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Published on: January 26, 2024
Stem cells in clinical trials for treatment of retinal degeneration
1a University of California, Gavin Herbert Eye Institute & Stem Cell Research Center , Sue & Bill Gross Hall, Room 2006, 845 Health Sciences Road, Irvine, CA 92697-1705, USA +1 94 98 24 77 50 ; +1 94 98 24 96 26 ; hklassen@uci.edu.
Introduction:
After decades of basic science research involving the testing of regenerative strategies in animal models of retinal degenerative diseases, a number of clinical trials are now underway, with additional trials set to begin shortly. These efforts will evaluate the safety and preliminary efficacy of cell-based products in the eyes of patients with a number of retinal conditions, notably including age-related macular degeneration, retinitis pigmentosa and Stargardt's disease.
Areas Covered:
This review considers the scientific work and early trials with fetal cells and tissues that set the stage for the current clinical investigatory work, as well the trials themselves, specifically those either now completed, underway or close to initiation. The cells of interest include retinal pigment epithelial cells derived from embryonic stem or induced pluripotent stem cells, undifferentiated neural or retinal progenitors or cells from the vascular/bone marrow compartment or umbilical cord tissue.
Expert Opinion:
Degenerative diseases of the retina represent a popular target for emerging cell-based therapeutics and initial data from early stage clinical trials suggest that short-term safety objectives can be met in at least some cases. The question of efficacy will require additional time and testing to be adequately resolved.
Insights
Cell-based therapies show promise for retinal degenerative diseases like age-related macular degeneration. Early clinical trials indicate short-term safety, but efficacy requires further investigation.
Area of Science:
- Regenerative medicine
- Ophthalmology
- Stem cell therapy
Background:
- Decades of basic science research in animal models of retinal degenerative diseases.
- Numerous clinical trials are now underway or commencing shortly.
- Focus on conditions including age-related macular degeneration, retinitis pigmentosa, and Stargardt's disease.
Purpose of the Study:
- To review scientific work and early trials with fetal cells and tissues.
- To examine current clinical investigatory work and ongoing trials.
- To assess the safety and preliminary efficacy of cell-based products for retinal conditions.
Main Methods:
- Review of preclinical studies and early clinical trials.
- Inclusion of trials involving fetal cells and tissues.
- Analysis of cell types such as retinal pigment epithelial cells, neural progenitors, and stem cells.
Main Results:
- Degenerative retinal diseases are a key target for cell-based therapeutics.
- Initial data from early-stage clinical trials suggest short-term safety can be achieved.
- Efficacy of these therapies remains to be fully determined.
Conclusions:
- Cell-based therapeutics offer a promising avenue for treating retinal degenerative diseases.
- Early clinical trial data support the short-term safety of these approaches.
- Long-term efficacy requires further extensive research and clinical evaluation.
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