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This is a prospective Multi-Center Observational Study to assess the reliability and validity of the Multi-Luminance Y-Mobility Test (MLYMT) and Multi-Luminance Shape Discrimination Study (MLSDT) Main Outcome Measures: (i) Performance scores in normal and severely visually impaired subjects with a clinical diagnosis of retinitis pigmentosa (RP) on MLYMT and MLSDT at multiple luminance levels and (ii) reliability and content validity of MLYMT and MLSDT.
Two assessment visits will be conducted in order to evaluate functional visual performance in severely vision impaired subjects with RP and normally sighted subjects. Two visits will occur at week 0 and week 4 with functional vision assessments occurring at both visits in order to assess visit-to-visit variability. For the MLYMT, navigational vision will be assessed using each eye and binocularly at up to 6 different light levels (range 0.3 to 100 lux). Subjects will also perform the Multi-Luminance Shape Discrimination Test (MLSDT) which assesses near object recognition under different lighting levels. MLYMT and MLSDT performance will be evaluated together with Best Corrected Visual Acuity (BCVA), Visual Field (VF) and responses to visual function questionnaires. Subjects will be assigned to one of two cohorts based on presence or absence of RP in addition to BCVA performance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Normally Sighted | Participants with clinically normal ocular findings and BCVA better than logMAR 0.3 in each eye. |
| |
| Severely Sight Impaired | Participants with BCVA no better than logMAR 1.6 in better seeing eye, and worse than logMAR 1.9 in the worse seeing eye, and a clinical diagnosis of advanced RP |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observational | Other | The goal of this observational study is to assess the reliability and validity of the multi-luminance Y-Mobility Test (MLYMT) and multi-luminance shape description test (MLSDT) for evaluation of subjects with severe vision impairment due to RP. Normally sighted subjects will provide a control group. The MLYMT consists of two LED panels, one of which is illuminated at multiple luminance levels, positioned at the end of Y-configuration. Seven obstacles are placed ahead of the panels, which the test subject should detect and avoid before reaching and touching the lit panel. |
| Measure | Description | Time Frame |
|---|---|---|
| MLYMT scores in normal and severely visually impaired subjects with a clinical diagnosis of RP on MLYMT | A higher MLYMT score (range -1 to 5) indicates better navigational vision. | 4 Weeks |
| MLSDT scores in normal and severely visually impaired subjects with a clinical diagnosis of RP on MLSDT | A higher MLSDT score (range 0 to 5) indicates greater shape discrimination ability at lower luminance level | 4 Weeks |
| Reliability and construct validity of MLYMT | Evaluation of the performance (test-retest reliability) of the test(s) based on the visual acuity | 4 Weeks |
| Reliability and construct validity of MLSDT | Evaluation of the performance (test-retest reliability) of the test(s) based on the visual acuity | 4 Weeks |
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Inclusion Criteria:
Cohort 1: Normally Sighted Participants with clinically normal ocular findings and BCVA better than logMAR 0.3 (as confirmed by ETDRS letter score > 73) in each eye Cohort 2: Severely Sight Impaired Participants with BCVA no better than logMAR 1.6 in better seeing eye, and worse than LogMAR 1.9 in the worse seeing eye, and a clinical diagnosis of advanced RP
Exclusion Criteria:
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This study will enroll approximately 35 adult subjects, to one of 2 cohorts. Subjects who meet all the inclusion criteria and for whom none of the exclusion criteria apply will be eligible for enrollment.
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| Name | Affiliation | Role |
|---|---|---|
| Dr Samarendra Mohanty | Nanoscope Therapeutics Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nanoscope Clinical Site | Phoenix | Arizona | 85020 | United States | ||
| Nanoscope Clinical Site |
The results of the clinical trial will be made available when the study is completed. The results will be published on this site and be available to conference presentations and publications.
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12 months after the study is completed
Reliability and Validity of MLYMT and MLSDT
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| ID | Term |
|---|---|
| D012174 | Retinitis Pigmentosa |
| D058499 | Retinal Dystrophies |
| D005128 | Eye Diseases |
| D012162 | Retinal Degeneration |
| ID | Term |
|---|---|
| D015785 | Eye Diseases, Hereditary |
| D012164 | Retinal Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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| ID | Term |
|---|---|
| D057832 | Watchful Waiting |
| ID | Term |
|---|---|
| D017063 | Outcome Assessment, Health Care |
| D010043 | Outcome and Process Assessment, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
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|
| Beverly Hills |
| California |
| 90211 |
| United States |
| Nanoscope Clinical Site | Miami | Florida | 33136 | United States |
| Nanoscope Clinical Site | Fargo | North Dakota | 58103 | United States |
| Nanoscope Clinical Site | Bellaire | Texas | 77401 | United States |
| Nanoscope Clinical Site | McAllen | Texas | 78503 | United States |
| Nanoscope Clincal Site | San Antonio | Texas | 78240 | United States |
| Nanoscope Clinical Site | Arecibo | 00612 | Puerto Rico |