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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.
This is a multi-center, longitudinal, prospective observational natural history study of participants with a molecularly confirmed mutation in PRPF31. Approximately 50 participants (100 eyes) at approximately 5 sites will be enrolled into a uniform protocol for follow-up and evaluations. Each participant's medical record will be reviewed for historical information, and clinical data will be recorded in a secure database. Natural history data will be collected prospectively and will include ophthalmic exams, imaging studies, electrophysiological testing, functional mobility evaluations, and questionnaires. Assessments will be conducted in a standardized protocol every 16 weeks ± 4 weeks for the first year and then every 24 weeks ± 4 weeks for up to approximately 4 years after each participant's baseline visit (Visit 2).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 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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| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Best Corrected Visual Acuity (BCVA) | BCVA letter score utilizing ETDRS (Early Treatment Diabetic Retinopathy Study) or BRVT (Berkeley Rudimentary Vision Test) for patients not able to see letters | Baseline through Year 4 |
| Change in Best Corrected Low Luminance Visual Acuity (LLVA) | Best corrected LLVA letter score measured using the ETDRS charts and a special light filter lens | Baseline through Year 4 |
| Change from Baseline in Retinal Thickness | Retinal thickness is measured using spectral domain optical coherence tomography (SD-OCT), as measured by the central reading center | Baseline through Year 4 |
| Change from Baseline in Ellipsoid Zone (EZ) Area | Change in EZ area measured using spectral domain optical coherence tomography (SD-OCT), as measured by the central reading center | Baseline through Year 4 |
| Change from Baseline in Ellipsoid Zone (EZ) Volume | Change in EZ volume measured using spectral domain optical coherence tomography (SD-OCT), as measured by the central reading center | Baseline through Year 4 |
| Change from Baseline in Visual Field Sensitivity | Visual field sensitivity measured by static perimetry with topographic analysis-Hill of Vision conducted by the central reading center | Baseline through Year 4 |
| Change from Baseline in Mean Macular Sensitivity |
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Inclusion Criteria:
Participants must meet all of the following in order to be enrolled into the study:
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:
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The study population will consist of approximately 50 participants (100 eyes) with a genetically confirmed PRPF31 mutation.
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| Name | Affiliation | Role |
|---|---|---|
| Sreenivasu Mudumba, PhD | PYC Therapeutics | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California San Francisco | San Francisco | California | 94143 | United States | ||
| University of Florida Health |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17113430 | Background | Hartong DT, Berson EL, Dryja TP. Retinitis pigmentosa. Lancet. 2006 Nov 18;368(9549):1795-809. doi: 10.1016/S0140-6736(06)69740-7. | |
| 22131869 | Background | 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. |
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Mean macular sensitivity measured on guided microperimetry |
| Baseline through Year 4 |
| Change from Baseline in Fixation Stability | Fixation stability as measured by Macular Integrity Assessment (MAIA) microperimeter | Baseline through Year 4 |
| Change from Baseline in Full Field Retinal Sensitivity | Dark-adapted visual sensitivity via full-field stimulus threshold (FST) measurement | Baseline through Year 4 |
| Change from Baseline in Electrical response | Electrical response measured using Full-field electroretinogram (ERG) with specific stimuli | Baseline through Year 4 |
| Characterization of Changes of the Retina with Fundus Photography | Abnormalities captured by fundus photography | Baseline through Year 4 |
| Change from Baseline in Area of Fundus Autofluorescence (FAF) | Area of hypo-autofluorescence captured by fundus autofluorescence (FAF) | Baseline through Year 4 |
| Change from Baseline in Functional Vision | Functional vision is measured with a functional mobility course (Ora-VNC™) score | 3 times prior to Month 4 |
| Change in Patient Reported Outcome Measures using Michigan Retinal Degeneration Questionnaire (MRDQ) | 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) | Baseline through Year 4 |
| Change in Patient Reported Outcome Measures using Patient Global Impression of Severity (PGI-S) scale | Responses on the PGI-S to assess severity of the patient's condition | Baseline through Year 4 |
| Change in Patient Reported Outcome Measures using Patient Global Impression of Change (PGI-C) scale | Responses on the PGI-C to assess change of the patient's condition | Baseline through Year 4 |
| Genomic Analysis for Study Eligibility | Whole exome genomic analysis | Screening |
| Ocular Adverse Events (AEs) | Frequency of ocular adverse events (AEs) | Screening through Year 4 |
| Jacksonville |
| Florida |
| 32209 |
| United States |
| University of Michigan Kellogg Eye Center | Ann Arbor | Michigan | 48105 | United States |
| Oregon Health and Science University - Casey Eye Institute | Portland | Oregon | 97239 | United States |
| Retina Foundation of the Southwest | Dallas | Texas | 75321 | United States |
| Lions Eye Institute | Nedlands | Western Australia | 6009 | Australia |
| Centre For Eye Research Australia (CERA) - Retinal Gene Therapy Unit | East Melbourne | Australia |
| 18317597 | Background | 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. |
| 17003455 | Background | 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. |
| 23144630 | Background | 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. |
| 11545739 | Background | 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. |
| 32014492 | Background | 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. |
| Background | Food and Drug Administration. Rare Diseases: Natural History Studies for Drug Development. Draft Guidance for Industry 2019. https://www.fda.gov/media/122425/download |
| ID | Term |
|---|---|
| D012174 | Retinitis Pigmentosa |
| D015785 | Eye Diseases, Hereditary |
| D058499 | Retinal Dystrophies |
| ID | Term |
|---|---|
| D005128 | Eye Diseases |
| D012162 | Retinal Degeneration |
| D012164 | Retinal Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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