Trial Outcomes & Findings for Vitamin A Palmitate Supplementation in People With Age-Related Macular Degeneration (and Without Reticular Pseudodrusen) and Delayed Dark Adaptation (NCT NCT03478865)

NCT ID: NCT03478865

Last Updated: 2025-04-15

Results Overview

The mean change in rod intercept time (RIT) in the study eye at the treatment completion visit from baseline was descriptively summarized and assessed using a Student's paired t-test at a two-sided Type I error rate of 5%.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

8 participants

Primary outcome timeframe

Baseline to Month 2 for Cohort 1 and Baseline to Month 1 for Cohort 2

Results posted on

2025-04-15

Participant Flow

Up to eighteen (18) participants (8 participants in Cohort 1 and up to 10 participants in Cohort 2) with age-related macular degeneration (AMD) and abnormal dark adaptation may be enrolled. At the National Eye Institute, enrollment for Cohort 1 closed on May 24, 2019 and enrollment for Cohort 2 was suspended on August 31, 2023.

Participants met all inclusion criteria and none of the exclusion criteria for at least on eye as defined in the protocol. If both eyes met the eligibility criteria, the eye with the better visual acuity was chosen as the study eye. Participants enrolled after May 24, 2019 were enrolled into Cohort 2. All eligible participants underwent treatment starting at Baseline. The IP used in the study was vitamin A palmitate and was not anticipated to differentially treat participant eyes.

Participant milestones

Participant milestones
Measure
Cohort 1
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 1 were instructed to take 16,000 international unit of investigational product (IP) daily for two months. At Baseline and Month 1, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 3). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Cohort 2
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 2 were instructed to take 48,000 international unit of investigational product (IP) daily for one month. Participants in Cohort 1 could enroll into Cohort 2 as long as their last intake of vitamin A palmitate was greater than two months prior to their enrollment into Cohort 2. At Baseline, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 2). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Overall Study
STARTED
5
3
Overall Study
Completed Treatment Completion Visit
5
3
Overall Study
COMPLETED
5
3
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Vitamin A Palmitate Supplementation in People With Age-Related Macular Degeneration (and Without Reticular Pseudodrusen) and Delayed Dark Adaptation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1
n=5 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 1 were instructed to take 16,000 international unit of investigational product (IP) daily for two months. At Baseline and Month 1, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 3). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Cohort 2
n=3 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 2 were instructed to take 48,000 international unit of investigational product (IP) daily for one month. Participants in Cohort 1 may enroll into Cohort 2 as long as their last intake of vitamin A palmitate was greater than two months prior to their enrollment into Cohort 2. At Baseline, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 2). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Total
n=8 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Age, Continuous
78.0 years
STANDARD_DEVIATION 4.74 • n=5 Participants
80.0 years
STANDARD_DEVIATION 7.00 • n=7 Participants
78.8 years
STANDARD_DEVIATION 5.28 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
5 participants
n=5 Participants
3 participants
n=7 Participants
8 participants
n=5 Participants
Dark Adaptation Rod Intercept Time
25.12 minutes
STANDARD_DEVIATION 10.755 • n=5 Participants
20.03 minutes
STANDARD_DEVIATION 6.793 • n=7 Participants
23.21 minutes
STANDARD_DEVIATION 9.285 • n=5 Participants
Low Luminance Visual Acuity (LLVA) Total Letters Read
66.8 letters read
STANDARD_DEVIATION 16.22 • n=5 Participants
56.3 letters read
STANDARD_DEVIATION 16.17 • n=7 Participants
62.9 letters read
STANDARD_DEVIATION 15.95 • n=5 Participants
Low Luminance Questionnaire (LLQ) Composite Score
86.35 score on a scale
STANDARD_DEVIATION 17.521 • n=5 Participants
86.79 score on a scale
STANDARD_DEVIATION 11.431 • n=7 Participants
86.51 score on a scale
STANDARD_DEVIATION 14.588 • n=5 Participants
Low Luminance Questionnaire (LLQ) Driving Subscale Score
86.00 score on a scale
STANDARD_DEVIATION 20.433 • n=5 Participants
68.33 score on a scale
STANDARD_DEVIATION 37.859 • n=7 Participants
79.38 score on a scale
STANDARD_DEVIATION 27.050 • n=5 Participants
Low Luminance Questionnaire (LLQ) Extreme Lighting Subscale Score
81.25 score on a scale
STANDARD_DEVIATION 18.880 • n=5 Participants
73.96 score on a scale
STANDARD_DEVIATION 26.578 • n=7 Participants
78.52 score on a scale
STANDARD_DEVIATION 20.488 • n=5 Participants
Low Luminance Questionnaire (LLQ) Mobility Subscale Score
88.33 score on a scale
STANDARD_DEVIATION 16.245 • n=5 Participants
96.53 score on a scale
STANDARD_DEVIATION 3.182 • n=7 Participants
91.41 score on a scale
STANDARD_DEVIATION 13.102 • n=5 Participants
Low Luminance Questionnaire (LLQ) Emotional Distress Subscale Score
95.00 score on a scale
STANDARD_DEVIATION 8.149 • n=5 Participants
97.22 score on a scale
STANDARD_DEVIATION 4.811 • n=7 Participants
95.83 score on a scale
STANDARD_DEVIATION 6.774 • n=5 Participants
Low Luminance Questionnaire (LLQ) General Dim Lighting Subscale Score
82.50 score on a scale
STANDARD_DEVIATION 26.087 • n=5 Participants
90.28 score on a scale
STANDARD_DEVIATION 2.406 • n=7 Participants
85.42 score on a scale
STANDARD_DEVIATION 20.168 • n=5 Participants
Low Luminance Questionnaire (LLQ) Peripheral Vision Subscale Score
85.00 score on a scale
STANDARD_DEVIATION 22.361 • n=5 Participants
94.44 score on a scale
STANDARD_DEVIATION 9.623 • n=7 Participants
88.54 score on a scale
STANDARD_DEVIATION 18.332 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline to Month 2 for Cohort 1 and Baseline to Month 1 for Cohort 2

Population: Primary Analysis Population: Participants enrolled who received IP through the treatment completion visit.

The mean change in rod intercept time (RIT) in the study eye at the treatment completion visit from baseline was descriptively summarized and assessed using a Student's paired t-test at a two-sided Type I error rate of 5%.

Outcome measures

Outcome measures
Measure
Cohort 1
n=5 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 1 were instructed to take 16,000 international unit of investigational product (IP) daily for two months. At Baseline and Month 1, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 3). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Cohort 2
n=3 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 2 were instructed to take 48,000 international unit of investigational product (IP) daily for one month. Participants in Cohort 1 may enroll into Cohort 2 as long as their last intake of vitamin A palmitate was greater than two months prior to their enrollment into Cohort 2. At Baseline, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 2). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Change in Dark Adaptation Rod Intercept Time (RIT) From Baseline in the Study Eye at the Treatment Completion Visit (Month 2 for Cohort 1 and Month 1 for Cohort 2)
Baseline Visit
25.12 Minutes
Standard Deviation 10.755
20.03 Minutes
Standard Deviation 6.793
Change in Dark Adaptation Rod Intercept Time (RIT) From Baseline in the Study Eye at the Treatment Completion Visit (Month 2 for Cohort 1 and Month 1 for Cohort 2)
Treatment Completion Visit
22.58 Minutes
Standard Deviation 8.219
19.77 Minutes
Standard Deviation 7.753
Change in Dark Adaptation Rod Intercept Time (RIT) From Baseline in the Study Eye at the Treatment Completion Visit (Month 2 for Cohort 1 and Month 1 for Cohort 2)
Change from Baseline at the Treatment Completion Visit
-2.54 Minutes
Standard Deviation 4.322
-0.27 Minutes
Standard Deviation 1.767

SECONDARY outcome

Timeframe: Baseline to Month 3 for Cohort 1 and Baseline to Month 2 for Cohort 2

Population: Primary Analysis Population: Participants enrolled who received IP through the treatment completion visit.

The mean change in rod intercept time (RIT) in the study eye at the post-treatment follow-up visit from baseline was descriptively summarized and assessed using a Student's paired t-test at a two-sided Type I error rate of 5%.

Outcome measures

Outcome measures
Measure
Cohort 1
n=5 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 1 were instructed to take 16,000 international unit of investigational product (IP) daily for two months. At Baseline and Month 1, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 3). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Cohort 2
n=3 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 2 were instructed to take 48,000 international unit of investigational product (IP) daily for one month. Participants in Cohort 1 may enroll into Cohort 2 as long as their last intake of vitamin A palmitate was greater than two months prior to their enrollment into Cohort 2. At Baseline, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 2). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Change in Dark Adaptation Rod Intercept Time (RIT) From Baseline in the Study Eye at the Post-Treatment Follow-Up Visit (Month 3 for Cohort 1 and Month 2 for Cohort 2).
Baseline Visit
25.12 minutes
Standard Deviation 10.755
20.03 minutes
Standard Deviation 6.793
Change in Dark Adaptation Rod Intercept Time (RIT) From Baseline in the Study Eye at the Post-Treatment Follow-Up Visit (Month 3 for Cohort 1 and Month 2 for Cohort 2).
Post-Treatment Follow-Up Visit
21.56 minutes
Standard Deviation 6.271
23.27 minutes
Standard Deviation 12.847
Change in Dark Adaptation Rod Intercept Time (RIT) From Baseline in the Study Eye at the Post-Treatment Follow-Up Visit (Month 3 for Cohort 1 and Month 2 for Cohort 2).
Change from Baseline at the Post-Treatment Follow-Up Visit
-3.56 minutes
Standard Deviation 7.793
3.23 minutes
Standard Deviation 6.512

SECONDARY outcome

Timeframe: Treatment Completion Visit: Month 2 for Cohort 1 and Month 1 for Cohort 2; Post-Treatment Follow-Up Visit: Month 3 for Cohort 1 and Month 2 for Cohort 2

Population: Primary Analysis Population: Participants enrolled who received IP through the treatment completion visit.

The mean change in low luminance visual acuity (LLVA) in the study eye from baseline at the treatment completion and post-treatment follow-up visits were descriptively summarized.

Outcome measures

Outcome measures
Measure
Cohort 1
n=5 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 1 were instructed to take 16,000 international unit of investigational product (IP) daily for two months. At Baseline and Month 1, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 3). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Cohort 2
n=3 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 2 were instructed to take 48,000 international unit of investigational product (IP) daily for one month. Participants in Cohort 1 may enroll into Cohort 2 as long as their last intake of vitamin A palmitate was greater than two months prior to their enrollment into Cohort 2. At Baseline, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 2). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Change in Low Luminance Visual Acuity (LLVA) From Baseline in the Study Eye at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Post-Treatment Follow-Up Visit
3.0 letters read
Standard Deviation 14.88
3.0 letters read
Standard Deviation 2.00
Change in Low Luminance Visual Acuity (LLVA) From Baseline in the Study Eye at the Treatment Completion and Post-Treatment Follow-Up Visits
Baseline Visit
66.8 letters read
Standard Deviation 16.22
56.3 letters read
Standard Deviation 16.17
Change in Low Luminance Visual Acuity (LLVA) From Baseline in the Study Eye at the Treatment Completion and Post-Treatment Follow-Up Visits
Treatment Completion Visit
71.6 letters read
Standard Deviation 11.41
59.3 letters read
Standard Deviation 16.01
Change in Low Luminance Visual Acuity (LLVA) From Baseline in the Study Eye at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Treatment Completion Visit
4.8 letters read
Standard Deviation 17.31
3.0 letters read
Standard Deviation 1.73
Change in Low Luminance Visual Acuity (LLVA) From Baseline in the Study Eye at the Treatment Completion and Post-Treatment Follow-Up Visits
Post-Treatment Follow-Up Visit
69.8 letters read
Standard Deviation 6.69
59.3 letters read
Standard Deviation 17.01

SECONDARY outcome

Timeframe: Treatment Completion Visit: Month 2 for Cohort 1 and Month 1 for Cohort 2; Post-Treatment Follow-Up Visit: Month 3 for Cohort 1 and Month 2 for Cohort 2

Population: Primary Analysis Population: Participants enrolled who received IP through the treatment completion visit.

The mean change in low luminance questionnaire (LLQ) composite score from baseline at the treatment completion and post-treatment completion visits were descriptively summarized. LLQ is a 32-item questionnaire relating to difficulty with visual function in low luminance settings. Questions are scored on a range from 0 (indicative of maximum difficulty) to 100 (indicative of no difficulty) in 25 point increments where higher scores indicate better functioning. Each question is assigned to one of six distinct subscales. Applicable questions are averaged to produce (weighted) subscale scores; (weighted) subscale scores are averaged to produce a composite score.

Outcome measures

Outcome measures
Measure
Cohort 1
n=5 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 1 were instructed to take 16,000 international unit of investigational product (IP) daily for two months. At Baseline and Month 1, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 3). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Cohort 2
n=3 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 2 were instructed to take 48,000 international unit of investigational product (IP) daily for one month. Participants in Cohort 1 may enroll into Cohort 2 as long as their last intake of vitamin A palmitate was greater than two months prior to their enrollment into Cohort 2. At Baseline, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 2). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Change in Low Luminance Questionnaire (LLQ) Composite Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Baseline Visit
86.35 score on a scale
Standard Deviation 17.521
86.79 score on a scale
Standard Deviation 11.431
Change in Low Luminance Questionnaire (LLQ) Composite Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Treatment Completion Visit
87.38 score on a scale
Standard Deviation 17.420
86.13 score on a scale
Standard Deviation 9.958
Change in Low Luminance Questionnaire (LLQ) Composite Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Post-Treatment Follow-Up Visit
84.83 score on a scale
Standard Deviation 19.142
88.73 score on a scale
Standard Deviation 7.382
Change in Low Luminance Questionnaire (LLQ) Composite Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Treatment Completion Visit
1.03 score on a scale
Standard Deviation 1.087
-0.66 score on a scale
Standard Deviation 2.815
Change in Low Luminance Questionnaire (LLQ) Composite Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Post-Treatment Follow-Up Visit
-1.51 score on a scale
Standard Deviation 3.283
1.93 score on a scale
Standard Deviation 5.435

SECONDARY outcome

Timeframe: Treatment Completion Visit: Month 2 for Cohort 1 and Month 1 for Cohort 2; Post-Treatment Follow-Up Visit: Month 3 for Cohort 1 and Month 2 for Cohort 2

Population: Primary Analysis Population: Participants enrolled who received IP through the treatment completion visit.

The mean change in low luminance questionnaire (LLQ) driving subscale score from baseline at the treatment completion and post-treatment completion visits were descriptively summarized. LLQ is a 32-item questionnaire relating to difficulty with visual function in low luminance settings. Questions are scored on a range from 0 (indicative of maximum difficulty) to 100 (indicative of no difficulty) in 25 point increments where higher scores indicate better functioning. Each question is assigned to one of six distinct subscales. Applicable questions are averaged to produce (weighted) subscale scores.

Outcome measures

Outcome measures
Measure
Cohort 1
n=5 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 1 were instructed to take 16,000 international unit of investigational product (IP) daily for two months. At Baseline and Month 1, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 3). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Cohort 2
n=3 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 2 were instructed to take 48,000 international unit of investigational product (IP) daily for one month. Participants in Cohort 1 may enroll into Cohort 2 as long as their last intake of vitamin A palmitate was greater than two months prior to their enrollment into Cohort 2. At Baseline, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 2). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Change in Low Luminance Questionnaire (LLQ) Driving Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Baseline Visit
86.00 score on a scale
Standard Deviation 20.433
68.33 score on a scale
Standard Deviation 37.859
Change in Low Luminance Questionnaire (LLQ) Driving Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Treatment Completion Visit
87.00 score on a scale
Standard Deviation 17.889
55.00 score on a scale
Standard Deviation 36.056
Change in Low Luminance Questionnaire (LLQ) Driving Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Post-Treatment Follow-Up Visit
84.00 score on a scale
Standard Deviation 22.192
63.33 score on a scale
Standard Deviation 33.292
Change in Low Luminance Questionnaire (LLQ) Driving Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Treatment Completion Visit
1.00 score on a scale
Standard Deviation 8.944
-13.33 score on a scale
Standard Deviation 5.774
Change in Low Luminance Questionnaire (LLQ) Driving Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Post-Treatment Follow-Up Visit
-2.00 score on a scale
Standard Deviation 4.472
-5.00 score on a scale
Standard Deviation 5.000

SECONDARY outcome

Timeframe: Treatment Completion Visit: Month 2 for Cohort 1 and Month 1 for Cohort 2; Post-Treatment Follow-Up Visit: Month 3 for Cohort 1 and Month 2 for Cohort 2

Population: Primary Analysis Population: Participants enrolled who received IP through the treatment completion visit.

The mean change in low luminance questionnaire (LLQ) extreme lighting subscale score from baseline at the treatment completion and post-treatment completion visits were descriptively summarized. LLQ is a 32-item questionnaire relating to difficulty with visual function in low luminance settings. Questions are scored on a range from 0 (indicative of maximum difficulty) to 100 (indicative of no difficulty) in 25 point increments where higher scores indicate better functioning. Each question is assigned to one of six distinct subscales. Applicable questions are averaged to produce (weighted) subscale scores.

Outcome measures

Outcome measures
Measure
Cohort 1
n=5 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 1 were instructed to take 16,000 international unit of investigational product (IP) daily for two months. At Baseline and Month 1, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 3). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Cohort 2
n=3 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 2 were instructed to take 48,000 international unit of investigational product (IP) daily for one month. Participants in Cohort 1 may enroll into Cohort 2 as long as their last intake of vitamin A palmitate was greater than two months prior to their enrollment into Cohort 2. At Baseline, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 2). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Change in Low Luminance Questionnaire (LLQ) Extreme Lighting Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Baseline Visit
81.25 score on a scale
Standard Deviation 18.880
73.96 score on a scale
Standard Deviation 26.578
Change in Low Luminance Questionnaire (LLQ) Extreme Lighting Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Treatment Completion Visit
84.38 score on a scale
Standard Deviation 20.492
77.08 score on a scale
Standard Deviation 25.259
Change in Low Luminance Questionnaire (LLQ) Extreme Lighting Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Post-Treatment Follow-Up Visit
78.75 score on a scale
Standard Deviation 20.420
80.83 score on a scale
Standard Deviation 12.521
Change in Low Luminance Questionnaire (LLQ) Extreme Lighting Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Treatment Completion Visit
3.13 score on a scale
Standard Deviation 5.846
3.13 score on a scale
Standard Deviation 5.413
Change in Low Luminance Questionnaire (LLQ) Extreme Lighting Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Post-Treatment Follow-Up Visit
-2.50 score on a scale
Standard Deviation 6.775
6.88 score on a scale
Standard Deviation 26.612

SECONDARY outcome

Timeframe: Treatment Completion Visit: Month 2 for Cohort 1 and Month 1 for Cohort 2; Post-Treatment Follow-Up Visit: Month 3 for Cohort 1 and Month 2 for Cohort 2

Population: Primary Analysis Population: Participants enrolled who received IP through the treatment completion visit.

The mean change in low luminance questionnaire (LLQ) mobility subscale score from baseline at the treatment completion and post-treatment completion visits were descriptively summarized. LLQ is a 32-item questionnaire relating to difficulty with visual function in low luminance settings. Questions are scored on a range from 0 (indicative of maximum difficulty) to 100 (indicative of no difficulty) in 25 point increments where higher scores indicate better functioning. Each question is assigned to one of six distinct subscales. Applicable questions are averaged to produce (weighted) subscale scores.

Outcome measures

Outcome measures
Measure
Cohort 1
n=5 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 1 were instructed to take 16,000 international unit of investigational product (IP) daily for two months. At Baseline and Month 1, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 3). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Cohort 2
n=3 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 2 were instructed to take 48,000 international unit of investigational product (IP) daily for one month. Participants in Cohort 1 may enroll into Cohort 2 as long as their last intake of vitamin A palmitate was greater than two months prior to their enrollment into Cohort 2. At Baseline, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 2). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Change in Low Luminance Questionnaire (LLQ) Mobility Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Baseline Visit
88.33 score on a scale
Standard Deviation 16.245
96.53 score on a scale
Standard Deviation 3.182
Change in Low Luminance Questionnaire (LLQ) Mobility Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Treatment Completion Visit
90.00 score on a scale
Standard Deviation 14.006
97.22 score on a scale
Standard Deviation 2.406
Change in Low Luminance Questionnaire (LLQ) Mobility Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Post-Treatment Follow-Up Visit
88.33 score on a scale
Standard Deviation 15.975
97.22 score on a scale
Standard Deviation 2.406
Change in Low Luminance Questionnaire (LLQ) Mobility Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Treatment Completion Visit
1.67 score on a scale
Standard Deviation 2.282
0.69 score on a scale
Standard Deviation 5.243
Change in Low Luminance Questionnaire (LLQ) Mobility Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Post-Treatment Follow-Up Visit
0.00 score on a scale
Standard Deviation 2.946
0.69 score on a scale
Standard Deviation 5.243

SECONDARY outcome

Timeframe: Treatment Completion Visit: Month 2 for Cohort 1 and Month 1 for Cohort 2; Post-Treatment Follow-Up Visit: Month 3 for Cohort 1 and Month 2 for Cohort 2

Population: Primary Analysis Population: Participants enrolled who received IP through the treatment completion visit.

The mean change in low luminance questionnaire (LLQ) emotional distress subscale score from baseline at the treatment completion and post-treatment completion visits were descriptively summarized. LLQ is a 32-item questionnaire relating to difficulty with visual function in low luminance settings. Questions are scored on a range from 0 (indicative of maximum difficulty) to 100 (indicative of no difficulty) in 25 point increments where higher scores indicate better functioning. Each question is assigned to one of six distinct subscales. Applicable questions are averaged to produce (weighted) subscale scores.

Outcome measures

Outcome measures
Measure
Cohort 1
n=5 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 1 were instructed to take 16,000 international unit of investigational product (IP) daily for two months. At Baseline and Month 1, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 3). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Cohort 2
n=3 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 2 were instructed to take 48,000 international unit of investigational product (IP) daily for one month. Participants in Cohort 1 may enroll into Cohort 2 as long as their last intake of vitamin A palmitate was greater than two months prior to their enrollment into Cohort 2. At Baseline, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 2). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Change in Low Luminance Questionnaire (LLQ) Emotional Distress Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Baseline Visit
95.00 score on a scale
Standard Deviation 8.149
97.22 score on a scale
Standard Deviation 4.811
Change in Low Luminance Questionnaire (LLQ) Emotional Distress Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Treatment Completion Visit
93.75 score on a scale
Standard Deviation 10.825
95.14 score on a scale
Standard Deviation 4.337
Change in Low Luminance Questionnaire (LLQ) Emotional Distress Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Post-Treatment Follow-Up Visit
93.75 score on a scale
Standard Deviation 10.825
97.92 score on a scale
Standard Deviation 3.608
Change in Low Luminance Questionnaire (LLQ) Emotional Distress Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Treatment Completion Visit
-1.25 score on a scale
Standard Deviation 2.795
-2.08 score on a scale
Standard Deviation 3.608
Change in Low Luminance Questionnaire (LLQ) Emotional Distress Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Post-Treatment Follow-Up Visit
-1.25 score on a scale
Standard Deviation 2.795
0.69 score on a scale
Standard Deviation 1.203

SECONDARY outcome

Timeframe: Treatment Completion Visit: Month 2 for Cohort 1 and Month 1 for Cohort 2; Post-Treatment Follow-Up Visit: Month 3 for Cohort 1 and Month 2 for Cohort 2

Population: Primary Analysis Population: Participants enrolled who received IP through the treatment completion visit.

The mean change in low luminance questionnaire (LLQ) general dim lighting subscale score from baseline at the treatment completion and post-treatment completion visits were descriptively summarized. LLQ is a 32-item questionnaire relating to difficulty with visual function in low luminance settings. Questions are scored on a range from 0 (indicative of maximum difficulty) to 100 (indicative of no difficulty) in 25 point increments where higher scores indicate better functioning. Each question is assigned to one of six distinct subscales. Applicable questions are averaged to produce (weighted) subscale scores.

Outcome measures

Outcome measures
Measure
Cohort 1
n=5 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 1 were instructed to take 16,000 international unit of investigational product (IP) daily for two months. At Baseline and Month 1, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 3). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Cohort 2
n=3 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 2 were instructed to take 48,000 international unit of investigational product (IP) daily for one month. Participants in Cohort 1 may enroll into Cohort 2 as long as their last intake of vitamin A palmitate was greater than two months prior to their enrollment into Cohort 2. At Baseline, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 2). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Change in Low Luminance Questionnaire (LLQ) General Dim Lighting Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Baseline Visit
82.50 score on a scale
Standard Deviation 26.087
90.28 score on a scale
Standard Deviation 2.406
Change in Low Luminance Questionnaire (LLQ) General Dim Lighting Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Treatment Completion Visit
84.17 score on a scale
Standard Deviation 24.008
95.14 score on a scale
Standard Deviation 4.337
Change in Low Luminance Questionnaire (LLQ) General Dim Lighting Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Post-Treatment Follow-Up Visit
82.50 score on a scale
Standard Deviation 25.069
93.06 score on a scale
Standard Deviation 6.365
Change in Low Luminance Questionnaire (LLQ) General Dim Lighting Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Treatment Completion Visit
1.67 score on a scale
Standard Deviation 2.282
4.86 score on a scale
Standard Deviation 4.337
Change in Low Luminance Questionnaire (LLQ) General Dim Lighting Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Post-Treatment Follow-Up Visit
0.00 score on a scale
Standard Deviation 2.946
2.78 score on a scale
Standard Deviation 4.811

SECONDARY outcome

Timeframe: Treatment Completion Visit: Month 2 for Cohort 1 and Month 1 for Cohort 2; Post-Treatment Follow-Up Visit: Month 3 for Cohort 1 and Month 2 for Cohort 2

Population: Primary Analysis Population: Participants enrolled who received IP through the treatment completion visit.

The mean change in low luminance questionnaire (LLQ) peripheral vision subscale score from baseline at the treatment completion and post-treatment completion visits were descriptively summarized. LLQ is a 32-item questionnaire relating to difficulty with visual function in low luminance settings. Questions are scored on a range from 0 (indicative of maximum difficulty) to 100 (indicative of no difficulty) in 25 point increments where higher scores indicate better functioning. Each question is assigned to one of six distinct subscales. Applicable questions are averaged to produce (weighted) subscale scores.

Outcome measures

Outcome measures
Measure
Cohort 1
n=5 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 1 were instructed to take 16,000 international unit of investigational product (IP) daily for two months. At Baseline and Month 1, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 3). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Cohort 2
n=3 Participants
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 2 were instructed to take 48,000 international unit of investigational product (IP) daily for one month. Participants in Cohort 1 may enroll into Cohort 2 as long as their last intake of vitamin A palmitate was greater than two months prior to their enrollment into Cohort 2. At Baseline, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 2). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Change in Low Luminance Questionnaire (LLQ) Peripheral Vision Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Baseline Visit
85.00 score on a scale
Standard Deviation 22.361
94.44 score on a scale
Standard Deviation 9.623
Change in Low Luminance Questionnaire (LLQ) Peripheral Vision Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Treatment Completion Visit
85.00 score on a scale
Standard Deviation 22.361
97.22 score on a scale
Standard Deviation 4.811
Change in Low Luminance Questionnaire (LLQ) Peripheral Vision Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Post-Treatment Follow-Up Visit
81.67 score on a scale
Standard Deviation 25.276
100.00 score on a scale
Standard Deviation 0.000
Change in Low Luminance Questionnaire (LLQ) Peripheral Vision Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Treatment Completion Visit
0.00 score on a scale
Standard Deviation 0.000
2.78 score on a scale
Standard Deviation 4.811
Change in Low Luminance Questionnaire (LLQ) Peripheral Vision Subscale Score From Baseline at the Treatment Completion and Post-Treatment Follow-Up Visits
Change from Baseline at the Post-Treatment Follow-Up Visit
-3.33 score on a scale
Standard Deviation 7.454
5.56 score on a scale
Standard Deviation 9.623

Adverse Events

Cohort 1

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Cohort 2

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Cohort 1
n=5 participants at risk
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 1 were instructed to take 16,000 international unit of investigational product (IP) daily for two months. At Baseline and Month 1, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 3). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Cohort 2
n=3 participants at risk
Oral administration of vitamin A palmitate. Vitamin A palmitate: Participants in Cohort 2 were instructed to take 48,000 international unit of investigational product (IP) daily for one month. Participants in Cohort 1 may enroll into Cohort 2 as long as their last intake of vitamin A palmitate was greater than two months prior to their enrollment into Cohort 2. At Baseline, a one month supply of IP was dispensed to the participant during the study visit. Participants were required to bring their bottles of IP to each appropriate visit for IP counts for compliance monitoring. Participants could complete participation in the study one month after IP supplementation (Month 2). At the conclusion of the study, participants were no longer eligible to receive IP under this protocol.
Eye disorders
Cataract
0.00%
0/5 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
33.3%
1/3 • Number of events 1 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
Eye disorders
Eye irritation
20.0%
1/5 • Number of events 1 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
0.00%
0/3 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
Eye disorders
Lacrimal disorder
20.0%
1/5 • Number of events 1 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
0.00%
0/3 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
Gastrointestinal disorders
Nausea
0.00%
0/5 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
33.3%
1/3 • Number of events 1 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
General disorders
Swelling
0.00%
0/5 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
33.3%
1/3 • Number of events 1 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
Investigations
Blood pressure increased
20.0%
1/5 • Number of events 1 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
0.00%
0/3 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
Investigations
Blood uric acid increased
0.00%
0/5 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
33.3%
1/3 • Number of events 1 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/5 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
33.3%
1/3 • Number of events 1 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
Reproductive system and breast disorders
Prostatic mass
0.00%
0/5 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
33.3%
1/3 • Number of events 1 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
Eye disorders
Visual Impairment
20.0%
1/5 • Number of events 1 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).
0.00%
0/3 • Participants enrolled are assessed for AEs starting at Baseline through study completion (Month 3 for Cohort 1 and Month 2 for Cohort 2).

Additional Information

Emily Chew, MD, Principal Investigator, NEI

National Institutes of Health

Phone: 3014966583

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place