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Corneal EdemaPhase 2EMERALDNCT07729137

Study of EO2002 in Subjects With Corneal Edema Secondary to Corneal Endothelial Dysfunction

A Phase 2 study testing 150K cells and 500K cells in people with Corneal Edema and Fuchs, run by Emmecell at 10 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

This study will evaluate the safety and effectiveness of a single injection of EO2002 at one of two dose levels (150,000 or 500,000 magnetic human corneal endothelial cells [mHCECs]), compared with a placebo injection, in participants with corneal edema caused by corneal endothelial dysfunction. Read more about this study

Who is it for?
Ages 21 years and older
Conditions the study is for
Corneal Edema, Fuchs, Fuchs Dystrophy
What is being tested?
150K cells and 500K cells
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
121 participants
Where
10 sitesUnited States
Study dates
Oct 2026to Feb 2028
Phase
Phase 2

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

Who may be able to join

  • Symptomatic central corneal edema that is primarily responsible for loss of vision associated with endothelial dysfunction which may be secondary to Fuchs corneal dystrophy or pseudophakic bullous keratopathy.
  • Early Treatment Diabetic Retinopathy Study (ETDRS)-best-corrected distance visual acuity between 20 and 65 letters inclusive (≥ 20 and ≤ 65 letters)
  • Central corneal thickness ≥ 600 μm and ≤ 1,000 μm, OR Medical Monitor review and approval based on either:
  • Historical CCT increased by ≥ 50 μm OR
  • Findings of edema by corneal tomography or Anterior Segment Optical Coherence Tomography (AS-OCT).
  • Participant is considered a surgical candidate for full-thickness corneal transplantation or endothelial (partial thickness) keratoplasty (EK) consistent with standard-of-care indications.

Who cannot join

  • Corneal disease in either eye (other than corneal endothelial dysfunction secondary to Fuchs dystrophy or pseudophakic bullous keratopathy) including active or prior herpetic ocular infection, severe dry eye disease (e.g., Sjogren's), or active inflammation.
  • Central corneal scarring from trauma, burns, or infection, or band keratopathy
  • History of keratoconus or other corneal ectasia (e.g., keratoglobus and pellucid marginal degeneration).
  • Visually significant cataract, that may limit the participant's ability to demonstrate treatment-related improvement in BCVA.
  • Presence of an anterior chamber, sutured, or scleral-fixated intraocular lens.
  • Presence of a multifocal or diffractive intraocular lens.
Show all 10Show fewer
  • Prior vitrectomy.
  • Corneal refractive surgery.
  • Descemet dettachment
  • Minimally invasive glaucoma surgery (MIGS), intraocular pressure (IOP)- lowering implant (e.g., Durysta® or iDose®), or any incisional glaucoma surgery (e.g., trabeculectomy, glaucoma drainage implant).

Trial locations and contacts

10 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Clinical Operations - Emmecell contact

650-769-4232

clinicaltrials@emmecell.com

10 sites in 1 country

United States10 sites, 10 recruiting
  • Atlanta, Georgia

    Atlanta, Georgia, 30339

    Atlanta, Georgia Location, 650-769-4232, clinicaltrials@emmecell.com

    Not yet recruiting
  • Carmel, Indiana

    Carmel, Indiana, 46032

    Carmel, Indiana Location, 650-769-4232, clinicaltrials@emmecell.com

    Recruiting
  • Chicago, Illinois

    Chicago, Illinois, 60612

    Chicago, Illinois Location, 650-769-4232, clinicaltrials@emmecell.com

    Not yet recruiting
  • Garden City, NY

    Garden City, New York, 11530

    Garden City, NY Location, 650-769-4232, clinicaltrials@emmecell.com

    Not yet recruiting
  • Kansas City, Missouri

    Kansas City, Missouri, 64133

    Kansas City, Missouri Location, 650-769-4232, clinicaltrials@emmecell.com

    Not yet recruiting
  • Largo, Florida

    Largo, Florida, 33770

    Largo, Florida Location, 650-769-4232, clinicaltrials@emmecell.com

    Not yet recruiting
  • Minnetonka, Minnesota

    Minnetonka, Minnesota, 55305

    Minnetonka, Minnesota Location, 650-769-4232, clinicaltrials@emmecell.com

    Not yet recruiting
  • Overland Park, Kansas

    Overland Park, Kansas, 66204

    Overland Park, Kansas Location, 650-769-4232, clinicaltrials@emmecell.com

    Not yet recruiting
  • Salt Lake City, Utah

    Salt Lake City, Utah, 84107

    Salt Lake City, Utah Location, 650-769-4232, clinicaltrials@emmecell.com

    Not yet recruiting
  • Torrance, California

    Torrance, California, 90505

    Torrance, CA Location, 650-769-4232, clinicaltrials@emmecell.com

    Not yet recruiting

Other trials in United States

About this study

Official title: A Multicenter, Randomized, Double-Masked, Placebo-Controlled Phase 2 Study of EO2002 in Participants With Corneal Edema Secondary to Corneal Endothelial Dysfunction (EMERALD)

This study will evaluate the safety and effectiveness of a single injection of EO2002 at one of two dose levels (150,000 or 500,000 magnetic human corneal endothelial cells [mHCECs]), compared with a placebo injection, in participants with corneal edema caused by corneal endothelial dysfunction.

Read the detailed description

This study is designed to evaluate the safety and efficacy of EO2002, an investigational magnetic human corneal endothelial cell (mHCEC) therapy, in adults with corneal edema secondary to corneal endothelial dysfunction. Participants will be randomized to receive a single intracameral injection of one of two doses of EO2002 (150,000 or 500,000 cells) or placebo.

The study will compare the effects of EO2002 on visual acuity and corneal thickness, while also evaluating safety over a 52-week follow-up period. Approximately 105 participants will be treated at multiple sites in the United States.

Being tested
150K cells, 500K cells, Placebo
Keywords
FECD, PBK, Corneal endothelial dysfunction, Fuchs Dystrophy, Fuchs, Corneal edema
Medical subject headings
Corneal Edema, Fuchs' Endothelial Dystrophy, Corneal endothelial dystrophy type 2, Corneal Endothelial Cell Loss, Corneal Endothelial Dystrophy 1

What participants receive

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

  • 150K cellsBiological

    Intracameral injection - 150K dose

  • 500K cellsBiological

    Intracameral injection - 500K dose

  • PlaceboProcedure or surgery

    Intracameral injection of vehicle

Study groups in NCT07729137
Study groupRoleWhat they receive
150K cells - EO2002ExperimentalIntracameral injection of 150K magnetic human corneal endothelial cells
Receives: Biological: 150K cells
500K cells - EO2002ExperimentalIntracameral injection of 500K magnetic human corneal endothelial cells
Receives: Biological: 500K cells
PlaceboPlacebo comparatorIntracameral injection of vehicle (no cells)
Receives: Procedure: Placebo

What is being measured

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

  1. BCVA

    Proportion of study eyes achieving ≥ 15-letter best-corrected visual acuity (BCVA) improvement at 26 weeks post-treatment as compared to baseline.

    Measured: 26 weeks

Secondary outcomes (4)
  1. BCVA

    Mean change in BCVA compared to baseline

    Measured: 26 weeks

  2. CCT

    Mean change in CCT compared to baseline

    Measured: 26 weeks

  3. BCVA

    Proportion of subjects achieving ≥10-letter BCVA improvement from baseline

    Measured: 26 weeks

  4. BCVA

    Proportion of subjects achieving ≥70 letters (ETDRS)

    Measured: 26 weeks

Timeline

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

  1. First posted27 Jul 2026
  2. Study startOct 2026 (estimated)
  3. Primary completionAug 2027 (estimated)
  4. Study completionFeb 2028 (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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
121 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07729137
Sponsor's protocol ID
EMME-002
Acronym
EMERALD
Status last verified
Jul 2026
First submitted
22 Jul 2026
Last updated
9 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

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