EO2002 therapy for corneal edema due to endothelial dysfunction
Official title: A Multicenter, Randomized, Double-Masked, Placebo-Controlled Phase 2 Study of EO2002 in Participants With Corneal Edema Secondary to Corneal Endothelial Dysfunction (EMERALD)
Run by Emmecell · NCT07729137 · Data updated 2026-11-12
This trial tests whether a single intracameral injection of EO2002 cells can improve vision and reduce corneal thickness in adults with corneal edema from endothelial dysfunction.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 21 Years and up |
| Sex | All |
| Enrollment | 121 (estimated) |
| Sponsor | Emmecell Industry-sponsored |
| Locations | 10 sites (Torrance, California and 9 other locations) |
| Status | Recruiting |
| Started | October 2026 |
| Main results expected | August 2027 |
| Study ends | February 2028 |
| Registry record updated | October 9, 2026 |
| Trial ID | NCT07729137 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with symptomatic central corneal edema due to endothelial dysfunction, eligible visual acuity, and suitable surgical candidacy for keratoplasty.
✕Probably not a fit
Patients without edema due to endothelial dysfunction or who do not meet the anatomic or ocular criteria may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 2, randomized, placebo-controlled study to evaluate the safety and effectiveness of two EO2002 dose levels (150,000 or 500,000 mHCECs) given as a single eye injection. Participants with corneal edema from endothelial dysfunction, such as Fuchs dystrophy, are assigned to one of the two EO2002 doses or placebo and followed for 52 weeks. Outcomes include changes in visual acuity and central corneal thickness, along with safety assessments. Approximately 105 participants will be enrolled at multiple US sites.
Why it matters
Potential benefit: If successful, EO2002 could improve vision and reduce corneal swelling for patients with endothelial dystrophy.
How similar studies have gone: Previous studies in cell-based corneal therapies have shown potential safety and hints of efficacy in similar conditions, but this approach is still investigational.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: 1. Symptomatic central corneal edema that is primarily responsible for loss of vision associated with endothelial dysfunction which may be secondary to Fuchs corneal dystrophy or pseudophakic bullous keratopathy. 2. Early Treatment Diabetic Retinopathy Study (ETDRS)-best-corrected distance visual acuity between 20 and 65 letters inclusive (≥ 20 and ≤ 65 letters) 3. Central corneal thickness ≥ 600 μm and ≤ 1,000 μm, OR Medical Monitor review and approval based on either: 1. Historical CCT increased by ≥ 50 μm OR 2. Findings of edema by corneal tomography or Anterior Segment Optical Coherence Tomography (AS-OCT). 4. Participant is considered a surgical candidate for full-thickness corneal transplantation or endothelial (partial thickness) keratoplasty (EK) consistent with standard-of-care indications. Key Exclusion Criteria: 1. Corneal disease in either eye (other than corneal endothelial dysfunction secondary to Fuchs dystrophy or pseudophakic bullous keratopathy) including active or prior herpetic ocular infection, severe dry eye disease (e.g., Sjogren's), or active inflammation. 2. Central corneal scarring from trauma, burns, or infection, or band keratopathy 3. History of keratoconus or other corneal ectasia (e.g., keratoglobus and pellucid marginal degeneration). 4. Visually significant cataract, that may limit the participant's ability to demonstrate treatment-related improvement in BCVA. 5. Presence of an anterior chamber, sutured, or scleral-fixated intraocular lens. 6. Presence of a multifocal or diffractive intraocular lens. 7. Prior vitrectomy. 8. Corneal refractive surgery. 9. Descemet dettachment 10. Minimally invasive glaucoma surgery (MIGS), intraocular pressure (IOP)- lowering implant (e.g., Durysta® or iDose®), or any incisional glaucoma surgery (e.g., trabeculectomy, glaucoma drainage implant).
Where it's running
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Carmel, Indiana
Carmel, Indiana, United States Recruiting -
Torrance, California
Torrance, California, United States Not yet recruiting -
Largo, Florida
Largo, Florida, United States Not yet recruiting -
Atlanta, Georgia
Atlanta, Georgia, United States Not yet recruiting -
Chicago, Illinois
Chicago, Illinois, United States Not yet recruiting -
Overland Park, Kansas
Overland Park, Kansas, United States Not yet recruiting
Show 4 more locations
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Minnetonka, Minnesota
Minnetonka, Minnesota, United States Not yet recruiting -
Kansas City, Missouri
Kansas City, Missouri, United States Not yet recruiting -
Garden City, NY
Garden City, New York, United States Not yet recruiting -
Salt Lake City, Utah
Salt Lake City, Utah, United States Not yet recruiting
Study contacts
- Study coordinator: Clinical Operations - Emmecell
- Email: clinicaltrials@emmecell.com
- Phone: 650-769-4232
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Assessing the safety of EO2002 injections for corneal conditions
This study is testing if EO2002 injections are safe for people with corneal conditions like Fuchs' dystrophy or pseudophakic bullous keratopathy.
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PVEK corneal implant to treat corneal swelling
This study will test a PVEK tissue‑engineered corneal implant to see if it is safe and helps people with corneal swelling from Fuchs' endothelial dystrophy or pseudophakic bullous keratopathy who need endothelial keratoplasty.
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Understanding Fuchs' Endothelial Corneal Dystrophy and its Genetic Links
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Using plasma rich in growth factors during corneal transplants
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OPTIMISE — safer steroid plans after DMEK cornea transplant
This study tests whether using a milder steroid eye drop plan or stopping steroids earlier after DMEK can still prevent graft rejection while reducing the risk of high eye pressure in adults receiving corneal transplants.
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This study is testing a new way to measure corneal swelling in people with Fuchs' dystrophy to see how it affects their vision after surgery.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.