Study to Assess the Efficacy and Safety of Raxone in LHON Patients (LEROS)

Identifier 20240304_nanos_global1_04
Title Study to Assess the Efficacy and Safety of Raxone in LHON Patients (LEROS)
Creator Patrick Yu-Wai-Man, BMedSci, MBBS, PhD, FRCPath, FRCOphth & Nancy J. Newman, MD
Affiliation (PY) University of Cambridge and Moorfields Eye Hospital, Cambridge and London, UK; (NJN) Emory University School of Medicine, Atlanta, Georgia
Subject Leber Hereditary Optic Neuropathy; Hereditary Optic Neuropathy; Idebenone; Mitochondrial DNA; Retinal Ganglion Cells
Description Leber hereditary optic neuropathy (LHON) is a mitochondrial disease resulting in bilateral vision loss. 1,2 Recovery of functional visual acuity (VA) and/or prevention of further VA worsening are desirable outcomes. Idebenone is a soluble short-chain synthetic benzoquinone that helps shuttle electrons directly to complex III, bypassing complexes I and II of the mitochondrial respiratory chain.3,4 This compound is hypothesized to restore mitochondrial function via a number of mechanisms, increasing ATP production and reducing the level of reactive oxygen species.3,4 Idebenone was approved by the European Medicines Agency (EMA) in 2015 for the treatment of LHON at a recommended dose of 300 mg three times/day for patients aged 12 years and older.
Date 2024-03
References 1. Newman NJ, Yu-Wai-Man P, Biousse V, and Carelli V. Understanding the molecular basis and pathogenesis of hereditary optic neuropathies: towards improved diagnosis and management. Lancet Neurol. 2023; 22:172-188. 2. Carelli V, Carbonelli M, de Coo IF, Kawasaki A, Klopstock T, Lagrèze WA, La Morgia C, Newman NJ, Orssaud C, and Pott JWR, et al. International consensus statement on the clinical and therapeutic management of Leber hereditary optic neuropathym. J Neuro-ophthalmol. 2017; 37:371-381. 3. Haefeli RH, Erb M, Gemperli AC, Robay D, Courdier Fruh I, Anklin C, Dallmann R, and Gueven N. NQO1-dependent redox cycling of idebenone: effects on cellular redox potential and energy levels. PLoS One. 2011; 6: e17963. 4. Gueven N, and Faldu D. Idebenone treatment in Leber's hereditary optic neuropathy: rationale and efficacy. Expert Opin Orphan Drugs. 2013; 1:331-339. 5. Klopstock T, Yu-Wai-Man P, Dimitriadis K, Rouleau J, Heck S, Bailie M, Atawan A, Chattopadhyay S, Schubert M, and Garip A, et al. A randomized placebo-controlled trial of idebenone in Leber's hereditary optic neuropathy. Brain. 2011; 134;2677-2686.
Language eng
Format video/mp4
Type Image/MovingImage
Source 2024 North American Neuro-Ophthalmology Society Annual Meeting
Relation is Part of NANOS Annual Meeting 2024: Global Perspectives: Lost in translation? How major neuro-ophthalmic trials are applied locally (US/Canada) versus internationally
Collection Neuro-Ophthalmology Virtual Education Library: NANOS Annual Meeting Collection: https://novel.utah.edu/collection/nanos-annual-meeting-collection/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management Copyright 2024. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6etdjxp
Setname ehsl_novel_nam
ID 2589929
Reference URL https://collections.lib.utah.edu/ark:/87278/s6etdjxp