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A Longitudinal Natural History Study of OPA1-Associated Autosomal-Dominant Optic Atrophy (OPA-LONG)

21. juli 2026 opdateret af: Maximilian-Joachim Gerhardt, Ludwig-Maximilians - University of Munich

Clinical Characterisation of OPA1-Associated Autosomal-Dominant Optic Atrophy

This prospective, monocenter, non-interventional observational study investigates the natural history as well as the clinical and genetic spectrum of OPA1-associated autosomal dominant optic atrophy. Participants will undergo standardized ophthalmic and functional assessments, including visual acuity testing, visual field testing, color vision and contrast sensitivity testing, optical coherence tomography, retinal flavoprotein fluorescence imaging, and video-oculography-based ocular motor and pupillary measurements. The study aims to characterize disease severity and progression over time and to identify structural, metabolic, and functional biomarkers that may serve as clinical endpoints for future therapeutic studies.

Studieoversigt

Status

Rekruttering

Betingelser

Undersøgelsestype

Observationel

Tilmelding (Anslået)

50

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

  • Tyskland
    • Bavaria
      • Munich, Bavaria, Tyskland, 80336
        • Rekruttering
        • Department of Ophthalmology, LMU University Hospital, LMU Medizin, Ludwig-Maximilians-Universität München
        • Kontakt:
        • Underforsker:
          • Claudia Priglinger, Prof. Dr. med.
        • Underforsker:
          • Günther Rudolph, Prof. Dr. med.

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Participants will be recruited from the inherited retinal disease and ophthalmogenetics clinic of the Department of Ophthalmology, University Hospital, Ludwig-Maximilians-Universität München, Germany. The study population consists of patients followed at this tertiary referral center. Additional participants may be referred by genetic diagnostic centers or other physicians in Germany or abroad after molecular genetic testing and clinical suspicion of OPA1-related disease. Self-referral by patients with a previous diagnosis of OPA1-associated autosomal dominant optic atrophy is also accepted.

Beskrivelse

Inclusion Criteria:

  • Age 6 years or older
  • Clinical diagnosis or clinical features consistent with optic atrophy
  • Molecular genetic confirmation of a pathogenic or likely pathogenic variant in the OPA1 gene
  • Ability of the participant, or the participant's parent or legal guardian, to understand the nature of the study and provide written informed consent

(Participants are eligible for inclusion if all of the criteria mentioned above are met)

Exclusion Criteria:

- Severe systemic disease or medical condition that, in the opinion of the investigator, would preclude participation in the study-related examinations

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in 2.5% low-contrast visual acuity measured with Sloan letter charts
Tidsramme: Baseline and follow-up visits up to 3 years
Change from baseline in low-contrast visual acuity measured using 2.5% low-contrast Sloan letter charts. Low-contrast visual acuity will be recorded as the number of Sloan letters correctly read and may be converted to logMAR for analysis. The unit of measure is number of Sloan letters correctly read.
Baseline and follow-up visits up to 3 years
Change in contrast sensitivity
Tidsramme: Baseline and follow-up visits up to 3 years
Change from baseline in contrast sensitivity measured using the Manifold® Platform from Adaptive Sensory Technology. The unit of measure is log contrast sensitivity.
Baseline and follow-up visits up to 3 years
Change in macular ganglion cell layer thickness measured by optical coherence tomography
Tidsramme: Baseline and follow-up visits up to 3 years
Change from baseline in macular ganglion cell layer thickness, or ganglion cell-inner plexiform layer thickness where applicable, measured by optical coherence tomography. The unit of measure is micrometers.
Baseline and follow-up visits up to 3 years
Change in peripapillary retinal nerve fiber layer thickness measured by optical coherence tomography
Tidsramme: Baseline and follow-up visits up to 3 years
Change from baseline in peripapillary retinal nerve fiber layer thickness measured by optical coherence tomography. The unit of measure is micrometers.
Baseline and follow-up visits up to 3 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in retinal flavoprotein fluorescence intensity measured by flavoprotein fluorescence imaging
Tidsramme: Baseline and follow-up visits up to 3 years
Change from baseline in retinal autofluorescence intensity measured using the OcuMet Beacon confocal scanning ophthalmoscope. The unit of measure is a device-specific autofluorescence intensity score.
Baseline and follow-up visits up to 3 years
Change in central visual field sensitivity measured by Humphrey 10-2 automated perimetry
Tidsramme: Baseline and follow-up visits up to 3 years
Change from baseline in central visual field sensitivity measured using Humphrey 10-2 automated perimetry. The unit of measure is decibels.
Baseline and follow-up visits up to 3 years
Change in protan and tritan colour contrast thresholds measured by the Arden Colour Contrast Test
Tidsramme: Baseline and follow-up visits up to 3 years
Change from baseline in protan and tritan colour contrast thresholds measured using the Arden Colour Contrast Test. Protan and tritan thresholds will be reported separately. The unit of measure is percent contrast.
Baseline and follow-up visits up to 3 years
Change in best-corrected visual acuity (BCVA) measured with high-contrast visual acuity testing
Tidsramme: Baseline and follow-up visits up to 3 years
Change from baseline in best-corrected visual acuity (BCVA) measured using standardized high-contrast visual acuity testing. BCVA will be recorded as the number of letters correctly read or converted to logMAR for analysis. The unit of measure is logMAR or number of letters correctly read.
Baseline and follow-up visits up to 3 years

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in pupil diameter measured by video-oculography using BulbiCAM
Tidsramme: Baseline and follow-up visits up to 3 years
Change from baseline in pupil diameter measured by video-oculography using the BulbiCAM Pupil Dynamics test. The unit of measure is millimeters.
Baseline and follow-up visits up to 3 years
Change in pupillary peak velocity measured by video-oculography using BulbiCAM
Tidsramme: Baseline and follow-up visits up to 3 years
Change from baseline in pupillary peak constriction and dilation velocity measured by video-oculography using the BulbiCAM Pupil Dynamics test. Constriction and dilation velocity will be reported separately. The unit of measure is millimeters per second.
Baseline and follow-up visits up to 3 years
Change in cumulative fixation time measured by BulbiCAM Fixation test
Tidsramme: Baseline and follow-up visits up to 3 years
Change from baseline in the cumulative fixation time measured using the BulbiCAM. The unit of measure is seconds.
Baseline and follow-up visits up to 3 years
Change in smooth pursuit gain measured by video-oculography using BulbiCAM
Tidsramme: Baseline and follow-up visits up to 3 years
Change from baseline in device-derived smooth pursuit gain measured during the BulbiCAM Smooth Pursuit test. The unit of measure is percent.
Baseline and follow-up visits up to 3 years
Change in objective central visual field sensitivity measured by KONAN ObjectiveFIELD Analyzer
Tidsramme: Baseline and follow-up visits up to 3 years
Change from baseline in objective central visual field sensitivity measured using the KONAN ObjectiveFIELD Analyzer with multifocal pupillographic objective perimetry. The unit of measure is decibels.
Baseline and follow-up visits up to 3 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Ludwig-Maximilians - University of Munich

Efterforskere

  • Ledende efterforsker: Maximilian-Joachim Gerhardt, Dr. med., Department of Ophthalmology, LMU University Hospital, Ludwig-Maximilians-Universität München

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

16. juli 2026

Primær færdiggørelse (Anslået)

1. oktober 2030

Studieafslutning (Anslået)

1. november 2030

Datoer for studieregistrering

Først indsendt

21. juni 2026

Først indsendt, der opfyldte QC-kriterier

21. juli 2026

Først opslået (Faktiske)

28. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

28. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

21. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 25-0268

Plan for individuelle deltagerdata (IPD)

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