Investigator Initiated, Prospective Study of Xenia Corneal Lenticule

Keratoconus Clinical Trial

Official title:

Prospective, Investigator Initiated Feasibility Study to Evaluate the Safety, and Indicative Effectiveness of Gebauer™ Lenticules in Patients Suffering From Severe Keratoconus or Post LASIK Ectasia

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04741230
• Other study ID #: 2019OPH108
• Status: Recruiting
• Phase: N/A
• Start date: May 15, 2024
• Est. completion date: April 1, 2026

Study information

• Verified date: May 2024
• Source: The Royal Wolverhampton Hospitals NHS Trust
• Contact: B Ilango
• Phone: 01902307999
• Email: balasubramaniam.ilango[@]nhs.net
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Cornea ectatic conditions such as keratoconus and post-LASIK (Laser In situ Keratomileusis) ectasia are disorders of the eye that are notorious for its uncontrolled progression over time, leading to loss of vision. There are valuable treatment options for controlling disease progression in mild to moderate stages of such disease. However in advanced cases and / or when contact lenses cannot be worn, surgery remains the only treatment option to rehabilitate vision. Most treatment options are highly invasive and represent significant risks. This study evaluates a novel corneal implant, Gebauer™ Lenticule to treat severe keratoconus or post-LASIK ectasia. This implant is derived from porcine collagen and intended for intra-stromal insertion. The Gebauer™ Lenticule is expected to improve the stability of the cornea while not impairing the vision. The procedure is an additive procedure after other treatment options have been exhausted. The procedure is reversible with removal of the implant (in the unexpected case of an adverse reaction), and vision may be restored to baseline.

The purpose of this study is to evaluate how well the implant is tolerated, it's safety profile, and how effective this new treatment option is in the treatment of keratoconus or post-LASIK ectasia.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 15
• Est. completion date: April 1, 2026
• Est. primary completion date: April 1, 2026
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 79 Years

Eligibility

Inclusion Criteria:

• Diagnosis of severe keratoconus in patients who would prefer to avoid corneal transplant surgery / penetrating keratoplasty OR

• Diagnosis of severe post-LASIK Ectasia in patients who would prefer to avoid corneal transplant surgery / penetrating keratoplasty

• In terms of general health, patients must be free of diagnosed terminal illnesses (life expectancy of greater than or equal to 2 years).

• Patients must be aged 18 years or over and less than 80 years old

• Patients' contact lenses must have been removed at least one-week prior to surgery for soft lenses and two weeks prior to surgery for hard lenses

• Subject understands the study requirements and the treatment procedures and provides written Informed Consent before any study-specific tests or procedures are performed

• Patient must be able and willing to complete all study visits and comply with the study-specific requirements

Exclusion Criteria:

• History or presence of any ocular pathologies that may interfere with the planned surgical treatment, including corneal epithelial problems

• Previous corneal transplantation or corneal implant in the designated eye

• Cataract with anticipated surgical intervention (IOL implantation) within 2 years

• Active inflammation and/or infection of the eye or the eye lid

• Patients with Intra Ocular Pressure (IOP) <10 mmHg or >21 mmHg

• Professionally diagnosed and currently treated autoimmune diseases

• Current strong symptoms of any allergy

• History of major organ transplantation and/or current continuing immunosuppressive treatment

• History of blood transfusion within the last 12 months

• Subject who is currently participating or has participated in another investigational clinical study within the past 60 days Pregnancy and lactation

Related Conditions & MeSH terms

• Keratoconus
• Post-Laser Retinal Condition

Intervention

Device:
• Gebauer Lenticule
The Gebauer™ Lenticule corneal implant device is a custom-made device intended for patients suffering from keratoconus or post-LASIK ectasia. The device is expected to reinforce and stabilize the patient's cornea, so that a more consistent refraction is induced and a penetrating human cornea donor transplantation may be avoided or postponed.

Locations

Country	Name	City	State
United Kingdom	The Royal Wolverhampton NHS Trust	Wolverhampton	West Midlands

Sponsors (2)

Lead Sponsor	Collaborator
The Royal Wolverhampton Hospitals NHS Trust	Gebauer Company

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of participants with Immunological rejection by ophthalmic examination of Intraocular pressure, Best corrected visual acuity, Corneal and Lenticule transparency, Inflammation	Signs of immunological rejection during the post implantation observation period	6 months
Primary	Treatment-related adverse events.	The frequency and severity of all treatment-related adverse events, during implantation of the Gebauer™ Lenticule and throughout the post implantation observation period.	6 months
Primary	Changes in corneal topography (central K-reading results)	Changes in corneal topography (central K-reading results): at baseline vs. post implantation observation period	6 months
Primary	Central corneal thickness	Changes in central corneal thickness at baseline vs. post implantation corneal thickness (cornea plus lenticule)	6 months