Evidence map›Paper›PMID 20837795›Full record

Trial reportArchives of ophthalmology (Chicago, Ill. : 1960)2010

Leber hereditary optic neuropathy gene therapy clinical trial recruitment: year 1.

Byron L Lam, William J Feuer, Fawzi Abukhalil, Vittorio Porciatti, William W Hauswirth, John Guy

Abstract readClinical Trial
In one paragraph

Trial report in Archives of ophthalmology (Chicago, Ill. : 1960), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. RE-PERG, a new paradigm for glaucoma diagnosis, in myopic eyes.Clinical ophthalmology (Auckland, N.Z.) · 2019
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Emerging therapies for mitochondrial disorders.Brain : a journal of neurology · 2016
    Review
  15. Article
  16. Article
  17. Review
  18. Observational
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Byron L LamBascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL 33136, USA.
William J Feuer
Fawzi Abukhalil
Vittorio Porciatti
William W Hauswirth
John Guy
University of Miami · US

Funding

Shared Equipment ModuleP30EY014801 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Victor L Perez · 2004 to 2026
$12.2M
Leber Hereditary Optic Neuropathy: Gene Therapy TrialR24EY018600 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI GUY, JOHN · 2008 to 2012
$5.1M
REVERSIBLE GANGLION CELL DYSFUNCTION IN GLAUCOMAR01EY014957 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI PORCIATTI, VITTORIO · 2005 to 2017
$4.3M
RETINAL GENE DELIVERY BY ADENO-ASSOCIATED VIRUSR01EY011123 · NEI · UNIVERSITY OF FLORIDA · PI HAUSWIRTH, WILLIAM W · 1995 to 2009
$3.7M
NEI NIH HHS P30 EY014801NEI NIH HHS P30-EY014801NEI NIH HHS R01 EY011123NEI NIH HHS R01 EY014957NEI NIH HHS R01 EY-11123NEI NIH HHS R24 EY018600NEI NIH HHS R24EY018600
6 · The paper itself

Abstract

objectiveTo describe the patient profiles of the Leber hereditary optic neuropathy (LHON) Gene Therapy Clinical Trial, year 1. This study aims to identify and characterize affected patients and carriers with the G11778A mutation in mitochondrial DNA for planned gene therapy that will use "allotopic expression" by delivering a normal nuclear-encoded ND4 gene into the nuclei of retinal ganglion cells via an adeno-associated virus vector injected into the vitreous.

methodsPatients with LHON with visual loss as well as asymptomatic maternally related family members were molecularly screened for ND1, ND4, and ND6 mutations in mitochondrial DNA commonly associated with LHON. All patients and maternal relatives also underwent complete neuro-ophthalmic examination, automated visual field testing, pattern electroretinogram (PERG), and OCT3.

resultsTwenty-five subjects with LHON and 21 carriers positive for the G11778A mitochondrial DNA mutation were recruited. Three additional mutations in the ND4 gene, G11719A, G11947A, or G11914A, were detected. Mean retinal nerve fiber layer (RNFL) thickness was 78.3 μm up to 32 months after visual loss. It was 63.5 μm for all affected patients and 100.7 μm for carriers (P < .01). Mean PERG amplitude was lower in affected patients (40% of normal) than in carriers (94% of normal) (P < .01). Four carriers with PERG amplitudes less than 75% of normal had Early Treatment Diabetic Retinopathy Study acuity more than 20/25, mean defect more than -2 dB, and average RNFL thickness more than 80 μm.

conclusionsPotential candidates for future gene therapy may include affected patients, as late as 32 months after loss of vision, with mildly reduced RNFL thickness or carriers with low PERG amplitudes and normal RNFL thickness, if the PERG amplitude is a predictor of conversion to LHON in these carriers.

Indexed as

Genetic TherapyPoint MutationAdolescentAdultAgedAged, 80 and overAmino Acid SequenceChildDependovirusDNA, MitochondrialDNA Mutational AnalysisElectroretinographyFemaleGenetic VectorsHeterozygoteHumansDNA, MitochondrialNADH DehydrogenaseNADH dehydrogenase subunit 4

Identifiers

PMID20837795
PMCPMC3220055
OpenAlexW1978644403

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.