- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02771236
Clinical and Molecular Studies in Families With Inherited Eye Disease
Background:
Genes are the basic units of heredity. When genes are changed, certain cells don t work like they should. Researchers want to try to better understand the genetic conditions that are linked with inherited eye diseases.
Objective:
To try to identify the genes linked to the development of inherited eye diseases.
Eligibility:
People ages 4 and older who have or have a family member with an inherited eye disease
Design:
Participants will be screened with medical history and medical records.
Participants will have one visit that will take 3-4 hours. This will include:
Medical and family history
Eye exam: This includes the pupil being dilated.
Electroretinography: A small electrode is taped to the forehead. Participants sit in the
dark with their eyes patched for 30 minutes. Then numbing drops and contact lenses are put in
the eyes. They will watch flashing lights.
Blood tests
Saliva sample: They will spit into a container or have the inside of their cheek swabbed.
Genetic testing will be done on participants blood or saliva.
Participants may meet with the researchers to discuss their genetic tests.
Study Overview
Status
Conditions
Detailed Description
Objective: This project, Clinical and Molecular Studies in Families with Inherited Eye Disease will study inherited eye diseases, both Mendelian and complex age related inherited eye diseases, in families of many nationalities and ethnic backgrounds in order to identify the genes that, when mutated, cause inherited eye diseases and the pathophysiology through which they act. Among the diseases studied will be cataracts, corneal dystrophies and other corneal diseases, retinal degenerations, myopia and other anterior chamber defects, and glaucoma.
Study Population: Families and individuals of many nationalities and ethnic backgrounds. We will study a maximum of 5,000 participants and family members.
Design: The study consists of ascertaining individuals and especially families with multiple individuals, affected by both congenital and age related inherited eye diseases. These participants and their families will undergo detailed ophthalmological examinations to characterize their visual system and determine their affectation status. A blood sample will be collected from each individual for isolation of DNA and in some individuals for lymphoblastoid transformation to establish a renewable source of DNA. Linkage analysis, association analysis, physical mapping, and mutational screening will be carried out to identify the specific gene and the mutations in it that are associated with inherited eye disease in the family. Mutation screening may involve Sanger sequencing if a small number of candidate genes are identified, or whole genome or whole exome sequencing if more genes remain as viable candidates after the initial analysis. If necessary, the gene product will be characterized biochemically. Blood samples may also be used to complete analyses such as: hemoglobin A1c (HbA1c), fasting blood glucose, and glucose tolerance tests. The study will enroll participants at NEI and collaborating institutions.
Outcome Measures: Linkage will be determined using the lod score method, association will be determined using standard statistical procedures to estimate p values, and mutations in specific genes will be assessed using a combination of residue conservation, blosum score, bioinformatic prediction of structural damage to the protein, and molecular modeling. Assessment of biochemical, metabolic, and physiological effects of these mutations will be individualized to the specific case.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: James F Hejtmancik, M.D.
- Phone Number: (301) 435-1598
- Email: f3h@helix.nih.gov
Study Locations
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Guangzhou, China
- Recruiting
- Eye Research Institute, Zhongshan Ophthalmic Center, Sun Yat Sen University
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Madurai, India
- Withdrawn
- Aravind Medical Research Foundation
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Naples, Italy, 80014
- Withdrawn
- Seconda Universita di Napoli
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Lahore, Pakistan, 53700
- Recruiting
- National Centre of Excellence in Molecular Biology, University of the Punjab
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Manila, Philippines, 4031
- Recruiting
- University of the Philippines
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Contact:
- Leo Cubillan, M.D.
- Phone Number: 63-2-5247119
- Email: lcubillan@upm.edu.ph
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Odesa, Ukraine, 6500
- Recruiting
- The Filatov Institute of Eye Disease and Tissue Therapy of the National Academy
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Exeter, United Kingdom
- Recruiting
- University of Exeter
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Contact:
- Andrew Crosby, PhD
- Phone Number: +44 (0) 1392 725704
- Email: A.H.Crosby@exeter.ac.uk
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California
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La Jolla, California, United States, 92093-0603
- Recruiting
- University of California, San Diego
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Contact:
- Radha Ayyagari, Ph.D.
- Phone Number: 858-534-9029
- Email: rayyagari@ucsd.edu
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Maryland
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Bethesda, Maryland, United States, 20892
- Recruiting
- National Institutes of Health Clinical Center
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Contact:
- For more information at the NIH Clinical Center contact Office of Patient Recruitment (OPR)
- Phone Number: TTY8664111010 800-411-1222
- Email: prpl@cc.nih.gov
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North Carolina
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Durham, North Carolina, United States, 27708
- Withdrawn
- Duke University Eye Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
- INCLUSION CRITERIA:
To be eligible, the following inclusion criteria must be met, where applicable;
- Participant must be four years of age or older.
- Participant must understand and sign the protocol s informed consent document.
- Individuals or family members of individuals with inherited eye diseases, either congenital, childhood, or age related.
- All participants must be able to cooperate with study examination and phlebotomy.
EXCLUSION CRITERIA:
A participant is not eligible if any of the following exclusion criteria are present:
- Participant has a disease, infection, or trauma that mimics inherited cataracts, retinal degenerations, glaucoma, etc.
- Participant has a significant active infection (an infection requiring treatment as determined by the investigator) or a history of chronic or recurrent infections.
- Participant requires sedation for study purposes.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
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Participants with cataracts
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Participants with corneal dystrophies
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Participants with glaucoma
Participants with glaucoma or other anterior chamber anomalies
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Participants with lens refractive errors
Participants with lens refractive errors including myopia and hyperopia
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Participants with retinal degenerations
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Document the clinical and genetic features of Mendelian and age related visual disorders
Time Frame: Study duration
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Provide improved diagnosis and categorization of inherited visual disorders and should eventually suggest rationales for prevention or delay of both Mendelian and complex eye diseases
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Study duration
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: James F Hejtmancik, M.D., National Eye Institute (NEI)
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 160104
- 16-EI-0104
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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