ClinicalTrials.gg
Enrolling by invitationNCT07217249DEKSUpdated Feb 27, 2026

Effect of Donor Diabetes and Other Factors on Corneal Transplant Endothelial Cell Loss and Success at 5 Years

An interventional study of Descemet membrane endothelial keratoplasty in Fuchs Endothelial Corneal Dystrophy and Corneal Endothelial Decompensation, sponsored by Case Western Reserve University. Enrolling by invitation at 14 sites in United States. Open to participants aged 30 Years to 93 Years. Per ClinicalTrials.gov, last updated 2026-02-27.

Sponsored by Case Western Reserve University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
570
Allocation
Randomized
Ages
30 Years to 93 Years
Sex
All
01

Study summary

This multi-center clinical trial is designed to assess the association of diabetes in a cornea donor with transplant success and loss of endothelial cells 5 years following Descemet membrane endothelial keratoplasty (DMEK). Study eyes are assigned to receive either a cornea from a donor without diabetes or a cornea from a donor with diabetes in a masked fashion.

02

Conditions studied

  • Fuchs Endothelial Corneal Dystrophy
  • Corneal Endothelial Decompensation
03

In context

Fuchs' Endothelial Dystrophy

92 studies on the registry are indexed under Fuchs' Endothelial Dystrophy; 27 are open to participants now.

This study's planned enrollment of 570 is above the median of 50 across 62 interventional studies indexed under Fuchs' Endothelial Dystrophy.

Browse Fuchs' Endothelial Dystrophy studies →

Lead sponsor

Case Western Reserve University is the lead sponsor of 160 studies on the registry; 28 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 7 (70%) have results posted.

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

04

Who can participate

Ages eligible
30 Years to 93 Years
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

  • Willing to return to the study site for follow up at 3 and 5 years after a Descemet membrane endothelial keratoplasty procedure
  • Fluent in English or Spanish
  • Willing to have fingerstick blood sample collected to determine level
  • Participated and completed 12-month follow-up in the DEKS study for one or both eyes or a DEKS participant that had a study eye regraft prior to the 12-month visit.

Exclusion criteria

Exclusion Criteria:

  • Lack cognitive capacity such that consent could not be provided.
Terms in these criteria, in plain language(1)

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.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
570 participants (estimated)

Study arms

  • Active comparator
    Assigned cornea from a donor without diabetes

    Eyes assigned to this arm receive a cornea from a donor without diabetes and undergo Descemet membrane endothelial keratoplasty.

    Procedure: Descemet membrane endothelial keratoplasty

  • Active comparator
    Assigned cornea from a donor with diabetes

    Eyes assigned to this arm receive a cornea from a donor with diabetes for Descemet membrane endothelial keratoplasty.

    Procedure: Descemet membrane endothelial keratoplasty

Interventions

  • ProcedureDescemet membrane endothelial keratoplasty

    Replacement of the recipient corneal endothelial and Descemet membrane with healthy tissue from a donor cornea.

06

What researchers measure

Primary outcomes

  1. Change in central corneal endothelial cell density 5 years after Descemet membrane endothelial keratoplasty.

    Central corneal endothelial cell density will be assessed by specular microscopy at 3 and 5 years after Descemet membrane endothelial keratoplasty and the results will be compared with the baseline donor endothelial cell density assessed at the eye bank that provided the donor tissue.

    Time frame: Subjects are followed for 5 years after corneal transplantation.

07

Study locations

14 sites
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Dec 2025 (actual). Primary completion is estimated for Dec 2029, 48 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 13, 2025
First posted
Oct 15, 2025
StartActual
Dec 3, 2025
Primary completionEst.
Dec 30, 2029
CompletionEst.
Apr 30, 2030
Last update
Feb 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07217249
Responsible party
Sponsor
First posted
Oct 15, 2025
Start date
Dec 3, 2025
Primary completion
Dec 30, 2029 (estimated)
Completion
Apr 30, 2030 (estimated)
Last update
Feb 27, 2026

Study contacts

Jonathan Lass, MD
principal investigator · Case Western Reserve University

Oversight

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

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