Could a light treatment for donor eyes save more sight?
NCT ID NCT06753916
First seen Jun 27, 2026 · Last updated Sep 21, 2026 · Updated 1 time
Summary
This study tests whether treating donor corneal tissue with a special light-based process (cross-linking) before transplant can make it last longer and reduce rejection in people at high risk of graft failure. About 96 adults who need a high-risk cornea transplant will receive either a treated or standard donor cornea. The main goal is to check safety and see if the treated tissue lowers the chance of rejection or graft failure over two years.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 96 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2025
- Expected to finish
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Jan 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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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18 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: * Age 18 and older * Willing and able to provide written informed consent * Willing and able to comply with study assessments for the full duration of the study * Patients undergoing high-risk penetrating keratoplasty, defined as corneal neovascularization (NV) in 1 or more quadrants ≥2 mm from the limbus or extension of corneal NV to the graft-host junction in a previously failed graft * Superficial vessels are defined as those within the anterior one-third of the cornea and deep vessels within the posterior two-thirds of the cornea (i.e., deep stroma). Superficial CNV involving ≤2 quadrants (equivalent to ≤6 clock hours) without deep CNV are classified as mild. CNV with \>2 quadrants of superficial vessels (\>6 clock hours) or 1 quadrant of deep vessels (\>3 clock hours) as severe (36). Exclusion Criteria: * History of Stevens-Johnson syndrome or ocular pemphigoid * Ocular or periocular malignancy * Non-healing epithelial defect of at least 0.5x0.5 mm in host corneal bed lasting ≥6 weeks preoperatively * Uncontrolled glaucoma * Change in topical corticosteroid regimen within 14 days of transplantation * Use of systemic immunosuppressive for indication other than corneal graft rejection * Participation in another simultaneous medical investigation or trial * Pregnancy (positive pregnancy test) or lactating * Pre-menopausal women not using adequate contraception (Reliable intrauterine devices, hormonal contraception or a spermicide in combination with a barrier method) * Ocular infection within 30 days prior to study entry. * Presence of anterior chamber intraocular lens * Active uveitis within 90 days prior to the study entry. * No ocular surgery or procedure within 90 days prior to the study entry or concomitant to the study procedure.
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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
12 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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Cincinnati Eye Institute
RECRUITINGCincinnati, Ohio, 45242, United States
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Duke University - Duke Eye Center
RECRUITINGDurham, North Carolina, 27705, United States
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Kansas City Eye Clinic
RECRUITINGOverland Park, Kansas, 66204, United States
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Massachusetts Eye and Ear
RECRUITINGBoston, Massachusetts, 02114, United States
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Mid-Atlantic Cornea Consultant
RECRUITINGTowson, Maryland, 21204, United States
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Price Vision Group
RECRUITINGIndianapolis, Indiana, 46260, United States
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The University of California Los Angeles - Doris Stein Eye Research Center
NOT_YET_RECRUITINGLos Angeles, California, 90095, United States
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University of California Irvine - Gavin Herbert Eye Institute
NOT_YET_RECRUITINGIrvine, California, 92617, United States
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University of California San Francisco - Wayne and Gladys Valley Center for Vision
NOT_YET_RECRUITINGSan Francisco, California, 94158, United States
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University of Miami - Bascom Palmer Eye Institute
RECRUITINGMiami, Florida, 33136, United States
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University of Michigan - Kellogg Eye Center
RECRUITINGAnn Arbor, Michigan, 48015, United States
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Wake Forest Baptist Eye Center
NOT_YET_RECRUITINGBermuda Run, North Carolina, 27006, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New registry aims to improve corneal transplants with AI
- Eye injection could stop damaging blood vessels in Herpes-Related blindness
- Scientists hunt for biomarkers to unlock rare eye disease treatments
- Eye transplant breakthrough? new check could save sight