Validation of Standardized Test Protocols to Assess the Impact of Visual Pathologies in Daily Life Activities

Not Applicable

• Conditions: Retinitis Pigmentosa

• Registration Number: NCT04448860
• Lead Sponsor: Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts

Brief Summary

the incidence of the disease of retinal degenerations with loss of photoreceptors (related to old age or genetic) on patients' daily lives, is poorly characterize without standardized means of measurement (usually performed with functional vision or reading tasks).

self-assessment by a quality of life questionnaire correlated with an assessment of emotional state and direct observation of patients during daily life tasks are the two ways used in a scientific framework to collect data on the difficulties encountered by patients in their daily life.

The aim of this project is to determine the behavioral effects of retinitis pigmentosa (RP) by the effects of performance reductions related to adapting to darkness and visual field restriction. Those assessments will be in real conditions but also in virtual reality (VR).

This tool can be used to measure a therapeutic benefit for new treatments (like gene therapy, retinal implants, intra vitreous injections ...) for visual loss patients.

Detailed Description

This prospective, longitudinal and non-randomized study will be conducted on 2 groups of people: retinitis pigmentosa's patients ( 1st and 2nd phases) and healthy volunteers patients (2nd phase).

The first phase's aim (named pilot phase) is to determine the optimal parameters to achieve the locomotion test. Fifteen RP's eligible patients will be requiring to 4 sessions of 3 hours to perform tests (Two sessions on real conditions and the two others on virtual reality).

The second phase's aim (named validation phase) is to validate tests to assess the impact of peripheral visual impairment on the sensory and motor performance of patients in their daily life. Firstly 15 RP's patients and 15 healthy volunteers will be included in this phase conducted according to a plan of Simon. 21 additional patients will be including on each group in view of the results on the first step in this 2nd phase.

For each patient, the duration of participation will be of 3 months for the first phase and 14 months for the second phase. The study duration is expected to be 50 months.

Study Timeline

• Study Start: 2019-10-04
• Status Verified: 2020-05
• Study First Submitted: 2020-05-19
• Study First Submitted QC: 2020-06-24
• Last Update Submitted: 2020-06-24
• Study First Posted: 2020-06-26
• Last Update Posted: 2020-06-26
• Primary Completion: 2023-10-04
• Study Completion: 2023-10-04

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 87

Inclusion Criteria

• Gender male or female
• Non-syndromic pigmentary retinopathy: diagnosis confirmed by a specialist (RP patients)
• Pigmentary retinopathy with different damage's levels of visual field, acuity and sensitivity to contrasts (RP patients)
• Visual acuity of both corrected eyes (glasses, lenses) greater than or equal to 8/10 (or ≤ 0.1 logMAR) (Healthy volounteers)
• Normal semi-automated kinetic visual field (Healthy volounteers)
• Not participating in any other clinical trial that may interfere with this study
• Sufficient knowledge of the French language to ensure understanding of the tasks to be performed and the instructions received
• Social insurance
• Consent signed after information by the investigator

Exclusion Criteria

• Pregnant woman
• Inability to give personal consent
• Cataract surgery in the 3 months before inclusion
• Amblyopia
• Inability to comply with the instructions for the study tasks or to complete the study visits
• MMSE score without visual item ≤ 20/25 for RP patients
• MMSE score with visual item ≤ 25/30 for healthy volunteers
• Drug treatment which may cause motor, visual or cognitive disorders (neuroleptics, etc.) or which may interfere with study evaluations

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Primary Outcome Measures

Name	Time	Method
Pilot calibration phase in a real environment.	Month 1	Defines the optimal parameters of complexity of standardized behavioral tasks thanks to a mobility test in variable light conditions carried out in a real environment.
Validation phase on the motor performance	Month 12	Validation of tests to assess the impact of peripheral visual impairment on the motor performance of patients in their daily life
Validation phase on the sensory performance	Month 12	Validation of tests to assess the impact of peripheral visual impairment on the sensory performance of patients in their daily life
Pilot calibration phase in a virtual environment.	Month 1	Defines the optimal parameters of complexity of standardized behavioral tasks thanks to a mobility test in variable light conditions carried out in a virtual environment.

Secondary Outcome Measures

Name	Time	Method
Analyze the adverse events during the tasks' assessment	through study completion, an average of 1 year	Analyze the adverse events that will be collected during the performance of this study
Measures of the evolution of the postural parameters	Day1 - Month 1 - Month 12	Evolution of postural's study parameters is performed by an experimental behavioral study, carried out during the same sessions as the main task of locomotion. The participants' postural stability will be correlated with the patient's visual parameters (acuity, visual field).
Validation of a locomotion test in virtual reality	Day 1 - Month 1- Month 12	It is to validate the construction of the test and to determine its performance in discriminating nature, its reproducibility and its sensitivity to change
Quality of Life Assessment	Day1-Month 1- Month 12	Analyze the correlation between the results of patients' quality of life and the results of behavioral tests

Trial Locations

Locations (1)

Centre hospitalier national d'ophtalmologique de 15-20; 🇫🇷 Paris, France