What is the STK-002 Clinical Trial for ADOA?
At a Glance
STK-002 is an experimental eye injection treatment for Autosomal Dominant Optic Atrophy (ADOA) designed to increase essential OPA1 protein levels. Currently in preclinical development, future clinical trials will likely require a confirmed genetic diagnosis of an OPA1 mutation.
In this answer
3 sections
STK-002 is an experimental treatment being investigated for the classic form of Autosomal Dominant Optic Atrophy (ADOA). It is designed to address the root cause of the condition by increasing the amount of essential proteins in the eye. While you may have read about this emerging therapy, it is important to understand how it works, its current development phase, and what researchers typically look for in trial participants.
How Does STK-002 Work?
STK-002 is a type of targeted therapy known as an antisense oligonucleotide (ASO) [1]. ASOs are small, synthetic pieces of genetic material that can change how cells read genetic instructions [2].
Most people with classic ADOA have one healthy copy of the OPA1 gene and one mutated copy. This results in haploinsufficiency — meaning the body only produces about half the normal amount of the OPA1 protein, which is necessary for the survival of the optic nerve cells [1].
Instead of trying to fix the mutated gene, STK-002 targets the healthy OPA1 copy. Normally, some of the genetic instructions from this healthy copy contain a “stop” signal (a nonproductive exon) that limits protein production [1]. STK-002 blocks this signal, forcing the cell to produce significantly more functional OPA1 protein [1]. Preclinical studies in lab-grown human cells and animal models have demonstrated that STK-002 successfully boosts OPA1 levels and improves the energy function of these cells [1].
Trial Phase and General Eligibility
As of mid-2026, STK-002 has primarily been focused on preclinical development (testing in labs and animals) to support its progression toward human clinical trials [1]. Because the therapy is in these early stages, specific and final human enrollment criteria are not fully detailed in the current medical literature [1][3].
However, based on standard practices for clinical trials involving retinal gene and ASO therapies, researchers typically require participants to meet specific criteria [4][5]. If you are looking to join a trial for STK-002 or a similar treatment, general eligibility requirements will likely include:
- Confirmed Genetic Diagnosis: You will need a genetic test confirming that your ADOA is caused by a specific type of OPA1 mutation that leads to low protein levels (haploinsufficiency) [1]. If you have not had a comprehensive genetic panel done yet, talking to your doctor about getting one now is a great proactive step.
- Age Requirements: Early-phase trials usually begin with adults to ensure safety before expanding to include children [6].
- Specific Visual Function: Trials usually require a specific window of best-corrected visual acuity (BCVA) (how well you see with your best glasses or contacts) [7]. Your vision cannot be too good (making it hard to measure improvement) or too poor (meaning there may not be enough surviving nerve cells to save) [8].
- Retinal Health: Researchers will use imaging tests to ensure you have enough preserved retinal structure for the treatment to be effective [8].
- Willingness for Eye Injections: Like many ASO therapies for the eye, STK-002 is delivered via intravitreal injection (an injection directly into the eye) [1]. While this sounds intimidating, the eye is thoroughly numbed with an anesthetic beforehand, making it a very common and manageable procedure in eye clinics. However, it does carry standard risks, such as temporary eye inflammation or increased eye pressure, which trials will monitor closely.
How to Track Enrollment Status
Because clinical trial statuses can change rapidly, the best way to monitor for open enrollment is by using official clinical databases and patient organizations:
- ClinicalTrials.gov: This database lists federally and privately supported clinical trials. You can search the site periodically using keywords like “ADOA,” “OPA1,” and “STK-002.” You can also set up an email alert or RSS feed for these keywords to automate your tracking.
- Patient Registries: Joining a registry is one of the most effective ways to be notified about upcoming trials, as researchers frequently use these to find matching patients [9]. Consider looking into the My Retina Tracker registry (managed by the Foundation Fighting Blindness) or registries associated with the Cure ADOA Foundation.
- Your Medical Team: Keep in close contact with a neuro-ophthalmologist or a specialist in inherited retinal diseases. They often receive early notifications about trial site openings and can help determine if you are a good candidate.
Common questions in this guide
How does the STK-002 treatment work for ADOA?
Who is eligible for the STK-002 clinical trial?
How is the STK-002 treatment administered?
How can I find out when the STK-002 trial starts enrolling patients?
Questions to Ask Your Doctor
Curated prompts to bring to your next appointment.
- 1.Has my genetic testing confirmed a specific OPA1 mutation that causes haploinsufficiency, and do I have a copy of those results for future trials?
- 2.What are my current best-corrected visual acuity and retinal imaging (OCT) measurements, and how are they changing over time?
- 3.Are there any natural history studies or specific patient registries you recommend I join to stay visible to researchers running upcoming ADOA trials?
- 4.If a clinical trial requiring intravitreal injections becomes available, am I medically a good candidate based on my eye health?
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References
References (9)
- 1
Antisense Oligonucleotide STK-002 Increases OPA1 in Retina and Improves Mitochondrial Function in Autosomal Dominant Optic Atrophy Cells.
Venkatesh A, McKenty T, Ali S, et al.
Nucleic acid therapeutics 2024; (34(5)):221-233 doi:10.1089/nat.2024.0022.
PMID: 39264859 - 2
Targeted Augmentation of Nuclear Gene Output (TANGO) of Scn1a rescues parvalbumin interneuron excitability and reduces seizures in a mouse model of Dravet Syndrome.
Wengert ER, Wagley PK, Strohm SM, et al.
Brain research 2022; (1775()):147743 doi:10.1016/j.brainres.2021.147743.
PMID: 34843701 - 3
Advanced therapies for inherited optic neuropathies.
Wong DCS, Makam R, Yu-Wai-Man P
Eye (London, England) 2025; doi:10.1038/s41433-025-04109-1.
PMID: 41318849 - 4
Evaluation of Leber's hereditary optic neuropathy patients prior to a gene therapy clinical trial.
Yang S, Yang H, Ma SQ, et al.
Medicine 2016; (95(40)):e5110 doi:10.1097/MD.0000000000005110.
PMID: 27749593 - 5
A Case Study of Choroideremia and Choroideremia Carrier.
Pidro A, Ratkovic M, Pjano MA, Biscevic A
Medical archives (Sarajevo, Bosnia and Herzegovina) 2019; (73(1)):61-62 doi:10.5455/medarh.2019.73.61-62.
PMID: 31097864 - 6
IQCB1 (NPHP5)-Retinopathy: Clinical and Genetic Characterization and Natural History.
Sen S, Fabozzi L, Fujinami K, et al.
American journal of ophthalmology 2024; (264()):205-215 doi:10.1016/j.ajo.2024.03.009.
PMID: 38522724 - 7
CLINICAL AND GENETIC CHARACTERISTICS OF MALE PATIENTS WITH RPGR-ASSOCIATED RETINAL DYSTROPHIES: A Long-Term Follow-up Study.
Talib M, van Schooneveld MJ, Thiadens AA, et al.
Retina (Philadelphia, Pa.) 2019; (39(6)):1186-1199 doi:10.1097/IAE.0000000000002125.
PMID: 29528978 - 8
Approval of retinal gene therapies in the US and Europe based on visual acuity and microperimetry.
Josan AS, Raji S, MacLaren RE
Expert review of ophthalmology 2025; (20(3)):127-132 doi:10.1080/17469899.2025.2487544.
PMID: 41127571 - 9
Edridge Green Lecture 2022-demystifying clinical trials and regulatory approvals in drug development.
Chong V
Eye (London, England) 2025; (39(3)):484-487 doi:10.1038/s41433-024-03520-4.
PMID: 39639153
This page provides informational updates on the experimental STK-002 treatment for ADOA and does not constitute medical advice. Always consult your neuro-ophthalmologist or eye care specialist regarding clinical trial eligibility and disease management.
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