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Not yet recruitingNCT07265895IRDs-OSRUpdated Dec 5, 2025

Inherited Retinal Diseases: Natural History and Genotype-Phenotype Correlations

An observational study in Retinal Degenerations, Retinitis Pigmentosa (RP) and Stargardt Disease, sponsored by IRCCS San Raffaele. Not yet recruiting at 1 site in Italy. Per ClinicalTrials.gov, last updated 2025-12-05.

Sponsored by IRCCS San Raffaele · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
200
Sex
All
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Study summary

Inherited Retinal Diseases (IRDs) are a heterogeneous group of genetically based degenerative retinal disorders, representing a major cause of visual impairment and blindness in working-age adults. Despite the approval of the first gene therapy for RPE65-related IRD (voretigene neparvovec) in 2017, most IRDs remain untreatable, though many gene therapies are in development. Effective trial design and therapy development require a deep understanding of disease natural history and genotype-phenotype correlations. Over 270 IRD-associated genes are known (e.g., ABCA4, USH2A, RPGR, PRPH2, BEST1), each linked to distinct phenotypes and clinical progression. This retrospective study analyzes clinical, functional, and imaging data (Optical Coherence Tomography, Fundus Autofluorescence, Microperimetry) from a large, genetically characterized IRD cohort at the IRCCS Ospedale San Raffaele up to December 31, 2025. The aims are to describe natural history, define genotype-phenotype relationships, and identify structural and functional outcome measures useful for future clinical trial endpoints, supporting personalized prognosis and trial design.

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Conditions studied

  • Retinal Degenerations
  • Retinitis Pigmentosa (RP)
  • Stargardt Disease
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In context

Retinal Degeneration

99 studies on the registry are indexed under Retinal Degeneration; 21 are open to participants now.

This study's planned enrollment of 200 is above the median of 82 across 28 observational studies indexed under Retinal Degeneration.

Browse Retinal Degeneration studies →

Lead sponsor

IRCCS San Raffaele is the lead sponsor of 443 studies on the registry; 234 are open to participants now.

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

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients affected by IRDs genetically confirmed

Inclusion criteria

  1. Participant completed at least one ophthalmological and retinal imaging examination at our center.
  2. Clinically diagnosed with IRD, as per familiy history, clinical signs or symptoms, retinal imaging findings.
  3. Definitive genetic diagnosis of IRD with adequate molecular test

Exclusion criteria

Exclusion Criteria:

  1. Affected by other retinal or optic nerve conditions potentially affecting analyses (diabetic retinopathy, glaucoma).
  2. History of retinotoxic medications (i.e., hydroxychloroquine, pentosan polysulfate sodium, tamoxifen, ritonavir, didanosine, MEK inhibitors) intake.
  3. Unclear genetic diagnosis.
  4. Incomplete or inadequate ophthalmological and imaging tests.
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
200 participants (estimated)
Patient registry
No

Interventions

  • OtherNo Intervention: Observational Cohort

    no intervention, natural history study

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What researchers measure

Primary outcomes

  1. Best-corrected Visual Acuity

    Measured on measured Early Treatment Diabetic Retinopathy Study (ETDRS) charts and recorded in logMAR units

    Time frame: through study completion, an average of 1 year

  2. Macular threshold sensitivity

    Measured in decibels using fundus- tracked MP (e.g., MAIA device) across a standard grid of 68 central loci under standardized mesopic conditions. Sensitivity deviation from age-matched normative values will also be computed

    Time frame: through study completion, an average of 1 year

  3. Total Macular volume

    Measured in mm3 on OCT scans

    Time frame: through study completion, an average of 1 year

  4. Centra Subfield Thickness

    Measured in micron on OCT scans

    Time frame: through study completion, an average of 1 year

  5. Preserved Ellipsoid zone area

    Measured in mm2 on OCT scans

    Time frame: through study completion, an average of 1 year

  6. Foveal Outer Nuclear Layer thickness

    Measured in microns on OCT scans

    Time frame: through study completion, an average of 1 year

  7. Ellipsoid zone loss area

    Measured in mm2 on OCT scans

    Time frame: through study completion, an average of 1 year

  8. Hyperautofluorescent (Robson- Holder) ring area

    Measured in mm2 on FAF images

    Time frame: through study completion, an average of 1 year

  9. Dereased Autofluorescence area

    Measured in mm2 on Fundus autofluorescence images

    Time frame: through study completion, an average of 1 year

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Study locations

1 site
  • IRCCS Ospedale San Raffaele
    Milan, Italy 20132, Italy
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References and documents

Individual participant data

Plan to share: No — single center study

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 5, 2025, 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
NCT07265895
Lead sponsor
IRCCS San Raffaele
Responsible party
Maurizio Battaglia Parodi (Associate Professor, IRCCS San Raffaele) — Principal investigator
First posted
Dec 5, 2025
Start date
Jan 1, 2026 (estimated)
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Dec 5, 2025

Study contacts

Maurizio Battaglia Parodi, MD
Contact
battagliaparodi.maurizio@hsr.it
00390226433545
Lorenzo Bianco, MD
Contact
bianco.lorenzo@hsr.it
0039 0226433545 ext. MD

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 not yet recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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