Clinical Study of PAL-222 Targeting Patients With Myopic Chorioretinal Atrophy (PAMyCA)

NCT05658237 — Not applicable, Active not recruiting, 10 participants, PharmaBio Corporation

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Phase I/IIa Clinical Study of PAL-222 Targeting Patients With Myopic Chorioretinal Atrophy (PAMyCA)

RegistryNCT05658237
StatusActive not recruiting
PhaseNot applicable
Study typeInterventional; na, single group, masking: none, treatment
Enrollment10 (Estimated)
SponsorPharmaBio Corporation (Industry)
ConditionsMyopic Chorioretinal Atrophy
InterventionsPars plana vitrectomy (Procedure)
Datesstart 2023-02-17, primary completion 2027-06-01 (estimated), completion 2027-09-30 (estimated), first posted 2022-12-20, last updated 2026-09-29
Locations2 sites in Japan

Related Papers Related Patents Related Grants Related Experts
All trials for Myopic Chorioretinal Atrophy All trials of Pars plana vitrectomy

-Summary

The goal of this clinical trial is to assess efficacy and safety in patients with myopic chorioretinal atrophy.

The main question it aims to answer are:

• Percentage of changes in the chorioretinal atrophic area

Participants will be implanted one sheet of PAL-222 into the subretinal space through pars plana vitrectomy.

Researchers will compare non-therapeutic eye to see if the changes is significant different.

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+Arms and interventions

ArmTypeInterventionsDescription
therapeutic groupExperimentalProcedure: Pars plana vitrectomy
  • Pars plana vitrectomy (Procedure): One sheet of PAL-222 is implanted into the subretinal space of either of eyes through pars plana vitrectomy.

+Outcome measures

Primary outcomes

  • Percentage of changes in the chorioretinal atrophic area [Just before transplantation,after 3days and 1,2,4,8,12,16,20,24,32,40,52,60,72,84,96-104weeks]: Assesment by the principal investigator or sub-investigator will be conducted and central committee will adjudicate the assessment.

+Eligibility

Sex: All, ages: 20 Years to any

Inclusion Criteria:

* Patients aged 20 years or older at the time of consent acquisition
* Patients with binocular intensity myopia (myopia of -6.0 diopter (D) or more) or patients with axial length (26 mm) or more equivalent to -6.0 D
* Corrected characters of the test eye patients with visual acuity of less than 60 characters (equivalent to decimal visual acuity 0.32)
* Patients diagnosed with binocular myopic chorioretinal atrophy and having atrophy of 1 papillary diameter (1.5 mm) or more in the area within 2 papillary diameter (3.0 mm) including the fovea centralis in the subject eye
* Patients without active choroidal neovascularization

Exclusion Criteria:

* Patients with abnormal findings that pose a problem in clinical trial participation in screening tests.
* Patients with positive hepatitis B surface (HBs) antigen, Hepatitis C virus (HCV) antibody, Human immunodeficiency virus (HIV) antibody, Human T-lymphotropic virus type 1 (HTLV-1) antibody, syphilis serum reaction
* Patients with allergies to human serum albumin antibiotics, trypsin
* Patients with eye infections
* Patients with other retinal diseases (diabetic retinopathy, hypertensive retinopathy, vascular occlusion)
* Patients with confirmed optic nerve atrophy
* Patients with glaucoma who cannot control intraocular pressure
* Patients with findings associated with myopic traction macular disease (apparent posterior macular tumor, vitreous macular traction, retinal separation, macular hole detachment, macular hole)
* Patients with atrophy in all areas of the circle within 3 papilla diameter (4.5 mm) (9.0 mm in diameter) from the fovea
* Patients with corrected visual acuity of control eye 0.08 or less
* Patients with severe blood disorders, heart failure, liver disorders, and renal disorders
* Patients diagnosed with malignant tumor within 5 years or patients requiring treatment
* Pregnant women, lactating women, patients wishing to become pregnant during the trial period
* Patients who cannot discontinue anticoagulants or antiplatelet drugs before the trial
* Patients with drug addiction or alcoholism
* Patients receiving treatment with vascular endothelial growth factor inhibitor or photodynamic therapy within 4 months prior to transplantation for test eye or 2 months for reference eye.
* Patients who underwent eye surgery (excluding lens reconstruction) within 3 months before transplantation. In the case of cataract surgery, if 7 days or more have passed since surgery and postoperative inflammation is stable, registration is possible.

+Locations (2)

FacilityCityCountryStatus
Nagoya city university hospitalNagoya, Aichi-kenJapan
Yamguchi University HospitalUbeJapan

+Publications

  • Results publication: Nagano N, Hirano Y, Kimura M, Morita H, Yasukawa T. Preclinical study of novel human allogeneic adipose tissue-derived mesenchymal stem cell sheets toward a first-in-human clinical trial for myopic chorioretinal atrophy. Stem Cell Res Ther. 2024 Dec 23;15(1):498. doi: 10.1186/s13287-024-04118-z. PMID 39716323

+Investigators