceptable 2026-01-08
|
2026-01-23 |
| 3 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2026-03-05 | Germany | Acceptable 2026-01-08
|
2026-03-05 |
| 4 | SUBSEQUENT ADDITION OF MSC | APP-4 | 2026-03-06 | Acceptable 2026-01-08
|
2026-05-06 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-3 | 2026-03-27 | Germany | Acceptable | 2026-05-07 |