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OCU400

Phase 3

Retinitis Pigmentosa | Small molecule | Rare Disease |Ocugen, Inc.|Trials Updated: Jul 31, 2026

OCU400 development status

Highest phase Phase 3
Registered trials 1 across 1 sponsor since Aug 2024

OCU400 target and mechanism

Molecular targetNR2E3
ModalitySmall molecule

Also known as OCU400 Low Dose, OCU400 Med Dose, OCU400 Second Eye Dosing, Sub-Retinal Administration of OCU400-301

Success Probability

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Market & Valuation

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Trial Design

RandomizedNO_TREATMENT_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment162

FDA Designations

RMATORPHAN_DRUG

OCU400 clinical trials

OCU400 · 2 trials · 2 indications

Phase 3 1Phase 1 1
NCT06388200A Phase 3 Study Of OCU400 Gene Therapy for the Treatment Of Retinitis PigmentosaRetinitis Pigmentosa
ACTIVE NOT_RECRUITING140 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Phase 3 Study Of OCU400 Gene Therapy for the Treatment Of Retinitis Pigmentosa
Retinitis PigmentosaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in functional vision from baseline to week 52 in pooled analysis when study eyes in treatment group were compared to study eyes in untreated control
52 weeks

Change in functional vision from baseline to week 52 in pooled analysis from retinitis pigmentosa subjects when study eyes in treatment group were compared to study eyes in untreated control, as measured by the ability of a study participant to navigate through a maze in Luminance Dependent Navigation Assessment (LDNA)

Study Drug-related adverse events (SDAE)
1 year

Counts, frequencies and percentages of SDAEs. SDAE is a primary adverse event of interest and defined as AEs and SAEs that are direct subjects to the Study Drug only.

Treatment-Emergent adverse events (TEAEs)
1 year

Counts, frequencies and percentages TEAEs. TEAEs are defined as an event that was not present prior to administration of the dose of study drug and present after the dose, or if it represents the exacerbation of an event that was present prior to the dose.

Serious adverse events (SAEs)
1 year

Counts, frequencies and percentages of SAEs including Resulted in Death, Life-threatening, Hospitalization, Disabling/incapacitating, Congenital anomaly or birth defect and medically significant AEs ( AE that did not meet any of the above criteria but could have jeopardized the subject and might have required medical or surgical intervention to prevent one of the outcomes listed above).

Secondary Endpoints

Change in functional vision from baseline to week 52 in all the treated eyes from RP subjects (study eyes + fellow treated eyes) when compared to all the eyes (study eyes and fellow eyes) in untreated control group
52 weeks
Change from Baseline in visual function in patients with retinitis pigmentosa when treatment group were compared to untreated controls
52 weeks
Change from baseline in LDNA Lux-level results in treated subjects when compared to the untreated controls
52 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RHO ArmEXPERIMENTALSubjects will receive a sub-retinal injection of OCU400-301 modifier gene therapy product with a concentration of 2.5 x 10\^10 vg/eye
Gene Agnostic ArmEXPERIMENTALSubjects will receive a sub-retinal injection of OCU400-301 modifier gene therapy product with a concentration of 2.5 x 10\^10 vg/eye
Control for RHO ArmNO_INTERVENTIONWill not receive any active study intervention
Control for Gene Agnostic ArmNO_INTERVENTIONWill not receive any active study intervention
Cohort 1 (Low Dose)EXPERIMENTALBiallelic autosomal recessive NR2E3 mutations subgroup or Autosomal dominant NR2E3 mutation or RHO mutations subgroup
Cohort 2 (Mid Dose)EXPERIMENTALBiallelic autosomal recessive NR2E3 mutations subgroup or Autosomal dominant NR2E3 mutation or RHO mutations subgroup
Cohort 3 (High Dose)EXPERIMENTALBiallelic autosomal recessive NR2E3 mutations subgroup or Autosomal dominant NR2E3 mutation, RHO mutations subgroup
Pediatric ArmEXPERIMENTALPediatric subjects will receive the medium dose concentration
Phase 2 (High and Medium Dose)EXPERIMENTALFollowing DSMB confirmation, adult RP subjects with Biallelic autosomal recessive NR2E3 mutations, autosomal dominant NR2E3 mutations, Autosomal dominant RHO mutations will receive a high dose concentration of OCU400 or LCA patients with CEP290 mutation will receive a medium dose concentration of OCU400.
Adult ArmEXPERIMENTALBiallelic autosomal recessive NR2E3 mutations subgroup or Autosomal dominant NR2E3 mutation, RHO mutations subgroup will receive a high dose concentration of OCU400 and LCA patients with CEP290 will receive a medium dose concentration of OCU400
Second Eye DosingEXPERIMENTALEligible RP participants will be dosed in the untreated fellow eye with a therapeutic dose used in Phase 3 study of OCU400 (1.0x10E11vg/mL in 250 μl ) and will be followed for an additional 48 weeks.
Natural History Study (OCU400-104)NO_INTERVENTIONA Prospective and Retrospective Natural History Study of RP and LCA: This is an observatory study for the prospective natural history of RP and LCA in adult and pediatric subjects. The study will also collect and review retrospective data and ophthalmology examination of natural history and progression of disease for all subjects starting with earliest timepoint on or after the date of their diagnosis of RP or LCA. Subjects will be seen up to a total of four times during the 12 months of the Observational Period, at baseline, 3 months, 6 months and 12 months. A total of up to 100 subjects will be enrolled in the study, including: Approximately 76 newly enrolled subjects consisting of 50 adult RP subjects, 6 adult LCA subjects, 20 pediatric RP/LCA subjects. Up to 24 subjects that reconsent from the OCU400-101 study (subjects from OCU400-101 will provide data on their untreated eye)

Interventions

NameTypeDescription
Sub-Retinal Administration of OCU400-301GENETICSub-Retinal Administration of OCU400-301
OCU400 Low DoseDRUGsubretinal injection of up to 1.66×10E10 vg/mL
OCU400 Med DoseDRUGsubretinal injection of up to 3.33×10E10 vg/mL
OCU400 High DoseDRUGsubretinal injection of up to 1.66×10E11 vg/mL
OCU400 Second Eye DosingDRUGsubretinal injection of 1.0x10E11vg/mL in 250 μl
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Eligibility Criteria

Age Range3 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: 1. Males or females ≥ 3 years of age 2. Confirmed genetic diagnosis of autosomal dominant RHO mutation with clinical diagnosis of RP 3. Clinical Diagnosis of Syndromic or Non-Syndromic RP with/without confirmed genetic diagnosis of any other RP associated mutation (except AD-NR2...

Countries:United StatesCanada
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Competitive Landscape -Retinitis Pigmentosa 13 trials

Recent Changes (Last 90 Days)

LOWJul 31, 2026NCT05203939lastUpdatePostDate: changed
LOWJul 31, 2026NCT06388200lastUpdatePostDate: changed
LOWJul 31, 2026NCT05203939lastUpdatePostDate: changed
LOWJul 31, 2026NCT06388200lastUpdatePostDate: changed

Frequently asked questions about OCU400

What is OCU400?

OCU400 is an investigational gene therapy being developed for retinitis pigmentosa, a rare inherited retinal disease. It is designed to target the NR2E3 gene and is administered sub-retinally. Ocugen, Inc. is running it in a Phase 3 clinical program, and it holds RMAT and Orphan Drug designations from the FDA.

What does OCU400 target?

OCU400 targets NR2E3, a gene that regulates retinal development and photoreceptor function. By delivering a functional copy of NR2E3, the therapy aims to restore retinal homeostasis and potentially benefit patients regardless of the specific genetic mutation causing their retinitis pigmentosa. This gene-agnostic approach is intended to address multiple forms of the disease.

Who is developing OCU400?

OCU400 is being developed by Ocugen, Inc., a biopharmaceutical company traded on the Nasdaq under the ticker OCGN. Ocugen is running the clinical program for OCU400, including a Phase 3 trial in retinitis pigmentosa and an earlier Phase 1 study that also enrolled patients with Leber congenital amaurosis.

What phase is OCU400 in?

OCU400 is in Phase 3 clinical development for retinitis pigmentosa. The Phase 3 trial, NCT06388200, is active but not recruiting, with an enrollment of 140 patients across the United States and Canada. An earlier Phase 1 study, NCT05203939, is also active but not recruiting. OCU400 is investigational and has not been approved by the FDA.

What clinical trials is OCU400 in?

OCU400 is being studied in two active trials. NCT06388200 is a Phase 3 study in retinitis pigmentosa enrolling 140 patients in the United States and Canada. NCT05203939 is a Phase 1 study assessing safety and efficacy in retinitis pigmentosa and Leber congenital amaurosis, with 22 patients enrolled in the United States. Both are active but not recruiting.

Is OCU400 the same as OCU400 Low Dose or OCU400 Med Dose?

Yes. OCU400 Low Dose, OCU400 Med Dose, OCU400 Second Eye Dosing, and Sub-Retinal Administration of OCU400-301 are alternative names referring to the same investigational gene therapy, OCU400. These names reflect different dosing arms or administration approaches used within the clinical program rather than separate products.