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Blind and Visually Impaired Community

Full History - 2021 - 03 - 18 - ID#m7rq4x
10
When do you expect proper cures for RP? like for all kinds of RP, with a reasonable price? (RP: Retinitis pigmentosa) (self.Blind)
submitted by Ok-Mathematician1070
I know that this question is more appropriate for the Retinitis pigmentosa community, but they only alloe trusted members to post, and I'm not one.

Thank you for your responses in advance.
bigmiracle 5 points 2y ago
Hello my friend, Rp comes in many forms. The amazing trials out there are close to helping many RP patients. If you have RP and have not yet done a genetic test, it's recommended for your opthalmologist to possibly guide you towards a trial you can participate in.
Stay safe!!
Ok-Mathematician1070 [OP] 2 points 2y ago
But trials are risky, aren't they?
bigmiracle 4 points 2y ago
Absolutely can be, consult your doctor before agreeing to anything. Also my Dr has advised not to participate until trial has reached stage 2, 3 where it passed sufficient testing to know it can benefit.
Yes be careful and if you have decent vision still be very protective 9f what you have.
Feel good
[deleted] 1 points 2y ago
[deleted]
Ok-Mathematician1070 [OP] 1 points 2y ago
Yes, thanks for the advice :)...have a good day!
bigmiracle 2 points 2y ago
U2 brother!
meeowth 2 points 2y ago
It can be stopped with gene therapy, but they need to make specific ones for each type. Get DNA tested so you know if you qualify for any current or future developed treatments.
Ok-Mathematician1070 [OP] 1 points 2y ago
Yeah, I need to get gene testing done.
Thanks for the advice.
Have a good day:)
Terry_Pie 2 points 2y ago
You should have a read of $1.

Personally I think the best treatments are going to be a combination of gene therapy and biological treatments. I.e. use gene therapy to code the mutated gene out, then transplant a new retina or alternatively implant a synthetic one. There is in fact already a gene therapy that is on the cusp of commercial availability for RP65.

Thing is there are, if I recall correctly, hundreds of genes that can cause RP, although about six account for the majority of cases. It's going to take a long time to develop therapies for all of those. Then they need to be prepared for the specific patient. Then there's the question of whether the therapy will simply switch the disease off, or whether it will switch it off and cause the cells to restart and repair. If the former, abd on top of that a retina transplant is required, that's another complexity, another treatment that's in its relative infancy.

So while I think effective treatments will exist in the future, I'll consider myself lucky if I see one for myself within 50 years (and I've one of the common gene mutations). As for cost, I doubt they'll ever truly be considered "affordable": the user base is just too small, particularly if such treatments are one off.
Ok-Mathematician1070 [OP] 1 points 2y ago
True. Thanks for your response. Have a good day :)
ojosnobueno 2 points 2y ago
Am I hopeful that it will come, yes. However I wouldnt even begin to put a date on it. Genetic editing through crispr or other means will "fix" the disease the question is if it will reverse its effects of the disease. Im in my 30s now with 20/400 acuity, would fixing the broken bit of code mean my body starts building vision back? Or does it merely just stop the progress? Those are the bigger questions for me.

I reventley had a stem cell therapy done involving injections under my eye that didnt bring life changing results. It changed my vision for sure but im not sure it is empirically better, its difficult to explain.
Ok-Mathematician1070 [OP] 1 points 2y ago
I see, thanks for your response. This was a little eye opening on the cures available rn.
505Griffon 2 points 2y ago
I wasn't aware there was an RP group.

As stated earlier, I suspect genetic testing would be required to break them into genetic categories for specific genetic editing for each. I myself have yet to get tested as I don't have decent local access to good information. I've seen tests available online but seemed too complicated for me to determine which one I'd need. I suspect genetic counseling might be required.

As for a reasonable price, I suspect it will never be "affordable" without some form of insurance.
Ok-Mathematician1070 [OP] 2 points 2y ago
True... thanks for your reply.

Also, there are infact 2 rp communities I found on reddit (Retinitis pigmentosa community and RPgroup)
Hope it helps.
Namrakk 1 points 2y ago
Honestly, maybe a little closer than you think. Both Reneuron and JCyte have positive phase II clinical data for their gene agnostic RP treatments (treats all forms of RP regardless of gene) using hRPC stem cells. Both companies are hoping to move into phase III trials within the next year. I really think we may see something on the market by 2025. Their treatments may also be efficacious for RP cousins such as cone rod dystrophy, etc.
Ok-Mathematician1070 [OP] 1 points 2y ago
I hope they do. Thank you.
Have a great day:)
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