Phase 2
N=16
Treatment of Central Retinal Vein Occlusion Using Stem Cells Study
Central Retinal Vein Occlusion
Bottom Line
View on ClinicalTrials.gov: NCT03981549 ↗Enrolled (actual)
16
Serious AEs
6.3%
Results posted
Dec 2024
Primary outcome: Primary: Incidence and Severity of Ocular and Systemic Adverse Events — 1; 0; 0; 1 participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Autologous Bone Marrow CD34+ Stem Cells (Biological); Sham Therapy (Biological)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- The Emmes Company, LLC
- Primary completion
- Nov 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Incidence and Severity of Ocular and Systemic Adverse Events |
1; 0; 0; 1; 0; 1 | — |
| PRIMARY Feasibility of the Stem Cell Therapy |
5.4; 5.9; 3.8; 4.6 | — |
| SECONDARY Change in Early Treatment Diabetic Retinopathy Study (ETDRS) Visual Acuity Letter Score |
1.7; 2.1 | — |
| SECONDARY Change in % Reduced Sensitivity |
0.8; -11.4 | — |
| SECONDARY Change in Average Threshold |
-1.2; 0.0 | — |
| SECONDARY Change in Percent Normal Amplitude for ERG+OP (Oscillatory Potential) A-wave Under Scotopic Conditions |
-7.7; 18.6 | — |
| SECONDARY Change in Percent Normal Amplitude for ERG+OP B-wave Under Scotopic Conditions |
-8.4; 11.6 | — |
| SECONDARY Change in Percent Normal Latency of ERG+OP A-wave Under Scotopic Conditions |
1.3; -9.0 | — |
| SECONDARY Change in Percent Normal Latency of ERG+OP B-wave Under Scotopic Conditions |
12.7; -1.2 | — |
| SECONDARY Change in Percent Normal Amplitude for A-wave Under Photopic Conditions |
6.2; 26.8 | — |
| SECONDARY Change in Percent Normal Amplitude for B-wave Under Photopic Conditions |
-2.5; -6.0 | — |
| SECONDARY Change in Percent Normal Latency for A-wave Under Photopic Conditions |
-3.5; -0.0 | — |
| SECONDARY Change in Percent Normal Latency for B-wave Under Photopic Conditions |
-0.1; -4.7 | — |
| SECONDARY Change in Percent Normal Flicker Amplitude |
-10.8; 2.2 | — |
| SECONDARY Change in Flicker Latency Trough |
-4.2; -0.3 | — |
| SECONDARY Change in Percent Normal Amplitude for A-wave Under Scotopic Conditions |
8.2; 3.8 | — |
| SECONDARY Change in Percent Normal Latency of A-wave Under Scotopic Conditions |
12.4; -14.7 | — |
| SECONDARY Change in Percent Normal Amplitude for B-wave Under Scotopic Conditions |
-1.7; 19.2 | — |
| SECONDARY Change in Percent Normal Latency for B-wave Under Scotopic Conditions |
-4.9; -5.7 | — |
| SECONDARY Foveal Avascular Zone Integrity |
0; 1; 2; 2; 1; 2 | — |
| SECONDARY Change in Area of Non-perfusion Within ETDRS Grid |
1.4; -3.3 | — |
| SECONDARY Change in Area of Non-perfusion Within Networc Grid |
0.2; 28.0 | — |
Summary
This study evaluates whether intravitreal autologous CD34+ stem cell therapy is safe, feasible and potentially beneficial in eyes with vision loss from central retinal vein occlusion (CRVO). Half of the participants will receive immediate cellular therapy followed by sham therapy 6 months later, while the other half will receive immediate sham therapy followed by cellular therapy 6 months later. Participants will be followed for a total of 1 year.
Eligibility Criteria
Study Eye Inclusion/Exclusion Criteria:
Inclusion criteria for the study eye:
- Clinical diagnosis of central retinal vein occlusion (CRVO) confirmed by review of medical records and screening assessment.
- Best Corrected Visual Acuity (BCVA) obtained during the screening period is in the range of 20/40+ to 20/400- (ETDRS letter score in the range of 18 to 73, inclusive).
- Duration of vision loss from CRVO >= 6 months to = 9 diopters)
- Amblyopia
- Other cause contributing to vision loss at screening.
- History of any of the following procedures: corneal transplant, glaucoma surgery, or intraocular silicone oil.
Participant-level Inclusion/Exclusion Criteria:
Participant-level inclusion criteria:
- Age >=18 years
- Female participants of child-bearing potential must not be pregnant or breastfeeding and have a negative urine pregnancy test within 14 days prior to sham injection and/or CD34+ cell injection.
- Females of childbearing potential must have had a hysterectomy, be completely abstinent from intercourse or must agree to practice effective contraception for the duration of the study. Acceptable methods of contraception include hormonal contraception, intrauterine device, barrier methods (diaphragm, condom) with spermicide, or surgical sterilization (tubal ligation).
- Able and willing to sign informed consent.
- Able to keep follow-up appointments for at least 12 months as determined by the investigator.
Participant-level exclusion criteria:
- Concurrent treatment with an investigational drug or device.
- Concurrent use of systemic immunosuppressive therapy or history of use within 3 months prior to enrollment (i.e., date ICF signed).
- Concurrent use of anticoagulation therapy except for aspirin without an acceptable safe stopping plan for study treatments.
- Known history of coagulopathy or other hematologic abnormality that may put participant at risk for bleeding or infection or raise concerns about quality or quantity of CD34+ cells isolated.
- History of allergy to fluorescein dye.
- Participant who has had a prior or concomitant malignancy with the exception of the following: 1) adequately treated basal or squamous cell carcinoma of the skin, or 2) any other malignancy from which the patient has remained disease free for more than five years.
- Current active systemic infection as evidenced by fever greater than 100.4 or any evidence of systemic infection as determined by the study physician.
- Any diagnosis of active infection or vaccination within 8 weeks of study treatment.
- Diabetes mellitus with known systemic complications by self-report or physician-determined by medical history or examination.
- History of prior radiotherapy to head/neck area.
- Poorly controlled hypertension with systolic > 180 or diastolic > 95.
- Serious medical or psychiatric condition that, in the opinion of the Investigator, would make study participation hazardous to the participant or compromise study findings or would prevent the participant from completing the study.
- Any physical characteristic that precludes ability to perform study diagnostic testing.
Data sourced from ClinicalTrials.gov (NCT03981549). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.