Review Article

Advances in Regulatory Strategies of Differentiating Stem Cells towards Keratocytes

Table 1

Clinical trials of stem cells used for corneal regeneration.

IDTitlePhasePatients ()Stem cellsOutcome

NCT02932852Autologous Adipose-Derived Adult Stem Cell Transplantation for Corneal DiseasesEarly phase 112hASCsVision recovery; topography; anterior segment optical coherence tomography; slit lamp observation; refraction measurement

NCT03878628Treatment with Allogeneic Adipose-derived Mesenchymal Stem Cells in Patients with Aqueous Deficient Dry Eye Disease (MESADDE)Early phase 17hASCsInjection site: pain, infection, bleeding; eyelid function disorder; periorbital edema; ocular discomfort; flu-like symptoms; fever; Ocular Surface Disease Index questionnaire; Schirmer’s test; tear osmolarity; Ocular SICCA Grading Score; HLA antibodies

NCT04932629To Evaluate the Clinical Safety and Efficacy of Limbal Stem Cell for Treatment of Superficial Corneal PathologiesEarly phase 120hCSSCsMeasurement of any ocular or systemic adverse effects; measurement of visual improvement; change in corneal light scattering

NCT01377311The Improvement of Limbal Epithelial Culture Technique by Using Collagenase to Isolate Limbal Stem CellsPhase 110hCSSCsUsing collagenase to isolate limbal stem cells and improve the technique of ex vivo expansion of limbal stem cells for the treatment

NCT03295292Limbus-derived Stem Cells for Prevention of Postoperative Corneal HazePhase 115hCSSCsMaintenance of preoperative best spectacle-corrected visual acuity; efficacy in reducing corneal light scatter using Scheimpflug imaging

NCT02948023Stem Cells Therapy for Corneal Blindness (ExCell)Phase 1100hCSSCsOcular or systemic adverse effects; visual improvement after treatment

NCT04484402Treatment of Patients with Inflammatory-dystrophicDiseases of the Cornea Using Autologous Stem CellsPhase 1
Phase 2
25hASCs/hCSSCsNumber of cured patients, patients with treatment-related adverse events

NCT01562002Safety Study of Stem Cell Transplant to Treat Limbus Insufficiency SyndromePhase 1
Phase 2
27hBMSCs/hCSSCsViability and safety of mesenchymal stem cell transplant; absence of complications in pre- and perisurgical implantation; improvement of 2 lines in best-corrected visual acuity

NCT02148016Corneal Epithelium Repair and Therapy Using Autologous Limbal Stem Cell TransplantationPhase 1
Phase 2
30hCSSCsComposite measure of visual function in eyes treated for corneal ocular surface disease; composite measure of visual function in eyes after photorefractive keratectomy; incidence of transparency of the cornea; postoperative complications

NCT02592330Limbal Stem Cell Deficiency (LSCD) Treatment with Cultivated Stem Cell (CALEC) Graft (CALEC)Phase 1
Phase 2
17hCSSCsThe occurrence of ocular infection, corneal perforation, graft %, and adverse events and their relationship to the study intervention; obtaining cell growth and maintaining cell viability; avoiding culture contamination; improvement in corneal surface integrity; decrease in neovascularization; decrease in subject symptoms

NCT02318485Limbal Epithelial Stem Cell Transplantation: A Phase II Multicenter Trial (MLEC)Phase 260hCSSCsVisual acuity; presence of persistent epithelial defects; presence of corneal conjunctivalization; change in corneal vascularization; pain; photophobia; rejection

NCT04615455Mesenchymal Stem Cell Therapy of Dry Eye Disease in Patients with Sjögren’s Syndrome (AMASS)Phase 240hASCsOSDI; noninvasive keratography tear break-up time (NIKBUT); tear meniscus height (TMH); Schirmer’s test; tear osmolarity; Oxford scale; HLA antibodies

Source of data: all comes from https://clinicaltrials.gov.