- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03609125
Cord Blood Serum in the Treatment of Neuro-Degenerative Ophthalmic Diseases. 1-Glaucoma
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The treatment of neuroprotection of degenerative ophthalmological diseases is currently proposed by administering products belonging to the category of food supplements (nutraceuticals containing amino acids and vitamins) or compounds of vegetable origin (Curcumin, flavonoids taken with food consumption of apples and oranges, LBP Polysaccharides from goji berries etc) or specific synthesis molecules (Memantine, Citicoline, Brimonidine, Omotaurina, Polyphenols).
The rationale for the use of eye drops prepared from the blood, and in particular Cord Blood Serum (CBS), as a source is mainly based on its content in growth factors (Growth factors, GF). with particular reference in neurotrophic GFs .
Enrollment of 10 patients with glaucoma and documented progressive retinal ganglion cells (RGC) dysfunction and degeneration was performed. The product to be administered was analyzed with respect to the levels of BDNF (Brain Derived Neurotrophic Factor), beta-NGF (Neural Growth Factor) , GDNF (Glial Derived Neuronal Factor), and EGF (Epidermal Growth Factor).
Functional, electro-physiological, and structural parameters were evaluated at baseline, after two months of treatment, and after two months from the end of the treatment.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Bologna, Italy, 40138
- AOU Bologna, Ophthalmology Unit
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Patients must meet all of the following criteria to join the study (all eligibility criteria must be met at the screening and baseline visits unless otherwise noted):
- Participant must be medically able to undergo the testing required in the schedule of visits
Participant's clinical diagnosis must be consistent with glaucoma, characterized by the following features:
- Clinical evidence of progressive retinal ganglion cell (RGC) dysfunction and degeneration using both visual field and at least one structural modality as established by: i. Glaucomatous visual field abnormality. ii. Mean deviation (MD) of -3 to -15 dB. iii. Minimum average retinal nerve fiber layer (RNFL) thickness of 60 μm and maximum average RNFL of 90 μm.
- Residual visual field preservation including best-corrected visual acuity (BCVA) better than 20/200 in both eyes.
- Participant's glaucoma must be clinically stable, with intraocular pressure (IOP) < 21.
Exclusion Criteria:
- Participant has other optic nerve or retinal degenerative disease causing vision loss, irrespective of whether it is currently treated or untreated.
- Participant is blind in one eye;
- Participant has optic nerve atrophy
- Participant is receiving systemic steroids or immunosuppressive drugs, or is on chemotherapy
- Participant has a history of ocular herpes zoster.
- Participant has uveitis or other ocular inflammatory disease.
- Participant has a requirement of acyclovir
- Participant has evidence of corneal opacification or lack of optical clarity.
- Participant has diabetic macular edema and/or diabetic retinopathy.
- Participant has a history of malignancy
- Participant is pregnant or lactating.
- History of use of drugs with known retinal toxicity
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: CBS eyedrop
The product is prepared from cord blood serum (CBS) analyzed in advance with regard to the content of specific neurotrophic growth factors.
|
The product is dispensed as sterile frozen vials containing 0.8 ml of product for the daily administration.
The product is thawed and administered at a dose of 1 drop / 8 times each eye during the waking period.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
IOP (Intra ocular pressure)
Time Frame: baseline, after two months of treatment, after two months from end of treatment
|
Change of IOP at baseline, after treatment , and after two months from the end of treatment
|
baseline, after two months of treatment, after two months from end of treatment
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
BCVA (Best corrected visual acuity)
Time Frame: baseline, after two months of treatment, after two months from end of treatment
|
The change in best corrected visual acuity (BCVA) through baseline, 2 and 4 months from end of treatment
|
baseline, after two months of treatment, after two months from end of treatment
|
Visual Field
Time Frame: baseline, after two months of treatment, after two months from end of treatment
|
Evaluation of change in visual field 24-2 and 10-2, through baseline, 2 and 4 months as assessed by any one of the following two indices:
|
baseline, after two months of treatment, after two months from end of treatment
|
Fundus ophthalmoscopy
Time Frame: baseline, after two months of treatment, after two months from end of treatment
|
Ophthalmoscopy of the following structures - Optic nerve - Choroid - Retina / Macula - Vitreous - Cup / Disco ratio performed by fundus oftlamoscopy
|
baseline, after two months of treatment, after two months from end of treatment
|
Structural measure of retinal nerve fiber layer thickness
Time Frame: baseline, after two months of treatment, after two months from end of treatment
|
The change in retinal nerve fiber layer thickness as measured by spectral domain optical coherence tomography (sdOCT).
|
baseline, after two months of treatment, after two months from end of treatment
|
ERG (Electroretinogram)
Time Frame: baseline, after two months of treatment, after two months from end of treatment
|
PERG: obtained with low temporal frequencies (maximum 4 hz equivalent to 8 inversions per second). Reversal rate: 2 hz (4 inversions / sec). Contrast: ceiling for white and black squares. Luminance: photopic. Wave width P50-N95 and wave latency P50. Flash ERG: ERG 3.0 - maximal response in the eye adapted to the dark. Full-field stimulation with Ganzfeld's dome. Amplitude A1-B1 (the amplitude of the wave b is measured from the peak of the wave until to the peak of the wave b) - the latency of the wave b is measured by the flash lighting at the peak of the wave b |
baseline, after two months of treatment, after two months from end of treatment
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Emilio C CAMPOS, MD, AOU Policlinico S.Orsola-Malpighi and Alma Mater Studiorum University of Bologna
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- AOBologna
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Glaucoma
-
Imperial College Healthcare NHS TrustIRIDEX CorporationNot yet recruitingGlaucoma | Glaucoma, Open-Angle | Glaucoma, Angle-Closure | Glaucoma, Neovascular | Glaucoma Eye | Glaucoma Secondary | Glaucoma Traumatic | Glaucoma Uveitic
-
Wills EyeIOP OphthalmicsTerminatedPrimary Open Angle Glaucoma | Neovascular Glaucoma | Uveitic Glaucoma | Pseudoexfoliation Glaucoma | Primary Angle Closure Glaucoma | Pigmentary Glaucoma | Traumatic GlaucomaUnited States
-
Centre hospitalier de l'Université de Montréal...CompletedGlaucoma | Glaucoma, Open-Angle | Glaucoma, Neovascular | Glaucoma Eye | Glaucoma and Ocular Hypertension | Glaucoma, Uncompensated | Glaucoma SecondaryCanada
-
Pro Top & Mediking Company LimitedCompletedOpen Angle Glaucoma | Neovascular Glaucoma | Angle Closure Glaucoma | Uveitis Glaucoma | Young Age Glaucoma | High Risk PatientEstonia
-
Sanoculis LtdCompletedPrimary Open Angle Glaucoma | Pigmentary Glaucoma | Pseudoexfoliative GlaucomaIsrael
-
Bausch & Lomb IncorporatedNicOx Inc.CompletedPrimary Open Angle Glaucoma | Ocular Hypertension | Pigmentary Glaucoma | Pseudoexfoliative GlaucomaUnited States
-
Sensimed AGCompletedPrimary Open Angle Glaucoma | Pigmentary Glaucoma | Pseudoexfoliative GlaucomaFrance
-
Wills EyeOptovueCompletedPrimary Open-angle Glaucoma | Normal Tension Glaucoma | Glaucoma; DrugsUnited States
-
iSTAR MedicalInternational Drug Development InstituteActive, not recruitingGlaucoma, Open-Angle Glaucoma EyeIndia, Panama
-
Dr. Kaweh MansouriEnrolling by invitationGlaucoma, Angle-Closure | Surgery | Glaucoma, Neovascular | Glaucoma Eye | Glaucoma; Drugs | Glaucoma, Pigmentary | Glaucoma Secondary | Glaucoma Open-Angle | Glaucoma Congenital | Glaucoma CapsulareSwitzerland
Clinical Trials on CBS eyedrop
-
Aston UniversityNot yet recruitingDry Eye Syndromes | Computer Vision Syndrome
-
Clasado Biosciences LtdWithdrawnTraveler's Diarrhea
-
University Hospital, LilleCompletedVentilator Lung; NewbornFrance
-
Ohio UniversityEnrolling by invitation
-
SCAI TherapeuticsCompletedDry Eye SyndromesKorea, Republic of
-
Sun Yat-sen UniversityRecruitingNeovascular Glaucoma | NeovascularizationChina
-
Federal University of Health Science of Porto AlegreActive, not recruitingPosterior Shoulder TightnessBrazil
-
Meir Medical CenterCompleted
-
IRCCS Azienda Ospedaliero-Universitaria di BolognaUniversity of Bologna; Centro Nazionale Sangue; Regione Emilia-RomagnaUnknownSjogren's Syndrome | Keratopathy | GVHD - Graft-Versus-Host DiseaseItaly
-
Benha UniversityRecruitingGlaucoma, Suspect | Aberration, Corneal WavefrontEgypt