Glaucoma Clinical Trial
Official title:
Cord Blood Serum in the Treatment of Neuro-Degenerative Ophthalmic Diseases. 1-Glaucoma
Verified date | July 2018 |
Source | Azienda Ospedaliera Universitaria di Bologna Policlinico S. Orsola Malpighi |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
A non-randomized, monocentric clinical study with a four month follow-up period , using a cord blood serum (CBS) eye drops in glaucoma patients. The purpose of the study analyzes whether the addition of CBS to hypotonic therapy is able to slow down the progression of anatomical and functional damage induced by glaucoma. The study evaluates the differences after two months of treatment as compared to baseline and after two-month from the end of the treatment.
Status | Active, not recruiting |
Enrollment | 10 |
Est. completion date | November 30, 2018 |
Est. primary completion date | September 30, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: Patients must meet all of the following criteria to join the study (all eligibility criteria must be met at the screening and baseline visits unless otherwise noted): 1. Participant must be medically able to undergo the testing required in the schedule of visits 2. Participant's clinical diagnosis must be consistent with glaucoma, characterized by the following features: 1. Clinical evidence of progressive retinal ganglion cell (RGC) dysfunction and degeneration using both visual field and at least one structural modality as established by: i. Glaucomatous visual field abnormality. ii. Mean deviation (MD) of -3 to -15 dB. iii. Minimum average retinal nerve fiber layer (RNFL) thickness of 60 µm and maximum average RNFL of 90 µm. 2. Residual visual field preservation including best-corrected visual acuity (BCVA) better than 20/200 in both eyes. 3. Participant's glaucoma must be clinically stable, with intraocular pressure (IOP) < 21. Exclusion Criteria: 1. Participant has other optic nerve or retinal degenerative disease causing vision loss, irrespective of whether it is currently treated or untreated. 2. Participant is blind in one eye; 3. Participant has optic nerve atrophy 4. Participant is receiving systemic steroids or immunosuppressive drugs, or is on chemotherapy 5. Participant has a history of ocular herpes zoster. 6. Participant has uveitis or other ocular inflammatory disease. 7. Participant has a requirement of acyclovir 8. Participant has evidence of corneal opacification or lack of optical clarity. 9. Participant has diabetic macular edema and/or diabetic retinopathy. 10. Participant has a history of malignancy 11. Participant is pregnant or lactating. 12. History of use of drugs with known retinal toxicity |
Country | Name | City | State |
---|---|---|---|
Italy | AOU Bologna, Ophthalmology Unit | Bologna |
Lead Sponsor | Collaborator |
---|---|
Azienda Ospedaliera Universitaria di Bologna Policlinico S. Orsola Malpighi | University of Bologna |
Italy,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | IOP (Intra ocular pressure) | Change of IOP at baseline, after treatment , and after two months from the end of treatment | baseline, after two months of treatment, after two months from end of treatment | |
Secondary | BCVA (Best corrected visual acuity) | The change in best corrected visual acuity (BCVA) through baseline, 2 and 4 months from end of treatment | baseline, after two months of treatment, after two months from end of treatment | |
Secondary | Visual Field | Evaluation of change in visual field 24-2 and 10-2, through baseline, 2 and 4 months as assessed by any one of the following two indices: Pattern Standard Deviation (PSD); Mean Deviation (MD). |
baseline, after two months of treatment, after two months from end of treatment | |
Secondary | Fundus ophthalmoscopy | Ophthalmoscopy of the following structures - Optic nerve - Choroid - Retina / Macula - Vitreous - Cup / Disco ratio performed by fundus oftlamoscopy | baseline, after two months of treatment, after two months from end of treatment | |
Secondary | Structural measure of retinal nerve fiber layer thickness | The change in retinal nerve fiber layer thickness as measured by spectral domain optical coherence tomography (sdOCT). | baseline, after two months of treatment, after two months from end of treatment | |
Secondary | ERG (Electroretinogram) | PERG: obtained with low temporal frequencies (maximum 4 hz equivalent to 8 inversions per second). Reversal rate: 2 hz (4 inversions / sec). Contrast: ceiling for white and black squares. Luminance: photopic. Wave width P50-N95 and wave latency P50. Flash ERG: ERG 3.0 - maximal response in the eye adapted to the dark. Full-field stimulation with Ganzfeld's dome. Amplitude A1-B1 (the amplitude of the wave b is measured from the peak of the wave until to the peak of the wave b) - the latency of the wave b is measured by the flash lighting at the peak of the wave b |
baseline, after two months of treatment, after two months from end of treatment |
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