Stem Cell Therapy for Limbal Stem Cell Deficiency
Safety and Feasibility of Cultivated Autologous Limbal Stem Cells (cLSC) for Limbal Stem Cell Deficiency
2 other identifiers
interventional
20
1 country
1
Brief Summary
This phase I study will collect preliminary information on the activity and safety of cLSC. We will investigate the ability to manufacture and transplant cLSC onto the cornea successfully at the time of surgery (feasibility), and have cLSC begin to populate the ocular surface (efficacy) without serious adverse events (safety).
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 Sep 2020
Longer than P75 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
First Submitted
Initial submission to the registry
February 21, 2019
CompletedFirst Posted
Study publicly available on registry
May 21, 2019
CompletedStudy Start
First participant enrolled
September 30, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 4, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
April 30, 2027
February 10, 2026
February 1, 2026
6.4 years
February 21, 2019
February 6, 2026
Conditions
Outcome Measures
Primary Outcomes (3)
Safety of cLSC Transplant pertaining to Infection and/or Corneal Perforation
Safety assessed by incidence of Serious Adverse Events (SAEs) directly related to cLSC: infection and/or corneal perforation.
12 months for all participants
Feasibility of cLSC Transplant pertaining to Manufacturing meeting Release Criteria
Feasibility assessed by successful manufacturing of cLSC from biopsy that meets release criteria.
12 months for all participants
Feasibility of cLSC Transplant pertaining to Manufacturing without Contamination
Feasibility assessed by successful cLSC manufacturing without contamination.
12 months for all participants
Secondary Outcomes (2)
Changes in the Area of Corneal Epithelial Defect
At 6 months and 12 months in both cLSC and the control groups
Changes in the Clinical Score
At 6 months and 12 months in both cLSC and the control groups
Study Arms (2)
Cultivated Limbal Stem-Cells (cLSC)
EXPERIMENTALOne dose of cultivated limbal stem-cells (cLSC), size between 7.6 to 15 mm in the average diameter.
Scleral Contact Lens Device (SCL)
ACTIVE COMPARATORScleral contact lens device (SCL) will be fitted to stabilize and improve ocular surface.
Interventions
Scleral contact lens device (SCL) will be used to stabilize and improve ocular surface.
Eligibility Criteria
You may qualify if:
- Male or female ≥18 years of age.
- Best corrected visual acuity in the affected eye of 20/160 or less.
- Documentation of a LSCD diagnosis and the central cornea is affected.
- Absence of lagophthalmos and eyelid abnormality
- Adequate forniceal depth is ≥ 5 mm.
- LSCD fails to resolve by surgical treatments of the ocular surface during the previous 6 months of screening visit.
- If the etiology of LSCD is due to chemical injury, a minimal interval of 1 year since the initial chemical injury is required.
- A Schirmer test result at 5 minute of ≥5 mm of wetting.
- Absence of active infectious keratitis in either eye at the Enrollment Visit.
- Have a life expectancy ≥ 2 years after enrollment.
You may not qualify if:
- Pregnant, breastfeeding, or unwilling to practice birth control during participation in the study.
- Presence of a condition or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data.
- Exposure keratopathy or lagophthalmos of the study eye.
- Persistent severe ocular surface inflammation and/or meibomian gland dysfunction
- Chemical injury occurred less than 12 months ago.
- Presence of ocular surface tumor.
- Uncontrolled diabetes with last hemoglobin A1C (HgA1C) \>8.5.
- Presence of known allergies to any of the cLSC components.
- Current participation in another simultaneous medical investigation or trial.
- Unable to be compliant with or complete the requirements of the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of California
Los Angeles, California, 90095, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sophie Deng, MD, PhD
Stein Eye Institute UCLA
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
February 21, 2019
First Posted
May 21, 2019
Study Start
September 30, 2020
Primary Completion (Estimated)
February 4, 2027
Study Completion (Estimated)
April 30, 2027
Last Updated
February 10, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share