Intravitreal Injection of MSCs in Retinitis Pigmentosa
Study Details
Study Description
Brief Summary
The purpose of this study is to determine the feasibility and safety of adult human bone marrow-derived mesenchymal stem cells by intravitreal injection in patients with retinitis pigmentosa.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1 |
Detailed Description
Retinitis pigmentosa (RP) is an inherited disorder of the photoreceptor cells in the retina. Patients may lose vision since they were young or later in life. Currently, there are more than 60 genes identified as the cause of this condition, one of which, RPE65, has been studied in several gene therapy trials for Leber congenital amaurosis with promising results. Another treatment approach for RP is stem cell therapy. Studies in animal models of RP have shown that subretinal injection of bone marrow-derived mesenchymal stem cells may delay degenerative changes of photoreceptor cells.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: BM-MSC Bone marrow-derived mesenchymal stem cells 1 million cells in balanced salt solution 100 microlitres will be injected into the vitreous cavity. |
Other: BM-MSC
Bone marrow-derived mesenchymal stem cells 1 million cells in balanced salt solution 100 microlitres will be injected into the vitreous cavity.
|
Outcome Measures
Primary Outcome Measures
- Change from baseline in laser flare and cell measurements [up to 12 months]
Secondary Outcome Measures
- Change from baseline in visual function tests [up to 12 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Retinitis pigmentosa patients diagnosed by ophthalmologists
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Age 18-65 years old
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Central visual field less than or equal to 20 degrees
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Best corrected visual acuity less than 6/120 by Snellen visual acuity chart
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Electroretinogram nonrecordable or the amplitudes were less than 25% of normal
Exclusion Criteria:
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Other eye conditions that could mask the interpretation of the results
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Unable to return for follow up
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Underlying diseases including asthma, heart failure, myocardial infarction, liver failure, renal failure
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Pregnant and lactating women
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Siriraj Hospital Mahidol University | Bangkoknoi | Bangkok | Thailand | 10700 |
Sponsors and Collaborators
- Mahidol University
- Ministry of Health, Thailand
Investigators
- Principal Investigator: La-ongsri Atchaneeyasakul, MD, Siriraj Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
- Hartong DT, Berson EL, Dryja TP. Retinitis pigmentosa. Lancet. 2006 Nov 18;368(9549):1795-809. Review.
- Kociok N. Can the injection of the patient's own bone marrow-derived stem cells preserve cone vision in retinitis pigmentosa and other diseases of the eye? Graefes Arch Clin Exp Ophthalmol. 2005 Mar;243(3):187-8. Epub 2004 Nov 23.
- RP-001