Advancing Clinical Trials for Inherited Retinal Diseases: Recommendations from the Second Monaciano Symposium.

Journal Article (Journal Article;Review)

Major advances in the study of inherited retinal diseases (IRDs) have placed efforts to develop treatments for these blinding conditions at the forefront of the emerging field of precision medicine. As a result, the growth of clinical trials for IRDs has increased rapidly over the past decade and is expected to further accelerate as more therapeutic possibilities emerge and qualified participants are identified. Although guided by established principles, these specialized trials, requiring analysis of novel outcome measures and endpoints in small patient populations, present multiple challenges relative to study design and ethical considerations. This position paper reviews recent accomplishments and existing challenges in clinical trials for IRDs and presents a set of recommendations aimed at rapidly advancing future progress. The goal is to stimulate discussions among researchers, funding agencies, industry, and policy makers that will further the design, conduct, and analysis of clinical trials needed to accelerate the approval of effective treatments for IRDs, while promoting advocacy and ensuring patient safety.

Full Text

Duke Authors

Cited Authors

  • Thompson, DA; Iannaccone, A; Ali, RR; Arshavsky, VY; Audo, I; Bainbridge, JWB; Besirli, CG; Birch, DG; Branham, KE; Cideciyan, AV; Daiger, SP; Dalkara, D; Duncan, JL; Fahim, AT; Flannery, JG; Gattegna, R; Heckenlively, JR; Heon, E; Jayasundera, KT; Khan, NW; Klassen, H; Leroy, BP; Molday, RS; Musch, DC; Pennesi, ME; Petersen-Jones, SM; Pierce, EA; Rao, RC; Reh, TA; Sahel, JA; Sharon, D; Sieving, PA; Strettoi, E; Yang, P; Zacks, DN; Monaciano Consortium,

Published Date

  • June 2020

Published In

Volume / Issue

  • 9 / 7

Start / End Page

  • 2 -

PubMed ID

  • 32832209

Pubmed Central ID

  • PMC7414644

International Standard Serial Number (ISSN)

  • 2164-2591

Digital Object Identifier (DOI)

  • 10.1167/tvst.9.7.2


  • eng

Conference Location

  • United States