Evidence map›Paper›PMID 42117798›Full record

ArticleTranslational vision science & technology2026

Voretigene Neparvovec Gene Therapy in Clinical Practice: A 12-Month, Single-Center, In-Depth Analysis of Beneficial and Adverse Drug Effects.

Francesco Testa, Valentina Di Iorio, Paolo Melillo, Marianthi Karali, Clemente Maria Iodice, Pisani Danila, Claudio Iovino, Sandro Banfi, Settimio Rossi, Michele Della Corte and 1 more

Abstract read
In one paragraph

Article in Translational vision science & technology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Francesco TestaEye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Valentina Di IorioEye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Paolo MelilloEye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Marianthi KaraliEye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Clemente Maria IodiceEye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Pisani DanilaEye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Claudio IovinoEye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Sandro BanfiMedical Genetics, Department of Precision Medicine, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Settimio RossiEye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Michele Della CorteEye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Francesca SimonelliEye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania 'Luigi Vanvitelli', Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To investigate the effects of voretigene neparvovec (VN) treatment in patients with RPE65-related retinal dystrophies, with particular focus on chorioretinal atrophy (CRA) and its impact on visual function. Methods: Twenty-five patients treated with VN were evaluated over a 12-month follow-up and stratified according to the presence of postoperative CRA, classified into nummular, mixed and touchdown patterns. Results: Best-corrected visual acuity (BCVA) improved by a median of 11 Early Treatment Diabetic Retinopathy Study (ETDRS) letters (P < 0.001). Semiautomated kinetic visual field (SKVF) showed a significant (P < 0.001) enlargement for both I4e and III4e stimulus sizes. Fullfield stimulus threshold (FST) results also improved significantly (P < 0.001), with median changes of -2.79 (-3.61 to -2.11) log cd·s/m2 for white, -3.02 (-4.05 to -2.24) log cd·s/m2 for blue, and -1.30 (-1.76 to -0.74) log cd·s/m2 for red stimuli. Fifteen patients developed CRA (60%), of whom nine exhibited progressive nummular/mixed CRA, which significantly expanded over time (P < 0.001), and six showed the localized, non-progressive touchdown pattern. Younger age and a clinical diagnosis of LCA were significantly associated with nummular/mixed CRA. No significant differences in BCVA or FST improvements were found between nummular/mixed and touchdown/no-CRA groups. Conversely, significant SKVF I4e enlargement occurred only in the touchdown/no-CRA subgroup (1624°2, 0-6278; P < 0.001), with a significant intergroup difference (P = 0.003). Conclusions: Our findings confirmed the visual function improvements following VN and the relatively high prevalence of CRA, which seems to impact negatively only on SKVF enlargement. Translational Relevance: These findings are useful to better understand risks and benefits of VN gene therapy.

Indexed as

cis-trans-IsomerasesGenetic TherapyRetinal DystrophiesFemaleFollow-Up StudiesGene Therapy AgentsHumansMaleMiddle AgedTreatment OutcomeVisual AcuityVisual Fieldscis-trans-Isomerases

Identifiers

PMID42117798
PMCPMC13179687

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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.