Allogeneic Amniotic Mesenchymal Stem Cell Therapy for Lupus Nephritis
Primary Purpose
Lupus Nephritis, Mesenchymal Stem Cells
Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
human amniotic mesenchymal stem cell
Sponsored by
About this trial
This is an interventional treatment trial for Lupus Nephritis focused on measuring Lupus Nephritis, Human Amniotic Mesenchymal Stem Cell, cell therapy, clinical trail
Eligibility Criteria
Enrollment criteria:
- Adult patients (age 14-60 years) who were diagnosed as lupus nephritis, regardless of gender, uncontrolled disease course;
- Pathological examination of puncture biopsy resulting in diagnosis of type II, III, or IV lupus nephritis;
- SLEDAI score >8;
- proteinuria greater than 1 g/day and active urinary sediments;
- Lupus nephritis treatment according to guidelines and norms before human amniotic mesenchymal stem cells therapy;
- If there is a possibility of pregnancy in female, must be negative pregnancy test, not in lactation, and confirm that is receiving the method of contraception recognized by the researchers, and agree to maintain the method of contraception throughout the study. Sexually active male patients must agree to the use of an appropriate contraceptive method for birth control from the first administration of the study treatment until 24 weeks after the last administration.
- The subjects should be fully informed, voluntarily sign the informed consent, and agree to participate in all visits, examinations, and treatments as required by the experimental protocol.
Exclusion criteria:
- Patients with kidney biopsy diagnosis of type I, VI lupus nephritis or a diagnosis of another glomerular disease;
- Patients with abnormal renal function (serum creatinine ≥ the upper limit of normal);
- Patients with active liver disease or abnormal liver function test results (ALT or AST ≥2 times the upper limit of normal);
- Patients with blood leukocyte count <2.5 × 109/L, hemoglobin <90 g/L, platelet count <100 × 109/L, or those who have other hematologic diseases (severe anemia, idiopathic thrombocytopenic purpura, splenomegaly, coagulation dysfunction, etc.);
- Patients with serious and unstable cardiovascular or cerebrovascular diseases (unstable angina pectoris, coronary artery disease, cerebrovascular disease, transient ischemic attack, congestive heart failure, etc.), acute and difficult to control the disease, after treatment has not been effectively controlled severe hypertension (blood pressure >160/100 mm Hg), or organ transplantation;
- Patients with uncontrolled infection;
- Patients with tumors or abnormal tumor marker levels; 8. Patients with blood-borne diseases (i.e., HIV, syphilis, hepatitis B, and hepatitis C);
- Pregnancy, the potential for pregnancy, or lactation;
- Patients with a history of allergy, especially patients allergic to human blood albumin;
- Patients with mental illness affecting their voluntarism, ability to make decisions, and ability to communicate;
- A history of alcoholism or known drug addiction in the last 2 years;
- Participation in another clinical trial within the last 3 months;
- Patients judged inappropriate for this study by the physicians.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
human amniotic mesenchymal stem cell treatment group
blank control group
Arm Description
Outcomes
Primary Outcome Measures
Incidence of Adverse Events
The patient's discomfort and clinical symptoms during the study were recorded, as well as the related laboratory test indicators and physical examination abnormalities of the subjects during the study. Describe the association with Amniotic mesenchymal stem cell therapy and calculate the incidence of treatment-related acute and chronic adverse events.
Secondary Outcome Measures
Changes in 24h urine protein quantification before and after treatment;
24-hour urinary protein quantification from baseline to 60 weeks of treatment.
Changes in eGFR before and after treatment;
changes in estimated glomerular filtration rate (eGFR) from baseline to 60 weeks of treatment.
Changes in SLEDAI score before and after treatment;
changes in SLEDAI score from baseline to 60 weeks of treatment. SLEDAI score: 0~4 points basically no activity;5-9 minutes light activity;10-14 minutes of moderate activity;≥15 minutes of severe activity.
Full Information
NCT ID
NCT04318600
First Posted
March 11, 2020
Last Updated
March 20, 2020
Sponsor
Yan'an Affiliated Hospital of Kunming Medical University
Collaborators
The First People's Hospital of Yunnan
1. Study Identification
Unique Protocol Identification Number
NCT04318600
Brief Title
Allogeneic Amniotic Mesenchymal Stem Cell Therapy for Lupus Nephritis
Official Title
Allogeneic Amniotic Mesenchymal Stem Cell Therapy for Lupus Nephritis
Study Type
Interventional
2. Study Status
Record Verification Date
January 2014
Overall Recruitment Status
Completed
Study Start Date
January 1, 2014 (Actual)
Primary Completion Date
March 1, 2017 (Actual)
Study Completion Date
January 1, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Yan'an Affiliated Hospital of Kunming Medical University
Collaborators
The First People's Hospital of Yunnan
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
This study would further evaluate the safety and efficacy of human amniotic mesenchymal stem cell (hA-MSC) for the treatment of lupus nephritis (LN).
Detailed Description
Eleven patients with WHO class III, IV or V LN were given hA-MSC (Peripheral intravenous infusion, dose 1×106/kg cells, once every month for three times). At the same time, five patients with LN who were not given hA-MSC as the blank control group. All patients did not received intravenous corticosteroids pulse therapy, but the use of oral corticosteroids and intravenous cyclophosphamide, or oral mycophenolate mofetil, tacrolimus , leflunomide were allowed.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lupus Nephritis, Mesenchymal Stem Cells
Keywords
Lupus Nephritis, Human Amniotic Mesenchymal Stem Cell, cell therapy, clinical trail
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Non-Randomized
Enrollment
16 (Actual)
8. Arms, Groups, and Interventions
Arm Title
human amniotic mesenchymal stem cell treatment group
Arm Type
Experimental
Arm Title
blank control group
Arm Type
No Intervention
Intervention Type
Drug
Intervention Name(s)
human amniotic mesenchymal stem cell
Intervention Description
human amniotic mesenchymal stem cell (hA-MSC) for the treatment of lupus nephritis patients with WHO class III, IV or V LN were given hA-MSC (Peripheral intravenous infusion, dose 1×106/kg cells, once every month for three times).
Primary Outcome Measure Information:
Title
Incidence of Adverse Events
Description
The patient's discomfort and clinical symptoms during the study were recorded, as well as the related laboratory test indicators and physical examination abnormalities of the subjects during the study. Describe the association with Amniotic mesenchymal stem cell therapy and calculate the incidence of treatment-related acute and chronic adverse events.
Time Frame
60 weeks
Secondary Outcome Measure Information:
Title
Changes in 24h urine protein quantification before and after treatment;
Description
24-hour urinary protein quantification from baseline to 60 weeks of treatment.
Time Frame
60 weeks
Title
Changes in eGFR before and after treatment;
Description
changes in estimated glomerular filtration rate (eGFR) from baseline to 60 weeks of treatment.
Time Frame
60 weeks
Title
Changes in SLEDAI score before and after treatment;
Description
changes in SLEDAI score from baseline to 60 weeks of treatment. SLEDAI score: 0~4 points basically no activity;5-9 minutes light activity;10-14 minutes of moderate activity;≥15 minutes of severe activity.
Time Frame
60 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
14 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Enrollment criteria:
Adult patients (age 14-60 years) who were diagnosed as lupus nephritis, regardless of gender, uncontrolled disease course;
Pathological examination of puncture biopsy resulting in diagnosis of type II, III, or IV lupus nephritis;
SLEDAI score >8;
proteinuria greater than 1 g/day and active urinary sediments;
Lupus nephritis treatment according to guidelines and norms before human amniotic mesenchymal stem cells therapy;
If there is a possibility of pregnancy in female, must be negative pregnancy test, not in lactation, and confirm that is receiving the method of contraception recognized by the researchers, and agree to maintain the method of contraception throughout the study. Sexually active male patients must agree to the use of an appropriate contraceptive method for birth control from the first administration of the study treatment until 24 weeks after the last administration.
The subjects should be fully informed, voluntarily sign the informed consent, and agree to participate in all visits, examinations, and treatments as required by the experimental protocol.
Exclusion criteria:
Patients with kidney biopsy diagnosis of type I, VI lupus nephritis or a diagnosis of another glomerular disease;
Patients with abnormal renal function (serum creatinine ≥ the upper limit of normal);
Patients with active liver disease or abnormal liver function test results (ALT or AST ≥2 times the upper limit of normal);
Patients with blood leukocyte count <2.5 × 109/L, hemoglobin <90 g/L, platelet count <100 × 109/L, or those who have other hematologic diseases (severe anemia, idiopathic thrombocytopenic purpura, splenomegaly, coagulation dysfunction, etc.);
Patients with serious and unstable cardiovascular or cerebrovascular diseases (unstable angina pectoris, coronary artery disease, cerebrovascular disease, transient ischemic attack, congestive heart failure, etc.), acute and difficult to control the disease, after treatment has not been effectively controlled severe hypertension (blood pressure >160/100 mm Hg), or organ transplantation;
Patients with uncontrolled infection;
Patients with tumors or abnormal tumor marker levels; 8. Patients with blood-borne diseases (i.e., HIV, syphilis, hepatitis B, and hepatitis C);
Pregnancy, the potential for pregnancy, or lactation;
Patients with a history of allergy, especially patients allergic to human blood albumin;
Patients with mental illness affecting their voluntarism, ability to make decisions, and ability to communicate;
A history of alcoholism or known drug addiction in the last 2 years;
Participation in another clinical trial within the last 3 months;
Patients judged inappropriate for this study by the physicians.
12. IPD Sharing Statement
Citations:
PubMed Identifier
35412950
Citation
Naeem A, Gupta N, Naeem U, Khan MJ, Elrayess MA, Cui W, Albanese C. A comparison of isolation and culture protocols for human amniotic mesenchymal stem cells. Cell Cycle. 2022 Aug;21(15):1543-1556. doi: 10.1080/15384101.2022.2060641. Epub 2022 Apr 12.
Results Reference
derived
Learn more about this trial
Allogeneic Amniotic Mesenchymal Stem Cell Therapy for Lupus Nephritis
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