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Efficacy and Safety of Intravitreal Gene Therapy for Leber Hereditary Optic Neuropathy Treated within 6 Months of Disease Onset
Authors:Nancy J. Newman  Patrick Yu-Wai-Man  Valerio Carelli  Mark L. Moster  Valerie Biousse  Catherine Vignal-Clermont  Robert C. Sergott  Thomas Klopstock  Alfredo A. Sadun  Piero Barboni  Adam A. DeBusk  Jean François Girmens  Günther Rudolph  Rustum Karanjia  Magali Taiel  Laure Blouin  Gerard Smits  Barrett Katz  Maria Massini
Affiliation:23. Centre Hospitalier National d’Ophtalmologie des Quinze Vingts, Paris, France and Department of Neuro Ophthalmology and Emergencies, Rothschild Foundation Hospital, Paris, France;24. Department of Neurology, Friedrich-Baur-Institute, and Department of Ophthalmology, University Hospital, Ludwig-Maximilians-University Munich, TUMCells Interdisciplinary Center for Cellular Therapies, TUM School of Medicine, Munich, Germany;25. Doheny Eye Institute / UCLA School of Medicine Los Angeles, California;26. Emory University School of Medicine, Atlanta, Georgia;27. IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Bologna, Italy, and Unit of Neurology, Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy;28. Moorfields Eye Hospital, London, UK and UCL Institute of Ophthalmology, University College, London, London, UK;29. Wills Eye Hospital and Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania;1. Departments of Ophthalmology, Neurology, and Neurological Surgery, Emory University School of Medicine, Atlanta, Georgia;2. Cambridge Centre for Brain Repair and MRC Mitochondrial Biology Unit, Department of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom;3. Cambridge Eye Unit, Addenbrooke’s Hospital, Cambridge University Hospitals, Cambridge, United Kingdom;4. Moorfields Eye Hospital, London, United Kingdom;5. UCL Institute of Ophthalmology, University College London, London, United Kingdom;6. IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Clinica Neurologica, Bologna, Italy;7. Unit of Neurology, Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy;8. Departments of Neurology and Ophthalmology, Wills Eye Hospital and Thomas Jefferson University, Philadelphia, Pennsylvania;9. Department of Neuro-Ophthalmology and Emergencies, Rothschild Foundation Hospital, Paris, France;10. Centre Hospitalier National d’Ophtalmologie des Quinze Vingts, Paris, France;11. Department of Neurology, Friedrich-Baur-Institute, University Hospital, Ludwig-Maximilians-University Munich, Munich, Germany;12. German Center for Neurodegenerative Diseases, Munich, Germany;13. Munich Cluster for Systems Neurology (SyNergy), Munich, Germany;14. Doheny Eye Institute/UCLA School of Medicine, Los Angeles, California;15. Department of Ophthalmology, University Hospital, LMU Munich, Munich, Germany;16. Department of Ophthalmology, University of Ottawa Eye, Ottawa, Ontario, Canada;17. GenSight Biologics, Paris, France;18. GenSight Biologics, New York, New York;19. Sorbonne Université, INSERM, CNRS, Institut de la Vision, Paris, France;20. Fondation Ophtalmologique A. de Rothschild, Paris, France;21. Department of Ophthalmology, The University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania;22. CHNO des Quinze-Vingts, Institut Hospitalo-Universitaire FOReSIGHT, INSERM-DGOS CIC, Paris, France
Abstract:
Keywords:Leber Hereditary Optic Neuropathy  intravitreal gene therapy  efficacy  safety  bilateral visual improvement  best-corrected visual acuity  Phase 3 randomized double-masked clinical trial  contrast sensitivity  Humphrey visual field perimetry  retinal anatomic measures  Quality of life  BCVA"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0070"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  best-corrected visual acuity  cDNA"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0080ww"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  complementary DNA  CRR"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0080"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  clinically relevant recovery  CS"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0090"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  contrast sensitivity  dB"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0100"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  decibels  EMA"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0110"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  European Medicines Agency  ETDRS"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0120"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Early Treatment Diabetic Retinopathy Study  HVF"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0130"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Humphrey visual field  ITT"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0140"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  intention-to-treat  IVT"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0140rr"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  intravitreal injection  LHON"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0150"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  Leber hereditary optic neuropathy  LogCS"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0160"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  logarithm of contrast sensitivity  logMAR"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0170"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  logarithm of the minimal angle of resolution  mtDNA"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0180"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  mitochondrial DNA  MTS"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0190"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  mitochondrial targeting sequence  RGC"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0200"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  retinal ganglion cell  RNFL"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  kwrd0210"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  retinal nerve fiber layer
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