Evidence map›Paper›PMID 30292541›Full record

Trial reportOphthalmology2019

Effect of Ciliary Neurotrophic Factor on Retinal Neurodegeneration in Patients with Macular Telangiectasia Type 2: A Randomized Clinical Trial.

Emily Y Chew, Traci E Clemons, Glenn J Jaffe, Charles A Johnson, Sina Farsiu, Eleonora M Lad, Robyn Guymer, Philip Rosenfeld, Jean-Pierre Hubschman, Ian Constable and 10 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04729972 (Phase II, Multicenter, Open-label Safety Study of Bilateral NT-501 in Participants With Macular Telangiectasia Type 2), which is not on this map. Cited by 90 papers.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed
15.8field-weighted citation impact, top 1% 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.

NCT04729972 phase2completednot on this mapstarted 2021, after this paper: background citation

Phase II, Multicenter, Open-label Safety Study of Bilateral NT-501 in Participants With Macular Telangiectasia Type 2

TypeinterventionalSponsorNeurotech PharmaceuticalsRan2021 to 2022Enrolled33ConditionsMacular Telangiectasia Type 2ArmsNT-501 CNTF implant
3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 158 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Functional Relevance of Hyper-Reflectivity in Macular Telangiectasia Type 2.Investigative ophthalmology & visual science · 2021
    Trial
  5. Trial
  6. Trial
  7. Macular telangiectasia type 2: An update.The Journal of international medical research · 2026
    Review
  8. Does macular telangiectasia type 2 influence the retinal microvasculature in diabetic retinopathy?Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  9. Review
  10. Article
  11. Article
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  13. Review
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  15. Article
  16. Review
  17. Article
  18. Revakinagene Taroretcel: First Approval.Molecular diagnosis & therapy · 2025
    Review
  19. Article
  20. Article

30 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 16 institutions in 3 countries.

Emily Y ChewDivision of Epidemiology and Clinical Application, National Eye Institute, National Institutes of Health, Bethesda, Maryland. Electronic address: echew@nei.nih.gov.
Traci E ClemonsThe Emmes Corporation, Rockville, Maryland.
Glenn J JaffeDuke Reading Center, Duke University, Durham, North Carolina.
Charles A JohnsonNeurotech Pharmaceutical, Cumberland, Rhode Island.
Sina FarsiuDuke Reading Center, Duke University, Durham, North Carolina.
Eleonora M LadDuke Reading Center, Duke University, Durham, North Carolina.
Robyn GuymerCentre for Eye Research, University of Melbourne, Melbourne, Australia.
Philip RosenfeldBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
Jean-Pierre HubschmanJules Stein Eye Institute, University of California, Los Angeles, California.
Ian ConstableLions Eye Institute, University of Western Australia, Perth, Australia.
Henry WileyDivision of Epidemiology and Clinical Application, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
Lawrence J SingermanRetina Associates of Cleveland, Cleveland, Ohio.
Mark GilliesSave Sight Institute, University of Sydney, Sydney, Australia.
Grant ComerKellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
Barbara BlodiDepartment of Ophthalmology, University of Wisconsin, Madison, Wisconsin.
Dean EliottMassachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts.
Jiong YanDepartment of Ophthalmology, Emory University, Atlanta, Georgia.
Alan BirdDepartment of Inherited Eye Disease, Moorfields Eye Hospital, London, United Kingdom.
Martin FriedlanderDepartment of Molecular Medicine, The Scripps Research Institute; Division of Ophthalmology, Scripps Clinic; and the Lowy Medical Research Institute, La Jolla, California.
Macular Telangiectasia Type 2-Phase 2 CNTF Research Group
Duke University · USNational Institutes of Health · USEmmes (United States) · USEmory University · USLions Eye Institute · AUMassachusetts Eye and Ear Infirmary · USMoorfields Eye Hospital · GBNeurotech (United States) · USRetina Associates · USScripps Research Institute · USThe University of Melbourne · AUThe University of Sydney · AUUniversity of California, Los Angeles · USUniversity of Miami · USUniversity of Wisconsin–Madison · USW.K. Kellogg Foundation · US

Funding

Phase 2 Clinical Trial of Ciliary Neurotrophic Factor (CNTF) for Macular Telangiectasia Type 2 (MacTel) (14-EI-0078, 17-EI-0136)ZIAEY000536 · NEI · NATIONAL EYE INSTITUTE · PI CHEW, EMILY Y · 2014 to 2025
$635k
MACTEL2ZIAEY000493 · NEI · NATIONAL EYE INSTITUTE · PI CHEW, EMILY Y · 2010 to 2013
$72k
Intramural NIH HHS ZIA EY000493
6 · The paper itself

Abstract

purposeTo test the effects of an encapsulated cell-based delivery of a neuroprotective agent, ciliary neurotrophic factor (CNTF), on progression of macular telangiectasia type 2, a neurodegenerative disease with no proven effective therapy.

designRandomized sham-controlled clinical trial.

participantsNinety-nine study eyes of 67 eligible participants were enrolled.

methodsSingle-masked randomized clinical trial of 24 months' duration conducted from May 2014 through April 2017 in 11 clinical centers of retinal specialists in the United States and Australia. Participants were randomized 1:1 to surgical implantation of intravitreal sustained delivery of human CNTF versus a sham procedure.

main outcome measuresThe primary outcome was the difference in the area of neurodegeneration as measured in the area of the ellipsoid zone disruption (or photoreceptor loss) measured on spectral-domain (SD) OCT images at 24 months from baseline between the treated and untreated groups. Secondary outcomes included comparison of visual function changes between treatment groups.

resultsAmong the 67 participants who were randomized (mean age, 62±8.9 years; 41 women [61%]; 58 white persons [86%]), 65 (97%) completed the study. Two participants (3 study eyes) died and 3 participants (4 eyes) were found ineligible. The eyes receiving sham treatment had 31% greater progression of neurodegeneration than the CNTF-treated eyes. The difference in mean area of photoreceptor loss was 0.05±0.03 mm

conclusionsIn participants with macular telangiectasia type 2, a surgical implant that released CNTF into the vitreous cavity, compared with a sham procedure, slowed the progression of retinal degeneration. Further research is needed to assess longer-term clinical outcomes and safety.

Indexed as

Drug ImplantsAgedCell- and Tissue-Based TherapyCiliary Neurotrophic FactorElectroretinographyFemaleFluorescein AngiographyHumansIntravitreal InjectionsMaleMiddle AgedPhotoreceptor Cells, VertebrateReadingRetinaRetinal DegenerationRetinal TelangiectasisCiliary Neurotrophic FactorDrug Implants

Identifiers

PMID30292541
PMCPMC8365464
OpenAlexW2895138297

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.