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Survival of Monocytes Collected From Patients With Atrophic AMD in Retinal Pigmented Epithelium Explants

Study acronym: SURViVOR
StatusRecruiting
PhaseNot applicable
Started2022-06-01
View on ClinicalTrials.gov ↗
Trial flagged as At Risk
Primary completion moved at least 24 months later Dec 2, 2025 → Dec 2, 2027
See other at-risk trials from Hospices Civils de Lyon

Amendment history

2026-09-04
critical
Study Status v4
Primary completion pushed: 2025-12-02 → 2027-12-02
Completion pushed: 2025-12-02 → 2027-12-02
2025-03-05
minor
Study Status, Contacts/Locations v3
Primary completion date2024-12-02→2025-12-02
Completion date2024-12-02→2025-12-02
Study sites1→2
2024-02-27
minor
Study Status v2
Primary completion date2023-06-01→2024-12-02
Completion date2023-06-01→2024-12-02
2022-06-09
minor
Study Status v1
Primary completion date2021-03-16→2023-06-01
Completion date2021-03-16→2023-06-01
Start date2020-03-16→2022-06-01
2021-01-04
minor
Original filing
Age-related macular degeneration (AMD) affects 2 million people in France and is the main cause of irreversible blindness in France. All patients initially have an early form of the disease. This early form can evolve in two different ways: the atrophic form, which progresses slowly, and the exudative or neovascular form, which has a more rapid evolution. While there are treatments for the exudative form of the disease, there is currently no therapy for the atrophic form of AMD. Recently, it has been demonstrated in atrophic AMD that there is accumulation of inflammatory cells, monocytes, in the sub-retinal space. This space is located between the retinal pigment epithelium (RPE) and photoreceptors. It is physiologically devoid of immune cells (immune privilege). Monocytes secrete many pro-inflammatory molecules, such as cytokines. Some cytokines (IL-1, IL6 and TNF) have a deleterious role on RPE and photoreceptors in mouse models. The identification of specific cytokines would help to better understand this disease and consider potential targeted therapies. Our project is based on the hypothesis that monocytes extracted from patients with AMD have a superior survival on RPE compared to monocytes extracted from healthy patients (without retinal pathology), and more particularly in atrophic forms of AMD. The main aim of this study is to compare the survival of monocytes extracted from patients with atrophic AMD to monocytes extracted from patients without retinal pathology (control) on retinal pigment epithelial cell lines (ARPE-19). Survival will be evaluated by automated counting of monocytes after 24 hours of culture on ARPE-19 after specific immunostaining of monocytes. If the survival of monocytes from patients with the late form of AMD is increased then therapy directly targeting this pathological accumulation of monocytes could be considered. Moreover, the identification of increased secretion of certain cytokines and the demonstration of their deleterious effect on retinal physiology could lead to targeted therapies against them.
Trial Details
NCT Number NCT04697095
Lead Sponsor Hospices Civils de Lyon
Conditions Age Related Macular Degeneration
Enrollment 80 participants
Start Date 2022-06-01
Primary Completion 2027-12-02 (estimated)
Study Completion 2027-12-02 (estimated)
Updated on ClinicalTrials.gov 2026-09-08