Preparation of Patient Autologous Induced Pluripotent Stem Cell-derived Retinal Cells for AMD

Study Overview
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Brief Summary
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This project intends to collect participant somatic cells to prepare autologous induced pluripotent stem cell-derived retinal cells for future cell therapy of age-related macular degeneration patient.

Detailed Description
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One or more types of somatic cells will be collected from every participant by collecting approximately 100 500 ml of midstream urine, 20 30 ml of peripheral blood, skin biopsies (3mm), conjunctiva biopsies (5mm×5mm), etc. Then, these somatic cells will be used to prepare patient autologous induced pluripotent stem cell-derived retinal cells for the cell therapy of age-related macular degeneration patient.

Official Title
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Production of Patient Autologous Induced Pluripotent Stem Cell-derived Retinal Cells for Age-related Macular Degeneration

Conditions
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Age-Related Macular Degeneration

Intervention / Treatment
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* Other: somatic cell collection


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 55-80 years; Clinical diagnosis is consistent with the definition of advanced age-related macular degeneration; The BCVA of the target eye will be lower than 20/200; -8.00 D < refraction < +8.00 D, 21 mm < anteroposterior axis≤ 28 mm; Voluntary as test subjects, informed consent, regular follow-up on time; Voluntary as test subjects to join the associated clinical research on autologous iPSC-derived retinal cell therapy for AMD (ethical approval and informed consent documents will be applied and signed separately); Exclusion Criteria: Macular atrophy caused by other diseases in addition to AMD; Malignant tumor and history of malignancy; Any immune deficiency; Lens opacities (affecting the central vision), glaucoma, uveitis, retinal detachment, inherited retinal dystrophy, optic neuropathy, and other ocular histories; Other intraocular surgery histories besides cataract surgery; Severe heart failure or the left ventricular ejection fraction <35% in the previous 6 months; Dialysis or eGFR <20ml/min/1.73m2; Urine protein/urine creatinine ratio ≥1g/g; Creatinine or albumin/urine creatinine ratio ≥600mg/g; Chronic liver disease with ALT three times over the upper limit of normal value; Combined with severe systemic diseases, such as heart failure, liver disease, COPD, etc. Combined with severe infectious diseases, such as HIV, HBV, HCV, syphilis, etc. HCV-RNA positive, HBV-DNA >103 IU/ml, or TB, etc., during the infectious period; Use anticoagulant, or the platelet function is still not restored to normal after stopping antiplatelet drugs for 10 days; Abnormal blood coagulation function or other laboratory tests; Use glucocorticoids, immunosuppressive drugs, or antipsychotic drugs in the previous 3 months; Use antipsychotic drugs in the previous 3 months, such as antidepressants drugs, antimanic drugs, etc. Allergy to tacrolimus or other macrolides; A history of addiction to alcoholism or prohibited drugs; Be participating in other intervention clinical trials or receiving other study medications; Informed refusal； Some other situations which might increase the risks of the subjects or interfere with clinical trials, such as mental disorders, cognitive dysfunction, etc.

Ages Eligible for Study
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Minimum Age: 55 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: somatic cell collection|One or more types of somatic cells will be collected from every participant by collecting approximately 100 500 ml of midstream urine, 20 30 ml of peripheral blood, skin biopsies (3mm), conjunctiva biopsies (5mm×5mm), etc.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| somatic cell collection | somatic cell collection | 2023.8.1 2026.7.31 |