Allogeneic Human Cells (hMSC) Via Intravenous Delivery in Patients With Mild Asthma (ASTEC)
Primary Purpose
Asthma
Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
hMSCs
Sponsored by
About this trial
This is an interventional treatment trial for Asthma focused on measuring stem cell, mesenchymal stem cell, lung, asthma
Eligibility Criteria
Inclusion Criteria:
- Provide written informed consent
- be between 18 and 65 years at the time of signing the Informed Consent
- have a clinical diagnosis of asthma prior to screening in accordance with the guidelines of the American Thoracic Society/European Respiratory Society
- ACQ over 1.25
- have a smoking history of less than 10 pack-years total and have not been smoking for at least the last 12 months
- Perform a positive methacholine challenge at screening and repeat positive methacholine challenge at baseline visit (14 days later)
- Have normal or mild obstructive spirometry
- Have normal right heart function as documented by Doppler echo or right heart catheterization
- If female, be surgically sterile, post-menopausal (more than 1 year), or practice double barrier methods of birth control
- Subjects may receive non-drug therapies including oxygen supplementation no greater than 2L/minute, and pulmonary rehabilitation
- Subjects may be on standard of care asthma medications including inhaled corticosteroids-long acting beta agonist at a dose not greater than 1 mg of a fluticasone equivalent
Exclusion Criteria:
- Have any active infection that is not treated
- Be unable to perform any of the assessments required for endpoint analysis.
- currently receive (or have received within four weeks of screening) experimental agents for the treatment of asthma
- be actively listed (or expecting to be listed in the near future) for transplant of any organ
- Have clinically important abnormal screening laboratory values : blood screening tests (Hematology, Chemistry, CBC including Eosinophil count) results that are not within normal limits (according to UMHC Laboratory Reference Ranges) Have a serious comorbid illness that, in the opinion of the investigator, may compromise the safety or compliance of the patient or preclude successful completion of the study
- Have known allergies to penicillin or streptomycin
- Be an organ transplant recipient
- Have a clinical history of malignancy within 5 years (i.e., patients with prior malignancy must be disease free for 5 years), except curatively-treated basal cell carcinoma
- Have a non-pulmonary condition that limits lifespan to less than a year.
- Have a history of drug or alcohol abuse within the past 24 months.
- Be serum positive for HIV, hepatitis BsAg or Viremia hepatitis C
- Be currently participating (or have participated within the previous 30 days) in an investigational therapeutic or device trial.
- Have hypersensitivity to dimethyl sulfoxide (DMSO)
- Have a resting oxygen saturation (SpO2) on room air of more than 93% at sea level or more than 88% at an altitude above 5,000 feet above sea level (1524 meters)
Sites / Locations
- University of Miami Miller School of Medicine
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Group receiving 20 million hMSCs
Group receiving 100 million hMSCs
Arm Description
3 patients will receive a single administration of allogeneic hMSCs: 20 x106 (20 million) cells delivered via peripheral intravenous infusion
3 patients will receive a single administration of allogeneic hMSCs: 1 x108 (100 million) cells delivered via peripheral intravenous infusion
Outcomes
Primary Outcome Measures
Number of Participant with treatment emergent serious adverse events
as defined as the incidence of any treatment-emergent serious adverse events; these are a composite of death, non-fatal pulmonary embolism, stroke, hospitalization for worsening dyspnea and clinically significant laboratory test abnormalities
Secondary Outcome Measures
Difference in lung function
Difference in FEV1 Variability in morning peak expiratory flow measurements
Difference in frequency of acute exacerbations defined as:
hospitalizations, missed work days, and/or oral steroids for more than 3 days Decrease in fractional excretion of inhaled NO (FENO; less than 50 ppb)
Decrease in peripheral eosinophilia
Decrease in number of peripheral eosinophils
Difference in subject reported dyspnea and quality of life assessments
Difference in subject reported dyspnea and quality of life assessments:
Asthma Control Test (ACT) and Asthma Control Questionnaire (ACQ)
Death from any cause
Death from any cause
Full Information
NCT ID
NCT03137199
First Posted
April 24, 2017
Last Updated
May 20, 2020
Sponsor
Marilyn Glassberg
Collaborators
The Marcus Foundation
1. Study Identification
Unique Protocol Identification Number
NCT03137199
Brief Title
Allogeneic Human Cells (hMSC) Via Intravenous Delivery in Patients With Mild Asthma
Acronym
ASTEC
Official Title
A Phase I, Trial to Evaluate the Safety, Tolerability, and Potential Efficacy of Allogeneic Human Mesenchymal Stem Cell Infusion in Patients With Mild Asthma
Study Type
Interventional
2. Study Status
Record Verification Date
May 2020
Overall Recruitment Status
Terminated
Why Stopped
First cohort completed. Per sponsor decision.
Study Start Date
June 22, 2017 (Actual)
Primary Completion Date
March 3, 2020 (Actual)
Study Completion Date
April 29, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Marilyn Glassberg
Collaborators
The Marcus Foundation
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
A Phase 1 investigation will be performed to test the safety of two doses of bone marrow-derived MSCs (20,000,000 and 100,000,000) administered via peripheral intravenous infusion.
Detailed Description
A Phase 1 investigation will be performed to test the safety of two doses of bone marrow-derived MSCs (20,000,000 and 100,000,000) administered via peripheralintravenous infusion.
Group 1: 3 subjects will receive a single administration of allogeneic hMSCs: 20 million cells delivered via peripheral intravenous infusion Group 2: 3 subjects will receive a single administration of allogeneic hMSCs: 100 million cells delivered via peripheral intravenous infusion Interim safety analysis will be performed four weeks after the 1st subject is enrolled in each cohort. Continued safety and tolerability with review of adverse events (AEs) will be assessed at each visit. Efficacy parameters (pulmonary function tests, diffusing capacity (DLCO), lung volumes, 6-minute walk test (6MWT), and dyspnea/quality of life [QOL] questionnaires) will be assessed every 12 weeks until study completion. Clinical laboratory tests to assess safety will be performed at every visit.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
stem cell, mesenchymal stem cell, lung, asthma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
a first group of 3 patients will receive a lower dose of 20 million hMSCs, followed by a second group of 3 patients to receive a dose of 100 million hMSCs
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
3 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Group receiving 20 million hMSCs
Arm Type
Experimental
Arm Description
3 patients will receive a single administration of allogeneic hMSCs: 20 x106 (20 million) cells delivered via peripheral intravenous infusion
Arm Title
Group receiving 100 million hMSCs
Arm Type
Experimental
Arm Description
3 patients will receive a single administration of allogeneic hMSCs: 1 x108 (100 million) cells delivered via peripheral intravenous infusion
Intervention Type
Biological
Intervention Name(s)
hMSCs
Other Intervention Name(s)
allogeneic mesenchymal stem cell
Intervention Description
intravenous infusion of bone marrow-derived allogeneic stem cells
Primary Outcome Measure Information:
Title
Number of Participant with treatment emergent serious adverse events
Description
as defined as the incidence of any treatment-emergent serious adverse events; these are a composite of death, non-fatal pulmonary embolism, stroke, hospitalization for worsening dyspnea and clinically significant laboratory test abnormalities
Time Frame
Week 4 post infusion
Secondary Outcome Measure Information:
Title
Difference in lung function
Description
Difference in FEV1 Variability in morning peak expiratory flow measurements
Difference in frequency of acute exacerbations defined as:
hospitalizations, missed work days, and/or oral steroids for more than 3 days Decrease in fractional excretion of inhaled NO (FENO; less than 50 ppb)
Time Frame
Participants will be followed from 1 week to an expected average of 48 weeks following infusion
Title
Decrease in peripheral eosinophilia
Description
Decrease in number of peripheral eosinophils
Time Frame
Participants will be followed from 1 week to an expected average of 48 weeks following infusion
Title
Difference in subject reported dyspnea and quality of life assessments
Description
Difference in subject reported dyspnea and quality of life assessments:
Asthma Control Test (ACT) and Asthma Control Questionnaire (ACQ)
Time Frame
Participants will be followed from 1 week to an expected average of 48 weeks following infusion
Title
Death from any cause
Description
Death from any cause
Time Frame
Participants will be followed from 1 week to an expected average of 48 weeks following infusion
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:
Provide written informed consent
be between 18 and 65 years at the time of signing the Informed Consent
have a clinical diagnosis of asthma prior to screening in accordance with the guidelines of the American Thoracic Society/European Respiratory Society
ACQ over 1.25
have a smoking history of less than 10 pack-years total and have not been smoking for at least the last 12 months
Perform a positive methacholine challenge at screening and repeat positive methacholine challenge at baseline visit (14 days later)
Have normal or mild obstructive spirometry
Have normal right heart function as documented by Doppler echo or right heart catheterization
If female, be surgically sterile, post-menopausal (more than 1 year), or practice double barrier methods of birth control
Subjects may receive non-drug therapies including oxygen supplementation no greater than 2L/minute, and pulmonary rehabilitation
Subjects may be on standard of care asthma medications including inhaled corticosteroids-long acting beta agonist at a dose not greater than 1 mg of a fluticasone equivalent
Exclusion Criteria:
Have any active infection that is not treated
Be unable to perform any of the assessments required for endpoint analysis.
currently receive (or have received within four weeks of screening) experimental agents for the treatment of asthma
be actively listed (or expecting to be listed in the near future) for transplant of any organ
Have clinically important abnormal screening laboratory values : blood screening tests (Hematology, Chemistry, CBC including Eosinophil count) results that are not within normal limits (according to UMHC Laboratory Reference Ranges) Have a serious comorbid illness that, in the opinion of the investigator, may compromise the safety or compliance of the patient or preclude successful completion of the study
Have known allergies to penicillin or streptomycin
Be an organ transplant recipient
Have a clinical history of malignancy within 5 years (i.e., patients with prior malignancy must be disease free for 5 years), except curatively-treated basal cell carcinoma
Have a non-pulmonary condition that limits lifespan to less than a year.
Have a history of drug or alcohol abuse within the past 24 months.
Be serum positive for HIV, hepatitis BsAg or Viremia hepatitis C
Be currently participating (or have participated within the previous 30 days) in an investigational therapeutic or device trial.
Have hypersensitivity to dimethyl sulfoxide (DMSO)
Have a resting oxygen saturation (SpO2) on room air of more than 93% at sea level or more than 88% at an altitude above 5,000 feet above sea level (1524 meters)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Marilyn K Glassberg, MD
Organizational Affiliation
University of Miami
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Miami Miller School of Medicine
City
Miami
State/Province
Florida
ZIP/Postal Code
33125
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
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http://www.ginasthma.org
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Global Initiative for Asthma 2015 from the Global Strategy for Asthma Management and Prevention
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Allogeneic Human Cells (hMSC) Via Intravenous Delivery in Patients With Mild Asthma
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