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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05573984
Registration number
NCT05573984
Ethics application status
Date submitted
8/09/2022
Date registered
10/10/2022
Titles & IDs
Public title
Natural History of PRPF31 Mutation-Associated Retinal Dystrophy
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Scientific title
A Natural History and Outcome Measure Discovery Study of PRPF31 Mutation-Associated Retinal Dystrophy
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Secondary ID [1]
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VP001-CL001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Retinitis Pigmentosa
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Eye Diseases, Hereditary
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Retinal Dystrophies
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Retinal Dystrophy Rod
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Retinal Dystrophy Rod Progressive
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Condition category
Condition code
Eye
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Diseases / disorders of the eye
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Vision Cohort 1 - Score of = 54 ETDRS letters read and a VF diameter = 10 degrees in every meridian of the central field
Vision Cohort 2 - Score of = 35 ETDRS letters read and a VF diameter \< 10 degrees in any meridian of the central field
Vision Cohort 3 - Score of \< 35 ETDRS letters read
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change from Baseline in Best Corrected Visual Acuity (BCVA)
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Assessment method [1]
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BCVA letter score utilizing ETDRS (Early Treatment Diabetic Retinopathy Study) or BRVT (Berkeley Rudimentary Vision Test) for patients not able to see letters
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Timepoint [1]
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Baseline through Year 4
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Primary outcome [2]
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Change in Best Corrected Low Luminance Visual Acuity (LLVA)
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Assessment method [2]
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Best corrected LLVA letter score measured using the ETDRS charts and a special light filter lens
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Timepoint [2]
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Baseline through Year 4
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Primary outcome [3]
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Change from Baseline in Retinal Thickness
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Assessment method [3]
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Retinal thickness is measured using spectral domain optical coherence tomography (SD-OCT), as measured by the central reading center
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Timepoint [3]
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Baseline through Year 4
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Primary outcome [4]
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Change from Baseline in Ellipsoid Zone (EZ) Area
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Assessment method [4]
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Change in EZ area measured using spectral domain optical coherence tomography (SD-OCT), as measured by the central reading center
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Timepoint [4]
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Baseline through Year 4
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Primary outcome [5]
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Change from Baseline in Ellipsoid Zone (EZ) Volume
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Assessment method [5]
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Change in EZ volume measured using spectral domain optical coherence tomography (SD-OCT), as measured by the central reading center
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Timepoint [5]
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Baseline through Year 4
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Primary outcome [6]
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Change from Baseline in Visual Field Sensitivity
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Assessment method [6]
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Visual field sensitivity measured by static perimetry with topographic analysis-Hill of Vision conducted by the central reading center
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Timepoint [6]
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Baseline through Year 4
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Primary outcome [7]
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Change from Baseline in Mean Macular Sensitivity
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Assessment method [7]
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Mean macular sensitivity measured on guided microperimetry
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Timepoint [7]
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Baseline through Year 4
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Primary outcome [8]
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Change from Baseline in Fixation Stability
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Assessment method [8]
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Fixation stability as measured by Macular Integrity Assessment (MAIA) microperimeter
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Timepoint [8]
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Baseline through Year 4
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Primary outcome [9]
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Change from Baseline in Full Field Retinal Sensitivity
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Assessment method [9]
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Dark-adapted visual sensitivity via full-field stimulus threshold (FST) measurement
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Timepoint [9]
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Baseline through Year 4
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Primary outcome [10]
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Change from Baseline in Electrical response
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Assessment method [10]
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Electrical response measured using Full-field electroretinogram (ERG) with specific stimuli
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Timepoint [10]
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Baseline through Year 4
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Primary outcome [11]
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Characterization of Changes of the Retina with Fundus Photography
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Assessment method [11]
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Abnormalities captured by fundus photography
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Timepoint [11]
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Baseline through Year 4
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Primary outcome [12]
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Change from Baseline in Area of Fundus Autofluorescence (FAF)
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Assessment method [12]
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Area of hypo-autofluorescence captured by fundus autofluorescence (FAF)
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Timepoint [12]
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Baseline through Year 4
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Primary outcome [13]
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Change from Baseline in Functional Vision
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Assessment method [13]
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Functional vision is measured with a functional mobility course (Ora-VNCâ„¢) score
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Timepoint [13]
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3 times prior to Month 4
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Primary outcome [14]
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Change in Patient Reported Outcome Measures using Michigan Retinal Degeneration Questionnaire (MRDQ)
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Assessment method [14]
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Responses on the MRDQ, a validated patient reported outcomes measure designed in accordance with U.S. FDA guidelines, specifically for conditions of inherited retinal degeneration (IRDs)
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Timepoint [14]
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Baseline through Year 4
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Primary outcome [15]
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Change in Patient Reported Outcome Measures using Patient Global Impression of Severity (PGI-S) scale
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Assessment method [15]
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Responses on the PGI-S to assess severity of the patient's condition
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Timepoint [15]
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Baseline through Year 4
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Primary outcome [16]
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Change in Patient Reported Outcome Measures using Patient Global Impression of Change (PGI-C) scale
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Assessment method [16]
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Responses on the PGI-C to assess change of the patient's condition
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Timepoint [16]
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Baseline through Year 4
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Primary outcome [17]
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Genomic Analysis for Study Eligibility
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Assessment method [17]
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Whole exome genomic analysis
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Timepoint [17]
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Screening
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Primary outcome [18]
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Ocular Adverse Events (AEs)
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Assessment method [18]
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Frequency of ocular adverse events (AEs)
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Timepoint [18]
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Screening through Year 4
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Eligibility
Key inclusion criteria
Participants must meet all of the following in order to be enrolled into the study:
1. Male or female, = 10 years of age at baseline (Visit 2).
2. Have a clinical and molecular diagnosis of PRPF31 mutation-associated retinal dystrophy.
3. If = 18 years of age, understand the language of the informed consent and are willing and able to provide written informed consent prior to any study procedures. If < 18 years of age, are willing to assent to study participation in writing and have a legally authorized representative provide written informed consent on your behalf.
4. Are willing to comply with the instructions and attend all scheduled study visits.
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Minimum age
10
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Participants or, in the case of ocular-specific criteria, individual eyes with any of the following will not be allowed to participate in this study:
1. Have any uncontrolled systemic disease that, in the opinion of the Investigator, would preclude participation in the study (e.g., infection, uncontrolled elevated blood pressure, cardiovascular disease, or glycemic control issues) or put the participant at risk due to study procedures.
2. Have mutations in genes that cause autosomal dominant retinitis pigmentosa (adRP), X-linked retinitis pigmentosa (XLRP), or presence of biallelic mutations in autosomal recessive RP/retinal dystrophy genes other than PRPF31 mutations.
3. Have used anti-vascular endothelial growth factor (VEGF) agents or corticosteroid injections or implants.
4. Have had Ozurdex® implants placed within 3 months or Retisert® or Iluvien® implants placed within 3 years prior to Visit 2.
5. Within 3 months prior to Visit 2, have undergone any vitreoretinal surgery (scleral buckle, pars plana vitrectomy, retrieval of a dropped nucleus or intraocular lens, radial optic neurotomy, sheathotomy, cyclodestructive procedures or multiple filtration surgeries [2 or more], etc.) or any other ocular surgery.
6. Have ocular media opacity or poor pupillary dilation that prohibits quality ophthalmic evaluation or photography.
7. Have used any investigational drug or device within 90 days or 5 estimated half-lives of Visit 2, whichever is longer, or plan to participate in another study of drug or device during the study period.
8. Have received any prior cell or gene therapy for a retinal condition.
9. Have a history of illicit drug use or alcohol dependency.
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
7/07/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
30/04/2027
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Lions Eye Institute - Nedlands
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Recruitment hospital [2]
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Centre For Eye Research Australia (CERA) - Retinal Gene Therapy Unit - East Melbourne
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Recruitment postcode(s) [1]
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6009 - Nedlands
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Recruitment postcode(s) [2]
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- East Melbourne
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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State/province [2]
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Florida
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Country [3]
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United States of America
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State/province [3]
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Michigan
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Country [4]
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United States of America
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State/province [4]
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Oregon
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Country [5]
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United States of America
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State/province [5]
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Texas
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
PYC Therapeutics
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to characterize the natural history through temporal systemic evaluation of subjects identified with PRPF31 mutation-associated retinal dystrophy, also called retinitis pigmentosa type 11, or RP11. Assessments will be completed to measure and evaluate structural and functional visual changes including those impacting patient quality of life associated with this inherited retinal condition and observing how these changes evolve over time.
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Trial website
https://clinicaltrials.gov/study/NCT05573984
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Trial related presentations / publications
Hartong DT, Berson EL, Dryja TP. Retinitis pigmentosa. Lancet. 2006 Nov 18;368(9549):1795-809. doi: 10.1016/S0140-6736(06)69740-7. Ferrari S, Di Iorio E, Barbaro V, Ponzin D, Sorrentino FS, Parmeggiani F. Retinitis pigmentosa: genes and disease mechanisms. Curr Genomics. 2011 Jun;12(4):238-49. doi: 10.2174/138920211795860107. Rio Frio T, Wade NM, Ransijn A, Berson EL, Beckmann JS, Rivolta C. Premature termination codons in PRPF31 cause retinitis pigmentosa via haploinsufficiency due to nonsense-mediated mRNA decay. J Clin Invest. 2008 Apr;118(4):1519-31. doi: 10.1172/JCI34211. Sullivan LS, Bowne SJ, Seaman CR, Blanton SH, Lewis RA, Heckenlively JR, Birch DG, Hughbanks-Wheaton D, Daiger SP. Genomic rearrangements of the PRPF31 gene account for 2.5% of autosomal dominant retinitis pigmentosa. Invest Ophthalmol Vis Sci. 2006 Oct;47(10):4579-88. doi: 10.1167/iovs.06-0440. Venturini G, Rose AM, Shah AZ, Bhattacharya SS, Rivolta C. CNOT3 is a modifier of PRPF31 mutations in retinitis pigmentosa with incomplete penetrance. PLoS Genet. 2012;8(11):e1003040. doi: 10.1371/journal.pgen.1003040. Epub 2012 Nov 8. Vithana EN, Abu-Safieh L, Allen MJ, Carey A, Papaioannou M, Chakarova C, Al-Maghtheh M, Ebenezer ND, Willis C, Moore AT, Bird AC, Hunt DM, Bhattacharya SS. A human homolog of yeast pre-mRNA splicing gene, PRP31, underlies autosomal dominant retinitis pigmentosa on chromosome 19q13.4 (RP11). Mol Cell. 2001 Aug;8(2):375-81. doi: 10.1016/s1097-2765(01)00305-7. Wheway G, Douglas A, Baralle D, Guillot E. Mutation spectrum of PRPF31, genotype-phenotype correlation in retinitis pigmentosa, and opportunities for therapy. Exp Eye Res. 2020 Mar;192:107950. doi: 10.1016/j.exer.2020.107950. Epub 2020 Jan 31. Food and Drug Administration. Rare Diseases: Natural History Studies for Drug Development. Draft Guidance for Industry 2019. https://www.fda.gov/media/122425/download
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Public notes
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Contacts
Principal investigator
Name
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Sreenivasu Mudumba, PhD
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Address
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PYC Therapeutics
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Lexitas Pharma Services, Inc.
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Address
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Country
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Phone
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1-510-423-2680
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05573984