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A Study to Evaluate the Safety and Therapeutic Effects of Transplantation of MNV-BM-BLD in Pediatric Patients With Pearson Syndrome

Primary Purpose

Mitochondrial Diseases, Pearson Syndrome

Status
Completed
Phase
Phase 1
Locations
Israel
Study Type
Interventional
Intervention
CD34+ cells enriched with MNV-BLD
Sponsored by
Minovia Therapeutics Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mitochondrial Diseases focused on measuring Autologous stem cell transplantation, Mitochondrial Diseases, Pearson Syndrome, Rare Diseases

Eligibility Criteria

3 Years - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria

  1. Patient diagnosed with Pearson Syndrome, as verified by molecular identification of a defect in the mitochondrial DNA.
  2. Normal maternal mitochondria as verified by mtDNA sequencing.
  3. Males and females between 3 years or older and up to 18th birthday.
  4. Patient is transfusion independent.
  5. Patient has at least one of the following systematic involvements:

    1. High baseline lactate levels
    2. Episodes of metabolic crisis in the last year before pre-screening
    3. Renal failure (not dependent on dialysis) or evidence of proximal tubulopathy
    4. Growth retardation or failure to thrive

Exclusion Criteria

  1. Absence of detectable mitochondria mutation or deletion.
  2. Patient or patient's mother have a positive test for microbiologic
  3. Patient is unable to undergo leukapheresis.
  4. Patient suffers from chronic severe infection, malignant disease or any other disease or condition that may risk the patient or interfere with the ability to interpret the study results.
  5. Patient has been treated previously with any cell or gene therapy.
  6. Patient has participated in another clinical treatment trial or received other experimental medications outside of a clinical trial within 1 month prior to start of this study.

Sites / Locations

  • Sheba Medical Center Hospital- Tel Hashomer

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Intervention CD34+ cells enriched with MNV-BLD

Arm Description

Intervention CD34+ cells enriched with MNV-BLD

Outcomes

Primary Outcome Measures

Number of participants with Treatment-related adverse events as assessed by CTCAE v5.0 following MNV-BM-BLD during a follow up period of 12 months post treatment.
Severity will graded according to CTCAE, Version 5.0
IPMDS (International Pediatric Mitochondrial Disease Scale)
To compare the change in International Pediatric Mitochondrial Disease Scale (IPMDS) score during a follow up period of 12 months post treatment. IPMDS total score ranges from 0 to 243. The score is expressed as the percentage of items which were feasible to perform. The lower the score is, the higher the child's function

Secondary Outcome Measures

Weight
To compare the changes (kilograms) to Baseline
Quantification of levels of normal mtDNA in blood and urine
To compare the changes to Baseline
Metabolic crisis events occurrence compared to two years prior to the study.
To compare the changes during 3 years (2 years prior the study entry and 1 year follow up)
Change in renal function
Measurement of blood creatinine in a serum sample
Change in Brain involvement
Lactate peak as assessed by MRS
Height
To compare the changes (in meters) to Baseline
Change in cardiac function
Assessment of left ventricular ejection fraction via echocardiography
Monitoring for liver disease
Measurement of Aspartate Aminotransferase and Alanine aminotransferase level

Full Information

First Posted
November 30, 2017
Last Updated
August 30, 2021
Sponsor
Minovia Therapeutics Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03384420
Brief Title
A Study to Evaluate the Safety and Therapeutic Effects of Transplantation of MNV-BM-BLD in Pediatric Patients With Pearson Syndrome
Official Title
A Phase I/II, Open Label, Single Dose Clinical Study to Evaluate the Safety and Therapeutic Effects of Transplantation of MNV-BM-BLD (Autologous cd34+ Cells Enriched With Blood Derived Mitochondria) in Pediatric Patients With Pearson Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
June 2020
Overall Recruitment Status
Completed
Study Start Date
February 13, 2019 (Actual)
Primary Completion Date
March 9, 2021 (Actual)
Study Completion Date
March 9, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Minovia Therapeutics Ltd.

4. Oversight

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

5. Study Description

Brief Summary
Mitochondrial diseases are a genetically heterogeneous group of disorders caused by mutations or deletions in mitochondrial DNA (mtDNA) displaying a wide range of severity and phenotypes. These diseases may be inherited from the mother (mitochondrial inheritance) or non-inherited. The latter are ultra-rare pediatric diseases caused by a mutation or deletion of mtDNA, which develop into a systemic multi organ disease and eventually death. MNV-BM-BLD is a therapeutic process for enrichment of patient's peripheral hematopoietic stem cells with normal and healthy mitochondria derived from donor blood cells. The process, called mitochondria augmentation therapy, aims to reduce the symptoms of mitochondrial diseases.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mitochondrial Diseases, Pearson Syndrome
Keywords
Autologous stem cell transplantation, Mitochondrial Diseases, Pearson Syndrome, Rare Diseases

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Intervention CD34+ cells enriched with MNV-BLD
Arm Type
Experimental
Arm Description
Intervention CD34+ cells enriched with MNV-BLD
Intervention Type
Biological
Intervention Name(s)
CD34+ cells enriched with MNV-BLD
Intervention Description
Transplantation of autologous stem cell enriched with MNV-BLD (blood-derived mitochondria)
Primary Outcome Measure Information:
Title
Number of participants with Treatment-related adverse events as assessed by CTCAE v5.0 following MNV-BM-BLD during a follow up period of 12 months post treatment.
Description
Severity will graded according to CTCAE, Version 5.0
Time Frame
1 year
Title
IPMDS (International Pediatric Mitochondrial Disease Scale)
Description
To compare the change in International Pediatric Mitochondrial Disease Scale (IPMDS) score during a follow up period of 12 months post treatment. IPMDS total score ranges from 0 to 243. The score is expressed as the percentage of items which were feasible to perform. The lower the score is, the higher the child's function
Time Frame
1 year
Secondary Outcome Measure Information:
Title
Weight
Description
To compare the changes (kilograms) to Baseline
Time Frame
1 year
Title
Quantification of levels of normal mtDNA in blood and urine
Description
To compare the changes to Baseline
Time Frame
1 years
Title
Metabolic crisis events occurrence compared to two years prior to the study.
Description
To compare the changes during 3 years (2 years prior the study entry and 1 year follow up)
Time Frame
3 Years
Title
Change in renal function
Description
Measurement of blood creatinine in a serum sample
Time Frame
1 year
Title
Change in Brain involvement
Description
Lactate peak as assessed by MRS
Time Frame
1 year
Title
Height
Description
To compare the changes (in meters) to Baseline
Time Frame
1 year
Title
Change in cardiac function
Description
Assessment of left ventricular ejection fraction via echocardiography
Time Frame
1 year
Title
Monitoring for liver disease
Description
Measurement of Aspartate Aminotransferase and Alanine aminotransferase level
Time Frame
1 year
Other Pre-specified Outcome Measures:
Title
Hospitalization events
Description
To compare the changes from medical history to 1 year follow up
Time Frame
1 year
Title
Change in functional status
Description
Distance traveled during the 6MWT (meters)
Time Frame
1 year
Title
Change in hematological parameter
Description
Measurement of hemoglobin level
Time Frame
1 year
Title
Change in hematological parameter
Description
Measurement of absolute neutrophil count
Time Frame
1 year
Title
Change in hematological parameter
Description
Measurement of platelet count
Time Frame
1 year
Title
Control of blood glucose concentration
Description
Hemoglobin A1c% in whole blood
Time Frame
1 year
Title
ATP content.
Description
To compare the changes to Baseline
Time Frame
1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Patient diagnosed with Pearson Syndrome, as verified by molecular identification of a defect in the mitochondrial DNA. Normal maternal mitochondria as verified by mtDNA sequencing. Males and females between 3 years or older and up to 18th birthday. Patient is transfusion independent. Patient has at least one of the following systematic involvements: High baseline lactate levels Episodes of metabolic crisis in the last year before pre-screening Renal failure (not dependent on dialysis) or evidence of proximal tubulopathy Growth retardation or failure to thrive Exclusion Criteria Absence of detectable mitochondria mutation or deletion. Patient or patient's mother have a positive test for microbiologic Patient is unable to undergo leukapheresis. Patient suffers from chronic severe infection, malignant disease or any other disease or condition that may risk the patient or interfere with the ability to interpret the study results. Patient has been treated previously with any cell or gene therapy. Patient has participated in another clinical treatment trial or received other experimental medications outside of a clinical trial within 1 month prior to start of this study.
Facility Information:
Facility Name
Sheba Medical Center Hospital- Tel Hashomer
City
Ramat Gan
Country
Israel

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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A Study to Evaluate the Safety and Therapeutic Effects of Transplantation of MNV-BM-BLD in Pediatric Patients With Pearson Syndrome

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