Evidence map›Paper›PMID 39809262›Full record

ArticleCell reports. Medicine2025

A first-in-human clinical study of an allogenic iPSC-derived corneal endothelial cell substitute transplantation for bullous keratopathy.

Masatoshi Hirayama, Shin Hatou, Masaki Nomura, Risa Hokama, Osama Ibrahim Hirayama, Emi Inagaki, Kumi Aso, Tomoko Sayano, Hiromi Dohi, Tadaaki Hanatani and 4 more

Abstract read
In one paragraph

Article in Cell reports. Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

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  6. Long-Term Endothelial Outcomes and Dislocation Risks in Small Versus Large Grafts for Descemet's Stripping Endothelial Keratoplasty.Medical science monitor : international medical journal of experimental and clinical research · 2026
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  14. Direct in vivo reprogramming to relieve tissue ischemia via induced vasculogenesis.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Masatoshi HirayamaDepartment of Ophthalmology, Keio University School of Medicine, Shinjuku-ku 160-8582, Tokyo, Japan.
Shin HatouDepartment of Ophthalmology, Keio University School of Medicine, Shinjuku-ku 160-8582, Tokyo, Japan; Cellusion Inc., Chuo-ku, Tokyo 103-0024, Japan.
Masaki NomuraCiRA Foundation, Sakyo-ku, Kyoto 606-8397, Japan.
Risa HokamaDepartment of Ophthalmology, Keio University School of Medicine, Shinjuku-ku 160-8582, Tokyo, Japan.
Osama Ibrahim HirayamaDepartment of Ophthalmology, Keio University School of Medicine, Shinjuku-ku 160-8582, Tokyo, Japan.
Emi InagakiDepartment of Ophthalmology, Keio University School of Medicine, Shinjuku-ku 160-8582, Tokyo, Japan; Department of Physiology, Keio University School of Medicine, Shinjuku-ku, Tokyo 160-8582, Japan.
Kumi AsoDepartment of Ophthalmology, Keio University School of Medicine, Shinjuku-ku 160-8582, Tokyo, Japan.
Tomoko SayanoDepartment of Ophthalmology, Keio University School of Medicine, Shinjuku-ku 160-8582, Tokyo, Japan; Cellusion Inc., Chuo-ku, Tokyo 103-0024, Japan.
Hiromi DohiCiRA Foundation, Sakyo-ku, Kyoto 606-8397, Japan.
Tadaaki HanataniCiRA Foundation, Sakyo-ku, Kyoto 606-8397, Japan.
Naoko TakasuCiRA Foundation, Sakyo-ku, Kyoto 606-8397, Japan.
Hideyuki OkanoDepartment of Physiology, Keio University School of Medicine, Shinjuku-ku, Tokyo 160-8582, Japan.
Kazuno NegishiDepartment of Ophthalmology, Keio University School of Medicine, Shinjuku-ku 160-8582, Tokyo, Japan.
Shigeto ShimmuraDepartment of Ophthalmology, Keio University School of Medicine, Shinjuku-ku 160-8582, Tokyo, Japan; Department of Clinical Regenerative Medicine, Fujita Medical Innovation Center, Fujita Health University, Ota-ku, Tokyo 144-0041, Japan. Electronic address: shigeto.shimmura@fujita-hu.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A first-in-human investigator-initiated clinical study of a corneal endothelial cell substitute (CLS001) derived from a clinical-grade induced pluripotent stem cell (iPSC) line shows improvement of visual acuity and corneal stromal edema, with no adverse events for up to 1 year after surgery for the treatment of bullous keratopathy. While preclinical tests, including multiple whole-genome analysis and tumorigenicity tests adhering to the Food and Drug Administration (FDA) draft guidelines, are negative, an additional whole-genome analysis conducted on transplanted CLS001 cells reveals a de novo in-frame deletion of exon22 in the EP300 gene. No adverse events related to the mutation are observed. Our study demonstrates the feasibility of using iPSC-derived cells to replace donor transplant for bullous keratopathy, while shedding light on risk management of gene mutation in cell products. Further follow-up is required for long-term analysis of clinical safety and efficacy.

Indexed as

Corneal DiseasesEndothelial CellsEndothelium, CornealInduced Pluripotent Stem CellsAdultCorneal TransplantationFemaleHumansMaleMiddle AgedTransplantation, Homologousbullous keratopathycell therapycorneagene mutationinduced pluripotent stem cellstransplantation

Identifiers

PMID39809262
PMCPMC11866429

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.