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Safety and Efficacy Study of Human Umbilical Cord-Derived Mesenchymal Stem Cells(BC-U001) for Rheumatoid Arthritis

Primary Purpose

Rheumatoid Arthritis

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
hUC-MSC infusion (BC-U001)
Sponsored by
Beijing Baylx Biotech Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis focused on measuring mesenchymal stem cell, autoimmune disease

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female patients aged 18 to 65 (inclusive)
  2. Patients who are diagnosed with rheumatoid arthritis following the 2010 ACR/EULAR classification criteria
  3. Patients who still remain moderate-to-high disease activity, i.e. DAS28>3.2 at screening and study baseline, after standard csDMARDs therapy
  4. Patients who are positive for rheumatoid factors (RF) and/or anti-CCP antibody
  5. Patients who are clinically stable with no significant changes in physical condition from screening to study baseline
  6. Patients who are available and willing to comply with all study procedures
  7. Patients must be informed of the investigational nature of this study and give written informed consent in accordance with the institutional and hospital guidelines

Exclusion Criteria:

  1. Infections of hepatitis B, hepatitis C, active or latent tuberculosis, or positive for human immunodeficiency virus (HIV)1 or HIV2
  2. Any history of ongoing, significant infections or recent serious infection, i.e., requiring hospitalization and or IV antimicrobial treatment in the 3 months prior to screening
  3. Any active inflammatory diseases other than RA
  4. Serum aminotransferase (ALT or AST) levels ≥ 2x upper limits of normal
  5. Creatinine clearance rate (Ccr) < 45 ml/min calculated by Cockcroft-Gault formula
  6. Severe chronic obstructive pulmonary disease or known lung disease except for mild asthma treated with bronchodilators
  7. Any coexistent active major medical diagnosis of clinically significant cardiovascular, neurological psychiatric, renal, hepatic, immunological, endocrine (including uncontrolled diabetes or thyroid disease), or hematological abnormalities that are likely to interfere with patient compliance or study assessments/procedures in the investigators' opinion
  8. History of cerebrovascular accident (stroke) within 1 year before screening
  9. Clinically significant heart disease (New York Heart Association, class III and class IV)
  10. Surgery or trauma (e.g. contusions, abrasions, stab wounds, cutting wounds, crush injuries, impact injuries, and firearm injuries etc.) within 14 days before enrollment that are not approporiate to participate in study in investigators' opinion
  11. Pregnant, breastfeeding, or desire to become pregnant or unwilling to practice birth control during participation in the study and for twelve months after completing the study infusion, unless surgically sterilized or postmenopausal during the study
  12. Corticosteroid usage at a high dose (i.e., IV or IM corticosteroids or use of oral prednisone equivalent >10 mg/day) or not at a stable dose for the treatment of RA or other diseases within 28 days prior to randomization.
  13. Known allergies or had a history of allergy to minor molecular heparinum and human serum albumin that are likely to interfere with patient compliance or study assessments/procedures in the investigators' opinion
  14. Already participating in another interventional clinical trial or participated in another interventional clinical trial within 3 months before screening
  15. Clinical history of malignancy with the exception of adequately treated cervical carcinoma in situ or basal cell carcinomas
  16. Other situations that are not approporiate to participate in study in investigators' opinion

Sites / Locations

  • Peking Union Medical College Hospital (Dongdan campus)Recruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

hUC-MSC infusion (BC-U001)

Arm Description

Cohort 1: Low-dose BC-U001 Cohort 2: Medium-dose BC-U001 Cohort 3: High-dose BC-U001

Outcomes

Primary Outcome Measures

Number and frequency of adverse events (AEs)
Adverse events are assessed by CTCAE 5.0 up to 28±3 days. The flexible change of ±3 days is set for the convenience of patients. Day 1 refers to the day the participant accept BC-U001 infusion.
Changes of vital signs from 1 hour after infusion to day 28±3
Changes of complete blood count (CBC) from day 1 to day 28±3
Changes of blood biochemical from day 1 to day 28±3
Changes of coagulation function from day 1 to day 28±3
Routine urine analysis
Urine pregnancy test (female only)
Cardiac rate measured by twelve-lead electrocardiogram

Secondary Outcome Measures

Percentage of participants achieving ACR20
Percentage of participants achieving ACR50
Percentage of participants achieving ACR70
Change from baseline of the disease activity score based on DAS28-CRP
Change from baseline of the disease activity score based on DAS28-ESR
EULAR response
Change from baseline of the health assessment questionnaire(HAQ) score
Change from baseline of the simplified disease activity index (SDAI) score
Change from baseline of the clinical disease activity index (CDAI) score
Change from baseline of TNF-α level
Change from baseline of IL-6 level

Full Information

First Posted
June 30, 2021
Last Updated
July 18, 2022
Sponsor
Beijing Baylx Biotech Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04971980
Brief Title
Safety and Efficacy Study of Human Umbilical Cord-Derived Mesenchymal Stem Cells(BC-U001) for Rheumatoid Arthritis
Official Title
A Phase 1/2a, Open-Label Study to Evaluate the Safety and Efficacy of a Single Intravenous Infusion of BC-U001, a Human Umbilical Cord-Derived Mesenchymal Stem Cell Product, for Rheumatoid Arthritis
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 12, 2021 (Actual)
Primary Completion Date
December 2022 (Anticipated)
Study Completion Date
January 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Beijing Baylx Biotech 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
BC-U001 is an allogeneic fresh human umbilical cord-derived mesenchymal stem cell product, which showed therapeutic potential for rheumatoid arthritis(RA) based on its anti-inflammatory, immunomodulatory and tissue repair activities. The primary objective of this open-label, non-randomized, dose-escalation study is to evaluate the safety and tolerability of a single intravenous infusion of BC-U001 for RA patients using a 3+3 design.
Detailed Description
This study will enroll RA patients who still remained moderate-to-high disease activity after conventional synthetic DMARDs (csDMARDs) therapy. All participants are informed about the study procedures and potential risks and are required to provide written informed consent prior to study begin. A 3+3 dose escalation design will be implemented. Three ascending dose cohorts (3 participants/cohort) will be treated successively to identify the maxium tolerated dose (MTD) and/or a recommended dose for phase II study. Dose escalation will be terminated if the dose-limiting toxicities (DLT) are observed in 2 participants during the 28-day follow-up within cohort. DLT was defined as any ≥grade 3 non-hematological toxicity or grade 4 hemtological toxicity according to CTCAE v5.0, which was related to the investigational product determined by investigator.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rheumatoid Arthritis
Keywords
mesenchymal stem cell, autoimmune disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
9 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
hUC-MSC infusion (BC-U001)
Arm Type
Experimental
Arm Description
Cohort 1: Low-dose BC-U001 Cohort 2: Medium-dose BC-U001 Cohort 3: High-dose BC-U001
Intervention Type
Drug
Intervention Name(s)
hUC-MSC infusion (BC-U001)
Intervention Description
The participants are intravenously administered a single infusion of hUC-MSC at 0.5x10^6 cells/kg body weight, 1.0x10^6 cells/kg body weight, 1.5x10^6 cells/kg body weight for low-dose cohort, medium-dose cohort and high-dose cohort respectively.
Primary Outcome Measure Information:
Title
Number and frequency of adverse events (AEs)
Description
Adverse events are assessed by CTCAE 5.0 up to 28±3 days. The flexible change of ±3 days is set for the convenience of patients. Day 1 refers to the day the participant accept BC-U001 infusion.
Time Frame
Up to day 28±3
Title
Changes of vital signs from 1 hour after infusion to day 28±3
Time Frame
Up to day 28±3
Title
Changes of complete blood count (CBC) from day 1 to day 28±3
Time Frame
Up to day 28±3
Title
Changes of blood biochemical from day 1 to day 28±3
Time Frame
Up to day 28±3
Title
Changes of coagulation function from day 1 to day 28±3
Time Frame
Up to day 28±3
Title
Routine urine analysis
Time Frame
Up to day 28±3
Title
Urine pregnancy test (female only)
Time Frame
28±3 days
Title
Cardiac rate measured by twelve-lead electrocardiogram
Time Frame
Up to day 28±3
Secondary Outcome Measure Information:
Title
Percentage of participants achieving ACR20
Time Frame
Up to day 28±3
Title
Percentage of participants achieving ACR50
Time Frame
Up to day 28±3
Title
Percentage of participants achieving ACR70
Time Frame
Up to day 28±3
Title
Change from baseline of the disease activity score based on DAS28-CRP
Time Frame
Up to day 28±3
Title
Change from baseline of the disease activity score based on DAS28-ESR
Time Frame
Up to day 28±3
Title
EULAR response
Time Frame
Up to day 28±3
Title
Change from baseline of the health assessment questionnaire(HAQ) score
Time Frame
Up to day 28±3
Title
Change from baseline of the simplified disease activity index (SDAI) score
Time Frame
Up to day 28±3
Title
Change from baseline of the clinical disease activity index (CDAI) score
Time Frame
Up to day 28±3
Title
Change from baseline of TNF-α level
Time Frame
Up to day 28±3
Title
Change from baseline of IL-6 level
Time Frame
Up to day 28±3

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female patients aged 18 to 65 (inclusive) Patients who are diagnosed with rheumatoid arthritis following the 2010 ACR/EULAR classification criteria Patients who still remain moderate-to-high disease activity, i.e. DAS28>3.2 at screening and study baseline, after standard csDMARDs therapy Patients who are positive for rheumatoid factors (RF) and/or anti-CCP antibody Patients who are clinically stable with no significant changes in physical condition from screening to study baseline Patients who are available and willing to comply with all study procedures Patients must be informed of the investigational nature of this study and give written informed consent in accordance with the institutional and hospital guidelines Exclusion Criteria: Infections of hepatitis B, hepatitis C, active or latent tuberculosis, or positive for human immunodeficiency virus (HIV)1 or HIV2 Any history of ongoing, significant infections or recent serious infection, i.e., requiring hospitalization and or IV antimicrobial treatment in the 3 months prior to screening Any active inflammatory diseases other than RA Serum aminotransferase (ALT or AST) levels ≥ 2x upper limits of normal Creatinine clearance rate (Ccr) < 45 ml/min calculated by Cockcroft-Gault formula Severe chronic obstructive pulmonary disease or known lung disease except for mild asthma treated with bronchodilators Any coexistent active major medical diagnosis of clinically significant cardiovascular, neurological psychiatric, renal, hepatic, immunological, endocrine (including uncontrolled diabetes or thyroid disease), or hematological abnormalities that are likely to interfere with patient compliance or study assessments/procedures in the investigators' opinion History of cerebrovascular accident (stroke) within 1 year before screening Clinically significant heart disease (New York Heart Association, class III and class IV) Surgery or trauma (e.g. contusions, abrasions, stab wounds, cutting wounds, crush injuries, impact injuries, and firearm injuries etc.) within 14 days before enrollment that are not approporiate to participate in study in investigators' opinion Pregnant, breastfeeding, or desire to become pregnant or unwilling to practice birth control during participation in the study and for twelve months after completing the study infusion, unless surgically sterilized or postmenopausal during the study Corticosteroid usage at a high dose (i.e., IV or IM corticosteroids or use of oral prednisone equivalent >10 mg/day) or not at a stable dose for the treatment of RA or other diseases within 28 days prior to randomization. Known allergies or had a history of allergy to minor molecular heparinum and human serum albumin that are likely to interfere with patient compliance or study assessments/procedures in the investigators' opinion Already participating in another interventional clinical trial or participated in another interventional clinical trial within 3 months before screening Clinical history of malignancy with the exception of adequately treated cervical carcinoma in situ or basal cell carcinomas Other situations that are not approporiate to participate in study in investigators' opinion
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Libo Zheng
Phone
+86-010-56865685-2074
Email
zhenglibo@blswinc.com
First Name & Middle Initial & Last Name or Official Title & Degree
Keling Cheng
Email
chengkeling@blswinc.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Xiaofeng Zeng, M.D., Ph.D.
Organizational Affiliation
Peking Union Medical College Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Peking Union Medical College Hospital (Dongdan campus)
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100730
Country
China
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety and Efficacy Study of Human Umbilical Cord-Derived Mesenchymal Stem Cells(BC-U001) for Rheumatoid Arthritis

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