Marie Mélanie, Churet Lucie, Gautron Anne-Sophie, Farjo Rafal, Mizuyoshi Kensuke, Stevenson Victoria, Khabou Hanen, Léveillard Thierry, Sahel José-Alain, Lorget Florence
SparingVision, Paris, France.
EyeCro LLC., Oklahoma City, OK, USA.
Gene Ther. 2025 Aug 4. doi: 10.1038/s41434-025-00556-3.
Rod-cone dystrophies (RCD) are caused by mutations in over 100 genes associated with photoreceptor function, leading to progressive and sequential loss of rod and cone photoreceptors. These mutations generally disrupt retinal metabolism and oxidative stress response accelerating disease progression and vision loss. SPVN06 is an adeno-associated virus (AAV)-based gene- and mutation-agnostic investigational therapy designed to slow cone degeneration by delivering long-term expression of rod-derived cone viability factor (RdCVF) and its full-length isoform, thioredoxin RdCVFL, following a single subretinal administration. These proteins support cone survival by promoting glucose metabolism and reducing oxidative damage, respectively, providing a gene and mutation independent therapeutic approach for RCD. SPVN06 IND-enabling program included pharmacology evaluation in the rd10/rd10 mouse model of RCD (1.0 × 10 vector genomes (vg)/eye up to 1 month) along with systemic and ocular safety and biodistribution evaluation in non-human primates (NHPs, 6.0 × 10 to 3.0 × 10 vg/eye up to 3 months). In the rd10/rd10 mice, SPVN06 showed preserved vision, as assessed by optokinetic tracking. In NHPs, SPVN06 was well-tolerated up to 6.0 × 10 vg/eye, with high and stable RdCVF and RdCVFL mRNA expression levels in the retina and retinal pigment epithelium. These results supported the initiation of the ongoing Phase I/II PRODYGY trial with RCD (NCT05748873).
视杆-视锥营养不良(RCD)是由100多个与光感受器功能相关的基因突变引起的,导致视杆和视锥光感受器进行性、相继丧失。这些突变通常会破坏视网膜代谢和氧化应激反应,加速疾病进展和视力丧失。SPVN06是一种基于腺相关病毒(AAV)的、与基因和突变无关的研究性疗法,旨在通过单次视网膜下给药后长期表达视杆衍生的视锥细胞存活因子(RdCVF)及其全长异构体硫氧还蛋白RdCVFL,来减缓视锥细胞变性。这些蛋白质分别通过促进葡萄糖代谢和减少氧化损伤来支持视锥细胞存活,为RCD提供了一种与基因和突变无关的治疗方法。SPVN06的研究性新药(IND)启用计划包括在RCD的rd10/rd10小鼠模型中进行药理学评估(1.0×10载体基因组(vg)/眼,长达1个月),以及在非人灵长类动物(NHP,6.0×10至3.0×10 vg/眼,长达3个月)中进行全身和眼部安全性及生物分布评估。在rd10/rd10小鼠中,通过视动跟踪评估,SPVN06显示出视力保留。在NHP中,高达6.0×1vg/眼的剂量下,SPVN06耐受性良好,视网膜和视网膜色素上皮中RdCVF和RdCVFL mRNA表达水平高且稳定。这些结果支持了正在进行的针对RCD的I/II期PRODYGY试验(NCT05748873)的启动。