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OPGx-LCA5

Phase 1

LCA5 | Monoclonal antibody | Rare Disease |Opus Genetics, Inc.|Last Updated: Feb 19, 2026

Target and mechanism

ModalityMonoclonal antibody

Also known as AAV8.hLCA5

Success Probability

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Market & Valuation

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Trial Design

NO_TREATMENT_CONTROLLEDDMC
Total Trials1
Total Enrollment22

FDA Designations

RARE_PEDIATRIC_DISEASERMATORPHAN_DRUG

Clinical trial landscape

OPGx-LCA5 · 1 trial · 1 indication

Phase 1 1
NCT05616793Safety and Tolerability Subretinal OPGx-001 for LCA5-Associated Inherited Retinal Degeneration (LCA5-IRD) and Non-interventional Arm With Untreated PatientsLCA5
RECRUITING22 Analytics
PHASE1RECRUITING
Safety and Tolerability Subretinal OPGx-001 for LCA5-Associated Inherited Retinal Degeneration (LCA5-IRD) and Non-interventional Arm With Untreated Patients
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Study Endpoints

Primary Endpoints

Incidence of Dose Limiting Toxicities
2 years

Number of DLT events

Number of adverse events related to OPGx-001
2 years

Number of AEs related to IP

Incidence of adverse events related to OPGx-001
2 years

Incidence of AEs related to IP

Severity of adverse events related to OPGx-001
2 years

Severity of AEs related to IP

Number of procedure-related adverse events
2 years

Number of AEs related to IP administration

Incidence of procedure-related adverse events
2 years

Incidence of AEs related to IP administration

Severity of procedure-related adverse events
2 years

Severity of AEs related to IP administration

Assessment of cross-sectional spectral domain optical coherence tomography images
2 years

Qualitative Assessment of SD-OCT image

Assessment of Natural course of LCA5-IRD
6 months

Change from baseline in MLoMT

Secondary Endpoints

Change from baseline over time in Multi-luminance Orientation and Mobility Test
2 years
Change from baseline over time in Dark-adapted full-field sensitivity testing
2 years
Change from baseline over time in best corrected visual acuity (BCVA)
2 years
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeOTHER

Treatment Arms

ArmTypeDescription
Dose Group 1EXPERIMENTALA single, unilateral, subretinal injection of low dose (1E10 vg/eye) OPGx-001 is injected into two LCA5 adults (18 yo or above) in a sentinel fashion. A 30-day safety evaluation and data committee review and approval of continued dosing occurs. If additional dosing is recommended, a subsequent LCA5 adolescent (13-17) may be treated in a sentinel fashion, with a unilateral, subretinal injection of OPGx-001. A 30-day safety evaluation and data committee review and approval of continued dosing occurs. If additional dosing is recommended, two remaining adolescents (13-17) are eligible to be treated with a single, unilateral, subretinal injection of a low dose of OPGx-001. Total cohort size is 5 (2 adults and 3 adolescents).
Dose Group 2EXPERIMENTALA single, unilateral, subretinal injection of an intermediate dose (3E10 vg/eye) OPGx-001 is injected into two LCA5 adults (18 yo or above) in a sentinel fashion. A 30-day safety evaluation and data committee review and approval of continued dosing occurs. If additional dosing is recommended, a subsequent LCA5 adolescent (13-17) may be treated in a sentinel fashion, with a unilateral, subretinal injection of OPGx-001. A 30-day safety evaluation and data committee review and approval of continued dosing occurs. If additional dosing is recommended, two remaining adolescents (13-17) are eligible to be treated with a single, unilateral, subretinal injection of an intermediate dose of OPGx-001. Total cohort size is 5 (2 adults and 3 adolescents).
Dose Group 3EXPERIMENTALA single, unilateral, subretinal injection of high dose (1E11 vg/eye) OPGx-001 is injected into two LCA5 adults (18 yo or above) in a sentinel fashion. A 30-day safety evaluation and data committee review and approval of continued dosing occurs. If additional dosing is recommended, a subsequent LCA5 adolescent (13-17) may be treated in a sentinel fashion, with a unilateral, subretinal injection of OPGx-001. A 30-day safety evaluation and data committee review and approval of continued dosing occurs. If additional dosing is recommended, two remaining adolescents (13-17) are eligible to be treated with a single, unilateral, subretinal injection of a high dose of OPGx-001. Total cohort size is 5 (2 adults and 3 adolescents).
Part B ObservationalNO_INTERVENTIONPart B will occur concurrently with Dose Groups 1-3. Sixteen patients will be assessed for 6 months to assess the natural course of LCA5-IRD, then will be treated with OPGx-001 which will be described in a future protocol amendment.

Interventions

NameTypeDescription
AAV8.hLCA5BIOLOGICALAdeno-associated virus vector expressing human LCA5 gene
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Eligibility Criteria

Age Range4 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: 1. Are willing and able to provide written informed consent (ICF) and, where appropriate, willing to sign an assent prior to any study procedures. 2. Are willing to adhere to the clinical protocol and able to perform testing procedures. 3. In part A participants must be 13 years...

Countries:United States
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