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CompletedNCT04894110Updated Mar 5, 2025

Study of Safety and Tolerability of EO2002 in the Treatment of Corneal Edema

A Phase 1 interventional study of EO2002 and EO2002 low dose in Corneal Edema, Corneal Endothelial Dysfunction and Corneal Endothelial Dystrophy, sponsored by Emmecell. Completed at 8 sites in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2025-03-05.

Sponsored by Emmecell · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Oct 2024, 2 years 1 month ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Study summary

Corneal edema is the most common indication for corneal transplantation, accounting for approximately 70% of penetrating keratoplasty (PK), and 100% of endothelial keratoplasty (EK) procedures annually. There is currently no disease-modifying treatment for corneal edema. Topical treatments like hypertonic saline are not effective on a long-term basis. For those with advanced disease, where edema and vision loss are not controlled by topical treatment, the only option is a corneal transplant. A potential approach to avoidance of the risks of corneal transplantation is to inject cultured human corneal endothelial cells (HCECs) into the anterior chamber of the eye. This approach may avoid surgery by re-populating the inner most aspect of the cornea with functioning endothelial cells. Emmecell has developed a treatment based on technology integrating biocompatible magnetic nanoparticles with cultured HCECs to treat corneal edema in a minimally invasive way. The primary objective of this phase 1, prospective, multi-center, open-label, dose-escalation study is to evaluate the safety and tolerability of 3 doses of EO2002 with and without endothelial brushing (EB) or Descemet Stripping (DS) in eyes with corneal edema secondary to corneal endothelial dysfunction that qualify for surgery involving full-thickness corneal transplantation or EK.

Read the detailed description

The study is designed to occur in 2 groups. The objective with the first group is to preliminarily evaluate the safety of 4 escalating doses. The purpose of the second group is to gather additional safety information on the 3 highest doses when administered according to a randomized schedule and evaluated by masked observers.

Group 1: Phase 1 prospective, multi-center, open-label, dose-escalation study designed to evaluate the safety and tolerability of EO2002 with and without endothelial brushing (EB) or Descemet Stripping (DS) in eyes with corneal edema secondary to corneal endothelial dysfunction that qualify for surgery involving full-thickness corneal transplantation or EK. Four doses will be studied in approximately 21 study participants that meet the inclusion/exclusion criteria. Safety and tolerability will be the primary focus for 26 weeks following treatment with EO2002.

Group 2: The three highest doses will be administered to up to 21 subjects in a randomized, double-masked design.

02

Conditions studied

  • Corneal Edema
  • Corneal Endothelial Dysfunction
  • Corneal Endothelial Dystrophy
  • Fuchs Dystrophy
  • Fuchs Endothelial Corneal Dystrophy
  • Pseudophakic Bullous Keratopathy
  • Bullous Keratopathy
  • Endothelial Dysfunction
  • Moderate Corneal Endothelial Decompensation
03

In context

Corneal Edema

39 studies on the registry are indexed under Corneal Edema; 8 are open to participants now.

This study's enrollment of 42 is below the median of 52 across 31 interventional studies indexed under Corneal Edema.

Browse Corneal Edema studies →

Lead sponsor

Emmecell is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

All ocular criteria apply to study eye unless otherwise noted.

  1. Age ≥ 21 years.
  2. Phakic or Pseudophakic with a posterior chamber intraocular lens
  3. Symptomatic corneal edema associated with endothelial dysfunction which may be secondary to Fuchs corneal dystrophy or pseudophakic bullous keratopathy.

Exclusion criteria

Exclusion Criteria:

All ocular criteria apply to study eye unless otherwise noted.

  1. Other corneal disease
  2. Anterior chamber intraocular lens, Sutured or scleral-fixated intraocular lens.
  3. Macular disease that in the investigator and/or sponsor's opinion would limit the ability of the subject to demonstrate improvement in BCVA.
  4. History of refractive surgery.
  5. Descemet membrane detachment.
  6. History of uveitis or other ocular inflammatory disease.
  7. History of incisional glaucoma surgery (e.g.,trabeculectomy, glaucoma drainage implant).
  8. Intraocular pressure >21 or \<7 mm Hg
  9. Prior incisional eye surgery within 3 months prior to study treatment or penetrating or endothelial keratoplasty.
  10. History of ocular neoplasm.
  11. ETDRS BCVA in the fellow eye is worse than 35 letters (Snellen equivalent of 20/200).
  12. Female who is pregnant, nursing, or planning to become pregnant, or who is of and not using a reliable means of during the study.
  13. Subject is currently participating in or has participated within the last 3 months in any other clinical trial of an drug by ocular or systemic administration.
  14. Any concomitant medical or psychological condition that could interfere with study participation or is otherwise not suitable for entry into the study in the opinion of the investigator.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
42 participants (actual)

Study arms

  • Experimental
    EO2002 treatment - Group 1

    Biological: EO2002

  • Active comparator
    EO2002 treatment - Group 2 - low dose

    Biological: EO2002 low dose

  • Active comparator
    EO2002 treatment - Group 2 - mid dose

    Biological: EO2002 mid dose

  • Active comparator
    EO2002 treatment - Group 2 - high dose

    Biological: EO2002 high dose

Interventions

  • BiologicalEO2002

    EO2002 (magnetic human corneal endothelial cells \[HCECs\]) with and without endothelial brushing (EB) or Descemet Stripping (DS)

  • BiologicalEO2002 low dose

    Low dose of EO2002 (magnetic human corneal endothelial cells)

  • BiologicalEO2002 mid dose

    Mid dose of EO2002 (magnetic human corneal endothelial cells)

  • High dose of EO2002 (magnetic human corneal endothelial cells)

06

What researchers measure

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability of EO2002]

    Incidence of Treatment-Emergent Adverse Events \[Safety and Tolerability of EO2002 (+/- EB or Descemet Stripping)\] in subjects with corneal edema at week 26.

    Time frame: 26 Weeks

Secondary outcomes

  1. Effect of EO2002 (+/-EB or DS) on corneal thickness

    Evaluate the effect of a single injection of EO2002 (+/-EB or DS) on corneal thickness as determined by pachymetry

    Time frame: 26 Weeks

  2. Effect of EO2002 (+/-EB or DS) on best corrected visual acuity (BCVA).

    Evaluate the effect of a single injection of EO2002 (+/-EB or DS) on best corrected visual acuity (BCVA) as determined by ETDRS letter score.

    Time frame: 26 Weeks

07

Study locations

8 sites
  • Los Angeles Location
    Greater Los Angeles, California 91208, United States
  • San Diego Location
    San Diego, California 92122, United States
  • Miami Location
    Miami, Florida 33136, United States
  • Palm Beach Gardens Location
    Palm Beach Gardens, Florida 33410, United States
  • Atlanta Location
    Atlanta, Georgia 30339, United States
  • Des Moines Location
    Des Moines, Iowa 50266, United States
  • Kansas City Location
    Overland Park, Kansas 66204, United States
  • Grand Rapids Location
    Grand Rapids, Michigan 49546, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04894110
Lead sponsor
Emmecell
Responsible party
Sponsor
First posted
May 20, 2021
Start date
Jun 22, 2021
Primary completion
Oct 3, 2024
Completion
Oct 3, 2024
Last update
Mar 5, 2025

Study contacts

Noelia Kunzevitzky
study director · Emmecell

Oversight

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

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This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: EO2002

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