Therapeutic benefit of idebenone in patients with Leber hereditary optic neuropathy : The LEROS nonrandomized controlled trial

Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved..

Leber hereditary optic neuropathy (LHON) is a mitochondrial disease leading to rapid and severe bilateral vision loss. Idebenone has been shown to be effective in stabilizing and restoring vision in patients treated within 1 year of onset of vision loss. The open-label, international, multicenter, natural history-controlled LEROS study (ClinicalTrials.gov NCT02774005) assesses the efficacy and safety of idebenone treatment (900 mg/day) in patients with LHON up to 5 years after symptom onset (N = 199) and over a treatment period of 24 months, compared to an external natural history control cohort (N = 372), matched by time since symptom onset. LEROS meets its primary endpoint and confirms the long-term efficacy of idebenone in the subacute/dynamic and chronic phases; the treatment effect varies depending on disease phase and the causative mtDNA mutation. The findings of the LEROS study will help guide the clinical management of patients with LHON.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:5

Enthalten in:

Cell reports. Medicine - 5(2024), 3 vom: 19. März, Seite 101437

Sprache:

Englisch

Beteiligte Personen:

Yu-Wai-Man, Patrick [VerfasserIn]
Carelli, Valerio [VerfasserIn]
Newman, Nancy J [VerfasserIn]
Silva, Magda Joana [VerfasserIn]
Linden, Aki [VerfasserIn]
Van Stavern, Gregory [VerfasserIn]
Szaflik, Jacek P [VerfasserIn]
Banik, Rudrani [VerfasserIn]
Lubiński, Wojciech [VerfasserIn]
Pemp, Berthold [VerfasserIn]
Liao, Yaping Joyce [VerfasserIn]
Subramanian, Prem S [VerfasserIn]
Misiuk-Hojło, Marta [VerfasserIn]
Newman, Steven [VerfasserIn]
Castillo, Lorena [VerfasserIn]
Kocięcki, Jarosław [VerfasserIn]
Levin, Marc H [VerfasserIn]
Muñoz-Negrete, Francisco Jose [VerfasserIn]
Yagan, Ali [VerfasserIn]
Cherninkova, Sylvia [VerfasserIn]
Katz, David [VerfasserIn]
Meunier, Audrey [VerfasserIn]
Votruba, Marcela [VerfasserIn]
Korwin, Magdalena [VerfasserIn]
Dziedziak, Jacek [VerfasserIn]
Jurkutė, Neringa [VerfasserIn]
Harvey, Joshua P [VerfasserIn]
La Morgia, Chiara [VerfasserIn]
Priglinger, Claudia [VerfasserIn]
Llòria, Xavier [VerfasserIn]
Tomasso, Livia [VerfasserIn]
Klopstock, Thomas [VerfasserIn]
LEROS Study Group [VerfasserIn]

Links:

Volltext

Themen:

1339-63-5
Antioxidants
Controlled Clinical Trial
HB6PN45W4J
Idebenone
Journal Article
LHON
Leber hereditary optic neuropathy
Mitochondrial disease
MtDNA
Multicenter Study
Neuro-ophthalmology
Optic atrophy
Optic neuropathy
Retinal ganglion cells
Ubiquinone

Anmerkungen:

Date Completed 22.03.2024

Date Revised 03.04.2024

published: Print-Electronic

ClinicalTrials.gov: NCT02774005

Citation Status MEDLINE

doi:

10.1016/j.xcrm.2024.101437

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369183142