DHA and X-Linked Retinitis Pigmentosa

Completed · Phase 2 · Has a placebo group

Conditions studied: Retinitis Pigmentosa, X-linked Genetic Diseases

In brief

Purpose: Retinitis pigmentosa (RP) is characterized by progressive loss of visual function due to specific genetic mutations. This trial is focused on patients with one of the most severe forms of the disease, X-linked inherited RP (XLRP). This disease is characterized by early onset (typically loss of night vision as a child) followed by loss of peripheral vision as a teenager and young adult. There is no male-to-male transmission of the disease in the family. There is no cure for RP and treatment options are limited. Two clinical trials have not found a benefit from nutritional supplementation with the long-chain polyunsaturated fatty acid, docosahexaenoic acid (DHA), at low daily doses although there is evidence that it slows disease progression in certain instances. In this clinical trial, we propose that a high dose nutritional DHA supplement will slow the loss of visual function and preserve usable vision in patients with XLRP. This study is a 4-year placebo-controlled randomized clinical trial meaning that patients have a 50-50 chance of receiving placebo or experimental treatment. A total of 66 patients will be enrolled; 33 will receive placebo and 33 will receive the treatment. Entry criteria include diagnosis of XLRP by an ophthalmologist, age 7 to 32 years, male, sufficient visual function such that disease progression can be followed for the entire duration of the trial, and a willingness to visit the testing site (Dallas, TX) once a year. Annual visual function testing includes ETDRS visual acuity, full-field and multifocal electroretinography (ERG), static peripheral visual fields, and fundus photography. Cone ERG function is the primary outcome measure. Funding Source - FDA, Foundation Fighting Blindness, DSM Nutritionals

Key facts

Study ID: NCT00100230
Run by: Retina Foundation of the Southwest
People needed: 78
Starts: 2004-09-01
Expected to finish: 2014-08-01
Last updated by the study team: 2015-03-17

Who can join

Age: 7 and older, up to 32. Sex: male. Healthy volunteers: not accepted.

You may qualify if…

Diagnosis of RP by a retinal specialist
Clinical diagnosis consistent with X-linked inheritance
Enrolling minors and young adults (early onset of X-linked disease; ages 7 to 32)
Measurable cone ERG responses --patients with less than 0.64 microvolt response to 31-Hz flicker will be excluded as they are more likely to become undetectable during the study
Both eyes must meet entry criteria as both will be tested (i.e., no cataracts requiring surgery or retinal detachments).
Media clarity sufficient for fundus photography
Able to return to study site at yearly intervals
Willing to supply blood samples at 6-month intervals
Judiciously take the placebo or DHA supplement for the 4-year study duration
Patient/parent/guardian understands and signs consent form.

You may not qualify if…

Excessive fish consumption (e.g., cold water fish such as salmon, tuna, sardines) and/or fish oil supplementation (or other oil containing DHA)
Baseline RBC-DHA levels showing evidence of supplementation (a typical level of RBC-DHA in normals is about 3.8%)
Chronic metabolic disease that may interfere with fatty acid metabolism or require anti-coagulant medication
No ethnic or racial groups will be excluded.

Where it is running

Retina Foundation of the Southwest — Dallas, Texas, United States

Full record on ClinicalTrials.gov

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