This study is meant to assess the safety and efficacy of rAAV2-ND4 treatment of Leber hereditary optic neuropathy with 11778 LHON mutation.
Leber's Hereditary Optic Neuropathy (LHON) is a maternally inherited ocular disorder associated with a mutation in mtDNA . The common manifestation is visual loss which caused by the respiratory chain enzymes complex dysfunction resulting in increased oxidative stress enzymes production. Material and Method Seven patients with 11778 LHON mutation were randomly treated with a Single IVT Injection of recombinant Adeno-Associated Virus-NADH dehydrogenase, subunit 4 (complex I)(rAAV2-ND4)(0.05ml).The dose was 5 × 10\^9 vg/0.05 mL for patients younger than 12 years old, and 1 × 10\^10 vg/0.05 mL for patients older than 12 years old. The visual acuity, visual evoked potential (VEP),optical coherence tomography( OCT), computerized visual field, electroretinograms(ERG), retinal nerve fiber layer(RNFL)and Liver and kidney function in plasma were compared before and after treatment at 1,3,and 6, months interval.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
9
injection
Department of Ophthalmology ,Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China
The Best Corrected Visual Acuity(BCVA)
Time frame: Up to 3 years
Results of CD3/CD4/CD8 Test
The mean percentage of CD3+/CD4+/CD8+ test before and after treatment
Time frame: up to 6 months
Intraocular Pressure;
Time frame: Up to 3 years
Neutralizing Antibody Assay
The mean of Neutralizing antibody assay of 8 patients before and after treatment
Time frame: up to 3 years
Average RNFL Thickness Througth Optical Coherence Tomography(OCT) Test
Average RNFL thickness of 8 patients througth Optical coherence tomography(OCT) test before and after treatment
Time frame: Up to 3 years
Computerized Visual Field(MD: Mean Deviation, the Value Close to 0 Regarded Normal)
MD: mean deviation, the value Close to 0 regarded normal.VFI/MD:The bigger one was more close to the normal value.
Time frame: up to 3 years
Computerized Visual Field(VFI: Visual Field Index ,the Value Close to 100% Regarded Normal)
VFI: visual field index ,the value Close to 100% regarded normal. VFI/MD:The bigger one was more close to the normal value.
Time frame: up to 3 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.