CICLO-NOHL: Trial of Cyclosporine in the Acute Phase of Leber Hereditary Optic Neuropathy
Study Details
Study Description
Brief Summary
The Leber Hereditary Optic Neuropathy is a genetic disorder caused by maternal transmission of mitochondrial DesoxiroboNucleid Acid mutations. It is manifested by a rapidly progressive blindness, profound, due to atrophic optic nerve. The visual loss is primarily unilateral bilateralisation taking place in the vast majority of cases in weeks or months. The neuro-cardio-protective properties of cyclosporine (and its analogs specifically targeting the anti-apoptotic mechanisms) are particularly promising.
The investigators hypothesis is that cyclosporine may limit apoptosis during the acute phase of the disease process and would limit the loss of visual acuity and improve the visual prognosis of these patients.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: cyclosporine
|
Drug: cyclosporine
|
Outcome Measures
Primary Outcome Measures
- Measurement of visual acuity with Monoyer, Early Treatment Diabetic Retinopathy Study and Parinaud scales [at 9 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
patient with the mutation confirmed by molecular analysis
-
patient with a recent loss of monocular vision (≤ 6 months)
-
voluntarily Patient Consent
Exclusion Criteria:
-
patient who have not given their written and informed consent signed
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against indication of cyclosporine
-
no drug compliance to previous inclusion
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no national health insurance affiliation
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pregnant women or lactating
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women who could become pregnant during the study period and with no contraception
-
private patients of their liberty by judicial or administrative decision, or patients under supervision
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Centre Hospitalier Universitaire | Angers | France | 49000 |
Sponsors and Collaborators
- University Hospital, Angers
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PHRC 2010-05