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Table 2 Neovascular age-related macular degeneration trials

From: Cell-based therapies for retinal diseases: a review of clinical trials and direct to consumer “cell therapy” clinics

Trial

Disease

Sample size

VA inclusion criteria

Cell derivation and preparation

Transplantation approach

Immuno-suppression

VA outcomes

Adverse events (AE)

RPE Sheet Case Report

UMIN000011929

NV-AMD

2

 ≤ 20/200

iPSC-RPE sheet

PPV and subretinal delivery

None

Stable vision in 1/2

Cystoid macular edema in 1/2

Transplantation aborted because of concerns about genetic changes that occurred in the iPSCs and iPSC-derived RPE cells in 1/2

HLA-matched iPSC-RPE

UMIN000026003

NV-AMD

5

 ≤ 20/200

iPSC-RPE suspension from HLA homozygous donor

PPV and subretinal delivery

None

 > 10 letter gain in 2/5

Stable vision in 3/5

No severe AEs

Mild inflammation in 2/5

Epiretinal membrane in 1/5

Aseptic endophthalmitis in 1/5

Q-CTS-hESC-2

NCT02749734

NV-AMD

3

 ≤ 20/400

hESC-RPE suspension

PPV and subretinal delivery

Tacrolimus, MMF, Prednisone

Improved VA in 2/3

Stable vision in 1/3

No severe AEs

SHEF-1.3 hESC patch

NCT01691261

NV-AMD

2

 ≤ 20/120

hESC-RPE monolayer

PPV and subretinal delivery

Prednisone, Fluocinolone implant

 > 20 letter gain in 2/2

Retinal detachment with proliferative vitreoretinopathy in 1/2

Exposure of fluocinolone implant suture in 1/2

  1. h-ESC human embryonic stem cells; HLA human leukocyte antigen; iPSCs induced pluripotent stem cells; MMF mycophenolate mofetil; NV-AMD neovascular age-related macular degeneration; PPV pars plana vitrectomy; RPE retinal pigment epithelium; SMD Stargardt’s macular dystrophy; VA visual acuity