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Inherited Retinal DystrophyNCT05793515

Mechanisms of Inherited Retinal Dystrophies Using Whole Genome Sequencing and in Vitro and in Vivo Models

An observational study of Inherited Retinal Dystrophy and Retinitis Pigmentosa, run by Istituto Superiore di Sanità at 1 site in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Inherited retinal dystrophies (IRDs), a large group of heterogeneous and rare disorders, may result in irreversible bilateral visual loss and blindness. Characterizing the genetic bases of IRDs will help to understand the pathogenesis underlying the development of retinal damage. Read more about this study

Who is it for?
Ages 5 to 80 years
What is being tested?
whole genome sequencing
How many people
120 participants
Where
1 siteItaly
Study dates
15 Nov 2022to 2 Nov 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 5 to 80 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Male and female patients, aged between 5 and 80 years, suffering from retinal or optic nerve degeneration of a hereditary nature. Patients will be recruited at the IRCSS Fondazione Bietti in Rome and undergo ophthalmological examinations and instrumental tests. Candidate subjects are a clinically well-characterized cohort of patients with ocular dystrophies, including IRDs already clinically followed for at least 12 months and without a conclusive molecular diagnosis.

Who may be able to join

  • Patients with retinal and optic nerve dystrophy of suspected hereditary nature.
  • Probands with clinical follow-up of at least 12 months.
  • Patients with an inconclusive molecular diagnosis by means of molecular-genetic tests for the genes known to date for the diagnosed pathology.

Who cannot join

  • Patients with a clinical diagnosis of no proven genetic origin.
  • Patients whose parents' or second degree relatives' samples are not available.
  • Patients who refuse to be informed of the genetic results obtained, including incidental clinically relevant, validated and actionable for the patient himself and/or his family.

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • Istituto Superiore di Sanità-Dpt. Oncology and Molecular Medicine

    Rome, Italy, 00161

Other trials in Italy

About this study

Official title: "Understanding Genetic Missing Variability and Pathogenetic Mechanisms of Inherited Retinal Dystrophies Using Whole Genome Sequencing and in Vitro and in Vivo Models"

Inherited retinal dystrophies (IRDs), a large group of heterogeneous and rare disorders, may result in irreversible bilateral visual loss and blindness. Characterizing the genetic bases of IRDs will help to understand the pathogenesis underlying the development of retinal damage. Despite the advances in molecular identification of genes causing disease, unsolved IRDs constitute about 40% of all cases.

Goal of this study is to solve missing heritability in IRD using whole genome sequencing (WGS) to identify the genetic causes in clinically well-characterized patients without a molecular diagnosis.

The identification of novel genes that have a role in the development or maintenance of retinal function will lead to the development of new therapeutic approaches and will favour a more prompt diagnosis and improvement of patient management.

Read the detailed description

IRDs are rare neurodegenerative and genetically heterogeneous conditions with a wide spectrum of presentations, even among affected members of the same family. These disorders exhibit a large range of phenotypes with significant overlap, that can be broadly divided into three main groups: those principally affecting the periphery such as retinitis pigmentosa (RP) and choroideremia; those primarily involving the macula, known as 'macular' or 'central' dystrophies; and those affecting both the centre and periphery as seen in cone-rod or rod-cone dystrophies. Collectively, IRDs have an incidence of 1:2000, impacting approx. 2 million people worldwide and patients are progressively visually impaired. Affected individuals can be followed-up by visual acuity measurements, visual field evaluations, electroretinography recordings (ERG), structural imaging with autofluorescence, spectral-domain optical coherence tomography (OCT), and OCT angiography. Although an accurate clinical diagnosis can be reached by these innovative and non-invasive tools, genetic testing is necessary to confirm a specific phenotype, and segregation analysis can address the inheritance pattern. Gene discovery approaches clarified that mutations of about 280 different genes involved in eyes development, photoreceptor survival, phototransduction mechanisms, retinoid cycle, retinal enzymatic function, or cell structure are responsible for these degenerative diseases (RetNet. Available at: https://sph.uth.edu/retnet/) and the inheritance pattern can be autosomal dominant, recessive, or X-linked.

To improve the success rate of genetic/genomic diagnosis, new sequencing technologies have been explored, starting from targeted sequencing focused on multigene panels to whole exome sequencing (WES) and sequencing of the entire genome (WGS). Because of the genetic heterogeneity of IRDs, the congruence of clinical and molecular diagnosis is a necessary goal to characterize exactly the phenotype and to increase the chance of therapeutically beneficial strategies.

A major challenge consists in identifying novel genes encoding for the diseases. This extreme genetic heterogeneity accounts for about 30% of the detection failure of molecular diagnosis. With the possibility of investigating WES or WGS, broader windows are opened for gene discovery.

Being tested
whole genome sequencing
Keywords
IRD, RP, WGS, molecular diagnosis
Medical subject headings
Retinitis Pigmentosa, Macular Degeneration

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • whole genome sequencingDiagnostic test

    Whole genome sequencing will be performed in patients whose test was negative for the targeted resequencing and/or clinical exome sequencing.

Study groups in NCT05793515
Study groupRoleWhat they receive
FB_001Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_002Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_003Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_004Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_005Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_006Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_007Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_008Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_009Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0010Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0011Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0012Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0013Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0014Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0015Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0016Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0017Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0018Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0019Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0020Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0021Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0022Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0023Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0024Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0025Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0026Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0027Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0028Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0029Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing
FB_0030Proband affected by IRD and affected and/or unaffected relatives without molecular diagnosis.
Receives: Diagnostic Test: whole genome sequencing

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Understanding genetic missing pathogenetic variants in IRD

    Identification of genetic variants causative of the clinical phenotype

    Measured: two years

Secondary outcomes (1)
  1. Gene discovery in IRD

    Identification of novel disease genes responsible for IRD.

    Measured: two years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Mar 2023
  2. Study start15 Nov 2022
  3. Primary completion2 Nov 2024
  4. Study completion2 Nov 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05793515
Sponsor's protocol ID
ISS20-5656c541c257
Status last verified
Apr 2025
First submitted
20 Mar 2023
Last updated
18 Apr 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: We plan to share anonymized genomic data among the three partners involved in the study by telecall meetings and shared cloud folders.

Publications

  • Brugger M, Lauri A, Zhen Y, Gramegna LL, Zott B, Sekulic N, Fasano G, Kopajtich R, Cordeddu V, Radio FC, Mancini C, Pizzi S, Paradisi G, Zanni G, Vasco G, Carrozzo R, Palombo F, Tonon C, Lodi R, La Morgia C, Arelin M, Blechschmidt C, Finck T, Sorensen V, Kreiser K, Strobl-Wildemann G, Daum H, Michaelson-Cohen R, Ziccardi L, Zampino G, Prokisch H, Abou Jamra R, Fiorini C, Arzberger T, Winkelmann J, Caporali L, Carelli V, Stenmark H, Tartaglia M, Wagner M. Bi-allelic variants in SNF8 cause a disease spectrum ranging from severe developmental and epileptic encephalopathy to syndromic optic atrophy. Am J Hum Genet. 2024 Mar 7;111(3):594-613. doi: 10.1016/j.ajhg.2024.02.005. Epub 2024 Feb 28.

    PubMed 38423010

Questions about this trial

What is this clinical trial studying?

An observational study of Inherited Retinal Dystrophy and Retinitis Pigmentosa, run by Istituto Superiore di Sanità at 1 site in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Understanding genetic missing pathogenetic variants in IRD (time frame: two years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05793515, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Apr 2025.

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