RT Journal Article T1 Successful development and clinical translation of a novel anterior lamellar artificial cornea. A1 Rico-Sanchez, Laura A1 Garzon, Ingrid A1 Gonzalez-Andrades, Miguel A1 Ruiz-Garcia, Antonio A1 Punzano, Miriam A1 Lizana-Moreno, Antonio A1 Muñoz-Avila, Jose Ignacio A1 Sanchez-Quevedo, Maria Del Carmen A1 Martinez-Atienza, Juliana A1 Lopez-Navas, Luis A1 Sanchez-Pernaute, Rosario A1 Oruezabal, Roke Iñaki A1 Medialdea, Santiago A1 Gonzalez-Gallardo, Maria Del Carmen A1 Carmona, Gloria A1 Sanbonmatsu-Gamez, Sara A1 Perez, Matias A1 Jimenez, Pilar A1 Cuende, Natividad A1 Campos, Antonio A1 Alaminos, Miguel K1 Advanced therapy medicinal products (ATMPs) K1 Clinical translation K1 Cornea K1 Preclinical research K1 Regulatory issues K1 Tissue engineering K1 Tissue-engineered anterior human cornea (TEAHC) AB Blindness due to corneal diseases is a common pathology affecting up to 23 million individuals worldwide. The tissue-engineered anterior human cornea, which is currently being tested in a Phase I/II clinical trial to treat severe corneal trophic ulcers with preliminary good feasibility and safety results. This bioartificial cornea is based on a nanostructured fibrin-agarose biomaterial containing human allogeneic stromal keratocytes and cornea epithelial cells, mimicking the human native anterior cornea in terms of optical, mechanical, and biological behavior. This product is manufactured as a clinical-grade tissue engineering product, fulfilling European requirements and regulations. The clinical translation process included several phases: an initial in vitro and in vivo preclinical research plan, including preclinical advice from the Spanish Medicines Agency followed by additional preclinical development, the adaptation of the biofabrication protocols to a good manufacturing practice manufacturing process, including all quality controls required, and the design of an advanced therapy clinical trial. The experimental development and successful translation of advanced therapy medicinal products for clinical application has to overcome many obstacles, especially when undertaken by academia or SMEs. We expect that our experience and research strategy may help future researchers to efficiently transfer their preclinical results into the clinical settings. PB Wiley YR 2019 FD 2019-07-27 LK http://hdl.handle.net/10668/14357 UL http://hdl.handle.net/10668/14357 LA en NO Rico-Sánchez L, Garzón I, González-Andrades M, Ruíz-García A, Punzano M, Lizana-Moreno A, et al. Successful development and clinical translation of a novel anterior lamellar artificial cornea. J Tissue Eng Regen Med. 2019 Dec;13(12):2142-2154 DS RISalud RD Apr 7, 2025