British doctors have conducted the first clinical trial of a revolutionary
gene therapy treatment for blindness.
Researchers at
University
College London developed the procedure to help adults and children with a
condition called
Leber's
congenital amaurosis (LCA), an inherited retinal degeneration for which
there is no effective treatment.
The team from UCL's Institute of Ophthalmology and
Moorfields
Eye Hospital was led by Professor Robin Ali and includes leading eye surgeon
James Bainbridge and leading retinal specialist Professor Tony Moore.
LCA causes progressive deterioration in vision owing to an abnormality in a
particular gene called RPE65.
The technique used in the trial involves inserting healthy copies of the gene
into the cells of the retina to help them to function normally. It is hoped that
restoring the activity in these cells will restore vision.
"We have been developing gene therapy for eye disease for almost 15 years but
until now we have been evaluating the technology only in the laboratory," said
Professor Ali.
"Testing it for the first time in patients is very important and exciting,
and represents a huge step towards establishing gene therapy for the treatment
of many different eye conditions."
Although the initial procedure has been very successful it will be several
months until the team can determine the impact of the treatment.
"Some indications of the results of the trial may be available within several
months, but the subjects will need to be followed-up to assess the long-term
effect of the treatment," said Professor Moore.
"It will be many months before we have the full picture. We anticipate the
best outcome in younger patients, as we will be treating the disease in the
early stages of development."
Professor Ali added that the results from this first human trial are likely
to provide an important basis for many more gene therapy protocols in the
future.
However, scientists will still have a lot of work ahead of them as there are
many forms of retinal degeneration, meaning that the use of gene therapy must be
individually developed and tested in a separate clinical trial specifically for
that disease.
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