Evidence map›Paper›PMID 33528094›Full record

ArticleActa ophthalmologica2021

Defining inclusion criteria and endpoints for clinical trials: a prospective cross-sectional study in CRB1-associated retinal dystrophies.

Mays Talib, Mary J van Schooneveld, Jan Wijnholds, Maria M van Genderen, Nicoline E Schalij-Delfos, Herman E Talsma, Ralph J Florijn, Jacoline B Ten Brink, Frans P M Cremers, Alberta A H J Thiadens and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Acta ophthalmologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. ISCEV and IPS guideline for the full-field stimulus test (FST).Documenta ophthalmologica. Advances in ophthalmology · 2024
    Guideline
  2. Review
  3. Novel Genotype-Phenotype Correlations inOphthalmology science · 2026
    Article
  4. Article
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  9. Expanding the Clinical Spectrum ofInternational journal of molecular sciences · 2025
    Article
  10. Article
  11. Article
  12. Characterization and AAV-mediatedMolecular therapy. Methods & clinical development · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Fundus Autofluorescence and Clinical Applications.Journal of ophthalmic & vision research
    Review
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

15 authors at 8 institutions in 1 country.

Mays TalibDepartment of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0001-7131-0004
Mary J van SchooneveldDepartment of Ophthalmology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Jan WijnholdsDepartment of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
Maria M van GenderenBartiméus, Diagnostic Centre for complex visual disorders, Zeist, The Netherlands.
Nicoline E Schalij-DelfosDepartment of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
Herman E TalsmaDepartment of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.
Ralph J FlorijnDepartment of Clinical Genetics, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Jacoline B Ten BrinkDepartment of Clinical Genetics, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Frans P M CremersDepartment of Human Genetics and Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Alberta A H J ThiadensDepartment of Ophthalmology, Erasmus Medical Center, Rotterdam, The Netherlands.
L Ingeborgh van den BornRotterdam Eye Hospital, Rotterdam, The Netherlands.
Carel B HoyngDepartment of Ophthalmology, Radboud University Medical Center, Nijmegen, The Netherlands.
Magda A Meester-SmoorDepartment of Ophthalmology, Erasmus Medical Center, Rotterdam, The Netherlands.
Arthur A BergenDepartment of Clinical Genetics, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Camiel J F BoonDepartment of Ophthalmology, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-6737-7932
Leiden University Medical Center · NLAmsterdam University Medical Centers · NLErasmus MC · NLRadboud University Nijmegen · NLAmsterdam Neuroscience · NLBartiméus · NLNetherlands Institute for Neuroscience · NLRotterdam Eye Hospital · NL

Funding

Bayer Ophthalmology Research AwardCuring Retinal Blindness FoundationJanivo StichtingStichting Blindenhulp
6 · The paper itself

Abstract

purposeTo investigate the retinal structure and function in patients with CRB1-associated retinal dystrophies (RD) and to explore potential clinical endpoints.

methodsIn this prospective cross-sectional study, 22 patients with genetically confirmed CRB1-RD (aged 6-74 years), and who had a decimal best-corrected visual acuity (BCVA) ≥ 0.05 at the last visit, were studied clinically with ETDRS BCVA, corneal topography, spectral-domain optical coherence tomography (SD-OCT), fundus autofluorescence, Goldmann visual field (VF), microperimetry, full-field electroretinography (ERG) and full-field stimulus testing (FST). Ten patients were from a genetic isolate (GI).

resultsPatients had retinitis pigmentosa (n = 19; GI and non-GI), cone-rod dystrophy (n = 2; GI) or macular dystrophy (n = 1; non-GI). Median age at first symptom onset was 3 years (range 0.8-49). Median decimal BCVA in the better and worse-seeing eye was 0.18 (range 0.05-0.83) and 0.08 (range light perception-0.72), respectively. Spectral-domain optical coherence tomography (SD-OCT) showed cystoid maculopathy in 8 subjects; inner retinal thickening (n = 20), a well-preserved (para)foveal outer retina (n = 7) or severe (para)foveal outer retinal atrophy (n = 14). All retinal layers were discernible in 13/21 patients (62%), with mild to moderate laminar disorganization in the others. Nanophthalmos was observed in 8 patients (36%). Full-field stimulus testing (FST) provided a subjective outcome measure for retinal sensitivity in eyes with (nearly) extinguished ERG amplitudes.

conclusionsDespite the generally severe course of CRB1-RDs, symptom onset and central visual function are variable, even at advanced ages. Phenotypes may vary within the same family. Imaging and functional studies in a prospective longitudinal setting should clarify which endpoints may be most appropriate in a clinical trial.

Indexed as

Endpoint DeterminationPatient SelectionAdolescentAdultAgedChildClinical Trials as TopicCross-Sectional StudiesDisease ProgressionEye ProteinsHumansMembrane ProteinsMiddle AgedNerve Tissue ProteinsPhenotypeProspective StudiesCRB1 protein, humanEye ProteinsMembrane ProteinsNerve Tissue Proteinsgene therapyretinaretinal dystrophyretinitis pigmentosa

Identifiers

PMID33528094
PMCPMC8248330
OpenAlexW3127820190

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.