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A Randomized, Double-Blind, Placebo-Controlled Dose-Escalation Study to Determine the Safety and Efficacy of Intravenous Infusion of Human Placenta-Derived Cells (PDA001) for the Treatment of Crohn's Disease

Primary Purpose

Crohns Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PDA001
Vehicle Controlled Placebo
Sponsored by
Celularity Incorporated
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Crohns Disease focused on measuring Crohn's disease, Fistula, Diarrhea, Colon, Stem cells

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • • Males and females 18 - 75 years of age at the time of signing the informed consent document.

    • Minimum weight of subject is 40 kg at screening.
    • Subject must have inflammatory Crohn's Disease (CD) diagnosed at least 6 months but no greater than 15 years prior to treatment with Investigational Product (IP).
    • Subject must have confirmation of ongoing CD by ileocolonoscopy at screening.
    • Subject must have a Crohn's Disease Activity Index (CDAI) score ≥ 220 and ≤ 450 as assessed between Visit 1 and Visit 2.

Exclusion Criteria:

  • Subject has any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study including but not limited to

    • Liver Function Tests Aspartate aminotransferase (AST) or Alanine aminotransferase (ALT) > 2.5 x the upper limit of normal at screening.
    • Serum creatinine concentration > 2.0 mg/dl at screening. Alkaline phosphatase > 2.5 x the upper limit of normal at screening.
    • Bilirubin level > 2 mg/dL (unless subject has known Gilbert's disease).
  • Pregnant or lactating females.
  • Morbidly obese subjects Body Mass Index (BMI) > 35 at screening).
  • Subject has untreated chronic infection including Clostridium difficile toxin positive at screening or treatment of any infection with antibiotics within 4 weeks prior to dosing with IP (other than a treated urinary tract infection or drained perianal abscess). Note: Stable doses of antibiotics used to treat Crohn's Disease are allowed.
  • Subject has organic heart disease (eg, congestive heart failure), clinically significant arrhythmia or clinically significant abnormal findings on Electrocardiograms (ECG).
  • Subject has a history of other malignancies within 5 years (except basal cell carcinoma of the skin that is surgically cured, remote history of cancer now considered cured or positive Pap smear with subsequent negative follow up).
  • Subject has had a stricture of the bowel requiring hospitalization within 182 days prior to treatment with IP.
  • Subject has had bowel surgery other than perianal (for example, fistulotomy, seton placement, or abscess drainage) or previous abscess drainage within 182 days prior to treatment with IP.
  • Subject has had any surgery within 28 days prior to treatment with IP.
  • Subject has a colostomy, ileostomy or ileal pouch anal anastomosis.
  • Subject has received an investigational agent -an agent or device not approved by FDA for marketed use in any indication-within 90 days (or 5 half-lives, whichever is longer) prior to treatment with investigational product.
  • Subject has received previous cell therapy.
  • Subject is expecting to have elective surgery at any time between Visit 1 (screening) and Visit 7 (end of induction phase).
  • Subject has concurrent diagnosis of ulcerative colitis.
  • Subjects with protein C or S deficiency.
  • Subjects with prior history of thrombophlebitis or other pathological arterial or venous thrombosis.

Sites / Locations

  • Cedars Sinai Medical Center, Inflammatory Bowel Disease Center
  • University of Colorado Health Science Center
  • University of Florida
  • University of Miami School of Medicine
  • Rochester General Hospital
  • University of Cincinnati Medical Center
  • Case Western Reserve University Hospitals of Cleveland
  • Erlanger Baroness Hospital
  • Vanderbilt - Ingram Cancer Center
  • Baylor College of Medicine
  • University of Utah
  • McGuire Veterans Affairs Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Human Placenta-Derived Cells PDA001 Intravenous Infusion

Vehicle controlled placebo

Arm Description

Intravenous infusion of Human Placenta-Derived Cells PDA001 over the course of 2 hours.

Intravenous infusion of Vehicle Controlled Placebo over the course of 2 hours

Outcomes

Primary Outcome Measures

Adverse Events
Number of participants experiencing adverse events during the initial and extended follow-up periods

Secondary Outcome Measures

Clinical Response
A clinical response is defined as a reduction from baseline by 25% and/or ≥ 100 points in the Crohn's Disease Activity Index (CDAI) score. The Crohn's Disease Activity Index or CDAI is a research tool used to quantify the symptoms of patients with Crohn's disease.
Clinical Remission
Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) score CDAI score of ≤ 150 points

Full Information

First Posted
January 15, 2013
Last Updated
February 27, 2018
Sponsor
Celularity Incorporated
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1. Study Identification

Unique Protocol Identification Number
NCT01769755
Brief Title
A Randomized, Double-Blind, Placebo-Controlled Dose-Escalation Study to Determine the Safety and Efficacy of Intravenous Infusion of Human Placenta-Derived Cells (PDA001) for the Treatment of Crohn's Disease
Official Title
A Randomized, Double-Blind, Placebo-Controlled Dose Escalation Study to Determine the Safety and Efficacy of Intravenous Infusion of Human Placenta-Derived Cells (PDA001) for the Treatment of Crohn's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
March 2013 (undefined)
Primary Completion Date
November 2014 (Actual)
Study Completion Date
November 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Celularity Incorporated

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To assess the safety and efficacy of intravenous (IV) PDA001 infused every two weeks for up to 5 total infusions in subjects with Crohn's disease who are refractory to one or more standard Crohn's disease therapies.
Detailed Description
This is a randomized, double-blind, placebo-controlled, dose-escalation study to study 3 cohorts of subjects with Crohn's Disease including (but not limited to) those with colonic involvement. Each cohort (n = 9) will include PDA001 treated subjects (n = 6) as well as placebo (vehicle control) treated subjects (n = 3). Cohorts will be enrolled sequentially, beginning with the lowest dose cohort (1/4 unit PDA001) and progressing until the maximum tolerated dose of IV PDA001 is determined.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Crohns Disease
Keywords
Crohn's disease, Fistula, Diarrhea, Colon, Stem cells

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
14 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Human Placenta-Derived Cells PDA001 Intravenous Infusion
Arm Type
Experimental
Arm Description
Intravenous infusion of Human Placenta-Derived Cells PDA001 over the course of 2 hours.
Arm Title
Vehicle controlled placebo
Arm Type
Placebo Comparator
Arm Description
Intravenous infusion of Vehicle Controlled Placebo over the course of 2 hours
Intervention Type
Biological
Intervention Name(s)
PDA001
Intervention Description
Cohort 1 Dose Level 1: ¼ unit Human Placenta-Derived Cells PDA001 infused a total of 5 times 2 weeks apart. Cohort 2 Dose Level 2: ½ unit Human Placenta-Derived Cells PDA001 infused a total of 5 times 2 weeks apart. Cohort 3 Dose Level 3: 1 unit Human Placenta-Derived Cells PDA001 infused a total of 5 times 2 weeks apart.
Intervention Type
Drug
Intervention Name(s)
Vehicle Controlled Placebo
Intervention Description
Cohort 1 Dose Level 1: ¼ unit vehicle controlled placebo infused a total of 5 times 2 weeks apart. Cohort 2 Dose Level 2: ½ unit vehicle controlled placebo infused a total of 5 times 2 weeks apart. Cohort 3 Dose Level 3: 1 unit vehicle controlled placebo infused a total of 5 times 2 weeks apart.
Primary Outcome Measure Information:
Title
Adverse Events
Description
Number of participants experiencing adverse events during the initial and extended follow-up periods
Time Frame
Up to 1 year
Secondary Outcome Measure Information:
Title
Clinical Response
Description
A clinical response is defined as a reduction from baseline by 25% and/or ≥ 100 points in the Crohn's Disease Activity Index (CDAI) score. The Crohn's Disease Activity Index or CDAI is a research tool used to quantify the symptoms of patients with Crohn's disease.
Time Frame
Up to 1 year
Title
Clinical Remission
Description
Clinical remission is defined as a Crohn's Disease Activity Index (CDAI) score CDAI score of ≤ 150 points
Time Frame
Up to 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: • Males and females 18 - 75 years of age at the time of signing the informed consent document. Minimum weight of subject is 40 kg at screening. Subject must have inflammatory Crohn's Disease (CD) diagnosed at least 6 months but no greater than 15 years prior to treatment with Investigational Product (IP). Subject must have confirmation of ongoing CD by ileocolonoscopy at screening. Subject must have a Crohn's Disease Activity Index (CDAI) score ≥ 220 and ≤ 450 as assessed between Visit 1 and Visit 2. Exclusion Criteria: Subject has any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study including but not limited to Liver Function Tests Aspartate aminotransferase (AST) or Alanine aminotransferase (ALT) > 2.5 x the upper limit of normal at screening. Serum creatinine concentration > 2.0 mg/dl at screening. Alkaline phosphatase > 2.5 x the upper limit of normal at screening. Bilirubin level > 2 mg/dL (unless subject has known Gilbert's disease). Pregnant or lactating females. Morbidly obese subjects Body Mass Index (BMI) > 35 at screening). Subject has untreated chronic infection including Clostridium difficile toxin positive at screening or treatment of any infection with antibiotics within 4 weeks prior to dosing with IP (other than a treated urinary tract infection or drained perianal abscess). Note: Stable doses of antibiotics used to treat Crohn's Disease are allowed. Subject has organic heart disease (eg, congestive heart failure), clinically significant arrhythmia or clinically significant abnormal findings on Electrocardiograms (ECG). Subject has a history of other malignancies within 5 years (except basal cell carcinoma of the skin that is surgically cured, remote history of cancer now considered cured or positive Pap smear with subsequent negative follow up). Subject has had a stricture of the bowel requiring hospitalization within 182 days prior to treatment with IP. Subject has had bowel surgery other than perianal (for example, fistulotomy, seton placement, or abscess drainage) or previous abscess drainage within 182 days prior to treatment with IP. Subject has had any surgery within 28 days prior to treatment with IP. Subject has a colostomy, ileostomy or ileal pouch anal anastomosis. Subject has received an investigational agent -an agent or device not approved by FDA for marketed use in any indication-within 90 days (or 5 half-lives, whichever is longer) prior to treatment with investigational product. Subject has received previous cell therapy. Subject is expecting to have elective surgery at any time between Visit 1 (screening) and Visit 7 (end of induction phase). Subject has concurrent diagnosis of ulcerative colitis. Subjects with protein C or S deficiency. Subjects with prior history of thrombophlebitis or other pathological arterial or venous thrombosis.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Monica E Luchi, MD
Organizational Affiliation
Celularity Incorporated
Official's Role
Study Director
Facility Information:
Facility Name
Cedars Sinai Medical Center, Inflammatory Bowel Disease Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
University of Colorado Health Science Center
City
Denver
State/Province
Colorado
ZIP/Postal Code
80220-3706
Country
United States
Facility Name
University of Florida
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32610
Country
United States
Facility Name
University of Miami School of Medicine
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Rochester General Hospital
City
Rochester
State/Province
New York
ZIP/Postal Code
14621
Country
United States
Facility Name
University of Cincinnati Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45267
Country
United States
Facility Name
Case Western Reserve University Hospitals of Cleveland
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Facility Name
Erlanger Baroness Hospital
City
Chattanooga
State/Province
Tennessee
ZIP/Postal Code
37403
Country
United States
Facility Name
Vanderbilt - Ingram Cancer Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232-5505
Country
United States
Facility Name
Baylor College of Medicine
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
University of Utah
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84132
Country
United States
Facility Name
McGuire Veterans Affairs Medical Center
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23249
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Randomized, Double-Blind, Placebo-Controlled Dose-Escalation Study to Determine the Safety and Efficacy of Intravenous Infusion of Human Placenta-Derived Cells (PDA001) for the Treatment of Crohn's Disease

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