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Limbal Stem-cell DeficiencyPhase 1NCT03957954

Stem Cell Therapy for Limbal Stem Cell Deficiency

A Phase 1 study testing cLSC and Scleral contact lens (SCL) in people with Limbal Stem-cell Deficiency, run by University of California, Los Angeles at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This phase I study will collect preliminary information on the activity and safety of cLSC. We will investigate the ability to manufacture and transplant cLSC onto the cornea successfully at the time of surgery (feasibility), and have cLSC begin to populate the ocular surface (efficacy) without serious adverse events… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Limbal Stem-cell Deficiency
What is being tested?
cLSC and Scleral contact lens (SCL)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteUnited States
Study dates
30 Sep 2020to 30 Apr 2027
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Main inclusion Criteria:

  1. Male or female ≥18 years of age.
  2. Best corrected visual acuity in the affected eye of 20/160 or less.
  3. Documentation of a LSCD diagnosis and the central cornea is affected.
  4. Absence of lagophthalmos and eyelid abnormality
  5. Adequate forniceal depth is ≥ 5 mm.
  6. LSCD fails to resolve by surgical treatments of the ocular surface during the previous 6 months of screening visit.
  7. If the etiology of LSCD is due to chemical injury, a minimal interval of 1 year since the initial chemical injury is required.
  8. A Schirmer test result at 5 minute of ≥5 mm of wetting.
  9. Absence of active infectious keratitis in either eye at the Enrollment Visit.
  10. Have a life expectancy ≥ 2 years after enrollment.

Main exclusion Criteria:

  1. Pregnant, breastfeeding, or unwilling to practice birth control during participation in the study.
  2. Presence of a condition or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data.
  3. Exposure keratopathy or lagophthalmos of the study eye.
  4. Persistent severe ocular surface inflammation and/or meibomian gland dysfunction
  5. Chemical injury occurred less than 12 months ago.
  6. Presence of ocular surface tumor.
  7. Uncontrolled diabetes with last hemoglobin A1C (HgA1C) >8.5.
  8. Presence of known allergies to any of the cLSC components.
  9. Current participation in another simultaneous medical investigation or trial.
  10. Unable to be compliant with or complete the requirements of the study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of California

    Los Angeles, California, 90095

Other trials in United States

About this study

Official title: Safety and Feasibility of Cultivated Autologous Limbal Stem Cells (cLSC) for Limbal Stem Cell Deficiency

This phase I study will collect preliminary information on the activity and safety of cLSC. We will investigate the ability to manufacture and transplant cLSC onto the cornea successfully at the time of surgery (feasibility), and have cLSC begin to populate the ocular surface (efficacy) without serious adverse events (safety).

Read the detailed description

20 patients with severe to total Limbal Stem Cell Deficiency (LSCD) in one eye attributable to injury or ocular surgery. The first 5 eyes will receive the cLSCs to determine the feasibility and safety. Then the subsequent 15 eyes will be randomized into cLSC group and a scleral lens treatment (SCL) control group in a 2:1 ratio in blocks of 3 or 6 using a random number generator.

Being tested
cLSC, Scleral contact lens (SCL)
Medical subject headings
Limbal Stem Cell Deficiency

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • cLSCBiological

    Transplantation of cLSC

  • Scleral contact lens (SCL)Device

    Scleral contact lens device (SCL) will be used to stabilize and improve ocular surface.

Study groups in NCT03957954
Study groupRoleWhat they receive
Cultivated Limbal Stem-Cells (cLSC)ExperimentalOne dose of cultivated limbal stem-cells (cLSC), size between 7.6 to 15 mm in the average diameter.
Receives: Biological: cLSC
Scleral Contact Lens Device (SCL)Active comparatorScleral contact lens device (SCL) will be fitted to stabilize and improve ocular surface.
Receives: Device: Scleral contact lens (SCL)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety of cLSC Transplant pertaining to Infection and/or Corneal Perforation

    Safety assessed by incidence of Serious Adverse Events (SAEs) directly related to cLSC: infection and/or corneal perforation.

    Measured: 12 months for all participants

  2. Feasibility of cLSC Transplant pertaining to Manufacturing meeting Release Criteria

    Feasibility assessed by successful manufacturing of cLSC from biopsy that meets release criteria.

    Measured: 12 months for all participants

  3. Feasibility of cLSC Transplant pertaining to Manufacturing without Contamination

    Feasibility assessed by successful cLSC manufacturing without contamination.

    Measured: 12 months for all participants

Secondary outcomes (2)
  1. Changes in the Area of Corneal Epithelial Defect

    Evaluate changes in the area of corneal epithelial defect (ED) or lack of ED.

    Measured: At 6 months and 12 months in both cLSC and the control groups

  2. Changes in the Clinical Score

    Evaluate changes in the clinical score determined by slit lamp examination using fluorescein staining and confocal imaging.

    Measured: At 6 months and 12 months in both cLSC and the control groups

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 May 2019
  2. Study start30 Sep 2020
  3. Primary completion4 Feb 2027 (estimated)
  4. Study completion30 Apr 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03957954
Sponsor's protocol ID
V001
Other IDs
R01EY021797
Status last verified
Feb 2026
First submitted
21 Feb 2019
Last updated
10 Feb 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing cLSC and Scleral contact lens (SCL) in people with Limbal Stem-cell Deficiency, run by University of California, Los Angeles at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 10 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety of cLSC Transplant pertaining to Infection and/or Corneal Perforation (time frame: 12 months for all participants). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Feb 2026.

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