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Updated: Jun 27, 2026

Regenerative Therapy by Suprachoroidal Cell Autograft in Dry Age-related Macular Degeneration: Preliminary In Vivo Report
Published on: February 12, 2018
Weekly vaccination with Copaxone (glatiramer acetate) as a potential therapy for dry age-related macular degeneration
Gennady Landa1, Oleg Butovsky, Johai Shoshani
1Department of Ophthalmology, Kaplan Medical Center, Rehovot, Israel. doctor.landa@gmail.com
Purpose:
Drusen formation in age-related macular degeneration (AMD) shares some similarities with Alzheimer's disease (AD), which is associated with amyloid deposits. Aggregated beta-amyloid induces microglia to become cytotoxic and block neurogenesis. Recent evidence showed that T cell-based vaccination with Copaxone in AD mice model resulted in modulation of microglia into neuroprotective phenotype and as a result in reduction of cognitive decline, elimination of plaque formation, and induction of neuronal survival and neurogenesis. The aim was to investigate whether the effect of Copaxone on drusen in dry AMD is similar to that on deposits of other age-related chronic neurodegenerative diseases such as Alzheimer disease (AD).
Materials And Methods:
Patients over 50 years of age with intermediate dry AMD in both eyes were randomized to receive Copaxone or sham injections and were weekly treated by subcutaneous injections of Copaxone (dose of 20 mg) or sham injections for 12 weeks. At baseline, 6-week, and 12-week visits, visual acuity, contrast sensitivity, fundus examination and photography, fluorescein angiography, and ocular coherent tomography were performed. Main outcome measure was a change in total drusen area (TDA) measured by Image-Pro software and presented in arbitrary units (AU).
Results:
Eight studied eyes of four treated patients showed a decrease in TDA from 48130 to 16205 AU at 12 weeks as compared to baseline. In contrast, four control eyes (two patients) demonstrated almost no change in TDA (from 32294 to 32781 AU).
Conclusion:
These preliminary results show that Copaxone reduces drusen area.
Insights
Copaxone treatment significantly reduced drusen area in patients with dry age-related macular degeneration (AMD). This suggests a potential therapeutic benefit for Copaxone in managing AMD progression.
Area of Science:
- Ophthalmology
- Neuroscience
- Immunology
Background:
- Drusen formation in age-related macular degeneration (AMD) shares similarities with Alzheimer's disease (AD) amyloid deposits.
- Microglial activation in AD can lead to neurotoxicity and impaired neurogenesis.
- Copaxone (glatiramer acetate) has shown neuroprotective effects in AD models by modulating microglia.
Purpose of the Study:
- To investigate if Copaxone can reduce drusen in dry AMD, similar to its effects on amyloid deposits in AD.
- To explore Copaxone's potential as a therapeutic agent for age-related chronic neurodegenerative diseases.
Main Methods:
- A randomized trial involving patients over 50 with intermediate dry AMD.
- Participants received weekly subcutaneous injections of Copaxone (20 mg) or sham injections for 12 weeks.
- Total drusen area (TDA) was measured at baseline, 6, and 12 weeks using Image-Pro software.
Main Results:
- The Copaxone group showed a significant decrease in TDA from 48130 to 16205 AU over 12 weeks.
- The control (sham injection) group exhibited minimal change in TDA (32294 to 32781 AU).
Conclusions:
- Copaxone demonstrated a reduction in drusen area in dry AMD patients.
- These preliminary findings suggest Copaxone may be a viable treatment for reducing drusen accumulation in AMD.
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