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Gene therapies in pediatric ophthalmology
Alejandra Daruich1,2, Matthieu P Robert1,3, Dominique Bremond-Gignac1,2
1Ophthalmology Department, Necker-Enfants Malades University Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University, Paris, France.
Insights
Voretigene neparvovec, the first gene therapy for inherited retinal dystrophy (IRD), shows promise in children. Ongoing research explores further gene therapy applications in pediatric ophthalmology for vision impairment.
Area of Science:
- Ophthalmology
- Genetics
- Medical Research
Background:
- Genetic pediatric eye diseases cause significant vision loss.
- Voretigene neparvovec is the first approved gene therapy for inherited retinal dystrophy (IRD).
- Early childhood administration of voretigene neparvovec demonstrates safety and efficacy.
Purpose of the Study:
- To review recent advancements in gene therapy for pediatric inherited retinal dystrophies.
- To discuss ongoing studies and unanswered questions regarding gene therapy in young children.
- To explore various gene therapy approaches in pediatric ophthalmology.
Main Methods:
- Literature review of recent reports.
- Analysis of ongoing clinical studies.
- Synthesis of current knowledge on gene therapy for pediatric eye diseases.
Main Results:
- Voretigene neparvovec is a safe and well-tolerated treatment for IRD.
- Early intervention with gene therapy in children yields encouraging efficacy.
- Several promising gene therapy approaches are under investigation.
Conclusions:
- Gene therapy offers a new frontier in treating pediatric genetic eye diseases.
- Further research is needed to address specific questions related to early childhood gene therapy.
- The field of gene therapy in pediatric ophthalmology is rapidly evolving.
Abstract:
Genetic pediatric eye disease frequently leads to severe vision impairment or blindness. Voretigene neparvovec is the first approved gene therapy for an inherited retinal dystrophy (IRD). Voretigene neparvovec has been shown to be well tolerated and safe, with encouraging results in terms of efficacy, mainly when administered early in childhood. While we assisted at the first gene therapy available in clinical practice for an IRD, some questions remain unanswered, especially when gene therapy is delivered in young children. We review here the most recent reports and promising ongoing studies concerning various approaches on gene therapy in pediatric ophthalmology.
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