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Status unknownNCT03173638NEUROSTEMUpdated Apr 6, 2021

Safety Assessment of Intravitreal Mesenchymal Stem Cells for Acute Non Arteritic Anterior Ischemic Optic Neuropathy

A Phase 2 interventional study of intravitreal injection of MSV in Non Arteritic Ischemic Optic Neuropathy, sponsored by Instituto Universitario de Oftalmobiología Aplicada (Institute of Applied Ophthalmobiology) - IOBA. Status unknown at 1 site in Spain. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2021-04-06.

Sponsored by Instituto Universitario de Oftalmobiología Aplicada (Institute of Applied Ophthalmobiology) - IOBA · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Apr 2021), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

In this study the investigators propose to perform a Phase II Clinical Trial which seeks to evaluate the safety of cell therapy as a new treatment for patients who suffer from acute non-arteritic anterior ischemic optic neuropathy (NAION). If it is successful, a later study to assess efficacy will be performed.

This disease has an age-adjusted incidence rate of 10/100.000, and in many cases it results in blindness. Currently, there is no available treatment and second eye involvement occurs in approximately 15-25% of the cases.

All this background originates a particularly dramatic outcome for the patient. Therefore, it seems justified to evaluate new therapies that maintain or improve the visual function in these patients.

The Project includes a clinical trial whose purpose is the assessment of the safety of intravitreal administration of allogenic mesenchymal stem cells (MSC) in patients with NAION, a product in clinical research phase (PEI No. 15-007) already approved for other human clinical applications (PEI No. 15-007).

It can be considered that the therapy with intravitreal injection of MSC is a treatment option in patients with acute NAION, since through the paracrine properties of these cells (secretion of neurotrophic, immunomodulatory and anti-apoptotic factors) it may prevent or reduce the progression of axonal degeneration caused by this disease.

02

Conditions studied

  • Non Arteritic Ischemic Optic Neuropathy

Keywords

  • acute non arteritic anterior ischemic optic neuropathy
  • mesenchymal stem cells
  • intravitreal injection
  • safety
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In context

Peripheral Nervous System Diseases

1,003 studies on the registry are indexed under Peripheral Nervous System Diseases; 177 are open to participants now.

This study's enrollment of 5 is below the median of 60 across 768 interventional studies indexed under Peripheral Nervous System Diseases.

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Lead sponsor

Instituto Universitario de Oftalmobiología Aplicada (Institute of Applied Ophthalmobiology) - IOBA is the lead sponsor of 17 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with acute unilateral NAION (within two weeks after the first symptoms) with at least two of the following:

    1. Sudden and unpainful monocular vision loss
    2. Visual field defects
    3. Dyschromatopsia.
    4. Ocular nerve head edema.
    5. Afferent relative pupil defect.
  • Patients ≥ 50 years old, able to freely give informed consent.
  • Best corrected visual acuity (BCVA) ≤ 0,1 in study eye.
  • Pseudophakia in study eye.
  • Preserved pupil sphincter muscle motility
  • Signed informed consent form before any study procedure.
  • Signed data protection consent form before any study procedure.

Exclusion criteria

Exclusion Criteria:

  • Giant cell arteritis evidence (clinical history, Erythrocyte sedimentation rate (ESR), C-Reactive Protein)
  • Evidence of any other etiology that may justify the optic neuropathy (even in the non-study eye)
  • History of systemic vasculitis, multiple sclerosis, collagenopathies or previous cancer treatments.
  • Hypersensitivity or allergy to any compound used in the study, including investigational medicinal product (IMP).
  • Positive pregnancy test at baseline
  • Participation in any other research study within 2 months

Ophthalmic exclusion criteria

  • History of uveitis or active ocular inflammation
  • History or evidence of glaucoma or high intraocular pressure ( ≥ 24 mmHg in either eye).
  • Mean opacities or retinal pathologies in the study eye.
  • Any previous vitreous or glaucoma surgery in the study eye
  • Cataract surgery within 3 months in the study eye
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Mesenchymal stem from valladolid (MSV)

    Allogenic mesenchymal stem cells from bone marrow

    Procedure: intravitreal injection of MSV

Interventions

  • Procedureintravitreal injection of MSV

    A unique intravitreal injection of MSV in acute fase of NAION

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What researchers measure

Primary outcomes

  1. Absence of inflammatory reaction - Slit lamp exploration - SUN (Standardization of Uveitis Nomenclature) scale

    Following the SUN scale, the parameters that will be taken into account in the slit lamp exploration will be: cells and flare in anterior chamber, and vitreous flare

    Time frame: Changes compared to baseline in visits V1 (1day), V2 (1week), V3 (1 month), V4 (3 months), V5 (6 months) and V6 (12months) and in any unscheduled visit any patient might need

Secondary outcomes

  1. Adverse events procedure-related (intravitreal injection)

    Conjunctival haemorrhages, anterior chamber inflammation, changes in intraocular pressure, infectious endophthalmitis, vitreous inflammation, retinal detachment, choroidal detachment, corneal opacities, lens opacities, neovascularization, macular edema or any other adverse event that may appear

    Time frame: Throughout the study after treatment in visits V1 (1day), V2 (1week), V3 (1 month), V4 (3 months), V5 (6 months) and V6 (12months) and in any unscheduled visit any patient might need

07

Study locations

1 site
  • IOBA - Applied Ophthalmobiology Institute
    Valladolid, 47011, Spain
08

References and documents

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 6, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03173638
Lead sponsor
Instituto Universitario de Oftalmobiología Aplicada (Institute of Applied Ophthalmobiology) - IOBA
Collaborators
University of Valladolid
Responsible party
Sponsor
First posted
Jun 2, 2017
Start date
Mar 23, 2018
Primary completion
Apr 2022 (estimated)
Completion
Dec 2022 (estimated)
Last update
Apr 6, 2021

Study contacts

José C Pastor Jimeno, MD, PhD
principal investigator · IOBA-UVA

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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