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CompletedNCT03974230F3SUpdated Apr 18, 2023

Analysis of the Genotype/Phenotype Relationship in the Fuchs' Corneal Endothelial Dystrophy in France.

An observational study in Fuchs Endothelial Corneal Dystrophy, sponsored by Centre Hospitalier Universitaire de Saint Etienne. Completed at 1 site in France. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-04-18.

Sponsored by Centre Hospitalier Universitaire de Saint Etienne · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
208
Ages
18 Years and older
Sex
All
01

Study summary

The pathophysiology of the most common corneal endothelial dystrophies (Fuchs' Corneal Endothelial Dystrophy (FECD)) is beginning to be dismembered. One of the most common genetic anomalies is a triplet repetition in one of the introns of the Transcription Factor 4 (TCF4) gene located on chromosome 18. However, the number of repetitions varies greatly from one patient to another.

Read the detailed description

The intent of that study was to analyse if there is a relationship between the number of triplet repetitions and the rate of disease progression. This knowledge would make it possible to personalize the care.

02

Conditions studied

  • Fuchs Endothelial Corneal Dystrophy

Keywords

  • Cornea
  • Fuchs Endothelial Corneal Dystrophy (FECD)
  • slit lamp
  • Transcription Factor 4 (TCF4)
  • chromosome 18
  • genetic
03

In context

Fuchs' Endothelial Dystrophy

92 studies on the registry are indexed under Fuchs' Endothelial Dystrophy; 27 are open to participants now.

This study's enrollment of 208 is above the median of 144 across 26 observational studies indexed under Fuchs' Endothelial Dystrophy.

Browse Fuchs' Endothelial Dystrophy studies →

Lead sponsor

Centre Hospitalier Universitaire de Saint Etienne is the lead sponsor of 597 studies on the registry; 127 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

There are 2 cohorts: patient and control.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

For patient group:

  • >18 years old
  • affiliated with or entitled to a social security scheme
  • having received informed information about the study and having co-signed, with the investigator, a consent to participate in the study
  • with an Fuchs Endothelial Corneal Dystrophy (FECD) certified by slit lamp examination

For control group:

  • >18 years old
  • affiliated with or entitled to a social security scheme
  • having received informed information about the study and having co-signed, with the investigator, a consent to participate in the study

Exclusion criteria

Exclusion Criteria:

For patient group:

  • Patients under guardianship or curatorship
  • Patient planning to move within the year
  • With no evidence of ophthalmological pathology requiring intraocular surgery within one year of the first visit
  • Better initial corrected visual acuity \<1/10
  • Not having had intraocular surgery in the 6 months prior to inclusion (after 6 months, the endothelium is considered stabilized)
  • Not having any other progressive pathology responsible for a decrease in visual acuity (significant cataract Lens Opacities Classification System (LOCS) >2 ; progressive retinal pathology, in particular age-related macular degeneration, unstabilized macular edema)

For control group:

  • Patients under guardianship or curatorship
  • with an Fuchs Endothelial Corneal Dystrophy (FECD) certified by slit lamp examination
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
208 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Patients with Fuchs Endothelial Corneal Dystrophy (FECD)

    Patients with Fuchs Endothelial Corneal Dystrophy (FECD). They will have a collection of datas and a blood sample.

    Other: Collection of datas · Biological: blood sample

  • Control group

    Witness will be included in control group. They will have a blood sample and slit lamp examination.

    Biological: blood sample · Other: slit lamp examination

Interventions

  • OtherCollection of datas

    Collection of datas of examination for diagnosis and follow-up of the Fuchs Endothelial Corneal Dystrophy (FECD) including slit lamp results will be performed.

  • Biologicalblood sample

    Blood sample will be performed (genetic analyses).

  • Otherslit lamp examination

    Slit lamp examination will be performed.

06

What researchers measure

Primary outcomes

  1. Visual acuity

    Correlation between visual acuity measured before noon eye by eye of ETDRS scale (international standardized Early Treatment Diabetic Retinopathy Study scale) results and number of CTG triplet repetitions in the intron of the Transcription Factor 4 (TCF4) gene.

    Time frame: Year: 0 and 1

Secondary outcomes

  1. CTG triplet repetitions in the intron of the Transcription Factor 4 (TCF4) gene

    Analysis number of CTG triplet repetitions in the intron of the Transcription Factor 4 (TCF4) gene.

    Time frame: Year: 0 and 1

  2. Mutation rs613872

    Analysis frequency of the mutation rs613872 in the intron of the Transcription Factor 4 (TCF4) gene.

    Time frame: Year: 0 and 1

  3. Other mutation

    Analysis frequency of the other mutation type nucleotide polymorphisms in the intron of the Transcription Factor 4 (TCF4) gene.

    Time frame: Year: 0 and 1

  4. Refraction with the auto-refractor tonometry

    Analysis refraction with the auto-refractor tonometry non-contact air.

    Time frame: Year: 0 and 1

  5. ETDRS scale (Early Treatment Diabetic Retinopathy Study scale) in a controlled glare situation

    Correlation between visual acuity measured before noon eye by eye on the ETDRS scale (Early Treatment Diabetic Retinopathy Study scale) in a controlled glare situation. ETDRS (Early Treatment Diabetic Retinopathy Study) scale will be allowed to measure visual acuity uses an eye chart with 5 letters per line. The scores range from 0 (no letters read correctly) to 100 (all letters read correctly).

    Time frame: Year: 0 and 1

  6. interferometry, tear meniscus height, Non Invasive Break-Up Time (NIBUT) and meibography

    Correlation between interferometry, tear meniscus height, Non Invasive Break-Up Time (NIBUT) and meibography results.

    Time frame: Year: 0 and 1

  7. Corneal thickness in Optical Coherence Tomography (OCT)

    Comparison corneal thickness in Optical Coherence Tomography (OCT).

    Time frame: Year: 0 and 1

  8. Reflectivity results measure by Optical Coherence Tomography (OCT)

    Comparison reflectivity results measure by Optical Coherence Tomography (OCT). Optical Coherence Tomography (OCT) is an imaging technique, which is able to produce, in vivo, cross-sectional images of lesions.

    Time frame: Year: 0 and 1

07

Study locations

1 site
  • Chu Saint-Etienne
    Saint-Étienne, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2019 to primary completion in Nov 2020, 15 months.

How these figures are worked out, and which studies are left out of them.

Registered
May 29, 2019
First posted
Jun 4, 2019
StartActual
Aug 1, 2019
Primary completionActual
Nov 10, 2020
CompletionActual
Dec 14, 2021
Last update
Apr 18, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03974230
Collaborators
Kyoto University, Graduate School of Medicine
Responsible party
Sponsor
First posted
Jun 4, 2019
Start date
Aug 1, 2019
Primary completion
Nov 10, 2020
Completion
Dec 14, 2021
Last update
Apr 18, 2023

Study contacts

Gilles THURET, MD PhD
principal investigator · CHU SAINT-ETIENNE

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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