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Trial record 1 of 6 for:    ocular albinism
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The Effects of Lutein and Zeaxanthin Supplementation on Vision in Patients With Albinism (LUVIA)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02200263
Recruitment Status : Completed
First Posted : July 25, 2014
Last Update Posted : December 28, 2018
Clark Charitable Foundation Inc.
Information provided by (Responsible Party):
Johns Hopkins University

Brief Summary:
The LUVIA study is a randomized placebo-controlled trial designed to investigate the effects of lutein and zeaxanthin supplementation on macular pigment and visual function in ocular or oculocutaneous albinism. Lutein and zeaxanthin supplementation will be compared to a placebo (no treatment) gel pill over the period of 12 months, with study visits approximately every 3 months for the first year and a final visit 18 months after enrollment.

Condition or disease Intervention/treatment Phase
Ocular Albinism (OA) Oculocutaneous Albinism (OCA) Dietary Supplement: Lutein plus Zeaxanthin Dietary Supplement: Placebo Not Applicable

Detailed Description:

Ocular and oculocutaneous albinism represent a spectrum of disorders with absent or significantly diminished amount of melanin either across different body tissues - skin, hair, eye (Oculocutaneous Albinism 1 and 2), or exclusively in eye tissues only (Ocular Albinism 1) .

The functionality and the clinical findings are diverse (the phenotype), and no direct correlation has been established to the underlying mutations (genotype).

The common ocular phenotype includes iris transillumination, foveal hypoplasia, nystagmus, reduced visual acuity, refractive error, photosensitivity and abnormal development of the visual pathways with characteristic abnormal routing of ganglion cell axons in the chiasma, resulting in abnormal visually evoked potentials. Current treatment options are limited to optical methods and low vision aids.

The mechanism of melanin pigment formation in the RPE cells and its role in the visual pathways and structures development is not completely understood, but a correlation was found between the amount of fundus pigmentation and visual function in albino patients. The absent pigmentation within the retinal pigment epithelium (RPE) may thus contribute to visual performance deficits.

The macular pigment (MP) consists of two main carotenoids, lutein and zeaxanthin, which are concentrated in the macular region of the retina. MP is hypothesized to function via a protective mechanism by absorbing blue light incident on the retina thereby reducing oxidative damage to the underlying photoreceptors. It is also thought to improve visual function via reduction of chromatic aberration and glare. It is currently unclear as to how the variability in macular pigment optical density (MPOD) affects congenital retinal conditions. The MP would, however, be a hypothetical and good candidate to improve visual performance - simply by increasing pigmentation, reducing light scatter and thus glare sensitivity.

As this pigment is not produced in the retina, but is absorbed via diet, it can be manipulated by alteration in diet and supplementation thereby providing potential therapy for retinal diseases. It is however necessary first to see if MPOD levels are measurable in this disorder before dietary advice can be provided after completion of the LUVIA study. Further to this, evaluation of both the structural and functional properties of the retina will provide greater insight into the possible function of MP in this retinal disease including whether supplementation would be of benefit.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 10 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomized Placebo-controlled Trial to Investigate the Effect of Lutein and Zeaxanthin Supplementation on Macular Pigment and Visual Function in Albinism - LUtein for VIsion in Albinism (LUVIA)
Actual Study Start Date : November 2014
Actual Primary Completion Date : April 2018
Actual Study Completion Date : April 2018

Arm Intervention/treatment
Experimental: Lutein plus Zeaxanthin
Participants randomized to this arm will receive 20 mg of Lutein (L) plus 20 mg of Zeaxanthin (Z) per day: Two pills (10 mg L+ 10 mg Z per pill) for the duration of one year.
Dietary Supplement: Lutein plus Zeaxanthin
dose: two softgels once a day with a meal
Other Name: EyePromise® Lutein + Zeaxanthin (ZeaVision, LLC)

Placebo Comparator: Placebo softgels
Participants randomized to this arm will receive two pills per day of placebo-gels corresponding to the active compound in look and feel for the duration of one year
Dietary Supplement: Placebo
two softgels once-daily with a meal
Other Name: placebo softgels

Primary Outcome Measures :
  1. Macular pigment optical density (MPOD) [ Time Frame: 12 months ]
    MPOD will be measured at baseline and follow-up. MPOD will be evaluated psychophysically using the QuantifEye device (ZeaVision), optically using the MPOD module of the Heidelberg Spectralis multicolor imaging device, and by quantitative fundus autofluorescence (FAF) using the Heidelberg Spectralis multicolor imaging device

Secondary Outcome Measures :
  1. Contrast acuity [ Time Frame: 12 months ]
    Contrast acuity will be measured at baseline and follow-up using the Innova electronic visual system and the quick Contrast Sensitivity Function (Adaptive Sensory Technology, LLC)

  2. Visual field, fixation and central retinal sensitivity [ Time Frame: 12 months ]
    Microperimetry testing via the microperimetry (MP) -1 device (Nidek) will be performed at baseline and follow-up

  3. Bioavailability profile of Lutein and Zeaxanthin [ Time Frame: 12 months ]
    Blood samples will be collected at follow-up, and Lutein and Zeaxanthin concentration levels assessed.

  4. Evaluation of the diversity of microstructural central retinal abnormalities [ Time Frame: 12 months ]
    Spectral domain ocular coherence tomography (SD-OCT) macular scan will be performed at baseline and at 12 months

  5. Best Corrected Visual Acuity (BCVA) [ Time Frame: 12 months ]
    BCVA will evaluated using the Early Treatment Diabetic Retinopathy Study (ETDRS) protocol at baseline and follow-up

Information from the National Library of Medicine

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Ages Eligible for Study:   12 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age of 12 years old and older
  • Clinical and/or genetic diagnosis of ocular or oculocutaneous albinism
  • Ocular media allowing acceptable visualization of the retina.
  • Ocular media allowing acceptable quality of the ocular coherence tomography (OCT) and/or fundus autofluorescence (FAF) scans.
  • At least one reliable central macular pigment optical density (MPOD) measurement captured on the enrollment visit in at least one eligible eye
  • Best corrected visual acuity of 20/200 or better in one or both eligible eyes (eyes that confirmed to be eligible by the MPOD testing).

Exclusion Criteria:

  • Persons taking lutein and/or zeaxanthin supplements over the past 6 months
  • Pregnant or planning to become pregnant
  • Evidence of present or past retinal macular condition other than congenital foveal hypoplasia
  • History of gastrointestinal disease that would interfere with absorption of lutein and zeaxanthin
  • Participation in a clinical trial requiring visual testing or administration of a drug (marketed or investigational) within 60 days before entry in the study (the day informed consent is signed)
  • Inability to communicate or cooperate with the investigator due to cognitive impairment or poor general health
  • Any other condition which, in the opinion of the investigators, is likely to interfere with the successful collection of the measures required for the study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02200263

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United States, Maryland
Wilmer Eye Institute
Baltimore, Maryland, United States, 21287-9277
Sponsors and Collaborators
Johns Hopkins University
Clark Charitable Foundation Inc.
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Principal Investigator: Neil Bressler, MD Johns Hopkins University
Study Director: Mary E. Frey Johns Hopkins University

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Responsible Party: Johns Hopkins University Identifier: NCT02200263     History of Changes
Other Study ID Numbers: NA_00088335
First Posted: July 25, 2014    Key Record Dates
Last Update Posted: December 28, 2018
Last Verified: December 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Johns Hopkins University:
ocular albinism (OA)
oculocutaneous albinism (OCA)
macular pigment
visual function

Additional relevant MeSH terms:
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Albinism, Oculocutaneous
Albinism, Ocular
Eye Diseases, Hereditary
Eye Diseases
Genetic Diseases, Inborn
Amino Acid Metabolism, Inborn Errors
Metabolism, Inborn Errors
Skin Diseases, Genetic
Pigmentation Disorders
Skin Diseases
Metabolic Diseases