Investigating genetic factors in Plaquenil-induced retinal toxicity
Official title: Genotype - Phenotype Study of Patients With Plaquenil-induced Retinal Toxicity
Run by National Institutes of Health Clinical Center (CC) · NCT01145196 · Data updated 2026-11-12
This study is trying to see if certain genetic changes in people can help explain why some patients develop eye problems from the medication Plaquenil while others do not.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 120 Years |
| Sex | All |
| Enrollment | 320 (estimated) |
| Sponsor | National Institutes of Health Clinical Center (CC) NIH |
| Locations | 1 site (Bethesda, Maryland) |
| Status | Recruiting |
| Started | August 23, 2010 |
| Registry record updated | November 9, 2026 |
| Trial ID | NCT01145196 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include individuals aged 18 and older with a history of systemic lupus erythematosus, rheumatoid arthritis, or Sjögren's syndrome who have used Plaquenil.
✕Probably not a fit
Patients with other known genetic retinal diseases or those without a history of Plaquenil use will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to explore the relationship between genetic mutations, particularly in the ABCA4 gene, and the development of retinal toxicity caused by the medication Plaquenil. It will enroll 100 patients who have experienced retinal toxicity and 200 volunteers who have used Plaquenil without developing toxicity. Participants will undergo clinical examinations and provide blood samples for genetic analysis to identify potential correlations. The study will take place over a maximum of two years with one or two outpatient visits required.
Why it matters
Potential benefit: If successful, this study could lead to better understanding and prevention of retinal toxicity in patients using Plaquenil.
How similar studies have gone: While this study focuses on a specific genetic correlation, similar studies have shown promise in understanding drug-induced toxicity through genetic analysis.
Who can join: the full rules
Show full inclusion / exclusion criteria
* INCLUSION CRITERIA: 1\. Affected participants must be 18 years of age or older and have: * History of systemic lupus erythematosus (SLE), rheumatoid arthritis (RA) or Sjogren's syndrome, and * History of Plaquenil(R) use, and * Evidence of Plaquenil(R)-induced retinal toxicity, based on clinical findings. 2\. Unaffected volunteers must be 18 years of age or older and have: * History of systemic lupus erythematosus (SLE), rheumatoid arthritis (RA) or Sjogren's syndrome, and * History of Plaquenil(R) use, and * No retinal disease upon examination within the last six months. 3\. All participants must be able to: * Provide their own consent, and * Safely provide a blood sample. \<TAB\> EXCLUSION CRITERIA: Participants with other known (genetic) retinal disease including but not limited to: Stargardt's disease and cone or cone-rod dystrophy whose diagnosis preceded their Plaquenil(R) use. Participants with no known previous genetic diagnosis but with clinical findings associated with a genetic diagnosis, such as parafoveal or macular flecks which are associated with Stargardt's disease or fundus flavimaculatus, will also be excluded.
Where it's running
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National Institutes of Health Clinical Center
Bethesda, Maryland, United States Recruiting
Study contacts
- Principal investigator: Emily Y Chew, M.D. — National Eye Institute (NEI)
- Study coordinator: Faith F Chen
- Email: chenfa@nei.nih.gov
- Phone: (301) 402-1369
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.