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N/A N=1,274 Randomized Quadruple-blind Treatment

Impact of Donor Diabetes on DMEK Success and Endothelial Cell Loss

Corneal Endothelial Decompensation · Fuchs' Endothelial Dystrophy

Enrolled (actual)
1,274
Serious AEs
0.4%
Results posted
Apr 2026
Primary outcome: Primary: Graft Failure — 32; 15 eyes

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Descemet membrane endothelial keratoplasty (Procedure)
Age
Adult, Older Adult · 30+ yrs
Sex
All
Sponsor
Case Western Reserve University
Primary completion
Jul 2025

Outcome Measures

OutcomeResultp-value
PRIMARY
Graft Failure
32; 15
SECONDARY
Endothelial Cell Density
1927; 1920

Summary

This double-masked multi-center trial will evaluate the association of diabetes in the cornea donor with transplant success and loss of endothelial cells through 1 year following Descemet membrane endothelial keratoplasty (DMEK). Study eyes are assigned to receive either a cornea from a donor without diabetes or a cornea from a donor with diabetes.

Eligibility Criteria

Participant Inclusion Criteria:

  • Age range 30- 25mm Hg.
  • Controlled glaucoma with prior tube shunt placement for glaucoma (controlled glaucoma with minimally invasive glaucoma surgery (MIGS) or trabeculectomy is allowed)
  • Fellow eye visual acuity < 20/200 due to an ocular condition other than a cornea disease that would be a candidate for DMEK
  • Intraocular pressure <8 mmHg
  • Topical Rho kinase inhibitor, including netarsudil, used within 1 month prior to study entry and anticipated during the course of the study
  • Fellow eye enrolled in the DEKS that has met study-criteria for graft failure.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05134480). 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.

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