UnknownPhase 2

Ripasudil for Enhanced Corneal Clearing Following Descemet Membrane Endothelial Keratoplasty in Fuchs' Dystrophy

United States72 participantsStarted 2019-03-25

Plain-language summary

Recently, published literature has reported that performing a descemetorhexis in combination with topical Rho kinase (ROCK) inhibitor therapy was successful in clearing edematous corneas in patients with Fuchs Endothelial Corneal Dystrophy. Ripasudil hydrochloride hydrate( Glanatec ophthalmic solution 0.4%), a potent ROCK inhibitor, has been approved in Japan since 2014 for ocular use in the treatment of glaucoma. Ripasudil acts as an IOP-lowering drug by affecting aqueous outflow through the trabecular meshwork and Schlemm's canal. The goal of this study is to test the potential benefits of Ripasudil therapy administered after Descemet Membrane Endothelial Keratoplasty (DMEK) surgery. We believe that performing a standard DMEK surgery in combination with Ripasudil treatment in patients with Fuchs Endothelial Corneal Dystrophy could accelerate endothelial cell healing and clear edematous corneas faster, with less post-operative complications.

Who can participate

Age range30 Years – 99 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Diagnosed clinically with Fuchs endothelial corneal dystrophy by the study investigator. * Phakic or pseudophakic with posterior capsule supported, suture-fixated, or sulcus-supported posterior chamber intraocular lens. * Fuchs dystrophy grades 2-5 on the Krachmer grading scale. * Presence of central guttae and/or stromal edema being the primary cause of decreased vision. * The peripheral cornea to the central 6mm is devoid of guttata changes. * Best corrected visual acuity in the study eye is 20/40 or worse with glare testing at study enrollment. Exclusion Criteria: * Uncontrolled glaucoma (IOP \>25 mmHg). * Presence of secondary corneal pathology such as infective or autoimmune keratitis. * Advanced corneal stromal edema with bullae on slit-lamp biomicroscopy. * History of herpes simplex virus or cytomegalovirus keratitis. * Prior penetrating keratoplasty. * Aphakic in study eye. * Allergy to any component of the Ripasudil hydrochloride hydrate 0.4% that will be used in the course of the study. * Tubes or trabeculectomy from prior glaucoma surgery.

What they're measuring

Time to corneal clearance

Timeframe: 6 months

Trial details

NCT IDNCT03813056

SponsorMichael D. Straiko, MD

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-02-01

Contact for this trial

Alex J Bauer, B.S.

503-413-8377 alex@visiongift.org