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Safety Study of Mesenchymal Precursor Cells in Type 2 Diabetes

Primary Purpose

Type 2 Diabetes

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Mesenchymal Precursor Cells (MPCs)
Mesenchymal Precursor Cells (MPCs)
Mesenchymal Precursor Cells (MPCs)
Sponsored by
Mesoblast, Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  • Male and female subjects who are ≥ 18 and ≤ 80 years old
  • Subjects diagnosed with type 2 diabetes at least one year prior to Screening and receiving a stable, therapeutic dose of metformin > 1500 mg/day according to local prescribing information for at least 3 months prior to Screening or the highest tolerated dose > 1000 mg/day documented in the subject's history
  • HbA1c > 7.0% and < 10.5% at Screening
  • C-peptide > 0.8 ng/mL at Screening
  • Body mass index (BMI) > 22 and < 45 kg/m2 at Screening
  • Body weight < 150 kg at Screening

Key Exclusion Criteria:

  • Prior participation in any stem cell study
  • Women who are pregnant, intending to become pregnant during the study period or currently lactating
  • History of active substance abuse (including alcohol) within the past 2 years. Current alcohol abuse is defined as daily consumption of >3 alcoholic beverage. Current cigarette smoking > 10 cigarettes per day
  • Severe hypoglycemia (defined as requiring third party assistance) or repeated and/or frequent hypoglycemia episodes (> 2 episodes/week) within one month prior to Screening
  • Patients receiving treatment for type 2 diabetes with diet and exercise alone, insulin therapy within 6 months of Screening except if used transiently for < 7 days for intercurrent illness or any other anti-diabetic medication except metformin within 3 months of Screening
  • Any concurrent medical condition/disorder or clinically symptomatic cardiovascular, gastrointestinal (including pancreatitis), renal, hematological, pulmonary, acute or chronic infectious disease, active retinal disease, or other disorder which in the Investigator's opinion would interfere with the subject's ability to complete the trial, would require administration of treatment that could affect the interpretation of the safety and efficacy variables or would preclude safe involvement in the study.

Sites / Locations

  • SC Clinical Research
  • Diabetes Research Institute
  • Compass Research
  • Pennington Biomedical Research Center
  • Tulane University Medical Center
  • Big Sky Clinical Research
  • Desert Endocrinology Clinical Research Center-Henderson
  • Alliance Against Diabetes/AAD Clinical Research
  • Active Practices and Research
  • The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital
  • Providence Health Partners - Center for Clinical Reseach
  • Dallas Diabetes and Endocrine Center
  • West Houston Clinical Research Services
  • Paragon Research Center
  • Wasatch Clinical Research
  • National Clinical Research - Norfolk, Inc
  • National Clinical Research - Richmond, Inc.
  • Capital Clinical Research Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Arm Description

MPC dose 1 or Placebo

MPC dose 2 or Placebo

MPC dose 3 or Placebo

Outcomes

Primary Outcome Measures

Primary objective of the study is to assess the safety and tolerability of MPC therapy
Outcomes include the measurement of the following safety parameters: Adverse events and serious adverse events(including hypoglycemia) Vital signs (BP, HR, RR, O2 saturation) Physical examinations Results of clinical laboratory tests (hematology, biochemistry, and urinalysis, flow cytometry Class I and Class II PRA % with specificity, antibovine and antimurine antibody analysis) Pulmonary function test Electrocardiograms Chest X-ray Fundus oculi examination

Secondary Outcome Measures

Full Information

First Posted
April 9, 2012
Last Updated
June 1, 2020
Sponsor
Mesoblast, Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT01576328
Brief Title
Safety Study of Mesenchymal Precursor Cells in Type 2 Diabetes
Official Title
A Randomized, Placebo-Controlled Dose-Escalation Study to Assess the Safety and Tolerability of a Single Intravenous Infusion of Allogeneic Mesenchymal Precursor Cells (MPCs) in Patients With Type 2 Diabetes Sub-optimally Controlled on Metformin
Study Type
Interventional

2. Study Status

Record Verification Date
June 2020
Overall Recruitment Status
Completed
Study Start Date
April 2012 (undefined)
Primary Completion Date
October 2013 (Actual)
Study Completion Date
October 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mesoblast, Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is being conducted to assess the overall safety and tolerability of a single intravenous infusion of three doses of Mesenchymal Precursor Cells versus Placebo in subjects with Type 2 Diabetes inadequately controlled on Metformin.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
61 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
MPC dose 1 or Placebo
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
MPC dose 2 or Placebo
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
MPC dose 3 or Placebo
Intervention Type
Drug
Intervention Name(s)
Mesenchymal Precursor Cells (MPCs)
Intervention Description
Single intravenous infusion of MPCs Dose 1
Intervention Type
Drug
Intervention Name(s)
Mesenchymal Precursor Cells (MPCs)
Intervention Description
Single intravenous infusion of MPCs Dose 2
Intervention Type
Drug
Intervention Name(s)
Mesenchymal Precursor Cells (MPCs)
Intervention Description
Single intravenous infusion of MPCs Dose 3
Primary Outcome Measure Information:
Title
Primary objective of the study is to assess the safety and tolerability of MPC therapy
Description
Outcomes include the measurement of the following safety parameters: Adverse events and serious adverse events(including hypoglycemia) Vital signs (BP, HR, RR, O2 saturation) Physical examinations Results of clinical laboratory tests (hematology, biochemistry, and urinalysis, flow cytometry Class I and Class II PRA % with specificity, antibovine and antimurine antibody analysis) Pulmonary function test Electrocardiograms Chest X-ray Fundus oculi examination
Time Frame
116 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Male and female subjects who are ≥ 18 and ≤ 80 years old Subjects diagnosed with type 2 diabetes at least one year prior to Screening and receiving a stable, therapeutic dose of metformin > 1500 mg/day according to local prescribing information for at least 3 months prior to Screening or the highest tolerated dose > 1000 mg/day documented in the subject's history HbA1c > 7.0% and < 10.5% at Screening C-peptide > 0.8 ng/mL at Screening Body mass index (BMI) > 22 and < 45 kg/m2 at Screening Body weight < 150 kg at Screening Key Exclusion Criteria: Prior participation in any stem cell study Women who are pregnant, intending to become pregnant during the study period or currently lactating History of active substance abuse (including alcohol) within the past 2 years. Current alcohol abuse is defined as daily consumption of >3 alcoholic beverage. Current cigarette smoking > 10 cigarettes per day Severe hypoglycemia (defined as requiring third party assistance) or repeated and/or frequent hypoglycemia episodes (> 2 episodes/week) within one month prior to Screening Patients receiving treatment for type 2 diabetes with diet and exercise alone, insulin therapy within 6 months of Screening except if used transiently for < 7 days for intercurrent illness or any other anti-diabetic medication except metformin within 3 months of Screening Any concurrent medical condition/disorder or clinically symptomatic cardiovascular, gastrointestinal (including pancreatitis), renal, hematological, pulmonary, acute or chronic infectious disease, active retinal disease, or other disorder which in the Investigator's opinion would interfere with the subject's ability to complete the trial, would require administration of treatment that could affect the interpretation of the safety and efficacy variables or would preclude safe involvement in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
K Segal, PhD
Organizational Affiliation
Mesoblast, Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
SC Clinical Research
City
Garden Grove
State/Province
California
ZIP/Postal Code
92844
Country
United States
Facility Name
Diabetes Research Institute
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Compass Research
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Pennington Biomedical Research Center
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70808
Country
United States
Facility Name
Tulane University Medical Center
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112
Country
United States
Facility Name
Big Sky Clinical Research
City
Butte
State/Province
Montana
ZIP/Postal Code
59701
Country
United States
Facility Name
Desert Endocrinology Clinical Research Center-Henderson
City
Henderson
State/Province
Nevada
ZIP/Postal Code
89052
Country
United States
Facility Name
Alliance Against Diabetes/AAD Clinical Research
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89101
Country
United States
Facility Name
Active Practices and Research
City
Newington
State/Province
New Hampshire
ZIP/Postal Code
03801
Country
United States
Facility Name
The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Facility Name
Providence Health Partners - Center for Clinical Reseach
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45439
Country
United States
Facility Name
Dallas Diabetes and Endocrine Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
West Houston Clinical Research Services
City
Houston
State/Province
Texas
ZIP/Postal Code
77055
Country
United States
Facility Name
Paragon Research Center
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78205
Country
United States
Facility Name
Wasatch Clinical Research
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84107
Country
United States
Facility Name
National Clinical Research - Norfolk, Inc
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23502
Country
United States
Facility Name
National Clinical Research - Richmond, Inc.
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23294
Country
United States
Facility Name
Capital Clinical Research Center
City
Olympia
State/Province
Washington
ZIP/Postal Code
98502
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
26153271
Citation
Skyler JS, Fonseca VA, Segal KR, Rosenstock J; MSB-DM003 Investigators. Allogeneic Mesenchymal Precursor Cells in Type 2 Diabetes: A Randomized, Placebo-Controlled, Dose-Escalation Safety and Tolerability Pilot Study. Diabetes Care. 2015 Sep;38(9):1742-9. doi: 10.2337/dc14-2830. Epub 2015 Jul 7.
Results Reference
derived

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Safety Study of Mesenchymal Precursor Cells in Type 2 Diabetes

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