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Long-term Safety of UC-MSC Transplantation in Patients With Retinitis Pigmentosa

Conditions
Retinitis Pigmentosa
Interventions
Biological: Umbilical Cord Mesenchymal Stem Cell (UC-MSC)
Biological: Conditioned Medium (CM)
Registration Number
NCT05786287
Lead Sponsor
PT. Prodia Stem Cell Indonesia
Brief Summary

The study will perform to follow-up UC-MSCs and CM transplantation. 18 patients will be called back to be examined after 5 years of UC-MSC and/or CM transplantation.

Detailed Description

The study will be performed on 18 patients who received UC-MSC and CM transplantation in 2018. The study is included as retrospective cohort since the transplantation happened 5 years ago. Patients will do a visual field test, visual acuity test, electroretinography, funduscopy, and Optical Coherence Tomography examination. The observation results will be written in the observation table and analyzed by a statistic.The study will be performed at Rumah Sakit Jakarta Eye Center and Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta.

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
18
Inclusion Criteria
  • Visual field defects at the initial examination with Humphrey perimetry are between 25% to 50%
  • Willing to sign informed consent as research subjects
  • Willing to do the peribulbar injection with mesenchymal stem cells isolated from umbilical cord tissue
  • Willing to do visual field checks with Humphrey's perimetry, vision tests with Snellen boards, Optical Coherent Tomography (OCT) examinations, electroretinogram examinations and fill out a quality of life questionnaire
Exclusion Criteria
  • Pregnant or nursing women
  • Positive result of HIV test
  • Have a history of eye tumours
  • In the immunosuppressive treatment or other drugs that can affect the growth of transplanted stem cells
  • Have another eye disease such as diabetic retinopathy, uveitis, cataract, and glaucoma
  • Do not come to control according to the schedule determined by the researcher (loss to follow up)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
UC-MSC + NaClUmbilical Cord Mesenchymal Stem Cell (UC-MSC)1.8 ml cell preparations are suspended in physiological NaCl until it reaches a 2 ml volume of cell suspension. Umbilical Cord Mesenchymal Stem Cell (UC-MSC) suspension injected into peribulbar
UC-MSC+CMConditioned Medium (CM)1.8 ml cell preparations are suspended in Conditioned Medium (CM) until it reaches a total of 2 ml volume of cell suspension. Umbilical Cord Mesenchymal Stem Cell (UC-MSC) + Conditioned Medium (CM) suspension injected into peribulbar
Conditioned Medium (CM)Conditioned Medium (CM)2 ml volume of Conditioned Medium derived Umbilical Cord Mesenchymal Stem Cell injected into peribulbar
UC-MSC+CMUmbilical Cord Mesenchymal Stem Cell (UC-MSC)1.8 ml cell preparations are suspended in Conditioned Medium (CM) until it reaches a total of 2 ml volume of cell suspension. Umbilical Cord Mesenchymal Stem Cell (UC-MSC) + Conditioned Medium (CM) suspension injected into peribulbar
Primary Outcome Measures
NameTimeMethod
Visual Acuity Test5 years after injection

a test to see the sharpness of vision using Snellen Chart which is read at a distance of 6 meters. Normal eye test results are stated in 6/6.

Visual Field Test5 years after injection

a test to assess the breadth of views of the lateral, medial, superior and inferior aspects using Humprey's perimetry.

Funduscopy5 yeas after injection

an examination to see and assess the abnormalities and conditions in the ocular fundus using an ophthalmoscope. This examination is carried out by an ophthalmologist.

Electrorectinography5 years after injection

an examination to provide a picture of objectivity, a quantitative measure of retinal function to monitor the function of stem cells and ganglion cells in the eye. This examination is carried out by a trained ophthalmologist.

Optical Coherence Tomography (OCT)5 years after injection

is a diagnostic test that give the information about posterior segment structure, which is retina and optic nerve papillae so that it can be used to assess macular abnormalities

Angiography5 years after injection

a process of taking photos of the retina by injecting fluorescent to get a bleeding location on the retina.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Jakarta Eye Center Hospital

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Jakarta, DKI Jakarta, Indonesia

Sardjito Hospital

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Yogyakarta, Special Region, Indonesia

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