Possible Future Therapies

Embryonic Stem Cell Report

A preliminary report on a prospective clinical study of subretinal transplantation of human embryonic stem cells for dry age-related macular degeneration (AMD) finds a slight improvement in vision (21 letters to 28) during the first 4 months. There were no signs of adverse events or rejection. A future goal is to treat patients earlier in the disease process.

 

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VEGF Trap-Eye

VEGF Trap-Eye received unanimous recommendation from an FDA drugs advisory committee for approval. The drug, now called EYLEA, is due for final FDA decision on August 20, 2011.

The advantage of this fusion protein (aflibercept) is that it will be administered every two months, after the initial three monthly doses. The present VEGF blocking drugs usually require ongoing monthly injections. A generally favorable safety profile was observed in the two Phase 3 trials of the drug.

 

Bionic Glasses?

Bionic glasses are being developed at Oxford University. Using technology found in smartphones, the glasses have video cameras at the sides and a LED light display embedded in the lenses. The smartphone-type computer, which fits in the wearer’s pocket, recognizes the objects in the video image and tracks down where a person or object is, which in turn, drives the lights in the display. This helps people navigate around a room and locate objects that are close-by. The brightness helps the wearer to see how close an object is.

Intraocular Implant For Drug Delivery

Dr. Balamurali Ambati, a Utah eye doctor, has invented a device to store and deliver medication to AMD patients, replacing the need for monthly injections. The implant, called iVeena, is a clear horseshoe-shaped ring that can be implanted in the area behind the eye’s lens during cataract surgery. It holds six to eight months of medication and can be refilled with new medicine through a needle and small valve, sparing the patient from ever having a direct injection. Although preclinical research is almost finished, it will take about five years for the device to be on the market.

Promising Results With Stem Cells And AMD

Research on producing retinal cells from embryonic stem cells, induced pluripotent stem cells, and even the patient’s own skin cells, has been showing promising results at the University of Wisconsin-Madison's Waisman Center. David Gamm MD, and stem cell scientist, grew these cells and produced retinal cells that responded to signals involved in normal retinal function. He cautioned that there is much work left to be done but is encouraged by the potential.

Stem Cells Derived From Skin Improve Vision

In an experimental study at Schepens Eye Research Institute, red mice were used to convert skin cells into retinal neurons and thus restore visual function. They found a significant increase in electrical activity in the newly reconstructed retinal tissue, signifying that connections were being made between the new photoreceptor cells  and the rest of the retina.   Michael J.

Priority Review of NEW AMD Drug

The FDA has granted a priority review for VEGF Trap-Eye, a new drug designed to stop the growth of abnormal vessels in the eye. Trap-Eye is a fusion protein that blocks the growth factors leading to neovascularization in macular degeneration. The priority review sets the decision date at August 20, 2011. Bayer and Regeneron are collaborating on the Trap-Eye treatment for wet AMD. Regeneron has exclusive rights to VEGF Trap-Eye in the US, while Bayer intends to market it outside the US.

 

Stem Cell Therapy for AMD a Step Closer

Research on stem cell therapy for AMD is advancing according to a study conducted at the Georgetown University Medical Center. For the first time, researchers were able to create retinal cells from a patient's own stem cells (human induced pluripotent stem cells). These stem cells can then generate tissues and cells for transplantation. Work must still be done to figure out how to program the cells to function as native retinal pigment epithelium (the cells that die off and lead to AMD).

 

New Jersey Company Developing Eye Drop To Treat AMD

A small company in New Jersey is working on an eye drop treatment for wet AMD. It is a lead compound that targets VEGF. They expect to start composing an investigational new drug application for PAN-90806, the small-molecule selective inhibitor of VEGF that the company hopes to develop as an eye drop. They stress that they have a long way to go.

 

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New Tool in Gene Therapy Arsenal

Researchers at Tufts University School of Medicine and the Sackler School of Graduate Biomedical Sciences at Tufts have discovered a new way to transfer DNA, thus safely protecting cells from retinal degeneration. A peptide called PEG-POD is the vehicle for therapeutic gene delivery.

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