%0 Journal Article %A Carelli, Valerio %A Newman, Nancy J. %A Yu-Wai-Man, Patrick %A Biousse, Valerie %A Moster, Mark L. %A Subramanian, Prem S. %A Vignal-Clermont, Catherine %A Wang, An-Guor %A Donahue, Sean P. %A Leroy, Bart P. %A Sergott, Robert C. %A Klopstock, Thomas %A Sadun, Alfredo A. %A Rebolleda Fernández, Gema %A Chwalisz, Bart K. %A Banik, Rudrani %A Girmens, Jean François %A La Morgia, Chiara %A DeBusk, Adam A. %A Jurkute, Neringa %A Priglinger, Claudia %A Karanjia, Rustum %A Josse, Constant %A Salzmann, Julie %A Montestruc, François %A Roux, Michel %A Taiel, Magali %A Sahel, José-Alain %A Carelli, Valerio %A Barboni, Piero %A Carbonelli, Michele %A Di Vito, Lidia %A Amore, Giulia %A Contin, Manuela %A Mohamed, Susan %A La Morgia, Chiara %A Silvestri, Sara %A D’Agati, Pietro %A Newman, Nancy J %A Biousse, Valérie %A Hubbard, George Baker %A O’Keefe, Ghazala %A Hendrick, Andrew M. %A Dattilo, Michael %A Peragallo, Jason H. %A Hawy, Eman %A DuBois, Lindreth %A Gibbs, Deborah %A Filho, Alcides Fernandes %A Dobbs, Jannah %A Yu-Wai-Man, Patrick %A Acheson, James %A Boston, Hayley %A Eleftheriadou, Maria %A Esposti, Simona %A Gemenetzi, Maria %A Leitch-Devlin, Lauren %A Tucker, William R. %A Jurkute, Neringa %A Burale, Asma %A Anand, Shweta %A Memon, Muhammad A. %A Hussain, Rima %A Jorany, Rasha %A Sheel, Priyansha %A Moster, Mark L. %A Sergott, Robert C. %A SantaMaria, Melissa %A Tollis, Heather %A DeBusk, Adam A %A Haller, Julia A. %A Massini, Maria %A Subramanian, Prem S. %A Pecen, Paula %A Mathias, Marc %A Preston, Mary %A Cho, Steve %A Sahel, José A. %A Vignal-Clermont, Catherine %A Girmens, Jean François %A Hage, Rabih %A Plaine, Lise %A Khemliche, Wahiba %A Wang, An-Guor %A Cheng, Hui-Chen %A Chen, Celia %A Hwang, Jeong-Min %A Sun, Chuanbin %A Donahue, Sean %A Patel, Shriji %A Gangaputra, Sapna %A Barrett, Megan %A Ruark, Scott %A Wilkins, Saige %A Leroy, Bart P. %A De Zaeytijd, Julie %A Van Cauwenbergh, Caroline %A Verhauwen, Hilde %A Klopstock, Thomas %A Catarino, Claudia B. %A Priglinger, Claudia %A Priglinger, Siegfried %A Rudolph, Günther %A von Livonius Bettina, Stephan Thurau %A Muth, Daniel %A Wolf, Armin %A Al-Tamami, Jasmina %A Pressler, Angelika %A Schertler, Cosima %A Hildebrandt, Martin %A Neuenhahn, Michael %A Sadun, Alfredo A. %A Heilweil, Gad %A Karanjia, Rustum %A Tsui, Irena %A Rebolleda Fernández, Gema %A Urquijo, Laia Jaumendreu %A Negrete Muñoz, Francisco J. %A Fortin, Elizabeth %A Chwalisz, Bart K. %A Cestari, Dean %A Banik, Rudrani %A Tai, Katy %A Castillo, Lorena %A Garcia, Virginia %A Bandello, Antonio Morilla Francesco %A Barboni, Piero %A Cascavilla, Maria Lucia %A Battista, Marco %A Calcagno, Francesca %A Pina, Adelaide %A Leruez, Stéphanie %A Forooza, Rod %T Indirect Comparison of Lenadogene Nolparvovec Gene Therapy Versus Natural History in Patients with Leber Hereditary Optic Neuropathy Carrying the m.11778G</td><td width="150"> %T gt;A MT-ND4 Mutation %J Ophthalmology and therapy %V 12 %N 1 %@ 2193-6528 %C Heidelberg %I SpringerOpen %M DZNE-2023-00777 %P 401 - 429 %D 2023 %X Lenadogene nolparvovec is a promising novel gene therapy for patients with Leber hereditary optic neuropathy (LHON) carrying the m.11778G>A ND4 mutation (MT-ND4). A previous pooled analysis of phase 3 studies showed an improvement in visual acuity of patients injected with lenadogene nolparvovec compared to natural history. Here, we report updated results by incorporating data from the latest phase 3 trial REFLECT in the pool, increasing the number of treated patients from 76 to 174.The visual acuity of 174 MT-ND4-carrying patients with LHON injected in one or both eyes with lenadogene nolparvovec from four pooled phase 3 studies (REVERSE, RESCUE and their long-term extension trial RESTORE; and REFLECT trial) was compared to the spontaneous evolution of an external control group of 208 matched patients from 11 natural history studies.Treated patients showed a clinically relevant and sustained improvement in their visual acuity when compared to natural history. Mean improvement versus natural history was - 0.30 logMAR (+ 15 ETDRS letters equivalent) at last observation (P < 0.01) with a maximal follow-up of 3.9 years after injection. Most treated eyes were on-chart as compared to less than half of natural history eyes at 48 months after vision loss (89.6 %K Gene therapy (Other) %K LHON (Other) %K Leber hereditary optic neuropathy (Other) %K MT-ND4 (Other) %K Natural history (Other) %K Visual acuity (Other) %F PUB:(DE-HGF)16 %9 Journal Article %$ PMID:36449262 %2 PMC:PMC9834474 %R 10.1007/s40123-022-00611-x %U https://pub.dzne.de/record/259705