Gene Therapies in Clinical Development to Treat Retinal Disorders.
Michelle E McClementsMaram E A Abdalla ElsayedLauren MajorCristina Martinez-Fernandez de la CamaraRobert E MacLarenPublished in: Molecular diagnosis & therapy (2024)
Gene therapies have emerged as promising treatments in clinical development for various retinal disorders, offering hope to patients with inherited degenerative eye conditions. Several gene therapies have already shown remarkable success in clinical trials, with significant improvements observed in visual acuity and the preservation of retinal function. A multitude of gene therapies have now been delivered safely in human clinical trials for a wide range of inherited retinal disorders but there are some gaps in the reported trial data. Some of the most exciting treatment options are not under peer review and information is only available in press release form. Whilst many trials appear to have delivered good outcomes of safety, others have failed to meet primary endpoints and therefore not proceeded to phase III. Despite this, such trials have enabled researchers to learn how best to assess and monitor patient outcomes, which will guide future trials to greater success. In this review, we consider recent and ongoing clinical trials for a variety of potential retinal gene therapy treatments and discuss the positive and negative issues related to these trials. We discuss the treatment potential following clinical trials as well as the potential risks of some treatments under investigation. As these therapies continue to advance through rigorous testing and regulatory approval processes, they hold the potential to revolutionise the landscape of retinal disorder treatments, providing renewed vision and enhancing the quality of life for countless individuals worldwide.
Keyphrases
- clinical trial
- phase iii
- optical coherence tomography
- diabetic retinopathy
- phase ii
- optic nerve
- open label
- copy number
- genome wide
- double blind
- gene therapy
- genome wide identification
- endothelial cells
- study protocol
- healthcare
- type diabetes
- randomized controlled trial
- gene expression
- electronic health record
- current status
- metabolic syndrome
- induced pluripotent stem cells
- single cell
- artificial intelligence
- big data
- drug induced
- data analysis
- replacement therapy