Efficacy of Topical Mesenchymal Stromal Cell Secretome for Ocular Surface Disease

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Illinois at Chicago

About this trial

In this phase II randomized double-masked clinical trials, subjects with non-resolving corneal epithelial disease/defect (i.e., refractory to standard treatments for at least two weeks) will receive 8 weeks treatment of topical mesenchymal stem cell secretome or vehicle, with continued follow-up for up to Day 70.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age · Patients 18 years of age or older

Ocular Health

Chronic corneal epithelial disease with fluorescein staining score 6 by NEI grading scale or persistent corneal epithelial defect present for longer than 14 days despite standard treatment

No objective clinical evidence of significant (> 50%) improvement/worsening of the epithelial disease in the last 14 days

Disqualifiers

Ocular Health

Any active or suspected ocular infection (bacterial, viral, fungal or protozoal).

History of any ocular surgery (including laser or refractive surgical procedures) in the study eye within the 3 months prior to study enrollment.

Treatment with Oxervate in the study eye within 12 months of enrollment.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Allogeneic Bone-Marrow Derived Mesenchymal Stromal Cells Secretome

    Drug

    Eye Drops

  • Vehicle Control

    Other intervention

    Eye Drops

Treatment groups

24 Participants
are divided into 2 treatment groups
Group A: Allogeneic Bone-Marrow Derived Mesenchymal Stromal Cells SecretomeExperimental treatment 1 intervention
Group B: VehiclePlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Improvement of Corneal Epithelial Barrier and/or Integrity (Efficacy Outcome)

Proportion of subjects with improved epithelial barrier and/or integrity from baseline to DAY 56 as determined by the investigator on slit lamp examination: · Improved epithelial barrier, defined as ³ 50 % improvement in corneal fluorescein staining score using NEI grading scale · Improved epithelial integrity, defined as complete closure of persistent epithelial defect, measured with ImageJ on slit lamp images

Time frame
Baseline to Day 56

Secondary outcomes

1

Visual Acuity

Percent change in best-corrected distance visual acuity from baseline to DAY 56 as measured using standard ETDRS protocols

Time frame
Baseline to Day 56
2

Corneal staining and NEI grading

Grading of fluorescein staining of the cornea Minimum score = 0 Maximum score = 15 Lower score is better

Time frame
Baseline to Day 70
3

Ocular Surface Parameters

Changes in ocular surface disease index (OSDI) from baseline to DAY 56 and DAY 70 Minimum value = 0 Maximum value = 100 Lower value is better

Time frame
Baseline to Day 70
4

Corneal Epithelial Thickness

Percent change in corneal epithelial thickness from baseline to DAY 56 and DAY 70, as measured by anterior segment OCT (AS-OCT)

Time frame
Baseline to Day 70

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Illinois at Chicago

Lead sponsor

National Eye Institute (NEI)

Collaborator

National Institutes of Health (NIH)

Collaborator