Evidence map›Paper›PMID 40757766›Full record

ArticleTranslational vision science & technology2025

Short-Term Outcomes of Pediatric Patients With Mild Autosomal Recessive RPE65-Associated Retinal Dystrophy Treated With Voretigene Neparvovec.

David A Merle, Leen Hertens, Spyridon Dimopoulos, Susanne Kohl, Manon Van Haute, Elfride De Baere, Marieke De Bruyne, Barbara Janssens, Klaus Rüther, Cord Huchzermeyer and 9 more

Abstract readCase Reports
In one paragraph

Article in Translational vision science & technology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

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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

19 authors.

David A MerleDepartment of Ophthalmology, University Eye Clinic, Eberhard Karls University of Tübingen, Tübingen, Germany.
Leen HertensDepartment of Ophthalmology, Ghent University Hospital, Ghent, Belgium.
Spyridon DimopoulosDepartment of Ophthalmology, University Eye Clinic, Eberhard Karls University of Tübingen, Tübingen, Germany.
Susanne KohlInstitute for Ophthalmic Research, Department for Ophthalmology, Eberhard Karls University of Tübingen, Tübingen, Germany.
Manon Van HauteDepartment of Ophthalmology, Ghent University Hospital, Ghent, Belgium.
Elfride De BaereCenter for Medical Genetics Ghent, Ghent University Hospital, Ghent, Belgium.
Marieke De BruyneCenter for Medical Genetics Ghent, Ghent University Hospital, Ghent, Belgium.
Barbara JanssensOphthalmological Practice Hippocrates, Sint-Niklaas, Belgium.
Klaus RütherOphthalmological Practice Berlin-Mitte, Berlin, Germany.
Cord HuchzermeyerDepartment of Ophthalmology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany.
Pascale MazzolaInstitute for Medical Genetics and Applied Genomics, University Hospital, Eberhard Karls University Tübingen, Tübingen, Germany.
Fanny NerinckxDepartment of Ophthalmology, Ghent University Hospital, Ghent, Belgium.
Tobias HaackInstitute for Medical Genetics and Applied Genomics, University Hospital, Eberhard Karls University Tübingen, Tübingen, Germany.
Lasse WolframDepartment of Ophthalmology, University Eye Clinic, Eberhard Karls University of Tübingen, Tübingen, Germany.
Melanie KempfDepartment of Ophthalmology, University Eye Clinic, Eberhard Karls University of Tübingen, Tübingen, Germany.
Laura KühleweinDepartment of Ophthalmology, University Eye Clinic, Eberhard Karls University of Tübingen, Tübingen, Germany.
Krunoslav StinglDepartment of Ophthalmology, University Eye Clinic, Eberhard Karls University of Tübingen, Tübingen, Germany.
Bart P LeroyDepartment of Ophthalmology, Ghent University Hospital, Ghent, Belgium.
Katarina StinglDepartment of Ophthalmology, University Eye Clinic, Eberhard Karls University of Tübingen, Tübingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Voretigene neparvovec is approved for RPE65-associated inherited retinal degeneration (RPE65-IRD) in the United States and the European Union. According to current knowledge, early treatment benefits efficacy. However, consensus on treating mild cases is lacking due to ambiguity in balancing clinical benefits with potential side effects. Therefore, we present short-term outcomes of four pediatric patients with milder types of RPE65-IRD. Methods: Two unrelated pediatric patients were unilaterally treated at the University Eye Hospital in Tübingen, Germany. Another two unrelated pediatric patients were bilaterally treated at Ghent University Hospital, Belgium. Examinations were performed before and until at least 6 months after treatment, including best-corrected visual acuity, slit-lamp examination, fundus photography, short-wavelength fundus autofluorescence, optical coherence tomography, 90° kinetic perimetry, dark-adapted chromatic perimetry, and full-field stimulus threshold measurements. Results: Despite surgical challenges, treatment with voretigene neparvovec was successful in all four patients. All patients showed rod functional rescue with stable best-corrected visual acuity. Three patients suffered chorioretinal atrophy at the retinotomy site but none developed signs of fast-growing CRA. One case developed limited CRA in the bleb area, potentially related to inflammation in the subretinal space. Conclusions: Treatment with voretigene neparvovec was safe and effective in patients with mild RPE65-IRD. Early treatment showed good functional outcomes. Also, treatment at stages without profound retinal degeneration might lower the risk of fast-growing CRA. Translational Relevance: This study aids clinical decision-making in unclear cases by demonstrating that early treatment with voretigene neparvovec in mild RPE65-IRD provides functional benefits while minimizing the risk of fast-growing chorioretinal atrophy.

Indexed as

cis-trans-IsomerasesGenetic TherapyRetinal DystrophiesAdolescentChildChild, PreschoolFemaleHumansMaleRetinoid IsomerohydrolaseTomography, Optical CoherenceTreatment OutcomeVisual Acuitycis-trans-IsomerasesRetinoid Isomerohydrolase

Identifiers

PMID40757766
PMCPMC12327541

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Registered trials

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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.