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Protocol Details

Generation of Induced Pluripotent Stem (iPS) Cell Lines from Somatic Cells of Participants with Retinal Disease and from Somatic Cells of Matched Controls

This study is currently recruiting participants.

Summary | Eligibility | Citations | Contacts

Summary

Number

11-EI-0245

Sponsoring Institute

National Eye Institute (NEI)

Recruitment Detail

Type: Participants currently recruited/enrolled
Gender: Male & Female
Min Age: 1
Max Age: N/A

Referral Letter Required

No

Population Exclusion(s)

None

Special Instructions

Currently Not Provided

Keywords

Best Disease;
Late-Onset Retinal Degeneration (L-ORD);
Age-Related Macular Degeneration (AMD);
Induced Pluripotent Stem Cell (iPS) Cell Lines

Recruitment Keyword(s)

Retinal Degeneration;
Age-Related Macular Degeneration;
AMD

Condition(s)

Retinal Disease;
AMD;
Retinal Degeneration

Investigational Drug(s)

None

Investigational Device(s)

None

Intervention(s)

None

Supporting Site

National Eye Institute

Background:

- Best Vitelliform Dystrophy (Best disease), Late-Onset Retinal Degeneration (L-ORD), and Age-Related Macular Degeneration (AMD) all affect the retina, the light sensing area at the back of the eye. Doctors cannot safely obtain retinal cells to study these diseases. However, cells collected from hair follicles, skin, and blood can be used for research. Researchers want to collect cells from people with Best disease, L-ORD, and AMD, and compare their cells with those of healthy volunteers.

Objectives:

- To collect hair, skin, and blood samples to study three eye diseases that affect the retina: Best disease, L-ORD, and AMD.

Eligibility:

- Individuals at least 18 years of age who have Best disease, L-ORD, or AMD in at least one eye.

- Healthy volunteers at least 18 years of age.

Design:

- The study requires one visit to the National Eye Institute.

- Participants will be screened with a medical and eye disease history. They will also have an eye exam.

- Participants will provide a hair sample, a blood sample, and a skin biopsy. The hair will be collected from the back of the head, and the skin will be collected from the inside of the upper arm.

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Eligibility

INCLUSION CRITERIA:

To be eligible, participants must meet the following inclusion criteria:

1. Participant has the ability to understand and sign an informed consent.

2. Participant meets one of the following criteria:

a. Participant has been diagnosed with Best disease, defined as the presence of lipofuscin-like deposits in the subretinal space and definitive mutations in the BEST1 gene.

b. Participant has been diagnosed with L-ORD, defined as problems in dark adaptation and the loss of rod and cone function, subretinal deposits, RPE atrophy and hemorrhage, and long anterior zonules in the lens.

c. Participant has been diagnosed with AMD, defined as the presence of:

i. large drusen in both eyes along with pigmentary changes with or without advanced AMD (neovascular AMD), or

ii. geographic atrophy in at least one eye.

d. Participant has been diagnosed with LCA, defined as a presentation that is typical of the disease and mutations in the CEP290 or CRX genes.

e. Participant has been diagnosed with Joubert syndrome, defined as the presence of retinal dysfunction and/or degeneration and mutations in the CEP290 or CC2D2A genes.

f. Participant has been diagnosed with X-linked RP, defined as a presentation that is typical of the disease and mutations in the RPGR or RP2 genes.

g. Participant is free of retinal diseases and could serve as an unaffected control. Participant's age (within five years), gender, and ethnicity must match an existing participant with Best disease, L-ORD, AMD, LCA, Joubert syndrome, or X-linked RP. Control participants matched to AMD participants must not have drusen greater than 63 microns in size.

3. Adult participant is able to provide a punch skin biopsy and 30 mL of peripheral venous blood OR child participant is able to provide a punch skin biopsy and the lesser of 5 mL/kg or 30 mL of peripheral venous blood. Sampling of ten occipital hairs may be pursued at the investigator's discretion. As a rule, samples will be collected on nonsedated/ anesthetized participants. Sedation/anesthesia will NOT be used solely for the purpose of sample collection. In rare instances where a minor requires sedation for another medically indicated procedure, samples may be collected at the time of sedation/anesthesia. Because young children may not be able to cooperate with sample collection, those unable to provide a skin biopsy and a blood sample may be excluded from the study, based on the judgment of the examining investigator.

4. Participant meets one of the following criteria:

a. Participant affected with LCA, Joubert syndrome, or RP is one year of age or older.

b. Participant affected with Best disease, L-ORD, or AMD is 18 years of age or older.

c. Unaffected participant is seven years of age or older and willing and able to provide assent.

EXCLUSION CRITERIA:

A participant is not eligible if any of the following exclusion criteria are present:

Participant is unable to comply with study procedures.

Participant has a systemic disease that, in the opinion of the investigator, compromises the ability to provide adequate samples. Examples of co-existing diseases that would exclude a participant include a bleeding diathesis or a genetic susceptibility to infections, particularly cutaneous infections.


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Citations:

Wu SM, Hochedlinger K. Harnessing the potential of induced pluripotent stem cells for regenerative medicine. Nat Cell Biol. 2011 May;13(5):497-505. Review. Erratum in: Nat Cell Biol. 2011 Jun;13(6):734.

Stadtfeld M, Hochedlinger K. Induced pluripotency: history, mechanisms, and applications. Genes Dev. 2010 Oct 15;2 (20):2239-63. Review.

Bharti K, Miller SS, Arnheiter H. The new paradigm: retinal pigment epithelium cells generated from embryonic or induced pluripotent stem cells. Pigment Cell Melanoma Res. 2011 Feb;24(1):21-34. doi: 10.1111/j.1755-148X.2010.00772.x. Epub 2010 Oct 7.

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Contacts:

Principal Investigator

Referral Contact

For more information:

Brian P. Brooks, M.D.
National Eye Institute (NEI)
National Institutes of Health
Building 10
Room 10N226
10 Center Drive
Bethesda, Maryland 20892
(301) 435-3032
BrooksB@mail.nih.gov

Allison T. Bamji, R.N.
National Eye Institute (NEI)
National Institutes of Health
Building 10
Room 10D45
10 Center Drive
Bethesda, Maryland 20892
(301) 451-3437
bamjia@nei.nih.gov

Patient Recruitment and Public Liaison Office
Building 61
10 Cloister Court
Bethesda, Maryland 20892-4754
Toll Free: 1-800-411-1222
TTY: 301-594-9774 (local),1-866-411-1010 (toll free)
Fax: 301-480-9793

prpl@mail.cc.nih.gov

Clinical Trials Number:

NCT01432847

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