Can stem cells restore vision in stargardt disease? a First-in-Human trial aims to find out
NCT ID NCT07734064
First seen Jul 29, 2026 · Last updated Sep 17, 2026 · Updated 5 times
Summary
This early-phase trial tests a single injection of ASP2020, stem cells turned into retinal cells, placed under the retina in people with Stargardt disease or similar inherited macular dystrophies. The main goal is to check safety and tolerability, while also looking for signs that the cells replace damaged tissue and improve central vision. The study includes adults, teenagers, and children, with doses tested in stages.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ASP2020, human stem cells turned into retinal cells, given as a single injection under the retina
- What this could lead to
- If safe and effective, this approach could restore central vision in people with Stargardt disease and similar inherited macular dystrophies.
- What could go wrong
- This is a very early, small trial testing safety first. Risks include immune reactions, abnormal cell growth, or no vision improvement. Surgery under general anesthesia carries its own risks.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Sep 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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6 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Documented clinical diagnosis of macular dystrophy with a STGD-type clinical presentation and molecular confirmation, defined as either: * STGD: presence of biallelic (pathogenic or likely pathogenic) ABCA4 variants, or one definite disease-causing ABCA4 variant together with a typical phenotype consistent with STGD. * STGD-like macular dystrophy: presence of one or more pathogenic variants in a gene known to cause macular dystrophy, as appropriate for its expected inheritance mode. * Sufficiently clear ocular media and adequate pupillary dilation to allow for all imaging procedures. * Intraocular pressure (IOP) of ≤ 21 mmHg * Participant has a spherical equivalent refractive error between +8.00 D and -10.00 D. * BCVA ranging from 20/500 to 20/40 (equivalent to 15 to 70 ETDRS letters) * For participants in the \> 20/80 to ≤ 20/40 BCVA range (moderate visual impairment \[MVI\]): presence of a visible definite or probable residual ellipsoid zone (EZ) on SD-OCT, and a total retinal SD-OCT central subfield thickness ≥ 150 micrometers (µm) * For participants in the ≥ 20/500 to ≤ 20/80 BCVA range (severe visual impairment): Presence of a residual ONL within the macular optical coherence tomography (OCT) scan area and Evidence of RPE disease/damage by means of SD-OCT (hypertransmission defect) and/or FAF imaging (questionably decreased autofluorescence/definitely decreased autofluorescence). Exclusion Criteria: * Participant has a known history of significant systemic disease that could impact ocular health or confound study assessments, based on medical history or prior clinical documentation. * Participant has an autoimmune condition that requires treatment with immunomodulatory therapy and/or biologics that cause immunosuppression. * Participant has known diagnosis of diabetes mellitus with a documented glycated hemoglobin (HbA1c) value ≥ 7% 3 months prior to screening and based on available medical records. * Participant has a history or evidence of severe cardiac disease, cardiovascular or cerebrovascular disease, including a history of stroke within 12 months prior to screening. * Participant has any complicating systemic disease or active malignancy. * Participant has a known history of any systemic or metabolic condition, or physical examination finding that may significantly affect ocular health or interfere with the interpretation of study assessments. * Participant has presence of another known or suspected molecular diagnosis of macular or retinal disease that could confound interpretation of study outcomes, indicate a second concomitant retinal condition, or suggest a different etiology for the macular disease. * Participant has macular atrophy due to any cause other than a genetically or clinically confirmed diagnosis of STGD or STGD-like macular dystrophy. * Participant has evidence or history of choroidal neovascularization. * Participant has diagnosis of any form of uncontrolled glaucoma (for high-tension glaucoma IOP \> 25 mmHg). * Participant has a history of steroid-induced IOP elevation or known steroid responder status. * Participant has and/or is receiving treatment for thyroid eye disease. * Participant has diabetic retinopathy in excess of mild nonproliferative diabetic retinopathy * Participant has any other disease(s) affecting the optic nerve. * Participant has a history of anterior or posterior uveitis and/or presence of intraocular inflammation (trace anterior chamber cell or flare), or history of idiopathic or autoimmune-associated uveitis in either eye. * Participant has media opacities impeding the visualization of the fundus and/or the reliable performance of the visual function tests required by the protocol. * Participant has aphakia. * Participant has a clinically significant epiretinal membrane or evidence of clinically significant vitreomacular traction syndrome. * Participant has any other disorders which could interfere with or confound visual acuity and other ocular assessments, including OCT or FAF. * Participant has history of any of the following procedures: posterior vitrectomy, retinal detachment surgery, glaucoma filtering surgery, glaucoma drainage device implantation, selective laser trabeculoplasty, full-thickness or partial- thickness corneal transplant. * Participant has had any intraocular surgery within 3 months of screening. * Participant has a history of intraocular metallic foreign bodies. * Participant has received any treatment including gene therapy, stem cell therapy, surgical implantation of prosthetic retinal chips, or any prior intravitreal treatment for any indication in either eye that may be considered to potentially interfere with the study participation or its conduct. * Participant has received within 1 month prior to screening or is receiving concomitant treatment with any ocular or systemic medication known to be toxic to the lens, retina, or optic nerve. * Participant has received any investigational therapy within 3 months prior to screening. * Participant has any condition, which makes the participant unsuitable for study participation.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
3 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Associated Retina Consultants
RECRUITINGPhoenix, Arizona, 85020, United States
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Cincinnati Eye Institute
RECRUITINGCincinnati, Ohio, 45242, United States
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Retina Foundation of Southwest
RECRUITINGDallas, Texas, 75231, United States
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Other studies related to the condition(s) this trial covers.
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