REALITY LHON Registry (REALITY)
Observational Registry Study of Leber Hereditary Optic Neuropathy (LHON) Affected Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The purpose of this study is to understand the evolution of visual functional and structural changes and other associated symptoms in patients with LHON. The relation between genetic, lifestyle and/or environmental factors and the LHON disease will be described, and a better understanding of the natural history of LHON disease and the healthcare associated to with the disease will be sought.
In addition, we would also like to understand the economic burden for patients and their families with LHON resulting from direct and indirect costs they may have because of their disease.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Angers, France, 49100
- CHU d'Angers
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Paris, France, 75012
- CHNO Les Quinze Vingts
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Bologna, Italy, 40139
- Ospedale Bellaria
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Milan, Italy, 20132
- Ospedale San Raffaele
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Barcelona, Spain, 08022
- Institut Català de Retina
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Greater London
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London, Greater London, United Kingdom, EC1V 2PD
- Moorfields Eye Hospital
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California
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Pasadena, California, United States, 91105
- Doheny Eye Center UCLA Pasadena
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Georgia
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Atlanta, Georgia, United States, 30322
- Emory University Hospital
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts Eye and Ear Infirmary
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19107
- Wills Eye Institute
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Texas
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Houston, Texas, United States, 77030
- Alkek Eye Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
The study will recruit at least 50 affected LHON subjects (both adult and pediatric) from global clinical sites at the following countries, but not limited to: Spain, Italy, France, United Kingdom, and the United States. Efforts will be done to maintain the population of at least 50 affected LHON subjects.
Recruitment efforts of recruiting approximately 75% of eligible subjects with 11778/ND4 mutation and 30% of eligible subjects under the age of 18 at the time of index date, wherever possible, will be done at the study level.
Description
Inclusion Criteria:
- Subjects who have a confirmed and genotyped diagnosis of LHON;
- Subjects with visual function outcomes data including at least 2 visual function assessments between 1 year and 3 years (+/- 4 weeks) after vision loss;
- Subjects who are willing and able to provide written informed consent if required as per local regulations;
- For LHON subjects under the age of 18 years, permission from a legal guardian to participate in the study;
Exclusion Criteria:
- Subjects who received any investigational drug, or participated in any LHON-related interventional clinical trial during the observational period;
- Subjects without medical charts data available.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Cross-Sectional
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Single-group study
This study is a multi-country retrospective and cross-sectional observational study of affected LHON subjects, based on retrospective subjects' medical chart abstractions and cross-sectional administration of patient-reported outcomes (PROs).
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Patient-reported outcomes (PROs)
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Visual Function
Time Frame: All assessments available before enrollment
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Visual function will include visual examination data from medical records.
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All assessments available before enrollment
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The National Eye Institute Visual Function Questionnaire (VFQ)-25
Time Frame: Enrollment
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The National Eye Institute Visual Function Questionnaire (NEI-VFQ or VFQ)-25 is a valid and reliable 25-item version of the 51-item VFQ.
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Enrollment
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The 36-Item Short Form Health Survey (SF-36)
Time Frame: Enrollment
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The SF-36 surveys health status and quality of life
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Enrollment
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Child Health Questionnaire (CHQ)
Time Frame: Enrollment
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The CHQ uses the same structure and methodological approach as the SF-36 and is designed and normed for children from 5-to-18 years of age.
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Enrollment
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EuroQol-5 Dimension (EQ-5D)-5L
Time Frame: Enrollment
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The EuroQol-5 Dimension-5 Level (EQ-5D-5L) is a generic HRQoL instrument that is widely used as a PRO measure.
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Enrollment
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Economic burden of disease
Time Frame: Enrollment
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Data will be gathered by questionnaire at cross-sectional survey.
Direct costs and indirect costs resulting from LHON will be estimated by all enrolled subjects.
Direct costs will include the medical and non-medical direct costs due to LHON
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Enrollment
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Newman NJ, Yu-Wai-Man P, Carelli V, Biousse V, Moster ML, Vignal-Clermont C, Sergott RC, Klopstock T, Sadun AA, Girmens JF, La Morgia C, DeBusk AA, Jurkute N, Priglinger C, Karanjia R, Josse C, Salzmann J, Montestruc F, Roux M, Taiel M, Sahel JA. Intravitreal Gene Therapy vs. Natural History in Patients With Leber Hereditary Optic Neuropathy Carrying the m.11778G>A ND4 Mutation: Systematic Review and Indirect Comparison. Front Neurol. 2021 May 24;12:662838. doi: 10.3389/fneur.2021.662838. eCollection 2021.
- Carelli V, Newman NJ, Yu-Wai-Man P, Biousse V, Moster ML, Subramanian PS, Vignal-Clermont C, Wang AG, Donahue SP, Leroy BP, Sergott RC, Klopstock T, Sadun AA, Rebolleda Fernandez G, Chwalisz BK, Banik R, Girmens JF, La Morgia C, DeBusk AA, Jurkute N, Priglinger C, Karanjia R, Josse C, Salzmann J, Montestruc F, Roux M, Taiel M, Sahel JA; the LHON Study Group. Indirect Comparison of Lenadogene Nolparvovec Gene Therapy Versus Natural History in Patients with Leber Hereditary Optic Neuropathy Carrying the m.11778G>A MT-ND4 Mutation. Ophthalmol Ther. 2023 Feb;12(1):401-429. doi: 10.1007/s40123-022-00611-x. Epub 2022 Nov 30.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
- Gene Therapy
- Heredity Optic Atrophy
- Leber Hereditary Optic Atrophy
- Leber Hereditary Optic Neuropathy
- Eye Diseases
- Hereditary Eye Diseases
- Inherited retinal dystrophies or degeneration
- Inborn Genetic Disease
- Intravitreal Injections
- Mitochondrial Disease
- AAV2 Vectors
- Nervous System Diseases
- Neurodegenerative Disease
- Heredodegenerative Disorders of the Nervous System
Additional Relevant MeSH Terms
- Metabolic Diseases
- Heredodegenerative Disorders, Nervous System
- Optic Nerve Diseases
- Cranial Nerve Diseases
- Optic Atrophies, Hereditary
- Optic Atrophy
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Nutritional and Metabolic Diseases
- Genetic Diseases, Inborn
- Eye Diseases
- Nervous System Diseases
- Neurodegenerative Diseases
- Mitochondrial Diseases
- Eye Diseases, Hereditary
- Optic Atrophy, Hereditary, Leber
- Health Services Administration
- Health Care Quality, Access, and Evaluation
- Investigative Techniques
- Epidemiologic Methods
- Data Collection
- Health Care Evaluation Mechanisms
- Quality of Health Care
- Public Health
- Environment and Public Health
- Health Care Economics and Organizations
- Outcome Assessment, Health Care
- Outcome and Process Assessment, Health Care
- Surveys and Questionnaires
- Health Planning
- Health Care Surveys
- Health Services Research
- Patient Outcome Assessment
- Patient Reported Outcome Measures
Other Study ID Numbers
Other Study ID Numbers
- GS010_Registry_001
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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