Safety Study of Stem Cell Transplant to Treat Limbus Insufficiency Syndrome
Advanced Therapy for Ocular Surface Reconstruction. Allogenic Limbus Epithelial Stem-cell Transplant vs Bone Marrow Mesenchymal Stem-cell Transplant in Limbus Insufficiency Syndrome. Double-masked Randomized Trial
1 other identifier
interventional
27
1 country
1
Brief Summary
The purpose of the study is to determine whether allogenic bone marrow stem cell transplant is safe and effective in the treatment of limbus insufficiency syndrome versus allogenic limbus stem cell transplant.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started Mar 2012
Typical duration for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2012
CompletedFirst Submitted
Initial submission to the registry
March 22, 2012
CompletedFirst Posted
Study publicly available on registry
March 23, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedJanuary 8, 2015
January 1, 2015
2.8 years
March 22, 2012
January 7, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Viability and safety of mesenchymal stem cell transplant
Absence of cell metaplasia with phenotype different to corneal or conjunctival as expected, confirmed by corneal impression cytology and in vivo confocal laser ophthalmoscopy
1 Year
Secondary Outcomes (2)
Absence of complications in pre and peri surgical implantation
1 Week
Improvement of 2 lines in Best Corrected Visual Acuity
12 month
Study Arms (2)
Bone Marrow mesenchymal stem cell
EXPERIMENTALAllogenic Bone Marrow mesenchymal stem cell in amniotic membrane transplant
Allogenic limbal stem cell Transplant
ACTIVE COMPARATORStem Cell with Amniotic Membrane Transplant
Interventions
Single stem cell expansion in amniotic membrane transplant
Eligibility Criteria
You may qualify if:
- Male or Female older than 18 years.
- Signed Informed consent
- Compromise of contraceptive method during all trial for any potential childbearing female.
- Diagnosis of Ocular Surface Failure due to Limbus Insufficiency Syndrome, based in any of the published characteristics as corneal surface neovascularization, loss of corneal transparency, epithelial irregularities, history of punctate keratitis, erosions or repetitive ulcers and presence of symptoms and confirmed by the presence of epithelial phenotype cells assessed with conjunctival impression cytology.
- Availability for all the scheduled visits during the study
You may not qualify if:
- Uncontrolled systemic disease (e.g. hypertension or diabetes) or any disease that under medical decision might put the patient at risk during the surgery or follow-up examinations or may cause any hazard in data analysis.
- Limbus insufficiency syndrome which has not been previously treated with all medical (not surgical) procedures available.
- No availability for all scheduled visits during the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
IOBA
Valladolid, Valladolid, 47011, Spain
Related Publications (2)
Perez I, Galindo S, Lopez-Miguel A, Nieto-Miguel T, de la Mata A, Lopez-Paniagua M, Alberca M, Herreras JM, Calonge M. In Vivo Confocal Microscopy in Limbal Stem Cell Deficiency After Mesenchymal Stem Cell Transplantation: A Sub-analysis from a Phase I-II Clinical Trial. Ophthalmol Ther. 2023 Dec;12(6):3251-3262. doi: 10.1007/s40123-023-00809-7. Epub 2023 Sep 29.
PMID: 37773479DERIVEDCalonge M, Perez I, Galindo S, Nieto-Miguel T, Lopez-Paniagua M, Fernandez I, Alberca M, Garcia-Sancho J, Sanchez A, Herreras JM. A proof-of-concept clinical trial using mesenchymal stem cells for the treatment of corneal epithelial stem cell deficiency. Transl Res. 2019 Apr;206:18-40. doi: 10.1016/j.trsl.2018.11.003. Epub 2018 Nov 22.
PMID: 30578758DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Margarita Calonge, MD, PhD
Instituto Universitario de Oftalmobiología Aplicada (Institute of Applied Ophthalmobiology) - IOBA
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 22, 2012
First Posted
March 23, 2012
Study Start
March 1, 2012
Primary Completion
December 1, 2014
Study Completion
December 1, 2014
Last Updated
January 8, 2015
Record last verified: 2015-01