The overall goal of this project, co-funded by the Foundation Fighting Blindness and the USHER 1F Collaborative is to characterize the natural history of disease progression in patients with PCDH15 mutations in order to accelerate the development of outcome measures for clinical trials.
This natural history study of patients with PCDH15 disease-causing variants will accelerate the development of outcome measures for clinical trials. Sensitive, reliable outcome measures of retinal degeneration will greatly facilitate development of treatments for retinitis pigmentosa due to PCDH15 disease-causing variants. Together these approaches are expected to have an impact on understanding PCDH15 related retinal degeneration, developing experimental treatment protocols, and assessing their effectiveness. The goals and expected impact of this natural history study are to: 1. Describe the natural history of retinal degeneration in patients with biallelic disease-causing variants in the PCDH15 gene 2. Contribute to the identification of sensitive structural and functional outcome measures to use for future multicenter clinical trials in PCDH15 related retinal degeneration 3. Contribute to the identification of populations for future clinical trials of investigative treatments for PCDH15 related retinal degeneration Study Objectives The primary objectives of the natural history study are to: 1. Characterize the natural history of retinal degeneration associated with biallelic pathogenic mutations in the PCDH15gene over 4 years, as measured using functional, structural, and patient-reported outcome measures 2. Explore whether structural outcome measures can be validated as surrogates for functional outcomes in individuals with biallelic pathogenic mutations in the PCDH15 gene 3. Explore possible risk factors (genotype, phenotype, environmental, and comorbidities) for progression of the outcome measures at 4 years in individuals with biallelic pathogenic mutations in the PCDH15 gene 4. Explore variability and symmetry of left and right eye outcomes over 4 years in individuals with biallelic pathogenic mutations in the PCDH15 gene
Study Type
OBSERVATIONAL
Enrollment
44
University of California, San Francisco
San Francisco, California, United States
The Johns Hopkins Wilmer Eye Institute
Baltimore, Maryland, United States
Duke University, Duke Eye Center
Durham, North Carolina, United States
Change in Visual Field Sensitivity
measured by static perimetry with quantitative, topographic analysis (Hill of Vision) and assessed by a central reading center
Time frame: Baseline (all Vision Cohort 1 and 2 participants will complete two tests at baseline. The results will be compared according to the visual field criteria to determine if a third test is needed), 12Month, 24Month, 36Month, and 48Month
Change in Best Corrected Visual Acuity
Early Treatment of Diabetic Retinopathy Study (ETDRS) Best corrected visual acuity (BCVA) letter score as measured on the Electronic Visual Acuity (EVA) system or ETDRS charts. Letter score range values=0-100 (with higher values = better and lower values = worse.) Berkeley Rudimentary Vision Test (BRVT) will be used for patients unable to see letters.
Time frame: Screening, Baseline, 12Month, 24Month, 36Month, and 48Month
Change in Mean Retinal Sensitivity
Measured by fundus-guided microperimetry (MP) and assessed by a central reading center at selected sites with requisite equipment.
Time frame: Baseline (all Vision Cohort 1 and 2 participants will complete two tests at baseline. The results will be compared according to the visual field criteria to determine if a third test is needed), 12Month, 24Month, 36Month, and 48Month
Change in Full-field Retinal Sensitivity
Measured by full-field stimulus threshold (FST) testing to blue, white and red stimuli.
Time frame: Baseline, 12Month, 24Month, 36Month, and 48Month
Change in Best Corrected Low Luminance Visual Acuity (LLVA)
Measured by Letter Score. Letter score range values=0-100 (with higher values = better and lower values = worse.)
Time frame: Screening, Baseline, 12Month, 24Month, 36Month, and 48Month
Change in Contrast Sensitivity Function (CSF)
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Hospital for Sick Children
Toronto, Ontario, Canada
CHNO des Quinze-Vingts
Paris, France
University of Tubingen
Tübingen, Germany
Haddassah Medical Center
Jerusalem, Israel
Radboud University
Nijmegen, Netherlands
University Hospital Basel
Basel, Switzerland
Moorfields Eye Hospital
London, United Kingdom
Measured by the CSV-1000E VectorVision chart
Time frame: Baseline, 12Month, 24Month, 36Month, and 48Month
Change in ellipsoid zone (EZ) area
Measured by spectral domain optical coherence tomography (SD-OCT) and assessed by a central reading center.
Time frame: Baseline, 12Month, 24Month, 36Month, and 48Month
Explore qualitative categorization of Fundus Autofluorescence (FAF) pattern
Assessed by a central reading center.
Time frame: Baseline, 12Month, 24Month, 36Month, and 48Month
Explore quantitative measures of FAF
Assessed by a central reading center.
Time frame: Baseline, 12Month, 24Month, 36Month, and 48Month