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Safety and Efficacy of PNEUMOSTEM® in Premature Infants at High Risk for Bronchopulmonary Dysplasia (BPD) - a US Study

Primary Purpose

Bronchopulmonary Dysplasia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Human Umbilical Cord Blood Derived-Mesenchymal Stem Cells
Sponsored by
Medipost America Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Bronchopulmonary Dysplasia focused on measuring Mesenchymal Stem Cells, Human Umbilical Cord Blood, Premature Infants, Bronchopulmonary Dysplasia, Chronic Lung Disease, Cell Therapy

Eligibility Criteria

3 Days - 14 Days (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • A male or female infant whose postnatal age is 3 to 14 days, inclusive (for treatment between 5 and 14 days after birth)
  • A subject whose gestational age is between 23 and 28 weeks (23 weeks ≤ gestational age (GA) < 28 weeks)
  • A subject whose birth weight is between 500g and 1000g, inclusive
  • A subject who is intubated and receiving mechanical ventilation within 5-14 days after birth, with a fraction of inspired oxygen (FiO2) of 0.25 or greater at Screening
  • A subject who has had either a deterioration or no change in the setting of mechanical ventilation within the 24 hours before trial enrollment
  • A subject whose parent/guardian can give a written informed consent

Exclusion Criteria:

  • A subject who has a congenital heart defect, except for patent ductus arteriosus (PDA), atrial septal defect (ASD) or a small, restrictive ventricular septal defect (VSD)
  • A subject who has a serious malformation of the lung such as pulmonary hypoplasia/aplasia congenital diaphragmatic hernia, or other congenital lung anomaly
  • A subject who has a chromosomal abnormality (e.g., Trisomy 18, Trisomy 13 or Trisomy 21) or a severe congenital malformation (e.g., hydrocephalus and encephalocele, tracheo-esophageal fistula, abdominal wall defects, and major renal anomalies)
  • A subject who has had a severe congenital infectious disease (i.e., herpes, toxoplasmosis rubella, syphilis, HIV, etc.)
  • A subject who has evidence of severe sepsis or septic shock due to an active infection at Screening
  • A subject who underwent a surgical procedure within 72 hours before study drug administration or who is anticipated to have a surgical procedure within 72 hours before or following study drug administration
  • A subject who was administered surfactant within 24 hours before study drug administration
  • A subject who has had a bilateral grade 3 or 4 intracranial hemorrhage
  • A subject who has active pulmonary hemorrhage or an active air leak syndrome at Screening
  • A subject who is currently participating in any other interventional clinical trial
  • A subject who is, in the opinion of the Principal Investigator, considered inappropriate for the trial due to any reasons other than those listed above

Sites / Locations

  • Rush University Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

PNEUMOSTEM®

Arm Description

Dose A: PNEUMOSTEM® 10 million cells per kg Dose B: PNEUMOSTEM® 20 million cells per kg

Outcomes

Primary Outcome Measures

Number of participants with adverse reactions for 84 days after treatment

Secondary Outcome Measures

Number of participants with adverse reactions between 84 days after treatment and 20 months of corrected age
Incidence of moderate/severe BPD or death at 36 weeks postmenstrual age (PMA)
Hospital Re-admission between 84 days after treatment until 20 months of corrected age
Bayley Scales of Infant and Toddler Development between 84 days after treatment until 20 months of corrected age

Full Information

First Posted
February 15, 2015
Last Updated
August 14, 2018
Sponsor
Medipost America Inc.
Collaborators
Medipost Co Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02381366
Brief Title
Safety and Efficacy of PNEUMOSTEM® in Premature Infants at High Risk for Bronchopulmonary Dysplasia (BPD) - a US Study
Official Title
A Phase I/II, Open-Label Dose Escalation Trial to Evaluate the Safety and Efficacy of Two Dose Levels of PNEUMOSTEM® in Premature Infants at High Risk for Bronchopulmonary Dysplasia (BPD)
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Completed
Study Start Date
March 2015 (Actual)
Primary Completion Date
September 2016 (Actual)
Study Completion Date
May 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medipost America Inc.
Collaborators
Medipost Co Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
PNEUMOSTEM® consists of ex vivo cultured allogeneic, unrelated, human umbilical cord blood-derived mesenchymal stem cells (hUCB-MSCs) and it is intended for use as a cellular therapy product for prevention of Bronchopulmonary Dysplasia (BPD). This study is an open-label, single-center, dose escalation study to evaluate of safety and efficacy of PNEUMOSTEM® in premature infants at high risk for BPD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bronchopulmonary Dysplasia
Keywords
Mesenchymal Stem Cells, Human Umbilical Cord Blood, Premature Infants, Bronchopulmonary Dysplasia, Chronic Lung Disease, Cell Therapy

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PNEUMOSTEM®
Arm Type
Experimental
Arm Description
Dose A: PNEUMOSTEM® 10 million cells per kg Dose B: PNEUMOSTEM® 20 million cells per kg
Intervention Type
Biological
Intervention Name(s)
Human Umbilical Cord Blood Derived-Mesenchymal Stem Cells
Other Intervention Name(s)
PNEUMOSTEM®
Intervention Description
Human Umbilical Cord Blood Derived-Mesenchymal Stem Cells: Dose A: 10 million cells per kg / Dose B: 20 million cells per kg
Primary Outcome Measure Information:
Title
Number of participants with adverse reactions for 84 days after treatment
Time Frame
84 days
Secondary Outcome Measure Information:
Title
Number of participants with adverse reactions between 84 days after treatment and 20 months of corrected age
Time Frame
Between 84 days after treatment and 20 months of corrected age
Title
Incidence of moderate/severe BPD or death at 36 weeks postmenstrual age (PMA)
Time Frame
36 weeks PMA
Title
Hospital Re-admission between 84 days after treatment until 20 months of corrected age
Time Frame
Between 84 days after treatment and 20 months of corrected age
Title
Bayley Scales of Infant and Toddler Development between 84 days after treatment until 20 months of corrected age
Time Frame
Between 84 days after treatment and 20 months of corrected age

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Days
Maximum Age & Unit of Time
14 Days
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: A male or female infant whose postnatal age is 3 to 14 days, inclusive (for treatment between 5 and 14 days after birth) A subject whose gestational age is between 23 and 28 weeks (23 weeks ≤ gestational age (GA) < 28 weeks) A subject whose birth weight is between 500g and 1000g, inclusive A subject who is intubated and receiving mechanical ventilation within 5-14 days after birth, with a fraction of inspired oxygen (FiO2) of 0.25 or greater at Screening A subject who has had either a deterioration or no change in the setting of mechanical ventilation within the 24 hours before trial enrollment A subject whose parent/guardian can give a written informed consent Exclusion Criteria: A subject who has a congenital heart defect, except for patent ductus arteriosus (PDA), atrial septal defect (ASD) or a small, restrictive ventricular septal defect (VSD) A subject who has a serious malformation of the lung such as pulmonary hypoplasia/aplasia congenital diaphragmatic hernia, or other congenital lung anomaly A subject who has a chromosomal abnormality (e.g., Trisomy 18, Trisomy 13 or Trisomy 21) or a severe congenital malformation (e.g., hydrocephalus and encephalocele, tracheo-esophageal fistula, abdominal wall defects, and major renal anomalies) A subject who has had a severe congenital infectious disease (i.e., herpes, toxoplasmosis rubella, syphilis, HIV, etc.) A subject who has evidence of severe sepsis or septic shock due to an active infection at Screening A subject who underwent a surgical procedure within 72 hours before study drug administration or who is anticipated to have a surgical procedure within 72 hours before or following study drug administration A subject who was administered surfactant within 24 hours before study drug administration A subject who has had a bilateral grade 3 or 4 intracranial hemorrhage A subject who has active pulmonary hemorrhage or an active air leak syndrome at Screening A subject who is currently participating in any other interventional clinical trial A subject who is, in the opinion of the Principal Investigator, considered inappropriate for the trial due to any reasons other than those listed above
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Steven Powell, MD
Organizational Affiliation
Rush University Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Rush University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
30992220
Citation
Powell SB, Silvestri JM. Safety of Intratracheal Administration of Human Umbilical Cord Blood Derived Mesenchymal Stromal Cells in Extremely Low Birth Weight Preterm Infants. J Pediatr. 2019 Jul;210:209-213.e2. doi: 10.1016/j.jpeds.2019.02.029. Epub 2019 Apr 13.
Results Reference
derived

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Safety and Efficacy of PNEUMOSTEM® in Premature Infants at High Risk for Bronchopulmonary Dysplasia (BPD) - a US Study

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