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Proving a Vision-Saving Treatment Works

Dr. Hendrik Scholl conducts an electroretinogram, or ERG, with a patient at the Wilmer Eye Institute.I am very excited about ProgSTAR, the Foundation’s new study monitoring and documenting the progress of vision loss and retinal changes in people with Stargardt disease. On the surface, the study might not sound very exciting, because it isn’t evaluating a potential cure. However, the information gleaned from ProgSTAR will be of enormous value in designing future clinical trials for Stargardt disease treatments.

Ultimately, it is as important to design a good clinical trial as it is to develop a good treatment. We could have the best treatment ever devised, but without a good human study to demonstrate its safety and efficacy, we’ll never obtain U.S. Food and Drug Administration approval, to get it to the people who need it.

Designing a clinical trial for retinal disease therapies is challenging for many reasons. First, retinal diseases often progress slowly and affect vision in ways that are not easy to measure. Often, evaluating visual acuity by having someone read an eye chart doesn’t tell us if a treatment is actually saving vision. We may need to look at the person’s peripheral vision or ability to adapt to dark settings.

Observing structural changes in the retina itself may enable us to more quickly determine if a therapy is benefiting vision. Figuring out the best “outcome measures,” as we call them, for use in a clinical trial is one of the most important goals of ProgSTAR.

ProgSTAR will also help identify the best potential participants for a clinical trial of a Stargardt disease therapy. Will people with early-stage or late-stage disease be more likely to respond to a therapy?  How long will we need to monitor them to observe a response? We need answers to these questions to implement treatment studies that are cost-effective and expedient.

Not only do we need the right patients for a clinical trial; we need good clinical researchers. The Foundation has assembled the world’s best Stargardt disease experts for ProgSTAR. Led by Dr. Hendrik Scholl, of the Wilmer Eye Institute at Johns Hopkins, these investigators are unmatched in their understanding of Stargardt disease, and participation in the study will advance their knowledge even further. Dr. Patricia Zilliox, the Foundation’s chief drug development officer, serves as project director. She is well-qualified, with more than 30 years of industry experience.

ProgSTAR is monitoring approximately 200 people enrolled at nine clinical centers. They will be monitored for two years, but researchers are also looking at retrospective data on patients to get a better picture of how the disease and vision loss progress. ProgSTAR is a “by invitation-only” party; investigators are recruiting only their existing patients to participate.

It is rare for a non-profit foundation to fund a natural history study, because they are expensive — ProgSTAR will cost at least $3 million — and they don’t provide an immediate return of a new therapy. But, as I’ve just explained, these studies are invaluable for moving treatments forward for inherited retinal diseases; they bring us a big step closer to a cure.

Pictured, above: Dr. Hendrik Scholl conducts an electroretinogram, or ERG, with a patient at the Wilmer Eye Institute.


9 Responses to 'Proving a Vision-Saving Treatment Works'

  1. Barbara Skinner says:

    I am interested in participating in your study. I have Stargart disease. I am Z50 years ld and in excellent health other than m eye disease.

    • EyeOnTheCure says:

      Thanks for your comment Barbara,

      The 10 clinical researchers participating in this trial are recruiting their existing patients for the study. You can only participate if you happen to be one of their patients and they have reached out to you. Here are the doctors participating in the trial:

      • Dr. Paul Bernstein, University of Utah (Salt Lake City)
      • Dr. David Birch, Retina Foundation of the Southwest (Dallas)
      • Dr. Gerald Fishman, The Chicago Lighthouse (Chicago)
      • Dr. Samuel Jacobson, University of Pennsylvania (Philadelphia)
      • Dr. Michel Michaelides, Moorfields Eye Hospital (London, United Kingdom)
      • Dr. José Sahel, Institut de la Vision (Paris, France)
      • Dr. Hendrik Scholl, Johns Hopkins Hospital (Baltimore)
      • Dr. Janet Sunness, Greater Baltimore Medical Center (Baltimore)
      • Dr. Elias Traboulsi, Cleveland Clinic
      • Dr. Eberhart Zrenner, University of Tübingen (Tübingen, Germany)

  2. Yvonne Lane says:

    Hi
    My daughter is 18 years old – first year in University. She was diagnosed with Stargardt’s back in primary school (aged 10). She would love to be involved in a trial but no – one seems to look at Australia for this type of thing?? Any chance that she can be??

    • EyeOnTheCure says:

      Hi Yvonne,

      We would recommend that you visit clinicaltrials.gov and search the listings for Stargardt disease related trials. Here you can learn more about all the trials going on for the disease and find participation and contact information for each, to see if they might be an option for your daughter.

      We wish you and your family all the best

  3. Lilia says:

    Fantastic beat ! I wish tto apprentice while you amend you
    site, how could i subscribe for a log web site? The account ajded me a acceptable deal.
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  4. James KIm says:

    My daughter is 13 years old. She was diagnosed with Stargardt’s a month ago. We live in WA. We would love to participate in this trial. Please help us

  5. Mokaddem Hossain says:

    Hello,
    I am a patient of Dr. Scholl, one of the chief investigators in the ProgSTAR study. It is surprising to me that I was never contacted to participate in this study. How can I go about being enrolled?

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