A Phase 1/2 Study of AURN001 in Subjects With Corneal Edema Secondary to Corneal Endothelial Dysfunction (ABA-1)
CLARA
CLARA: A Phase 1/2 Multi-center, Randomized, Double-Masked, Prospective, Parallel-Arm Study of AURN001 in Subjects With Corneal Edema Secondary to Corneal Endothelial Dysfunction (ABA-1)
1 other identifier
interventional
97
2 countries
20
Brief Summary
The goal of this clinical trial is to compare different doses of AURN001 in patients with corneal edema secondary to corneal endothelial dysfunction. The main questions the clinical trial aims to answer are whether AURN001 effective and safe. Participants will receive a single injection of AURN001. A comparison between low, medium, and high doses of AURN001 against the contribution of each element, cells alone and Y27632 alone, will be conducted to determine the effects on corneal edema.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Oct 2023
20 active sites
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
September 11, 2023
CompletedFirst Posted
Study publicly available on registry
September 18, 2023
CompletedStudy Start
First participant enrolled
October 18, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 25, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
April 15, 2025
CompletedResults Posted
Study results publicly available
December 17, 2025
CompletedDecember 17, 2025
December 1, 2025
1 year
September 11, 2023
October 24, 2025
December 16, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants Achieving ≥15-letter Improvement in Best-corrected Visual Acuity (BCVA) at Month 6 - Imputed Data
Best-corrected visual acuity was assessed using Early Treatment Diabetic Retinopathy Study(ETDRS) method, standard for vision testing. Standardized Sloan letter charts with 5 letters per line, decreasing by 0.1 logarithm of minimum angle of resolution (LogMAR) per line, were used at 4 meters (or 1 meter if ≤19 letters were read, with +0.75 spherical power added). Each correct letter equaled one point (0.02 LogMAR), with 85 letters (0.0 LogMAR) corresponding to 20/20 Snellen, 70 letters (+0.3) to 20/40, and 35 letters (+1.0) to 20/200. A gain of ≥15 letters (0.3 LogMAR, 3 lines) was clinically meaningful. Data from the study eye only were included in the analysis. Participants read letters aloud, guessing encouraged, and all responses recorded for accuracy. Data presented represent number of participants with available BCVA measurements at Month 6, with those who had missing data, underwent rescue surgery before Month 6, or discontinued study prior to Month 6 imputed as non-responders.
Month 6
Secondary Outcomes (6)
Change From Baseline in BCVA at Month 6
Baseline (Day 1) and at Month 6
Change From Baseline in Central Corneal Thickness (CCT) at Month 6
Baseline (Day 1) and at Month 6
Percentage of Participants Achieving ≥15-letter Improvement in BCVA at All Timepoints - Observed Data
At Week 4 and at Months 2, 3, 4.5, 6, 9 and 12
Change From Baseline in BCVA at All Other Timepoints
Baseline (Day 1) and at Week 4, Months 2, 3, 4.5, 6, 9 and 12
Change From Baseline in CCT at All Other Timepoints
Baseline (Day 1) and at Weeks 1 and 4, Months 2, 3, 4.5, 6, 9, and 12
- +1 more secondary outcomes
Study Arms (5)
AURN001 High
EXPERIMENTALNeltependocel High and Rho-associated protein kinase
AURN001 Medium
EXPERIMENTALNeltependocel Medium and Rho-associated protein kinase
AURN001 Low
EXPERIMENTALNeltependocel Low and Rho-associated protein kinase
Neltependocel
EXPERIMENTALNeltependocel - High
ROCK
EXPERIMENTALRho-associated protein kinase (ROCK)
Interventions
Eligibility Criteria
You may qualify if:
- Have a diagnosis of corneal edema secondary to corneal endothelial dysfunction, requiring surgery (full- or partial-thickness endothelial keratoplasty)
- BCVA between 65 Early Treatment of Diabetic Retinopathy Study (ETDRS) letters (i.e., 0.4 LogMAR or approximate 20/50 Snellen equivalent) and 5 ETDRS letters (i.e., 1.6 LogMAR or approximate 20/800 Snellen equivalent)
You may not qualify if:
- Have pre-operative corneal epithelial, sub-epithelial or stromal scarring or other opacity that is paracentral/central and visually significant, but not suspected to be secondary to corneal endothelial disease with the potential to improve from treatment in the study eye
- Have history or presence of an ocular disease other than corneal endothelial dysfunction that could affect vision or safety assessments
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Aurion Biotechlead
Study Sites (20)
Aurion Biotech site
Little Rock, Arkansas, 72205, United States
Aurion Biotech site
Los Angeles, California, 90067, United States
Aurion Biotech site
San Francisco, California, 94158, United States
Aurion Biotech site
Atlanta, Georgia, 30339, United States
Aurion Biotech site
Indianapolis, Indiana, 46260, United States
Aurion Biotech site
Wichita, Kansas, 67206, United States
Aurion Biotech site
Minnetonka, Minnesota, 55305, United States
Aurion Biotech site
Garden City, New York, 11576, United States
Aurion Biotech site
Winston-Salem, North Carolina, 27157, United States
Aurion Biotech site
Cincinnati, Ohio, 45242, United States
Aurion Biotech site
Oklahoma City, Oklahoma, 73104, United States
Aurion Biotech site
Bala-Cynwyd, Pennsylvania, 19004, United States
Aurion Biotech site
Sioux Falls, South Dakota, 57108, United States
Aurion Biotech site
Houston, Texas, 77027, United States
Aurion Biotech site
Houston, Texas, 77055, United States
Aurion Biotech site
Norfolk, Virginia, 23502, United States
Aurion Biotech site
Seattle, Washington, 98125, United States
Aurion Biotech site
Vancouver, British Columbia, V5Z 1K1 CAN, Canada
Aurion Biotech site
Oakville, Ontario, L6H 0J8 CAN, Canada
Aurion Biotech site
Toronto, Ontario, M5T 3A9 CAN, Canada
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Study director
- Organization
- Aurion Biotech, Inc.
Study Officials
- STUDY DIRECTOR
Study Manager, OD
Aurion Biotech
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 11, 2023
First Posted
September 18, 2023
Study Start
October 18, 2023
Primary Completion
October 25, 2024
Study Completion
April 15, 2025
Last Updated
December 17, 2025
Results First Posted
December 17, 2025
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share