The purpose of this study is to look at the safety and effectiveness of CNTF implants on vision in persons with retinitis pigmentosa, Usher type II \& III, and Choroideremia. This research is being done because there are no effective therapies for people with these retinal degenerations. They are genetic disorders that affect one's ability to see at night, and later cause tunnel vision and loss of central vision. Retinal degenerations affect the retina, a light sensitive layer of cells in the back of the eye. Slowly over time, these cells die and cause permanent loss of vision. The implant is a small capsule that contains human retinal pigment epithelium cells. These cells have been given the ability to make CNTF and release it through the capsule membrane into the surrounding fluid. In this study, two different CNTF dose levels will be used: a high dose and a low dose in one eye, as well as a sham (or placebo) surgery in the other eye.
This study will involve about 18 visits over 2½ years for specific tests of the participant's vision and health. These visits may include visual exams, blood draw for laboratory testing, brief medical history and exam, and occasionally a questionnaire (survey), in addition to the visit for the surgical procedures. The primary effectiveness outcome for this study will be a visual field score one year after the implant surgery. There will be about 12 centers participating in this study, and up to 60 people enrolled, across the US. Each participant joining the study who has completed initial screening will then be scheduled to have a brief surgical procedure performed on each eye, one of which will include a very small cell-filled implant. Follow-up visits for repeat assessments will be required regularly to determine if the implant being tested is safe and effective for use to treat retinitis pigmentosa (RP).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
73
Retina-Vitreous Associates Medical Group
Beverly Hills, California, United States
University of Califoria, Davis
Sacramento, California, United States
University of California, San Francisco
San Francisco, California, United States
Bascom Palmer Eye Insitute
Miami, Florida, United States
Kellogg Eye Center
Ann Arbor, Michigan, United States
University of Minnesota
Minneapolis, Minnesota, United States
NY University Medical Center
New York, New York, United States
Casey Eye Institue
Portland, Oregon, United States
The Hamilton Eye Institute
Memphis, Tennessee, United States
Retina Foundation of Southwest
Dallas, Texas, United States
...and 2 more locations
Change in Humphrey Visual Fields - Total Sensitivity
The primary efficacy endpoint was the change in Humphrey VFS from baseline to month 12 (Visit 10) as determined by the HVF 30-2 test, comprised of 76 points. The measure was the sum of actual thresholds for all 76 locations.
Time frame: 12 months
Change in Mean Humphrey Visual Fields Sensitivity
Time frame: Baseline compared to 6, 12, 18, 24 and 30 months
Mean Humphrey Visual Fields Sensitivity
Change in Humphrey Visual Field Sensitivity over time
Time frame: Baseline compared to 6, 12, 18, 24 and 30 months
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