The overall goal of this project, co-funded by the Foundation Fighting Blindness and the USHER 1F Collaborative is to characterize the natural history of disease progression in patients with PCDH15 mutations in order to accelerate the development of outcome measures for clinical trials.
Eligibility
Sex
ALL
Min age
8 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
Participants must meet all the following inclusion criteria at the Screening Visit in order to be eligible to enroll into the genetic screening phase.
1. Willing to participate in the study and able to communicate consent during the consent process
2. Ability to return for all study visits over 48 months
3. Age ≥ 8 years
4. Not planning to enroll in an experimental clinical trial for the treatment of PCDH15 for the duration of this study
5. Must meet one of the Genetic Screening Criteria, defined below:
* Screening Group A: At least 2 disease-causing variants in the PCDH15 gene which are homozygous or heterozygous in trans, based on a report from a clinically certified lab (or a report from a research lab that has been pre- approved by the Genetics Committee)
* Screening Group B: Only 1 disease-causing variant in the PCDH15 gene, based on a report from a clinically certified lab (or a report from a research lab which has been pre-approved by the Genetics Committee)
* Screening Group C: At least 2 disease-causing variants in the PCDH15 gene which are unknown phase, based on a report from a clinically certified lab (or a report from a research lab which has been pre-approved by the Genetics Committee)
Note pertaining to all Screening Groups: if a participant has a variant(s) of unknown significance, he/she would still qualify if there is at least 1 disease-causing variant(s) on the PCDH15 gene. The Genetics Committee will review unique cases where segregation analysis is not feasible to determine eligibility.
Ocular Inclusion Criteria
Both eyes must meet all the following at the Screening Visit for a participant to be eligible to enroll into the genetic screening phase.
1. Clinical diagnosis of retinal dystrophy
2. Clear ocular media and adequate pupil dilation to permit good quality photographic imaging
Exclusion Criteria:
Participants must not meet any of the following exclusion criteria at the Screening Visit in order to be eligible to enroll into the genetic screening phase.
1. Mutations in genes that cause autosomal dominant retinitis pigmentosa (ADRP), X-linked retinitis pigmentosa (RP), or presence of biallelic mutations in autosomal recessive RP/retinal dystrophy genes other than PCDH15
2. Expected to enter experimental treatment trial at any time during this study
3. History of more than 1 year of cumulative treatment, at any time, with an agent associated with pigmentary retinopathy (including hydroxychloroquine, chloroquine, thioridazine, and deferoxamine)
Note: Pregnant women are not being specifically excluded from participation.
Ocular Exclusion Criteria
If either eye has any of the following at the Screening Visit, the participant is not eligible to enroll into the genetic screening phase.
1. Current vitreous hemorrhage
2. Current or any history of tractional or rhegmatogenous retinal detachment
3. Current or any history of (e.g., prior to cataract or refractive surgery) spherical equivalent of the refractive error worse than -8 Diopters of myopia
4. History of intraocular surgery (e.g., cataract surgery, vitrectomy, penetrating keratoplasty, or LASIK) within the last 3 months
5. Current or any history of confirmed diagnosis of glaucoma (e.g., based on glaucomatous VF changes or nerve changes, or history of glaucoma filtering surgery)
6. Current or any history of retinal vascular occlusion or proliferative diabetic retinopathy
7. History or current evidence of ocular disease that, in the opinion of the investigator, may confound assessment of visual function
8. History or evidence of active treatment for retinitis pigmentosa that could affect the progression of retinal degeneration, including:
1. Any use of ocular stem cell or gene therapy
2. Any treatment with ocriplasmin
3. Treatment with an ophthalmic oligonucleotide within the last 9 months (last treatment date is less than 9 months prior to Screening Visit date)
4. Treatment with any other product within five times the expected half-life of the product (time from last treatment date to Screening Visit date is at least 5 times the half-life of the given product)
5. Treatment with Ozurdex (dexamethasone), Iluvien or Yutiq (fluocinolone acetonide) intravitreal implant
Primary outcome measure(s)
Change in Visual Field Sensitivity — Baseline (all Vision Cohort 1 and 2 participants will complete two tests at baseline. The results will be compared according to the visual field criteria to determine if a third test is needed), 12Month, 24Month, 36Month, and 48Month measured by static perimetry with quantitative, topographic analysis (Hill of Vision) and assessed by a central reading center
Change in Best Corrected Visual Acuity — Screening, Baseline, 12Month, 24Month, 36Month, and 48Month Early Treatment of Diabetic Retinopathy Study (ETDRS) Best corrected visual acuity (BCVA) letter score as measured on the Electronic Visual Acuity (EVA) system or ETDRS charts. Letter score range values=0-100 (with higher values = better and lower values = worse.) Berkeley Rudimentary Vision Test (BRVT) will be used for patients unable to see letters.
Change in Mean Retinal Sensitivity — Baseline (all Vision Cohort 1 and 2 participants will complete two tests at baseline. The results will be compared according to the visual field criteria to determine if a third test is needed), 12Month, 24Month, 36Month, and 48Month Measured by fundus-guided microperimetry (MP) and assessed by a central reading center at selected sites with requisite equipment.
Change in Full-field Retinal Sensitivity — Baseline, 12Month, 24Month, 36Month, and 48Month Measured by full-field stimulus threshold (FST) testing to blue, white and red stimuli.
Change in Best Corrected Low Luminance Visual Acuity (LLVA) — Screening, Baseline, 12Month, 24Month, 36Month, and 48Month Measured by Letter Score. Letter score range values=0-100 (with higher values = better and lower values = worse.)
Change in Contrast Sensitivity Function (CSF) — Baseline, 12Month, 24Month, 36Month, and 48Month Measured by the CSV-1000E VectorVision chart
Change in ellipsoid zone (EZ) area — Baseline, 12Month, 24Month, 36Month, and 48Month Measured by spectral domain optical coherence tomography (SD-OCT) and assessed by a central reading center.
Trial sites (10)
Facility
City
Region
Status
University of California, San Francisco
San Francisco
California
The Johns Hopkins Wilmer Eye Institute
Baltimore
Maryland
Duke University, Duke Eye Center
Durham
North Carolina
Hospital for Sick Children
Toronto
Ontario
CHNO des Quinze-Vingts
Paris
France
University of Tubingen
Tübingen
Germany
Haddassah Medical Center
Jerusalem
Israel
Radboud University
Nijmegen
Netherlands
University Hospital Basel
Basel
Switzerland
Moorfields Eye Hospital
London
United Kingdom
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This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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