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RecruitingNCT05742321F3S2Updated May 6, 2026

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

An observational study in Corneal Dystrophies, sponsored by Centre Hospitalier Universitaire de Saint Etienne. Recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-06.

Sponsored by Centre Hospitalier Universitaire de Saint Etienne · Observational

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as recruiting.
  • Started Aug 2024; still recruiting 2 years 3 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
500
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. There is a significant heterogeneity in the clinical forms and the investigators have just highlighted a great diversity of histological forms that seem to define distinct groups.

Read the detailed description

The most frequent genetic abnormalities have been published since 10 years and can now be easily searched. This study is going to analyze the relationships between clinical, histological and genetic forms in a large population to better understand how histological abnormalities are formed.

02

Conditions studied

  • Corneal Dystrophies

Keywords

  • Corneal Dystrophies
  • Corneal Endothelial Dystrophy
  • Fuchs' Corneal Endothelial Dystrophy, FECD
03

In context

Corneal Dystrophies, Hereditary

31 studies on the registry are indexed under Corneal Dystrophies, Hereditary; 9 are open to participants now.

This study's planned enrollment of 500 is above the median of 373 across 12 observational studies indexed under Corneal Dystrophies, Hereditary.

Browse Corneal Dystrophies, Hereditary 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.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patient with FECD as evidenced by slit lamp examination and scheduled for endothelial transplantation within one quarter of inclusion;

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

  • affiliated with or entitled to a social security scheme
  • Consent form to participate in the study signed
  • with an FECD certified by slit lamp examination
  • requiring an endothelial keratoplasty

Exclusion criteria

Exclusion Criteria:

- Patients under guardianship or curators

05

Study design

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

Groups and cohorts

  • Patients with FECD

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

    Genetic: Genotyping · Diagnostic Test: Histology · Other: Collection of data

Interventions

  • GeneticGenotyping

    Genotyping will measure the triple nucleotide repeat in the TCF4 gene and search for other known mutations in other genes Blood sample will be performed (genetic analyses).

  • Diagnostic testHistology

    Histology will be performed on flat mounted Descemet membrane obtained after Descemetorhexis

  • OtherCollection of data

    Collection of data of examination for diagnosis of the Fuchs Endothelial Corneal Dystrophy (FECD) including slit lamp results will be performed.

06

What researchers measure

Primary outcomes

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

    Polymerase Chain Reaction (PCR) will be performed from DNA (blood sample)

    Time frame: At inclusion

Secondary outcomes

  1. Refraction with the auto-refractor tonometry

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

    Time frame: At inclusion

  2. ETDRS scale (international standardized Early Treatment Diabetic Retinopathy Study scale)

    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: At inclusion

  3. Corneal thickness in Optical Coherence Tomography (OCT)

    Corneal thickness measured by OCT in micrometers

    Time frame: At inclusion

  4. Diameter of the dilated pupil (mm)

    Measured by contact or non-contact biometry

    Time frame: At inclusion

  5. Thickness of the lens (mm)

    Measured by contact or non-contact biometry

    Time frame: At inclusion

  6. Depth of the anterior chamber (mm)

    Measured by contact or non-contact biometry

    Time frame: At inclusion

  7. Endothelial cell density measurement (cells/mm2)

    Endothelial cell density (cells/mm2) in the center and in the 4 standardized cardinal positions high low nasal temporal.

    Time frame: Immediately after surgery of corneal transplantation"

  8. Crystalline analysis

    Crystalline : clear lens, cataract, intraocular implant, aphakic

    Time frame: Immediately after surgery of corneal transplantation"

  9. Family cases of Fuchs' Corneal Endothelial Dystrophy

    Family cases: absent/probable/advanced

    Time frame: At inclusion

  10. Frequency of the mutation rs613872 in the intron of the Transcription Factor 4 (TCF4) gene.

    PCR reactions will be performed from DNA (blood sample)

    Time frame: At inclusion

07

Study locations

1 of 1 sites recruiting
  • CHU Saint-Etienne
    Saint-Etienne, 42055, France
    Recruiting
    • Gilles THURET, MD PhD · Principal investigator
    • Marie-Caroline TRONE, MD · Sub investigator
    • Philippe GAIN, MD PhD · Sub investigator
    • Emera CHHUY, MD · Sub investigator
    • Lise LANFANT, MD · Sub investigator
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

Started Aug 2024 (actual). Primary completion is estimated for Jun 2026, 21 months after the start.

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

Registered
Feb 13, 2023
First posted
Feb 23, 2023
StartActual
Aug 8, 2024
Primary completionEst.
Jun 1, 2026
CompletionEst.
Sep 1, 2026
Last update
May 6, 2026
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 May 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05742321
Collaborators
Kyoto University, Graduate School of Medicine
Responsible party
Sponsor
First posted
Feb 23, 2023
Start date
Aug 8, 2024
Primary completion
Jun 1, 2026 (estimated)
Completion
Sep 1, 2026 (estimated)
Last update
May 6, 2026

Study contacts

GILLES THURET, MD-PhD
Contact
gilles.thuret@univ-st-etienne.fr
(0)477127793 ext. +33
PHILIPPE GAIN, MD-PhD
Contact
philippe.gain@chu-st-etienne.fr
0477127793 ext. +33
GILLES THURET, MD-PhD
principal investigator · CHU DE SAINT-ETIENNE

Oversight

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

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