Stem Cell Ophthalmology Treatment Study (SCOTS)
Bone Marrow Derived Stem Cell Ophthalmology Treatment Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
Connecticut
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Westport, Connecticut, United States, 06880
- MD Stem Cells
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Have objective, documented damage to the retina or optic nerve unlikely to improve OR
- Have objective, documented damage to the retina or optic nerve that is progressive
- AND have less than or equal to 20/40 best corrected central visual acuity in one or both eyes AND/OR an abnormal visual field in one or both eyes.
- Be at least 3 months post-surgical treatment intended to treat any ophthalmologic disease and stable.
- If under current medical therapy ( pharmacologic treatment) for a retinal or optic nerve disease be considered stable on that treatment and unlikely to have visual function improvement ( for example, glaucoma with intraocular pressure stable on topical medications but visual field damage ).
- Have the potential for improvement with BMSC treatment and be at minimal risk of any potential harm from the procedure.
- Be over the age of 18
- Be medically stable and able to be medically cleared by their primary care physician or a licensed primary care practitioner for the procedure. Medical clearance means that in the estimation of the primary care practitioner, the patient can reasonably be expected to undergo the procedure without significant medical risk to health.
Exclusion Criteria:
- Patients who are not capable of an adequate ophthalmologic examination or evaluation to document the pathology.
- Patients who are not capable or not willing to undergo follow up eye exams with the principle investigator or their ophthalmologist or optometrist as outlined in the protocol.
- Patients who are not capable of providing informed consent.
- Patients who may be at significant risk to general health or to the eyes and visual function should they undergo the procedure.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: RB, ST, IV
Injections of BMSC retrobulbar (RB), subtenon (ST) and intravenous (IV)
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Retrobulbar injection of Bone Marrow Derived Stem Cells (BMSC)
Other Names:
Subtenon injection of Bone Marrow Derived Stem Cells (BMSC)
Other Names:
Intravenous injection of Bone Marrow Derived Stem Cells (BMSC)
Other Names:
|
|
Active Comparator: RB, ST, IV, IVIT
Injections of BMSC retrobulbar, subtenon, intravenous and intravitreal ( IVIT )
|
Retrobulbar injection of Bone Marrow Derived Stem Cells (BMSC)
Other Names:
Subtenon injection of Bone Marrow Derived Stem Cells (BMSC)
Other Names:
Intravenous injection of Bone Marrow Derived Stem Cells (BMSC)
Other Names:
Intravitreal injection of Bone Marrow Derived Stem Cells (BMSC)
Other Names:
|
|
Active Comparator: RB, ST, IV, IO
Injection of BMSC retrobulbar, subtenon, intravenous and intraocular (IO) with vitrectomy
|
Retrobulbar injection of Bone Marrow Derived Stem Cells (BMSC)
Other Names:
Subtenon injection of Bone Marrow Derived Stem Cells (BMSC)
Other Names:
Intravenous injection of Bone Marrow Derived Stem Cells (BMSC)
Other Names:
Intraocular injection of Bone Marrow Derived Stem Cells (BMSC) with vitrectomy prior to intraocular injection.
For example, may include larger amount of stem cells in the intravitreal cavity, intraneuronal injections or subretinal injections of stem cells.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Visual acuity
Time Frame: 1 day to 12 months
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Best corrected visual acuity will be measured with Snellen Eye Chart and the ETDRS (Early Treatment Diabetic Retinopathy Study)Eye Chart when available at each post- procedure visit.
Intervals at minimum will be first post- procedure day,then 3 months, 6 months and 12 months post-procedure day.
Recommended visit 1 month post -procedure day.
|
1 day to 12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Visual fields
Time Frame: 1 day to 12 months
|
Visual fields will be evaluated with automated perimetry during post- procedure visits as needed and specifically at 6 months and 12 months.
|
1 day to 12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Steven Levy, MD, MD Stem Cells
- Principal Investigator: Jeffrey Weiss, MD, MD Stem Cells
Publications and helpful links
General Publications
- Weiss JN, Levy S, Malkin A. Stem Cell Ophthalmology Treatment Study (SCOTS) for retinal and optic nerve diseases: a preliminary report. Neural Regen Res. 2015 Jun;10(6):982-8. doi: 10.4103/1673-5374.158365.
- Weiss JN, Levy S, Benes SC. Stem Cell Ophthalmology Treatment Study (SCOTS) for retinal and optic nerve diseases: a case report of improvement in relapsing auto-immune optic neuropathy. Neural Regen Res. 2015 Sep;10(9):1507-15. doi: 10.4103/1673-5374.165525.
- Weiss JN, Benes SC, Levy S. Stem Cell Ophthalmology Treatment Study (SCOTS): improvement in serpiginous choroidopathy following autologous bone marrow derived stem cell treatment. Neural Regen Res. 2016 Sep;11(9):1512-1516. doi: 10.4103/1673-5374.191229.
- Kasetty MA, Hedges TR 3rd, Witkin AJ. BILATERAL EPIRETINAL MEMBRANE FORMATION AFTER INTRAVITREAL INJECTIONS OF AUTOLOGOUS MESENCHYMAL STEM CELLS. Retin Cases Brief Rep. 2022 Sep 1;16(5):561-564. doi: 10.1097/ICB.0000000000001032.
- Weiss JN, Levy S, Benes SC. Stem Cell Ophthalmology Treatment Study (SCOTS): bone marrow-derived stem cells in the treatment of Leber's hereditary optic neuropathy. Neural Regen Res. 2016 Oct;11(10):1685-1694. doi: 10.4103/1673-5374.193251.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
- Retina
- Stem Cells
- Mesenchymal Stem Cells
- Ischemic Optic Neuropathy
- Retinal Disease
- MSC
- Maculopathy
- Retinitis Pigmentosa
- Macular Degeneration
- Ophthalmology
- Age Related Macular Degeneration
- Geographic Atrophy
- Retinal Dystrophy
- Eye Disease
- Wet Macular Degeneration
- Stargardt Disease
- Optic Atrophy
- Bone Marrow Derived Stem Cells
- BMSC
- BMC (Bone Marrow Cell)
- Eye Stem Cells
- Ophthalmic Disease
- Myopic Macular Degeneration
- Dry Macular Degeneration
- Retinal Atrophy
- Hereditary Retinal Dystrophy
- Cone Dystrophy
- Cone Rod Dystrophy
- Optic Nerve Disease
- Optic Nerve Atrophy
- Optic Nerve Damage
- Optic Nerve Compression
- Compressive Optic Neuropathy
- Devics Syndrome
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ICMS-2013-0019.
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Study Data/Documents
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Clinical Study Report
Information comments: http://mdstemcells.com/scots-ii/
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