ClinicalTrials.gg
RecruitingNCT07278843MYO7AUpdated Feb 10, 2026

Natural History of Photoreceptor Degeneration in USH1B: Clinical Parameters and Validation of Functional Vision Tests in MYO7A

An observational study in Usher Syndrome, sponsored by Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts. Recruiting at 1 site in France. Open to participants aged 3 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-02-10.

Sponsored by Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts · Observational

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
60
Ages
3 Years to 75 Years
Sex
All
01

Study summary

Inherited retinal diseases (IRDs) are a group of degenerative disorders that cause progressive vision loss. Retinitis pigmentosa (RP) is the most common form, with a global prevalence of approximately 1 in 4,500. About 20-30% of these cases are syndromic, most notably Usher syndrome (USH), which combines hearing loss with visual impairment. Usher syndrome type 1 (USH1), the most severe form, presents at birth with profound sensorineural hearing loss, vestibular areflexia, and early-onset retinal degeneration. Biallelic mutations in the MYO7A gene, which define the USH1B subtype, account for 70% of USH1 cases. There is currently no treatment available for this serious condition. The objective of the study is to characterize the natural history of retinal degeneration in USH1B patients and to validate functional vision tests using virtual reality and patient-reported outcome questionnaires.

Read the detailed description

Inherited retinal diseases (IRDs) are a heterogeneous group of disorders that gradually lead to severe visual impairment, with limited therapeutic options available. Rod dystrophy, also known as retinitis pigmentosa (RP), is the most common form of IRD, with an estimated global prevalence of 1 in 4,500. Approximately 20% to 30% of rod-cone dystrophy cases are syndromic, with Usher syndrome (USH) being the most frequent. USH has an estimated prevalence of 1 to 4 per 25,000 individuals and accounts for 50% of all cases of deafblindness and 3% to 6% of all cases of childhood deafness.

Usher syndrome type 1 (USH1) is the most severe form of the disease. It typically presents with congenital severe-to-profound sensorineural hearing loss, vestibular areflexia, and early-onset rod-cone dystrophy, usually within the first decade of life. Mutations in nine different genes have been associated with USH1, among which biallelic mutations in the MYO7A gene account for approximately 70% of cases. This specific subtype is referred to as USH1B.

There is currently no approved treatment for USH1B, representing a significant unmet medical need for this severe condition.

Objectives:

  1. To study the natural history of retinal degeneration in a large USH1B patient cohort.
  2. To validate functional vision tests based on virtual reality, along with two patient-reported outcome questionnaires.
02

Conditions studied

  • Usher Syndrome

Keywords

  • Retina
  • Genetic mutation
  • Inherited disease
  • Retinis pigmentosa
  • Usher syndrome
03

In context

Usher Syndromes

33 studies on the registry are indexed under Usher Syndromes; 13 are open to participants now.

This study's planned enrollment of 60 is below the median of 165 across 14 observational studies indexed under Usher Syndromes.

Browse Usher Syndromes studies →

Lead sponsor

Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts is the lead sponsor of 28 studies on the registry; 16 are open to participants now.

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

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Who can participate

Ages eligible
3 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with Usher syndrome (USB1B)

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

  • Be at least 3 years old;
  • Have a clinical diagnosis of USH1 in both eyes, meaning subjects with congenital profound deafness, vestibular dysfunction, and rod dystrophy, carrying biallelic class 4 or 5 variants in the MYO7A gene;
  • Be affiliated with or beneficiary of a social security system (according to article L1121-8-1 of the French Public Health Code);

For participants in the MOST-VR mobility test and VR-ViSA visual search test (Streetlab), additional criteria apply:

  • Sufficient knowledge of spoken and signed French to ensure understanding of tasks and instructions;
  • Have a cochlear implant allowing comprehension of auditory instructions for the virtual reality mobility test and a score ≥ 20/25;
  • Age between 18 and 75 years.

Exclusion criteria

Exclusion Criteria:

  • Unable to participate in all study visits;
  • Expected to enter an experimental treatment trial at any time during this study;
  • Presence of ocular conditions that may affect eye status other than retinitis pigmentosa (e.g., history of retinal detachment, glaucoma, vein occlusion, diabetic retinopathy, etc.);
  • Participation in the previous gene replacement trial (USHSTAT, NCT01505062);
  • Pregnant, delivering, or breastfeeding women (according to article L1121-5 of the French Public Health Code);
  • Persons deprived of liberty by judicial or administrative decision (article L1121-6 of the French Public Health Code);
  • Adults under legal protection measures or unable to provide consent (article L1121-8 of the French Public Health Code).

For participants in the MOST-VR mobility and VR-ViSA visual search tests, the following non-inclusion criteria apply:

  • score without visual items ≤ 20/25;
  • Physical or cognitive impairment that could interfere with mobility;
  • Medication that may cause motor, visual, or cognitive disorders (e.g., APS, neuroleptics) or interfere with study assessments.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
60 participants (estimated)
Target follow-up
48 Months
Patient registry
Yes

Groups and cohorts

  • Pediatric Cohort 1

    3-5 years old

    Diagnostic Test: Vision tests · Diagnostic Test: Retinal imaging

  • Pediatric Cohort 2

    6-13 years old

    Diagnostic Test: Vision tests · Diagnostic Test: Retinal imaging

  • Adult Cohort

    14-75 years old

    Diagnostic Test: Vision tests · Diagnostic Test: Retinal imaging · Diagnostic Test: Questionnaires · Diagnostic Test: Streetlab performance tests

Interventions

  • Diagnostic testVision tests

    Standardized assessments of visual function including best corrected visual acuity (BCVA), low vision acuity (BRVT), low luminance visual acuity (LLVA), color and contrast sensitivity tests, visual field measurements, and electroretinography (ERG) to evaluate retinal function.

  • Diagnostic testRetinal imaging

    Advanced imaging techniques such as optical coherence tomography (OCT), fundus autofluorescence (FAF), and OCT angiography (OCT-A) are used to visualize retinal structure and detect abnormalities.

  • Diagnostic testQuestionnaires

    Patient-reported outcome measures including the Michigan Vision-Related Anxiety Questionnaire (MAVQ) and the Michigan Retinal Degeneration Questionnaire (MRDQ) assess the psychological and quality-of-life impacts of retinal degeneration.

  • Diagnostic testStreetlab performance tests

    Virtual reality-based functional tests evaluating mobility (MOST-VR) and visual search performance (VR-ViSA) to assess real-world vision-related abilities.

06

What researchers measure

Primary outcomes

  1. Best Corrected Visual Acuity (BCVA)

    Change in visual acuity measured using the ETDRS scale over the course of the study.

    Time frame: The BCVA is assessed at Day 0 = initial visit, at Month 12, at Month 24, at Month 36 and Month 48 = end of the study. This assessment is taking 15 minutes.

  2. Electroretinography (ERG)

    Evaluation of photoreceptor function decline assessed by electroretinography (ERG).

    Time frame: The Retinal Degeneration Progression is assessed at Day 0 = initial visit, at Month 12, at Month 24, at Month 36 and Month 48 = end of the study. The ERG is taking 60 minutes.

  3. Full-field stimulus testing (FST)

    Evaluation of photoreceptor function decline assessed by full-field stimulus testing (FST).

    Time frame: The Retinal Degeneration Progression is assessed at Day 0 = initial visit, at Month 12, at Month 24, at Month 36 and Month 48 = end of the study. The FST is taking 90 minutes.

Secondary outcomes

  1. Retinal Structure

    Changes in retinal morphology assessed by spectral-domain OCT (SD-OCT).

    Time frame: The Retinal structure measurement is assessed at Day 0 = initial visit, at Month 12, at Month 24, at Month 36 and Month 48 = end of the study. The SD-OCT is taking 25 minutes.

  2. Fundus autofluorescence (FAF)

    Changes in retinal morphology assessed by fundus autofluorescence (FAF).

    Time frame: The Retinal structure measurement is assessed at Day 0 = initial visit, at Month 12, at Month 24, at Month 36 and Month 48 = end of the study. The FAF is taking 15 minutes.

  3. OCT angiography (OCT-A)

    Changes in retinal morphology assessed by OCT angiography (OCT-A).

    Time frame: The Retinal structure measurement is assessed at Day 0 = initial visit, at Month 12, at Month 24, at Month 36 and Month 48 = end of the study. The OCT-A is taking 25 minutes.

  4. Michigan Vision-Related Anxiety Questionnaire (MAVQ)

    Changes in vision-related anxiety and quality of life using the Michigan Vision-Related Anxiety Questionnaire (MAVQ).

    Time frame: The Patient-reported outcomes is assessed at Day 0 = initial visit, at Month 12, at Month 24, at Month 36 and Month 48 = end of the study. The MAVQ is taking 30 minutes.

  5. Michigan Retinal Degeneration Questionnaire (MRDQ)

    Changes in vision-related anxiety and quality of life using the Michigan Retinal Degeneration Questionnaire (MRDQ).

    Time frame: The Patient-reported outcomes is assessed at Day 0 = initial visit, at Month 12, at Month 24, at Month 36 and Month 48 = end of the study. The MRDQ is taking 30 minutes.

  6. MOST-VR (MObility Standardized Test in Virtual Reality)

    Mobility search performance measured by Streetlab tests (MOST-VR).

    Time frame: The Functional Perfomance is assessed at Day 0 = initial visit, during Day 1 to Day 30 for reproductibility visits and at M24 (24 months). The MOST-VR is taking 75 minutes.

  7. VR-ViSA (Visual Search Assessment in Virtual Reality)

    Visual search performance measured by Streetlab test (VR-ViSA).

    Time frame: The Functional Perfomance is assessed at Day 0 = initial visit, during Day 1 to Day 30 for reproductibility visits and at Month 24. The VR-ViSA is taking 75 minutes.

07

Study locations

1 of 1 sites recruiting
  • Centre National d'Ophtalmologie des Quinze-Vingts
    Paris, Île-de-France Region 75012, France
    Recruiting
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07278843
Lead sponsor
Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts
Responsible party
Sponsor
First posted
Dec 12, 2025
Start date
Oct 13, 2025
Primary completion
Sep 2032 (estimated)
Completion
Sep 2032 (estimated)
Last update
Feb 10, 2026

Study contacts

Isabelle AUDO, Pr
Contact
isabelle.audo@inserm.fr
+330140021430
Thilissa DIB
Contact
tdib@15-20.fr
+33014021455
Isabelle Audo, Pr
principal investigator · Centre National d'Ophtalmologie des Quinze-Vingts

Oversight

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

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