Purpose

This is an international, multicenter study with two components: Registry - A standardized genetic screening and a prospective, standardized, cross-sectional clinical data collection - Enrollment is open to all genes on the RD Rare Gene List Natural History Study - A prospective, standardized, longitudinal Natural History Study - Enrollment opens gene-by-gene, based on funding and within-gene Registry enrollment The study objectives are as follows. Registry Objectives 1. Genotype Characterization 2. Cross-Sectional Phenotype Characterization (within gene) 3. Establish a Link to My Retina Tracker Registry (MRTR) 4. Ancillary Exploratory Studies - Pooling of Genes Natural History Study Objectives 1. Natural History (within gene) 2. Structure-Function Relationship (within gene) 3. Risk Factors for Progression (within gene) 4. Ancillary Exploratory Studies - Pooling of Genes

Conditions

Eligibility

Eligible Ages
Over 4 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

Participants must meet all the following inclusion criteria at the Registry/Screening Visit 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. Willing and able to complete all applicable Registry/Screening Visit assessments 3. Age ≥ 4 years 4. Must have a single gene on the RD Rare Gene List which meets one of the Genetic Screening Criteria below based on a genetic report* from a clinically certified lab (or from a research lab which has been approved by the study Genetics Committee): Inheritance Pattern is Recessive and has at least 2 disease-causing variants which are homozygous or heterozygous in trans OR Inheritance Pattern is Recessive and has 2 disease-causing variants with unknown phase and meets all the following additional informatic criteria that is consistent with likely segregation in trans: 1. Investigator confirms genotype and phenotype are consistent with autosomal recessive inheritance 2. The 2 disease-causing variants have not been reported in cis in variant databases 3. No additional potentially pathogenic variants were found on the gene (and the sequencing data for the gene were sufficiently robust to detect any additional potentially pathogenic variants) 4. No potentially pathogenic variants were found in other common, likely candidate genes for the proposed condition OR Inheritance Pattern is Dominant, X-linked, or Mitochondrial and has at least 1 disease-causing variant Both eyes must meet the following criteria at the Registry/Screening Visit to enroll into the genetic screening phase: 1. Both eyes must have a clinical diagnosis of retinal dystrophy 2. Both eyes must permit good quality photographic imaging (e.g., but not limited to, clear ocular media, adequate pupil dilation, stable fixation)

Exclusion Criteria

Participants must not meet any of the following exclusion criteria at the Registry/Screening Visit to be eligible to enroll into the genetic screening phase: 1. History of more than 1 year of cumulative treatment, at any time, with an agent associated with pigmentary retinopathy including amiodarone, chloroquine, deferoxamine, hydroxychloroquine, pentosan polysulfate, tamoxifen, and deferoxamine Note: Since this is an observational study, pregnant women will not be specifically excluded from participation. However, minors that are pregnant shall be precluded from participation until they become the age of majority. Ocular Exclusion Criteria: If either eye has any of the following ocular exclusion criteria at the Registry/Screening Visit, then the participant is not eligible to enroll into the genetic screening phase: 1. Current vitreous hemorrhage 2. Current complications of pathological myopia (for example, but not limited to, myopic maculopathy including atrophy, scar, choroidal neovascularization, schisis) that could inhibit ability to obtain good quality photographic imaging 3. History of intraocular surgery (for example, but not limited to, cataract surgery, vitrectomy, penetrating keratoplasty, or LASIK) within 3 months of Registry/Screening Visit 4. Current or any history of confirmed diagnosis of glaucoma (for example, but not limited to, glaucomatous VF changes or nerve changes, or history of glaucoma filtering surgery) 5. Current or any history of retinal vascular occlusion or proliferative diabetic retinopathy 6. History or current evidence of ocular disease that, in the opinion of the Investigator, may confound assessment of visual function (for example, but not limited to, tractional or rhegmatogenous retinal detachment, any vitreoretinal surgery, retinal vascular occlusion, proliferative diabetic retinopathy) 7. The following medications and treatments are prohibited as they can affect progression of retinitis pigmentosa (RP). The participant must not have received the following treatments: Any use of ocular stem cell or gene therapy Any treatment with ocriplasmin Treatment with Ozurdex (dexamethasone), Iluvien, or Yutiq (fluocinolone acetonide) intravitreal implant 8. The following medications and treatments are excluded within the specified timeframe: Treatment with an ophthalmic oligonucleotide within the last 9 months (last treatment date is less than 9 months prior to Registry/Screening Visit date) Treatment with any other product within five times the expected half-life of the product (time from last treatment date to Registry/Screening Visit date is at least 5 times the half-life of the given product)

Study Design

Phase
Study Type
Observational
Observational Model
Cohort
Time Perspective
Cross-Sectional

Arm Groups

ArmDescriptionAssigned Intervention
Younger Age Cohort Participants ages ≥ 4 years and < 8 years old will be designated as the Younger Age Cohort. - Participants in this cohort will not be assigned a Vision Cohort. - Registry/Screening Visit and Natural History Study Visits will have an abbreviated testing schedule, detailed in the Schedule of Study Visits and Procedures table.
Vision Cohort 1 Participants who are aged ≥ 8 years old will be designated into a Vision Cohort based on data in the better eye, at the Registry/Screening Visit. Criteria that must be met in the better eye* at the Registry/Screening Visit: visual acuity ETDRS letter score of 54 or more (approximate Snellen equivalent 20/80 or better) and visual field** diameter 10 degrees or more in every meridian of the central field
Vision Cohort 2 Participants who are aged ≥ 8 years old will be designated into a Vision Cohort based on data in the better eye, at the Registry/Screening Visit. Criteria that must be met in the better eye* at the Registry/Screening Visit: visual acuity ETDRS letter score of 19-53 (approximate Snellen equivalent 20/100 to 20/400) or visual acuity ETDRS letter score of 54 or more (approximate Snellen equivalent 20/80 or better) and visual field** diameter less than 10 degrees in any meridian of the central field
Vision Cohort 3 Participants who are aged ≥ 8 years old will be designated into a Vision Cohort based on data in the better eye, at the Registry/Screening Visit. Criteria that must be met in the better eye* at the Registry/Screening Visit: visual acuity ETDRS letter score of 18 or less (approximate Snellen equivalent 20/500 or worse)

Recruiting Locations

University of Arkansas, Jones Eye Institute
Little Rock, Arkansas 72205
Contact:
Sami Uwaydat, MD
501-296-1156
schauhan@uams.edu

University of California San Francisco
San Francisco, California 94158
Contact:
Jacque Duncan, MD
415-502-5161
Roxanna.Rabiee@ucsf.edu

University of Florida Health Jacksonville
Jacksonville, Florida 32209
Contact:
Sandeep Grover, MD
Ghulam.hamdani@jax.ufl.edu

University of Miami, Bascom Palmer Eye Institute
Miami, Florida 33136
Contact:
Byron Lam, MD
305-482-5121
apd86@med.miami.edu

Emory University, Emory Eye Center
Atlanta, Georgia 30322
Contact:
Nieraj Jain, MD
404-778-4725
olga.ostretsova@emory.edu

Johns Hopkins University, Wilmer Eye Institute
Baltimore, Maryland 21236
Contact:
Mandeep S. Singh, MD, PhD
443-287-7912
Mfrey3@jhmi.edu

Harvard Univ., Massachusetts Eye and Ear Infirmary
Boston, Massachusetts 02114
Contact:
Rachel Huckfeldt, MD, PhD
617-573-4459
Tu_Doan@meei.harvard.edu

University of Michigan, Kellogg Eye Center
Ann Arbor, Michigan 48105
Contact:
Abigail Fahim, MD, PhD
734-615-8560
callieg@med.umich.edu

Mayo Clinic
Rochester, Minnesota 55905
Contact:
Brittni Scruggs, MD, PhD
507-538-8119
Wernimont.Suzanne@mayo.edu

Duke University, Duke Eye Center
Durham, North Carolina 27705
Contact:
Ramiro Maldonado, MD
919-668-8333
natalia.cook@duke.edu

Oregon Health & Science Univ., Casey Eye Institute
Portland, Oregon 97239
Contact:
Mark Pennesi, MD, PhD
503-418-3082
louiee@ohsu.edu

Center for Advanced Retinal and Ocular Therapeutics
Philadelphia, Pennsylvania 19104
Contact:
Tomas Aleman, MD
215-662-6396
Mariejel.weber@pennmedicine.upenn.edu

University of Pennsylvania, Scheie Eye Institute
Philadelphia, Pennsylvania 19104
Contact:
Tomas Aleman, MD
215-662-6396
Mariejel.weber@pennmedicine.upenn.edu

UPMC Eye Center
Pittsburgh, Pennsylvania 15213
Contact:
Boris Rosin, MD, PhD
412-642-1940
alabekm@upmc.edu

Retina Foundation of the Southwest
Dallas, Texas 75231
Contact:
David Birch, PhD
214-363-3911
kwebb@retinafoundation.org

Baylor College of Medicine, Alkek Eye Center
Houston, Texas 77030
Contact:
John T. Stout, MD, PhD
713-798-8412
Peter.Rico@bcm.edu

University of Utah, John Moran Eye Center
Salt Lake City, Utah 84132
Contact:
Paul Bernstein, MD, PhD
801-581-5142
Susan.Allman@hsc.utah.edu

University of Wisconsin Madison
Madison, Wisconsin 53711
Contact:
Kimberly Stepien, MD
608-263-8783
nstangel@wisc.edu

Medical College of Wisconsin Eye Institute
Milwaukee, Wisconsin 53226
Contact:
Thomas Connor, MD
414-955-2001
psummer@mcw.edu

More Details

NCT ID
NCT05589714
Status
Recruiting
Sponsor
Jaeb Center for Health Research

Study Contact

Coordinating Center
813-975-8690
ffb@jaeb.org

Detailed Description

This study includes multiple phases. 1. Screening Phase The patient's current genetic report will be reviewed. Genetic testing will not be performed in this study. A prior conclusive genetic test will be assessed for screening analysis. Having at least one gene on the RD Rare Gene List meets one of the eligible Genetic Screening Criteria and other eligibility criteria can be evaluated based on medical history. 2. Genetic Screening Phase: Genetic reports for participants enrolled into the genetic screening phase will be uploaded to study website for review and confirmation by Central Genetics Auditor (CGA) as meeting Genetic Screening Criteria.Participants confirmed as meeting those criteria will be considered enrolled into the Registry. 3. Registry Phase: The flow of participants who are enrolled into the Registry depends on whether their causal gene is designated as a Natural History Study (NHS) Target Gene. If they are not Designated as NHS Target Gene, they will receive annual phone calls up to 48 months from the Registry/Screening visit or until the gene is designated as NHS Target Gene. If they are Designated as NHS Target Gene participants will be considered pending enrollment into the NHS. The Registry will establish genetically and clinically well-characterized cohorts of patients across hundreds of genetic variants associated with retinal dystrophy (RD). Characterization of these patients will accelerate eligibility screening for the Natural History Study, provide cross-sectional data on phenotype-genotype associations, and contribute to our knowledge of pathogenicity of these rare disease-causing variants. 4. Natural History Study (NHS) Phase Participants pending enrollment will return to the clinic for the NHS Enrollment/Baseline Visit and return to the clinic for follow-up visits. The Natural History Study will accelerate the identification and development of sensitive, reliable outcome measures for clinical trials, which will facilitate development of treatments for retinal dystrophies due to disease-causing genetic variants. The expected impact of the Natural History Study is as follows: 1. Describe the natural history of retinal degeneration in patients with rare disease-causing genetic variants 2. Identify sensitive structural and functional outcome 3. Identify well-defined subpopulations for future clinical trials of investigative treatments for rare inherited retinal degeneration

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.