Age-Related Macular DegenerationPhase 1/2NCT05984927
NG101 AAV Gene Therapy in Subjects With Wet Age-Related Macular Degeneration
A Phase 1/2 study testing NG101 AAV gene therapy in people with Age-Related Macular Degeneration, run by Elisigen, Inc. at 4 sites in 2 countries.
Trial summary
This study will evaluate the safety, tolerability, and preliminary efficacy of NG101 AAV gene therapy administered by subretinal injections into a single selected eye as a single selected dose for patients with wet age-related macular degeneration (wAMD). Read more about this study
- Who is it for?
- Ages 50 to 89 years
- Conditions the study is for
- Age-Related Macular Degeneration
- What is being tested?
- NG101 AAV gene therapy
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- 4 sitesin 2 countries
- Study dates
- 8 Sep 2023to Jan 2030
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 to 89 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects ≥ 50 and ≤ 89 years of age with a diagnosis of active subfoveal CNV secondary to wAMD in the Study Eye
- BCVA between 20/40 and 20/400 in the Study Eye, with BCVA decrement primarily attributable to wAMD
- Administration of at least 3 anti-VEGF (vascular endothelial growth factor) injections in the study eye in the past 6 months for clinically active wAMD, the most recent of which was within 1 month prior to Screening Day -14 (Visit 1).
- Must be pseudo phakic (status post cataract surgery) in the Study Eye
- Female and Male reproductive status: Female subjects must be either: (1) of non-childbearing potential; or (2) of childbearing potential and using an acceptable method of birth control with a negative pregnancy test. Male subjects agree to refrain from sperm donations and practice contraception to avoid any pregnancy for 3 months after administration of NG101.
- Normal blood pressure (BP) and heart rate (HR), or near normal BP and HR not considered clinically significant (NCS) by the Investigator at the Screening Day -14 (Visit 1) and Day -7 (Visit 2)
- Willing and able to provide written, signed informed consent after the nature of the study has been explained and prior to the performance of any study-related procedures
- Willingness and ability to comply with schedule for follow-up visits and postoperative evaluations
Who cannot join
- CNV or macular edema in the Study Eye secondary to any causes other than AMD
- Any condition preventing visual acuity improvement in the Study Eye, e.g., fibrosis, atrophy, or retinal pigment epithelial tear involving the center of the macula
- Any ophthalmic condition that precludes adequate ophthalmic examination or requires treatment
- Retinal detachment or history of retinal detachment in the Study Eye
- Active uncontrolled glaucoma with intraocular pressure (IOP) ≥ 30 mmHg despite treatment with more than 2 glaucoma medications, advanced glaucoma with cup-to-disc ratio of ≥ 0.9, visual field defects secondary to glaucoma that involve the macula, and/or optic atrophy from glaucoma
- History of intravitreal therapy in the Study Eye, such as intravitreal steroid injection or an investigational product, other than anti-VEGF therapy, in the 6 months prior to Screening
Show all 22Show fewer
- History of vitrectomy, trabeculectomy, glaucoma tube-shunt procedure, minimally invasive glaucoma surgery (MIGS) device, or other filtration surgery in the Study Eye
- Photodynamic therapy or retinal laser for the treatment of wAMD within the last 6 months
- Any prior therapeutic radiation in the region of the Study Eye such as whole brain radiation, proton beam radiation, gamma knife treatment, or plaque brachytherapy
- Any previous intraocular or refractive surgery on the Study Eye within 6 months
- Any previous gene therapy in the Study Eye
- Presence of an ocular implant in the Study Eye at Screening, excluding intraocular lens and custom flex iris prosthesis
- Any diabetic retinopathy or other retinal vascular disease including retinal vein occlusion, retinal artery occlusion, retinal arterial macro aneurysm, ocular ischemic syndrome, retinal vasculitis, vitritis, posterior uveitis
- Medically uncontrolled diabetes, defined as HbA1C > 8.0
- History of ocular melanoma
- History of any known inherited retinal disease
- Currently taking any anticoagulant therapy, which is deemed medically necessary and cannot be permanently stopped at least 2 weeks prior to NG101 injection, excluding prophylactic low-dose aspirin therapy
- Any underlying systemic diseases as unstable or severe cardiovascular, cerebrovascular, dementia or neurodegenerative diseases of a level that prevents adequate evaluation of the subject during the study, active malignancy or currently undergoing treatment for active malignancy at Screening or a history of malignancy that precludes completion of this 260 week study, and immunocompromised conditions and/or need for immunosuppressive therapy
- Active hepatitis B or C
- History of human immunodeficiency virus (HIV), active tuberculosis, and/or syphilis
- Any significant illness that would preclude study compliance and follow-up
- Subjects who, in the Investigator's opinion, lack the mental capacity to provide written informed consent for study participation
Trial locations and contacts
4 sites in 2 countries.
4 sites in 2 countries
Canada3 sites
Sunnybrook Ophthalmology and Vision Services
Toronto, Ontario, M4N 3M5
Vitreous Retina Macula Specialists of Toronto
Toronto, Ontario, M8X 2X3
Vancouver Coastal Health Research Institute
Vancouver, British Columbia, V5Z 3N9
About this study
Official title: A Phase 1/2a Open-label Study to Evaluate Safety, Tolerability and Preliminary Efficacy of NG101 AAV Gene Therapy in Subjects With Wet Age-Related Macular Degeneration
This study will evaluate the safety, tolerability, and preliminary efficacy of NG101 AAV gene therapy administered by subretinal injections into a single selected eye as a single selected dose for patients with wet age-related macular degeneration (wAMD).
Read the detailed description
This is a Phase 1/2a, multicenter, open-label, dose escalation study to evaluate the safety, tolerability, and preliminary efficacy of NG101 AAV gene therapy, administered by subretinal injection in patients with active wAMD symptoms. The study will be conducted at approximately 5 sites in Canada and the USA.
- Conditions
- Age-Related Macular Degeneration
- Being tested
- NG101 AAV gene therapy
- Keywords
- Wet macular degeneration, Neovascular Age-Related Macular Degeneration, Macular Degeneration, Choroidal Neovascularization, Retinal Degeneration, Eye Diseases, Retinal Diseases, Angiogenesis Inhibitors, Angiogenesis Modulating Agents, Growth Substances, Growth Inhibitors, Antineoplastic Agents, Gene Therapy, Anti-vascular endothelial growth factor therapy, Anti-VEGF therapy
- Medical subject headings
- Macular Degeneration, Wet Macular Degeneration, Choroidal Neovascularization, Retinal Degeneration, Eye Diseases, Retinal Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NG101 AAV gene therapyGenetic
Also called NG101
Sub retinal injection of NG101 (a non-replicating adeno-associated virus serotype 8 (AAV8) vector
| Study group | Role | What they receive |
|---|---|---|
| NG101 Gene Therapy Group 1 | Experimental | Single subretinal injection of 1x10^9 vector genomes of NG101 AAV gene therapy Receives: Genetic: NG101 AAV gene therapy |
| NG101 Gene Therapy Group 2 | Experimental | Single subretinal injection of 3x10^9 vector genomes of NG101 AAV gene therapy Receives: Genetic: NG101 AAV gene therapy |
| NG101 Gene Therapy Group 3 | Experimental | Single subretinal injection of 8x10^9 vector genomes of NG101 AAV gene therapy Receives: Genetic: NG101 AAV gene therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Adverse Events
Incidence and severity of ocular and non-ocular adverse events (AEs) for each cohort
Measured: From Day 0 (pre-treatment) through Week 24
Secondary outcomes (9)
Ocular and Non -Ocular Adverse Events after week 24
Incidence and severity of ocular and non-ocular AEs from Day 0 (pre-treatment) through Weeks 52 and Week 260 for each cohort
Measured: From Day 0 (pre-treatment) and through Weeks 52, 104, 156, 208 and 260
Systemic Immunogenic Response
Change in concentration of Anti-NG101 Transgene protein (aflibercept) antibodies, Anti-AAV8 Neutralizing antibodies, and Anti-AAV8 Antibodies in serum samples
Measured: From Day -14 to Weeks 4, 8, 12, 24, 52, and 104
Systemic Immunogenic Response
Change in concentration of expressed aflibercept protein in serum samples
Measured: From Day -14 to Weeks 4, 12, and 104
Systemic Immunogenic Response
Change in AAV vector (NG101) genome copies as measured by qPCR (quantitative polymerase chain reaction) in blood samples
Measured: From Day -14 to Day 7, and Weeks 2, 4, and week 12.
Systemic Immunogenic Response
Change in concentration of expressed aflibercept protein in vitreous samples
Measured: From Day 0 (pre-treatment) to Weeks 24, 52, and 104
Signs of CNV (choroidal neovascularization) Activity
Change of 1 or more signs of CNV activity assessed by OCT (Optical coherence tomography)
Measured: From Day -7 to Weeks 8, 24, 52, and 104
Central Subfield Thickness (CST)
Change in CST assessed with OCT
Measured: From Day -7 to Weeks 24, 52, 104, 156, 208, and 260
Best Corrected Visual Acuity (BCVA)
Change in BCVA assessed with Early Treatment Diabetic Retinopathy Study (ETDRS) scale
Measured: From Day -7 to Weeks 24, 52, 104, 156, 208 and 260
Cumulative Number of Rescue Therapy Injections
The cumulative number of rescue therapy injections per subject to maintain CNV control in the Study Eye
Measured: Through Weeks 24, 52, 104, 156, 208, and 260
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Aug 2023
- Study start8 Sep 2023
- Primary completion27 May 2026
- Study completionJan 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Age-Related Macular DegenerationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Model description
- Dose Escalation Study with 3 dose cohorts
- Masking
- None (open label)
- Enrolment
- 20 participants (actual)
Sponsor and investigators
- Lead sponsor
- Elisigen, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- ORA, Inc.
- Responsible party
- Sponsor
- Investigators
- Christopher D Riemann, MD, Principal investigator, Neuracle Genetics, Inc. Medical Director
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05984927
- Sponsor's protocol ID
- NG101WA-01
- Status last verified
- Sep 2026
- First submitted
- 24 Jul 2023
- Last updated
- 10 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2a Open-label Study to Evaluate Safety, Tolerability and Preliminary Efficacy of NG101 AAV Gene Therapy in Subjects With Wet Age-Related Macular Degeneration
- ClinicalTrials.gov ID
- NCT05984927
- Acronym / sponsor ID
- NG101WA-01
- Conditions
- Age-Related Macular Degeneration
- Keywords
- Wet macular degeneration, Neovascular Age-Related Macular Degeneration, Macular Degeneration, Choroidal Neovascularization, Retinal Degeneration, Eye Diseases, Retinal Diseases, Angiogenesis Inhibitors
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 20 participants (actual)
- Lead sponsor
- Elisigen, Inc.Industry (pharma, biotech, devices)
- Collaborators
- ORA, Inc.
- Study start
- 8 Sep 2023 (actual)
- Primary completion
- 27 May 2026 (actual)
- Study completion
- Jan 2030 (estimated)
- First posted
- 9 Aug 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the safety, tolerability, and preliminary efficacy of NG101 AAV gene therapy administered by subretinal injections into a single selected eye as a single selected dose for patients with wet age-related macular degeneration (wAMD).
Detailed description
This is a Phase 1/2a, multicenter, open-label, dose escalation study to evaluate the safety, tolerability, and preliminary efficacy of NG101 AAV gene therapy, administered by subretinal injection in patients with active wAMD symptoms. The study will be conducted at approximately 5 sites in Canada and the USA.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- Dose Escalation Study with 3 dose cohorts
| Arm | Type | Receives |
|---|---|---|
| NG101 Gene Therapy Group 1 | Experimental | Genetic: NG101 AAV gene therapySingle subretinal injection of 1x10^9 vector genomes of NG101 AAV gene therapy |
| NG101 Gene Therapy Group 2 | Experimental | Genetic: NG101 AAV gene therapySingle subretinal injection of 3x10^9 vector genomes of NG101 AAV gene therapy |
| NG101 Gene Therapy Group 3 | Experimental | Genetic: NG101 AAV gene therapySingle subretinal injection of 8x10^9 vector genomes of NG101 AAV gene therapy |
Who may qualify
- Ages
- 50 to 89 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Subjects ≥ 50 and ≤ 89 years of age with a diagnosis of active subfoveal CNV secondary to wAMD in the Study Eye
- BCVA between 20/40 and 20/400 in the Study Eye, with BCVA decrement primarily attributable to wAMD
- Administration of at least 3 anti-VEGF (vascular endothelial growth factor) injections in the study eye in the past 6 months for clinically active wAMD, the most recent of which was within 1 month prior to Screening Day -14 (Visit 1).
- Must be pseudo phakic (status post cataract surgery) in the Study Eye
- Female and Male reproductive status: Female subjects must be either: (1) of non-childbearing potential; or (2) of childbearing potential and using an acceptable method of birth control with a negative pregnancy test. Male subjects agree to refrain from sperm donations and practice contraception to avoid any pregnancy for 3 months after administration of NG101.
Key exclusion criteria (22 listed)
- CNV or macular edema in the Study Eye secondary to any causes other than AMD
- Any condition preventing visual acuity improvement in the Study Eye, e.g., fibrosis, atrophy, or retinal pigment epithelial tear involving the center of the macula
- Any ophthalmic condition that precludes adequate ophthalmic examination or requires treatment
- Retinal detachment or history of retinal detachment in the Study Eye
- Active uncontrolled glaucoma with intraocular pressure (IOP) ≥ 30 mmHg despite treatment with more than 2 glaucoma medications, advanced glaucoma with cup-to-disc ratio of ≥ 0.9, visual field defects secondary to glaucoma that involve the macula, and/or optic atrophy from glaucoma
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NG101 AAV gene therapyAlso: NG101Sub retinal injection of NG101 (a non-replicating adeno-associated virus serotype 8 (AAV8) vector | Genetic | NG101 Gene Therapy Group 1, NG101 Gene Therapy Group 2, NG101 Gene Therapy Group 3 |
Primary outcome
Adverse Events
Time frame: From Day 0 (pre-treatment) through Week 24
Incidence and severity of ocular and non-ocular adverse events (AEs) for each cohort
9 secondary outcomes
Ocular and Non -Ocular Adverse Events after week 24
Time frame: From Day 0 (pre-treatment) and through Weeks 52, 104, 156, 208 and 260
Systemic Immunogenic Response
Time frame: From Day -14 to Weeks 4, 8, 12, 24, 52, and 104
Systemic Immunogenic Response
Time frame: From Day -14 to Weeks 4, 12, and 104
Systemic Immunogenic Response
Time frame: From Day -14 to Day 7, and Weeks 2, 4, and week 12.
Systemic Immunogenic Response
Time frame: From Day 0 (pre-treatment) to Weeks 24, 52, and 104
Signs of CNV (choroidal neovascularization) Activity
Time frame: From Day -7 to Weeks 8, 24, 52, and 104
Central Subfield Thickness (CST)
Time frame: From Day -7 to Weeks 24, 52, 104, 156, 208, and 260
Best Corrected Visual Acuity (BCVA)
Time frame: From Day -7 to Weeks 24, 52, 104, 156, 208 and 260
Cumulative Number of Rescue Therapy Injections
Time frame: Through Weeks 24, 52, 104, 156, 208, and 260
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Sep 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Christopher D Riemann, MD principal investigator
Neuracle Genetics, Inc. Medical Director
4 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing NG101 AAV gene therapy in people with Age-Related Macular Degeneration, run by Elisigen, Inc. at 4 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 10 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Canada, United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Adverse Events (time frame: From Day 0 (pre-treatment) through Week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Sep 2026; AzTrials last refreshed its copy on 26 Oct 2026.