- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00447980
A Study of Encapsulated Cell Technology (ECT) Implant for Participants With Early Stage Retinitis Pigmentosa
A Phase II/III Study of Encapsulated Human NTC-201 Cell Implants Releasing Ciliary Neurotrophic Factor (CNTF) for Participants With Retinitis Pigmentosa Using Visual Field Sensitivity as the Primary Outcome
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.
Study Overview
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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California
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Beverly Hills, California, United States, 90211
- Retina-Vitreous Associates Medical Group
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Sacramento, California, United States, 95817
- University of Califoria, Davis
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San Francisco, California, United States, 94143-0730
- University of California, San Francisco
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Florida
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Miami, Florida, United States, 33101
- Bascom Palmer Eye Insitute
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Michigan
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Ann Arbor, Michigan, United States, 48105
- Kellogg Eye Center
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Minnesota
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Minneapolis, Minnesota, United States, 55455-0501
- University of Minnesota
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New York
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New York, New York, United States, 10016
- NY University Medical Center
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Oregon
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Portland, Oregon, United States, 97239-4197
- Casey Eye Institue
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Tennessee
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Memphis, Tennessee, United States, 38163
- The Hamilton Eye Institute
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Texas
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Dallas, Texas, United States, 75231
- Retina Foundation of Southwest
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Utah
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Salt Lake City, Utah, United States, 84112
- University of Utah
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Salt Lake City, Utah, United States, 84132
- The University of Utah - John A. Moran Eye Center
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Study inclusion / exclusion criteria:
Criteria for patients to qualify for the study include, but are not limited to:
- Over 18 years of age, and less than 65 years of age
- Diagnosis of retinitis pigmentosa, Usher Syndrome Type 2 or 3 or Choroideremia
- Visual acuity no worse than 20/63
- Experience with at least two full threshold Humphrey Visual Field 30-2 tests, one completed within the year prior to enrolling in this study
The following criteria will exclude patients from the study:
- Pregnant or lactating females, or females planning to become pregnant during the study or not using an acceptable method of contraception.
- Retinitis pigmentosa caused by a classic syndrome, including Usher Type I
- Other eye diseases including advanced cataract.
- Chronic systemic disease requiring continuous treatment with systemic steroids, immunosuppressive medications or insulin.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Low Dose
NT-501 Low Dose Implant: encapsulated cell therapy that delivers ciliary neurotrophic factor to the retina Sham Implant in Fellow Eye |
High Dose
Other Names:
Low Dose
Other Names:
|
|
Experimental: High Dose
NT-501 High Dose Implant: encapsulated cell therapy that delivers ciliary neurotrophic factor to the retina Sham Implant in Fellow Eye |
High Dose
Other Names:
Low Dose
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Humphrey Visual Fields - Total Sensitivity
Time Frame: 12 months
|
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.
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Mean Humphrey Visual Fields Sensitivity
Time Frame: Baseline compared to 6, 12, 18, 24 and 30 months
|
Baseline compared to 6, 12, 18, 24 and 30 months
|
|
|
Mean Humphrey Visual Fields Sensitivity
Time Frame: Baseline compared to 6, 12, 18, 24 and 30 months
|
Change in Humphrey Visual Field Sensitivity over time
|
Baseline compared to 6, 12, 18, 24 and 30 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: David Birch, MD, PhD, Retina Foundation of the Southwest
Publications and helpful links
General Publications
- Birch DG, Weleber RG, Duncan JL, Jaffe GJ, Tao W; Ciliary Neurotrophic Factor Retinitis Pigmentosa Study Groups. Randomized trial of ciliary neurotrophic factor delivered by encapsulated cell intraocular implants for retinitis pigmentosa. Am J Ophthalmol. 2013 Aug;156(2):283-292.e1. doi: 10.1016/j.ajo.2013.03.021. Epub 2013 May 10.
- Kauper K, McGovern C, Sherman S, Heatherton P, Rapoza R, Stabila P, Dean B, Lee A, Borges S, Bouchard B, Tao W. Two-year intraocular delivery of ciliary neurotrophic factor by encapsulated cell technology implants in patients with chronic retinal degenerative diseases. Invest Ophthalmol Vis Sci. 2012 Nov 1;53(12):7484-91. doi: 10.1167/iovs.12-9970.
- Talcott KE, Ratnam K, Sundquist SM, Lucero AS, Lujan BJ, Tao W, Porco TC, Roorda A, Duncan JL. Longitudinal study of cone photoreceptors during retinal degeneration and in response to ciliary neurotrophic factor treatment. Invest Ophthalmol Vis Sci. 2011 Apr 6;52(5):2219-26. doi: 10.1167/iovs.10-6479.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CNTF 4
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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