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The Role of the Gut Metagenome on the Development of Age Related Macular Degeneration (AMD)

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.
 
ClinicalTrials.gov Identifier: NCT02438111
Recruitment Status : Active, not recruiting
First Posted : May 8, 2015
Last Update Posted : December 1, 2022
Sponsor:
Information provided by (Responsible Party):
University Hospital Inselspital, Berne

Tracking Information
First Submitted Date April 28, 2015
First Posted Date May 8, 2015
Last Update Posted Date December 1, 2022
Study Start Date December 2013
Estimated Primary Completion Date December 31, 2022   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: May 5, 2015)
taxonomic and functional characterization of gut microbiota [ Time Frame: 3 years ]
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: May 5, 2015)
  • Gut-microbiota-based AMD classification [ Time Frame: 3 years ]
  • AMD-associated gut microbial markers [ Time Frame: 3 years ]
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title The Role of the Gut Metagenome on the Development of Age Related Macular Degeneration (AMD)
Official Title The Role of the Gut Metagenome on the Development of Age Related Macular Degeneration (AMD)
Brief Summary The primary objective of this study is to assess whether compositional and functional alterations of the gut metagenome may be related to AMD. The primary variable for this assessment is the composition of the gut metagenome which will be analyzed by shotgun sequencing to characterize the faecal metagenome. The secondary endpoint is to assess whether single nucleotide polymorphisms in CFH, ARMS2, C3, PLEKHA1, HTRA-1, VEGF-A, VEGF-B, VEGFR and APOE genes which have been shown to be risk factors for the development of AMD and other macular diseases correlate with alterations in the gut metagenome .
Detailed Description Age-related macular degeneration (AMD) is the most frequent cause of blindness in the elderly. Despite major research efforts in the last decades the etiology of AMD remains largely undefined and therefore treatment options are only very limited. However, there is evidence that nutrition and inflammation play a role in the pathogenesis of AMD . The latter is also corroborated by the finding that single nucleotide polymorphism in the gene encoding complement factor H is associated with AMD . In addition to CHF other genes such as ARMS2, C3, PLEKHA1, HTRA-1, VEGF-A, VEGF-B, VEGFR and APOE have been associated with development of AMD. Recent findings have implicated the gut microbiota as a contributor of metabolic diseases through the modulation of host metabolism and inflammation . Gut bacteria use mostly fermentation to generate energy, converting sugars, in part, to short-chain fatty acid, that are used by the host as energy source. Beyond short-chain fatty acids gut bacteria can provide some amino acids and contribute certain vitamins such as biotin to the host . The investigators propose to investigate whether compositional and functional alterations of the gut microbiota are a risk factor for developing AMD.
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Retention:   Samples With DNA
Description:
blood serum/ stool
Sampling Method Probability Sample
Study Population Patients with age related macular degeneration (AMD)
Condition Age Related Macular Degeneration
Intervention Genetic: metagenome
metagenome
Study Groups/Cohorts
  • age related macular degeneration
    metagenome AMD
    Intervention: Genetic: metagenome
  • controls
    metagenome controls
    Intervention: Genetic: metagenome
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Active, not recruiting
Estimated Enrollment
 (submitted: November 28, 2022)
1200
Original Estimated Enrollment
 (submitted: May 5, 2015)
200
Estimated Study Completion Date December 2023
Estimated Primary Completion Date December 31, 2022   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion criteria:

  • Subject must be willing to give written informed consent and willing to provide blood and stool probes
  • Patients with clinically confirmed AMD 18 years of age or greater
  • Probands with no signs of AMD 18 years of age or greater

Exclusion criteria:

  • Smoking
  • Chronic inflammatory disease (autoimmune diseases such as rheumatoid arthritis, lupus erythematodes, chronic inflammatory bowel disease)
  • Diabetes as defined by The World Health Organization (WHO) criteria
  • Treated hyperlipidemia
  • Obesity with a body mass index (BMI) greater than or equal to 30
  • Recent (3 month) history of use of systemic antibiotics
  • Opacities of ocular media excluding detailed observation of the retina
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers Yes
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries Switzerland
Removed Location Countries  
 
Administrative Information
NCT Number NCT02438111
Other Study ID Numbers KEK BE 205/13, PB_2016-01922
Has Data Monitoring Committee No
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement Not Provided
Current Responsible Party University Hospital Inselspital, Berne
Original Responsible Party Same as current
Current Study Sponsor University Hospital Inselspital, Berne
Original Study Sponsor Same as current
Collaborators Not Provided
Investigators
Study Chair: Martin Zinkernagel, M.D, PhD Department of Ophthalmology, University Hospital Bern, Switzerland
Principal Investigator: Martin S Zinkernagel, MD, PhD Department of Ophthalmology, University Hospital Bern, Switzerland
Study Director: Martin Fiedler, MD University Hospital Bern, Switzerland
PRS Account University Hospital Inselspital, Berne
Verification Date November 2022