Treatment for Myopic Chorioretinal Atrophy Using PAL-222

Phase I/IIa Clinical Study of PAL-222 Targeting Patients With Myopic Chorioretinal Atrophy (PAMyCA)

NA · PharmaBio Corporation · NCT05658237

This study is testing a new treatment called PAL-222 to see if it can help people with myopic chorioretinal atrophy improve their vision after a specific eye surgery.

Quick facts

PhaseNA
Study typeInterventional
Enrollment10 (estimated)
Ages20 Years and up
SexAll
SponsorPharmaBio Corporation (industry)
Locations1 site (Nagoya, Aichi)
Trial IDNCT05658237 on ClinicalTrials.gov

What this trial studies

This clinical trial aims to evaluate the safety and efficacy of PAL-222, a regenerative product, in patients suffering from myopic chorioretinal atrophy. Participants aged 20 and older will undergo pars plana vitrectomy to implant a sheet of PAL-222 into the subretinal space. The study will measure changes in the chorioretinal atrophic area by comparing treated eyes to non-therapeutic eyes. The goal is to determine if the treatment leads to significant improvements in the condition.

Who should consider this trial

Good fit: Ideal candidates include adults aged 20 and older with significant myopia and diagnosed myopic chorioretinal atrophy.

Not a fit: Patients with active choroidal neovascularization or other serious health conditions may not benefit from this treatment.

Why it matters

Potential benefit: If successful, this treatment could potentially restore vision or halt the progression of myopic chorioretinal atrophy in affected patients.

How similar studies have performed: While this approach is innovative, similar studies using regenerative products in ocular conditions have shown promise, but results may vary.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients aged 20 years or older at the time of consent acquisition
* Patients with binocular intensity myopia (myopia of -6.0 diopter (D) or more) or patients with axial length (26 mm) or more equivalent to -6.0 D
* Corrected characters of the test eye patients with visual acuity of less than 60 characters (equivalent to decimal visual acuity 0.32)
* Patients diagnosed with binocular myopic chorioretinal atrophy and having atrophy of 1 papillary diameter (1.5 mm) or more in the area within 2 papillary diameter (3.0 mm) including the fovea centralis in the subject eye
* Patients without active choroidal neovascularization

Exclusion Criteria:

* Patients with abnormal findings that pose a problem in clinical trial participation in screening tests.
* Patients with positive hepatitis B surface (HBs) antigen, Hepatitis C virus (HCV) antibody, Human immunodeficiency virus (HIV) antibody, Human T-lymphotropic virus type 1 (HTLV-1) antibody, syphilis serum reaction
* Patients with allergies to human serum albumin antibiotics, trypsin
* Patients with eye infections
* Patients with other retinal diseases (diabetic retinopathy, hypertensive retinopathy, vascular occlusion)
* Patients with confirmed optic nerve atrophy
* Patients with glaucoma who cannot control intraocular pressure
* Patients with findings associated with myopic traction macular disease (apparent posterior macular tumor, vitreous macular traction, retinal separation, macular hole detachment, macular hole)
* Patients with atrophy in all areas of the circle within 3 papilla diameter (4.5 mm) (9.0 mm in diameter) from the fovea
* Patients with corrected visual acuity of control eye 0.08 or less
* Patients with severe blood disorders, heart failure, liver disorders, and renal disorders
* Patients diagnosed with malignant tumor within 5 years or patients requiring treatment
* Pregnant women, lactating women, patients wishing to become pregnant during the trial period
* Patients who cannot discontinue anticoagulants or antiplatelet drugs before the trial
* Patients with drug addiction or alcoholism
* Patients receiving treatment with vascular endothelial growth factor inhibitor or photodynamic therapy within 4 months prior to transplantation for test eye or 2 months for reference eye.
* Patients who underwent eye surgery (excluding lens reconstruction) within 3 months before transplantation. In the case of cataract surgery, if 7 days or more have passed since surgery and postoperative inflammation is stable, registration is possible.

Where this trial is running

Nagoya, Aichi

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Myopic Chorioretinal Atrophy, regenerative product, mesenchymal stem cell

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.