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Clinical Trial to Evaluate Efficacy and Safety of of Autologous Mesenchymal Stem Cells (MSC) Injected Intracavernously (Cellgram-ED)

Primary Purpose

Erectile Dysfunction

Status
Recruiting
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Cellgram-ED
Sponsored by
Pharmicell Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Erectile Dysfunction

Eligibility Criteria

19 Years - 79 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Men aged 19 to 80 years old at screening
  2. Patients who maintained normal foot function before prostatectomy and are interested in restoring sexual function after surgery
  3. PSA level <10 ng/mL before prostatectomy
  4. Pathological Gleason sum ≤ 7(3+4 or 4+3) factor during prostatectomy
  5. Local lesions that did not metastasize during prostatectomy (pT2, N0, M0 stage) factors
  6. Patients more than 1 year after prostatectomy and PSA ≤ 0.04 ng/mL when screened without additional treatment other than surgery
  7. Who cannot satisfy sexual activity(more than 4 times) with proper sexual stimulation in spite of taking maximum dose of oral PDE5I(phos-phodiesterasetype-5 inhibitors) within last 8weeks.
  8. Total score of 10 or more and 17 or less in the EF (Erectile function) field* of the International Erectile Function Questionnaire

    * 1, 2, 3, 4, 5, 15 questions for EF erectile function in the international erectile function questionnaire

  9. Prevalence for erectile dysfunction at screening with more than 6 months
  10. Who are willing to engage in sexual activity more than 4 times a month and have a constant partner for at least 3 months
  11. Who do not have difficulty reading and understanding the contents of the questionnaire and who fill out a complete questionnaire
  12. A person who voluntarily agrees to participate in this clinical trial and has signed the consent form by the subject and the subject partner

Exclusion Criteria:

  1. Severe cardiovascular disease (angina pectoris, myocardial infarction, unstable arrhythmia, heart failure, etc.) at the screening visit
  2. Who cannot collect bone marrow due to bone marrow disease, etc.
  3. Those with the following medical history/companion diseases A. Gentamicin hypersensitivity reaction B. Solid cancer or malignant blood disease within 5 years prior to screening C. Clinically significant cognitive impairment, dementia or psychiatric disorder D. Alcohol or substance abuse E. Priapism F. Severe respiratory diseases (COPD, asthma, pneumonia, pulmonary embolism, pneumothorax, etc.) G. Stroke H. Systemic autoimmune disease
  4. Those with the following test results at the screening visit A. Liver disease or abnormal liver function (AST or ALT ≥ 3 times the normal upper limit of the organ) B. Severe renal impairment (serum creatinine≥ 2 mg/dL) C. Positive factors for pathogenic microbial tests (Hbs Ag, HCV Ab, HIV Ab, Syphilis) D. Uncontrolled high blood pressure (systolic blood pressure >170 mmHg or diastolic blood pressure >100 mmHg) or hypotension (systolic blood pressure <90 mmHg, diastolic blood pressure <50 mmHg) E. Who are outside the normal range of tumor marker tests (PSA, CEA, AFP) F. Hemorrhagic tendency (PT and aPTT> ULN x 1.5) G. Untreated hypogonadism or serum testosterone hormone less than 200 ng/dL
  5. Those who possess the following therapeutic powers at screening A. Who are being treated for severe systemic or local infection B. Long-term use of anticoagulant (warfarin) (administered for more than 3 months as anticoagulant therapy) C. Vacuum compressor or intracavernous injection therapy within 7 days before screening (prostaglandin E1, papaverine, phentolamine, etc.) D. Immunosuppressants, alpha blockers or male hormones (androgens, anti-androgens) within 28 days prior to screening
  6. Penile anatomical malformations (ex: Peyronie's disease) or penile implants or penile vascular procedures
  7. Who are receiving drugs* that are expected to affect the results of this clinical trial when judged by the investigator
  8. If the partner is a woman of childbearing potential, those who are not willing to use an appropriate contraceptive method** during the clinical trial period

    **Contraceptive administration and implantation or intrauterine device, infertility procedures (vapectomy, tubal ligation, etc.), blocking method (condom, contraceptive diaphragm, vaginal sponge or cervical cap)

  9. Who participated in other interventional clinical trials within 4 weeks prior to the screening visit and received clinical investigational drugs/investigational medical devices or received procedures
  10. Who have or will be administered other cell therapy products
  11. A person who is judged to be inappropriate to participate in this test when judged by the examiner

Random Inclusion Criteria:

  1. Total score of 10 or more and 17 or less in the EF (Erectile function) field* of the International Erectile Function Questionnaire (IIEF)

    * 1, 2, 3, 4, 5, 15 questions for EF erectile function in the international erectile function questionnaire

  2. Who attempts sexual activity more than 4 times during the run-in period and has a failure rate (Sexual Encounter Profile) of 50% or more

Sites / Locations

  • Asan medical centerRecruiting
  • Samsung medical centerRecruiting
  • Seoul ST. Mary's hospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Experimental

Arm Label

Placebo-Control group

Injection group: Cellgram-ED

Arm Description

Single intracavernous injection of Placebo Oral PDE5-inhibitor can take daily and on demand.

Single intracavernous injection of Mesenchymal stem cell. Oral PDE5-inhibitor can take daily and on demand.

Outcomes

Primary Outcome Measures

The amount of change in EF score in the International Erectile Function Questionnaire (IIEF) at administration of the clinical trial drug compared to the baseline value
Descriptive statistics for the amount of change at administration of the investigational drug compared to the baseline value for each administration group are presented and analyzed by an analysis of covariance (ANCOVA) Erectile Function (Q1,2,3,4,5,15) : Min 6 ~ Max 30 Orgasmic Function (Q9,10) : Min 2 ~ Max 10 Sexual Desire (Q11,12) : : Min 2 ~ Max 10 Intercourse Satisfaction (Q6,7,8): : Min 3 ~ Max 15 Overall Satisfaction (Q13,14) : Min 2 ~ Max 10

Secondary Outcome Measures

The amount of change in EF score in the International Erectile Function Questionnaire (IIEF) at administration of the clinical trial drug compared to the baseline value
Descriptive statistics for the amount of change at administration of the investigational drug compared to the baseline value for each administration group are presented and analyzed by an analysis of covariance (ANCOVA) Erectile Function (Q1,2,3,4,5,15) : Min 6 ~ Max 30
Changes in SEP Q 2 and Q 3 evaluation after administration of investigational drug compared to baseline
Descriptive statistics for the success rate change at each time point and baseline value for each administration group are presented and analyzed by covariance analysis (ANCOVA) SEP 2 Were you able to insert your penis into your partner's vagina? Yes or No SEP 3 Did your erection last long enough to have successful intercourse? Yes or No
Global Assessment Question (GAQ) evaluation after administration of investigational drugs
The frequency and percentage of each time point by administration group are presented and analyzed by Pearson's chi-square test or Fisher's exact test Did Cellgram-ED improve your Erectile Function? Yes or No If so, did Cellgram-ED improve the ability to have sex? Yes or No
Changes in Penile Doppler Sonography(PDS) level after administration of clinical trial drug compared to baseline
For the continuous variable, descriptive statistics for each time point in each administration group and the change at each time point compared to the baseline value are presented, and analyzed by covariance analysis (ANCOVA) PDS results are obtained 5 min, 10 min, 15 min, 20 min, 25 min and 30 min after intracavernosal injection. The peak systolic velocity (PSV) is assessed as follows: >25 cm/s is considered to be normal, 20-25 cm/s is considered to be mild ED, 12-20 cm/s is considered to be moderate ED, <12 cm/s is considered to be severe arteriogenic impotence. The end diastolic velocity (EDV) is assessed as follows: 5 cm/s is considered to be a normal value, >5 cm/s is considered to indicate a veno-occlusive disorder.

Full Information

First Posted
October 14, 2020
Last Updated
October 22, 2020
Sponsor
Pharmicell Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04594850
Brief Title
Clinical Trial to Evaluate Efficacy and Safety of of Autologous Mesenchymal Stem Cells (MSC) Injected Intracavernously
Acronym
Cellgram-ED
Official Title
An Single-blind, Multi-center, Randomization, Phase Ⅱ Study to Evaluate Efficacy and Safety of Cellgram-ED (Autologous Bone Marrow-derived Mesenchymal Stem Cells) in Erectile Dysfunction Patients With Following Radical Prostatectomy
Study Type
Interventional

2. Study Status

Record Verification Date
October 2020
Overall Recruitment Status
Recruiting
Study Start Date
October 19, 2020 (Actual)
Primary Completion Date
October 31, 2023 (Anticipated)
Study Completion Date
October 31, 2023 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This phase II clinical trial is designed to evaluate the efficacy and safety of autologous Mesenchymal Stem Cells (MSC) injected intracavernously.
Detailed Description
To evaluate the efficacy and efficacy for 12 months after a single dose of Cellgram-ED in patients with erectile dysfunction after radical prostatectomy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Erectile Dysfunction

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
54 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Placebo-Control group
Arm Type
No Intervention
Arm Description
Single intracavernous injection of Placebo Oral PDE5-inhibitor can take daily and on demand.
Arm Title
Injection group: Cellgram-ED
Arm Type
Experimental
Arm Description
Single intracavernous injection of Mesenchymal stem cell. Oral PDE5-inhibitor can take daily and on demand.
Intervention Type
Biological
Intervention Name(s)
Cellgram-ED
Other Intervention Name(s)
Autologous bone marrow derived mesenchymal stem cell
Intervention Description
Patients will receive single injection of Cellgram-ED(mesenchymal stem cell) intracavernously.
Primary Outcome Measure Information:
Title
The amount of change in EF score in the International Erectile Function Questionnaire (IIEF) at administration of the clinical trial drug compared to the baseline value
Description
Descriptive statistics for the amount of change at administration of the investigational drug compared to the baseline value for each administration group are presented and analyzed by an analysis of covariance (ANCOVA) Erectile Function (Q1,2,3,4,5,15) : Min 6 ~ Max 30 Orgasmic Function (Q9,10) : Min 2 ~ Max 10 Sexual Desire (Q11,12) : : Min 2 ~ Max 10 Intercourse Satisfaction (Q6,7,8): : Min 3 ~ Max 15 Overall Satisfaction (Q13,14) : Min 2 ~ Max 10
Time Frame
6 month
Secondary Outcome Measure Information:
Title
The amount of change in EF score in the International Erectile Function Questionnaire (IIEF) at administration of the clinical trial drug compared to the baseline value
Description
Descriptive statistics for the amount of change at administration of the investigational drug compared to the baseline value for each administration group are presented and analyzed by an analysis of covariance (ANCOVA) Erectile Function (Q1,2,3,4,5,15) : Min 6 ~ Max 30
Time Frame
month 1, 3, 6, 9 and 12
Title
Changes in SEP Q 2 and Q 3 evaluation after administration of investigational drug compared to baseline
Description
Descriptive statistics for the success rate change at each time point and baseline value for each administration group are presented and analyzed by covariance analysis (ANCOVA) SEP 2 Were you able to insert your penis into your partner's vagina? Yes or No SEP 3 Did your erection last long enough to have successful intercourse? Yes or No
Time Frame
month 1, 3, 6, 9 and 12
Title
Global Assessment Question (GAQ) evaluation after administration of investigational drugs
Description
The frequency and percentage of each time point by administration group are presented and analyzed by Pearson's chi-square test or Fisher's exact test Did Cellgram-ED improve your Erectile Function? Yes or No If so, did Cellgram-ED improve the ability to have sex? Yes or No
Time Frame
month 1, 3, 6, 9 and 12
Title
Changes in Penile Doppler Sonography(PDS) level after administration of clinical trial drug compared to baseline
Description
For the continuous variable, descriptive statistics for each time point in each administration group and the change at each time point compared to the baseline value are presented, and analyzed by covariance analysis (ANCOVA) PDS results are obtained 5 min, 10 min, 15 min, 20 min, 25 min and 30 min after intracavernosal injection. The peak systolic velocity (PSV) is assessed as follows: >25 cm/s is considered to be normal, 20-25 cm/s is considered to be mild ED, 12-20 cm/s is considered to be moderate ED, <12 cm/s is considered to be severe arteriogenic impotence. The end diastolic velocity (EDV) is assessed as follows: 5 cm/s is considered to be a normal value, >5 cm/s is considered to indicate a veno-occlusive disorder.
Time Frame
month 6, 12

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
79 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men aged 19 to 80 years old at screening Patients who maintained normal foot function before prostatectomy and are interested in restoring sexual function after surgery PSA level <10 ng/mL before prostatectomy Pathological Gleason sum ≤ 7(3+4 or 4+3) factor during prostatectomy Local lesions that did not metastasize during prostatectomy (pT2, N0, M0 stage) factors Patients more than 1 year after prostatectomy and PSA ≤ 0.04 ng/mL when screened without additional treatment other than surgery Who cannot satisfy sexual activity(more than 4 times) with proper sexual stimulation in spite of taking maximum dose of oral PDE5I(phos-phodiesterasetype-5 inhibitors) within last 8weeks. Total score of 10 or more and 17 or less in the EF (Erectile function) field* of the International Erectile Function Questionnaire * 1, 2, 3, 4, 5, 15 questions for EF erectile function in the international erectile function questionnaire Prevalence for erectile dysfunction at screening with more than 6 months Who are willing to engage in sexual activity more than 4 times a month and have a constant partner for at least 3 months Who do not have difficulty reading and understanding the contents of the questionnaire and who fill out a complete questionnaire A person who voluntarily agrees to participate in this clinical trial and has signed the consent form by the subject and the subject partner Exclusion Criteria: Severe cardiovascular disease (angina pectoris, myocardial infarction, unstable arrhythmia, heart failure, etc.) at the screening visit Who cannot collect bone marrow due to bone marrow disease, etc. Those with the following medical history/companion diseases A. Gentamicin hypersensitivity reaction B. Solid cancer or malignant blood disease within 5 years prior to screening C. Clinically significant cognitive impairment, dementia or psychiatric disorder D. Alcohol or substance abuse E. Priapism F. Severe respiratory diseases (COPD, asthma, pneumonia, pulmonary embolism, pneumothorax, etc.) G. Stroke H. Systemic autoimmune disease Those with the following test results at the screening visit A. Liver disease or abnormal liver function (AST or ALT ≥ 3 times the normal upper limit of the organ) B. Severe renal impairment (serum creatinine≥ 2 mg/dL) C. Positive factors for pathogenic microbial tests (Hbs Ag, HCV Ab, HIV Ab, Syphilis) D. Uncontrolled high blood pressure (systolic blood pressure >170 mmHg or diastolic blood pressure >100 mmHg) or hypotension (systolic blood pressure <90 mmHg, diastolic blood pressure <50 mmHg) E. Who are outside the normal range of tumor marker tests (PSA, CEA, AFP) F. Hemorrhagic tendency (PT and aPTT> ULN x 1.5) G. Untreated hypogonadism or serum testosterone hormone less than 200 ng/dL Those who possess the following therapeutic powers at screening A. Who are being treated for severe systemic or local infection B. Long-term use of anticoagulant (warfarin) (administered for more than 3 months as anticoagulant therapy) C. Vacuum compressor or intracavernous injection therapy within 7 days before screening (prostaglandin E1, papaverine, phentolamine, etc.) D. Immunosuppressants, alpha blockers or male hormones (androgens, anti-androgens) within 28 days prior to screening Penile anatomical malformations (ex: Peyronie's disease) or penile implants or penile vascular procedures Who are receiving drugs* that are expected to affect the results of this clinical trial when judged by the investigator If the partner is a woman of childbearing potential, those who are not willing to use an appropriate contraceptive method** during the clinical trial period **Contraceptive administration and implantation or intrauterine device, infertility procedures (vapectomy, tubal ligation, etc.), blocking method (condom, contraceptive diaphragm, vaginal sponge or cervical cap) Who participated in other interventional clinical trials within 4 weeks prior to the screening visit and received clinical investigational drugs/investigational medical devices or received procedures Who have or will be administered other cell therapy products A person who is judged to be inappropriate to participate in this test when judged by the examiner Random Inclusion Criteria: Total score of 10 or more and 17 or less in the EF (Erectile function) field* of the International Erectile Function Questionnaire (IIEF) * 1, 2, 3, 4, 5, 15 questions for EF erectile function in the international erectile function questionnaire Who attempts sexual activity more than 4 times during the run-in period and has a failure rate (Sexual Encounter Profile) of 50% or more
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
JIYEOUN JEONG
Phone
82-2-3496-0134
Email
jyjeong@pharmicell.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chungsu Kim, Ph.D
Organizational Affiliation
AIDS Malignancy Consortium
Official's Role
Principal Investigator
Facility Information:
Facility Name
Asan medical center
City
Seoul
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dalsan You, PhD
Phone
82-2-3010-3979
Email
dalsanyou@amc.seoul.kr
First Name & Middle Initial & Last Name & Degree
Chungsu Kim, Ph. D
First Name & Middle Initial & Last Name & Degree
Beomjin Im
First Name & Middle Initial & Last Name & Degree
Woncheol Lee
Facility Name
Samsung medical center
City
Seoul
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Seongwon Lee
First Name & Middle Initial & Last Name & Degree
Seongwon Lee
First Name & Middle Initial & Last Name & Degree
Deokhyun Han
Facility Name
Seoul ST. Mary's hospital
City
Seoul
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jiyoul Lee, Ph.D
First Name & Middle Initial & Last Name & Degree
Jiyoul Lee
First Name & Middle Initial & Last Name & Degree
Hyongwoo Moon
First Name & Middle Initial & Last Name & Degree
WoongJin Bae

12. IPD Sharing Statement

Learn more about this trial

Clinical Trial to Evaluate Efficacy and Safety of of Autologous Mesenchymal Stem Cells (MSC) Injected Intracavernously

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