Trial Outcomes & Findings for Safety and Efficacy Study in Subjects With Leber Congenital Amaurosis (NCT NCT00999609)

NCT ID: NCT00999609

Last Updated: 2025-04-23

Results Overview

The MLMT measures changes in functional vision, as assessed by the ability to navigate a course accurately and at a reasonable pace at different levels of environmental illumination. MLMT was assessed using both eyes at 1 or more of 7 levels of illumination, ranging from 400 lux (a brightly lit office) to 1 lux (a moonless summer night). Each light level was assigned a score code ranging from 0 to 6. A higher score indicated that a subject was able to pass the MLMT at a lower light level. A score of -1 was assigned to those who could not pass MLMT at 400 lux. The MLMT of each subject was videotaped and assessed by independent graders. The MLMT score was determined by the lowest light level at which the subject was able to pass the MLMT. The MLMT score change was defined as the difference between the score at Baseline and the score at Year 1. A positive MLMT score change from Baseline to Year 1 visit indicated that the subject was able to complete the MLMT at a lower light level.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE3

Target enrollment

31 participants

Primary outcome timeframe

One year (change from baseline)

Results posted on

2025-04-23

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention
Bilateral subretinal injection of voretigene neparvovec-rzyl (AAV2-hRPE65v2), 1.5x 10e11 vg in a total volume of 0.3ml per eye, administered no fewer than 6 days apart
Control
No intervention, no sham; uninjected control group
Overall Study
STARTED
21
10
Overall Study
COMPLETED
20
9
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety and Efficacy Study in Subjects With Leber Congenital Amaurosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=21 Participants
Bilateral subretinal injection of voretigene neparvovec-rzyl (AAV2-hRPE65v2), 1.5x 10e11 vg in a total volume of 0.3ml per eye, administered no fewer than 6 days apart
Control
n=10 Participants
Control group did not receive voretigene neparvovec-rzyl. The control group became eligible to receive voretigene neparvovec-rzyl 1 year after their baseline evaluations, provided they still met all eligibility criteria.
Total
n=31 Participants
Total of all reporting groups
Age, Continuous
14.7 years
STANDARD_DEVIATION 11.8 • n=5 Participants
15.9 years
STANDARD_DEVIATION 9.5 • n=7 Participants
15.1 years
STANDARD_DEVIATION 10.9 • n=5 Participants
Age, Customized
Age Group · <10 years old
9 Participants
n=5 Participants
4 Participants
n=7 Participants
13 Participants
n=5 Participants
Age, Customized
Age Group · ≥10 years old
12 Participants
n=5 Participants
6 Participants
n=7 Participants
18 Participants
n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
6 Participants
n=7 Participants
18 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
4 Participants
n=7 Participants
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
1 Participants
n=7 Participants
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=5 Participants
9 Participants
n=7 Participants
25 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
14 Participants
n=5 Participants
7 Participants
n=7 Participants
21 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Multi-luminance Mobility Test (MLMT), bilateral, passing at a lux level of < 125 or ≥ 125 lux
Lowest passing light level of < 125 lux
12 Participants
n=5 Participants
4 Participants
n=7 Participants
16 Participants
n=5 Participants
Multi-luminance Mobility Test (MLMT), bilateral, passing at a lux level of < 125 or ≥ 125 lux
Lowest passing light level of ≥ 125 lux
9 Participants
n=5 Participants
6 Participants
n=7 Participants
15 Participants
n=5 Participants

PRIMARY outcome

Timeframe: One year (change from baseline)

The MLMT measures changes in functional vision, as assessed by the ability to navigate a course accurately and at a reasonable pace at different levels of environmental illumination. MLMT was assessed using both eyes at 1 or more of 7 levels of illumination, ranging from 400 lux (a brightly lit office) to 1 lux (a moonless summer night). Each light level was assigned a score code ranging from 0 to 6. A higher score indicated that a subject was able to pass the MLMT at a lower light level. A score of -1 was assigned to those who could not pass MLMT at 400 lux. The MLMT of each subject was videotaped and assessed by independent graders. The MLMT score was determined by the lowest light level at which the subject was able to pass the MLMT. The MLMT score change was defined as the difference between the score at Baseline and the score at Year 1. A positive MLMT score change from Baseline to Year 1 visit indicated that the subject was able to complete the MLMT at a lower light level.

Outcome measures

Outcome measures
Measure
Intervention
n=21 Participants
Bilateral, subretinal injection of voretigene neparvovec-rzyl (AAV2-hRPE65v2)
Control
n=10 Participants
No intervention, no sham; uninjected control group
Multi-luminance Mobility Testing (MLMT), Bilateral
1.8 Score Change in Light Levels
Standard Deviation 1.1
0.2 Score Change in Light Levels
Standard Deviation 1.0

SECONDARY outcome

Timeframe: One year (change from baseline)

Measures the light sensitivity of the entire visual field by recording the luminance at which a subject reliably reports seeing the dimmest flash.

Outcome measures

Outcome measures
Measure
Intervention
n=21 Participants
Bilateral, subretinal injection of voretigene neparvovec-rzyl (AAV2-hRPE65v2)
Control
n=10 Participants
No intervention, no sham; uninjected control group
Full-field Light Sensitivity Threshold (FST) Testing: White Light
-2.08 log10(cd.s/(m^2))
Standard Error 0.29
0.04 log10(cd.s/(m^2))
Standard Error 0.44

SECONDARY outcome

Timeframe: One year (change from baseline)

The MLMT measures changes in functional vision, as assessed by the ability to navigate a course accurately and at a reasonable pace at different levels of environmental illumination. MLMT was assessed using the first eye at 1 or more of 7 levels of illumination, ranging from 400 lux (a brightly lit office) to 1 lux (a moonless summer night). Each light level was assigned a score code ranging from 0 to 6. A higher score indicated that a subject was able to pass the MLMT at a lower light level. A score of -1 was assigned to those who could not pass MLMT at 400 lux. The MLMT of each subject was videotaped and assessed by independent graders. The MLMT score was determined by the lowest light level at which the subject was able to pass the MLMT. The MLMT score change was defined as the difference between the score at Baseline and the score at Year 1. A positive MLMT score change from Baseline to Year 1 visit indicated that the subject was able to complete the MLMT at a lower light level.

Outcome measures

Outcome measures
Measure
Intervention
n=21 Participants
Bilateral, subretinal injection of voretigene neparvovec-rzyl (AAV2-hRPE65v2)
Control
n=10 Participants
No intervention, no sham; uninjected control group
Multi-luminance Mobility Testing (Monocular)
1.9 Score Change in Light Levels
Standard Deviation 1.2
0.2 Score Change in Light Levels
Standard Deviation 0.6

SECONDARY outcome

Timeframe: One year (change from baseline)

Measurement of the sharpness of vision, determined by the ability to read letters on a standardized chart from a specified distance.

Outcome measures

Outcome measures
Measure
Intervention
n=21 Participants
Bilateral, subretinal injection of voretigene neparvovec-rzyl (AAV2-hRPE65v2)
Control
n=10 Participants
No intervention, no sham; uninjected control group
Visual Acuity
-0.16 LogMAR
Standard Error 0.07
0.01 LogMAR
Standard Error 0.10

Adverse Events

Intervention

Serious events: 2 serious events
Other events: 13 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Intervention
n=20 participants at risk
Bilateral subretinal injection of voretigene neparvovec-rzyl (AAV2-hRPE65v2), 1.5x 10e11 vg in a total volume of 0.3ml per eye, administered no fewer than 6 days apart
Control
n=9 participants at risk
No intervention, no sham; uninjected control group
Surgical and medical procedures
Adverse Drug Reaction
10.0%
2/20 • Number of events 2 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Nervous system disorders
Convulsion
5.0%
1/20 • Number of events 1 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.

Other adverse events

Other adverse events
Measure
Intervention
n=20 participants at risk
Bilateral subretinal injection of voretigene neparvovec-rzyl (AAV2-hRPE65v2), 1.5x 10e11 vg in a total volume of 0.3ml per eye, administered no fewer than 6 days apart
Control
n=9 participants at risk
No intervention, no sham; uninjected control group
Eye disorders
Cataract
15.0%
3/20 • Number of events 4 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Elevated intraocular pressure
20.0%
4/20 • Number of events 5 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Retinal tear
10.0%
2/20 • Number of events 2 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Eye inflammation
10.0%
2/20 • Number of events 6 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Conjunctival cyst
5.0%
1/20 • Number of events 1 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Conjunctivis viral
5.0%
1/20 • Number of events 1 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Eye irritation
5.0%
1/20 • Number of events 1 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Eye pain
5.0%
1/20 • Number of events 1 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Eye pruritus
5.0%
1/20 • Number of events 1 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Eye swelling
5.0%
1/20 • Number of events 1 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Foreign body sensation in eyes
5.0%
1/20 • Number of events 1 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Iritis
5.0%
1/20 • Number of events 1 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Macular hole/degeneration
5.0%
1/20 • Number of events 2 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Maculopathy/ epiretinal membrane
5.0%
1/20 • Number of events 2 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Pseudopapilledema
5.0%
1/20 • Number of events 1 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Retinal hemorrhage
5.0%
1/20 • Number of events 1 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
0.00%
0/9 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
Eye disorders
Photopsia
0.00%
0/20 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.
11.1%
1/9 • Number of events 1 • 1 year post administration (Intervention group), 1 year post baseline (Control group)
The safety population (n=29) includes all subjects who received injection in either eye for the intervention group and all control group subjects who did not withdraw, or were not withdrawn, prior to any of the following people knowing the treatment assignment: the subject, parent, Principal Investigator, or Medical Monitor.

Additional Information

Clinical Director

Spark Therapeutics

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place