Clinical Trials Directory

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UnknownNCT03437759

MSC-Exos Promote Healing of MHs

Mesenchymal Stem Cells Derived Exosomes Promote Healing of Large and Refractory Macular Holes

Status
Unknown
Phase
EARLY_Phase 1
Study type
Interventional
Enrollment
44 (estimated)
Sponsor
Tianjin Medical University · Academic / Other
Sex
All
Age
80 Years
Healthy volunteers
Accepted

Summary

Purpose: To assess the safety and efficacy of mesenchymal stem cells (MSCs) and MSC-derived exosomes (MSC-Exos) for promoting healing of large and refractory macular holes (MHs). Hypothesis: MSC and MSC-Exo therapy may promote functional and anatomic recovery from MH. MSC-Exo therapy may be a useful and safe method for improving visual outcomes of surgery for refractory MHs.

Detailed description

Based on the purpose and hypothesis,the participants with large and longstanding idiopathic MHs underwent vitrectomy, internal limiting membrane peeling, MSC or MSC-Exo intravitreal injection, and heavy silicon oil, air, 20% SF6, or 14% C3F8 tamponade. MSCs were isolated from human umbilical cord, and MSC-Exos were isolated from supernatants of MSCs via sequential ultracentrifugation. At the time of study enrollment, as well as physical examinations, best-corrected visual acuity (BCVA) and intraocular pressure will be measured and fundoscopy be performed. All diagnoses of MH are going to confirmed via spectral-domain optical coherence tomography (OCT), and the minimum linear diameter (MLD) of each MH will be measured parallel to the retinal pigment epithelium.The participants are going to be followed up for at least 6 months via BCVA measurement, fundoscopy, OCT, and physical examinations.

Conditions

Interventions

TypeNameDescription
BIOLOGICALexosomes derived from mesenchymal stem cells (MSC-Exo)After air-liquid exchange, 50μg or 20μg MSC-Exo in 10μl PBS was dripped into vitreous cavity around MH, leaving 20% SF6 or air as tamponade .

Timeline

Start date
2017-03-01
Primary completion
2018-05-30
Completion
2021-12-30
First posted
2018-02-19
Last updated
2021-04-06

Locations

1 site across 1 country: China

Source: ClinicalTrials.gov record NCT03437759. Inclusion in this directory is not an endorsement.