Bronchopulmonary Dysplasia Clinical Trial
Official title:
Intravenous Human Umbilical-Cord-Derived Mesenchymal Stem Cells For Moderate and Severe Bronchopulmonary Dysplasia in Premature Infants
This study is an open-label, single-center, dose escalation study to evaluate of safety and efficacy of human umbilical cord -derived mesenchymal stem cells (hUC-MSCs) in premature infants for moderate and severe Bronchopulmonary Dysplasia(BPD).
Status | Recruiting |
Enrollment | 12 |
Est. completion date | June 30, 2022 |
Est. primary completion date | December 31, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: 1. The participants meet the diagnostic criteria for moderate and severe BPD established by the National Institutes of Child Health and Human Development (NICHD) workshop. 2. The participants have abnormal respiratory manifestations. 3. Written consent form signed by a legal representative or a parent. Exclusion Criteria: 1. Although mechanical ventilation or oxygen is required in participants, there are no signs of dyspnea or BPD-related changes in lung imaging, such as central apnea or diaphragm paralysis. 2. The participants who have complex congenital heart disease. 3. The participants who have severe pulmonary hypertension(cardiac ultrasound confirmed) at the time of assessment. 4. The participants who have severe respiratory tract malformation: pierre-robin syndrome, tracheobronchomalacia, vascular ring syndrome, congenital tracheal stenosis, tracheo-esophageal fistula, pulmonary emphysema, pulmonary sequestration, congenital pulmonary dysplasia, congenital pulmonary cyst, congenital spasm, etc. 5. The participants who have severe chromosome anomalies :Edward syndrome, Patau syndrome, Down syndrome, etc) or severe congenital malformation (Hydrocephalus, Encephalocele, etc). 6. The participants who have severe congenital infection(Herpes, Toxoplasmosis, Rubella, Syphilis, AIDS, etc). 7. The participants who have severe sepsis or shock. 8. The participants who is going to have surgery 72 hours before/after this study drug administration. 9. The participants who have surfactant administration within 24 hours before this study drug administration. 10. The participants who have severe intracranial hemorrhage = grade 3 or 4. 11. The participants who have active pulmonary hemorrhage or active air leak syndrome at the time of assessment. 12. The participants who have the history of other clinical studies as a participant. 13. The participants who is considered inappropriate by the investigators. |
Country | Name | City | State |
---|---|---|---|
China | Children's Hospital of Chongqing Medical University | Chongqing | Chongqing |
Lead Sponsor | Collaborator |
---|---|
Children's Hospital of Chongqing Medical University |
China,
Ahn SY, Chang YS, Kim JH, Sung SI, Park WS. Two-Year Follow-Up Outcomes of Premature Infants Enrolled in the Phase I Trial of Mesenchymal Stem Cells Transplantation for Bronchopulmonary Dysplasia. J Pediatr. 2017 Jun;185:49-54.e2. doi: 10.1016/j.jpeds.2017.02.061. Epub 2017 Mar 21. — View Citation
Chang YS, Ahn SY, Yoo HS, Sung SI, Choi SJ, Oh WI, Park WS. Mesenchymal stem cells for bronchopulmonary dysplasia: phase 1 dose-escalation clinical trial. J Pediatr. 2014 May;164(5):966-972.e6. doi: 10.1016/j.jpeds.2013.12.011. Epub 2014 Feb 6. — View Citation
Hansmann G, Fernandez-Gonzalez A, Aslam M, Vitali SH, Martin T, Mitsialis SA, Kourembanas S. Mesenchymal stem cell-mediated reversal of bronchopulmonary dysplasia and associated pulmonary hypertension. Pulm Circ. 2012 Apr-Jun;2(2):170-81. doi: 10.4103/2045-8932.97603. — View Citation
Hayes D Jr, Meadows JT Jr, Murphy BS, Feola DJ, Shook LA, Ballard HO. Pulmonary function outcomes in bronchopulmonary dysplasia through childhood and into adulthood: implications for primary care. Prim Care Respir J. 2011 Jun;20(2):128-33. doi: 10.4104/pcrj.2011.00002. Review. — View Citation
Laube M, Stolzing A, Thome UH, Fabian C. Therapeutic potential of mesenchymal stem cells for pulmonary complications associated with preterm birth. Int J Biochem Cell Biol. 2016 May;74:18-32. doi: 10.1016/j.biocel.2016.02.023. Epub 2016 Feb 27. Review. — View Citation
Pierro M, Ionescu L, Montemurro T, Vadivel A, Weissmann G, Oudit G, Emery D, Bodiga S, Eaton F, Péault B, Mosca F, Lazzari L, Thébaud B. Short-term, long-term and paracrine effect of human umbilical cord-derived stem cells in lung injury prevention and repair in experimental bronchopulmonary dysplasia. Thorax. 2013 May;68(5):475-84. doi: 10.1136/thoraxjnl-2012-202323. Epub 2012 Dec 4. — View Citation
Wilson JG, Liu KD, Zhuo H, Caballero L, McMillan M, Fang X, Cosgrove K, Vojnik R, Calfee CS, Lee JW, Rogers AJ, Levitt J, Wiener-Kronish J, Bajwa EK, Leavitt A, McKenna D, Thompson BT, Matthay MA. Mesenchymal stem (stromal) cells for treatment of ARDS: a phase 1 clinical trial. Lancet Respir Med. 2015 Jan;3(1):24-32. doi: 10.1016/S2213-2600(14)70291-7. Epub 2014 Dec 17. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of participants with adverse reactions related to infusion after treatment | To evaluate the safety of human umbilical cord -derived mesenchymal stem cells for BPD. | 24 hours after administration | |
Secondary | Changes of high-resolution chest CT in participants | To evaluate the safety and efficacy of human umbilical cord -derived mesenchymal stem cells for BPD. | within 2 years after administration | |
Secondary | Changes of temperature in participants | To evaluate the safety of human umbilical cord -derived mesenchymal stem cells for BPD. | 3 days after administration | |
Secondary | Changes of blood pressure in participants | To evaluate the safety of human umbilical cord -derived mesenchymal stem cells for BPD. Blood pressure is measured by electronic sphygmomanometer . | 3 days after administration | |
Secondary | Changes of heart rate in participants | To evaluate the safety of human umbilical cord -derived mesenchymal stem cells for BPD. | 3 days after administration | |
Secondary | Changes of respiratory rate in participants | To evaluate the safety of human umbilical cord -derived mesenchymal stem cells for BPD. | 3 days after administration | |
Secondary | Changes of oxygen saturation in participants | To evaluate the safety of human umbilical cord -derived mesenchymal stem cells for BPD. | 3 days after administration | |
Secondary | Growth velocity (Z-score) in participants | To evaluate the safety and efficacy of human umbilical cord -derived mesenchymal stem cells for BPD. | within 2 years after administration |
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