search
Back to results

Efficacy and Safety Evaluation of Pneumostem® Versus a Control Group for Treatment of BPD in Premature Infants

Primary Purpose

Bronchopulmonary Dysplasia

Status
Completed
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Pneumostem®
Normal Saline
Sponsored by
Medipost Co Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bronchopulmonary Dysplasia focused on measuring Human Umbilical Cord Blood Derived Mesenchymal Stem Cells, Bronchopulmonary dysplasia, Premature infants

Eligibility Criteria

5 Days - 14 Days (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age: 5 - 14 days since birth
  • Fetal gestational age: ≥23 weeks and <29 weeks
  • Birth weight: ≥500g and ≤1250g
  • Premature infant of equal to or less than 2 weeks of age who is receiving a ventilator therapy at a rate of > 12 breath/min and > 25% oxygen
  • Patient whose ventilator setting has not been changed and who has shown aggravation of the illness within the 24 hours prior to the study enrollment
  • Patient with a written consent form signed by a legal representative or a parent upon explanation of the clinical trial

Exclusion Criteria:

  • Patient with concurrent cyanotic or acyanotic congenital heart diseases, except for patent ductus arteriosus
  • Patient with a concurrent severe lung malformation (i.e. Pulmonary hypoplasia, congenital diaphragmatic hernia, congenital cystic lung disease)
  • Patient with a concurrent severe lung malformation with chromosome anomalies (i.e. Edward syndrome, Patau syndrome, Down syndrome, etc) or severe congenital malformation (Hydrocephalus, Encephalocele, etc)
  • Patient with a concurrent severe congenital infection (i.e. Herpes, Toxoplasmosis, Rubella, Syphilis, AIDS, etc)
  • Patient withCRP > 30 mg/dL; Severe sepsis or shock
  • Patient who is scheduled for or expected to undergo a surgical procedure 72 hours prior to/following the administration of the study drug
  • Patient who has been administered with a surfactant within the 24 hours prior to the administration of the study drug
  • Patient with severe intracranial hemorrhage ≥ grade 3 or 4
  • Patient with active pulmonary hemorrhage or active air leak syndrome at the time of screening
  • Patient with a history of participating in other clinical studies
  • Patient who is allergic to Gentamicin
  • Patient who is considered inappropriate to participate in the study by the investigator

Sites / Locations

  • Asan Medical Center
  • Samsung Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Pneumostem®

normal saline

Arm Description

A single intratracheal administration of Pneumostem® (1.0 x 10^7 cells/kg)

A single intratracheal administration of normal saline

Outcomes

Primary Outcome Measures

Incidence of BPD (moderate to severe) or mortality at 36 weeks PMA
Incidence of BPD (moderate to severe) or mortality rate at 36 weeks PMA

Secondary Outcome Measures

Intubation duration
Incidence of BPD
Survival rate
Duration of ventilator dependence
Duration of CPAP treatment
Postnatal steroid use (%) for the purpose of ventilator weaning
Cumulative duration of oxygen use
Incidence of Retinopathy of Prematurity (ROP) of Grade III or more
Retinopathy of Prematurity (ROP) that require treatment with avastin or laser
Growth velocity (Z-score)
Length of stay prior to the first discharge from the hospital
Incidence of adverse events
Clinically significant laboratory findings
Incidence of pneumothorax that require intubation
Incidence of moderate to severe pulmonary hemorrhage
Incidence of intraventricular hemorrhage of grade 3 or more

Full Information

First Posted
April 2, 2013
Last Updated
September 4, 2019
Sponsor
Medipost Co Ltd.
search

1. Study Identification

Unique Protocol Identification Number
NCT01828957
Brief Title
Efficacy and Safety Evaluation of Pneumostem® Versus a Control Group for Treatment of BPD in Premature Infants
Official Title
Randomized, Double-blind, Multi-center, Phase II Clinical Trial to Evaluate the Efficacy and Safety of Pneumostem® Versus a Control Group for Treatment of Bronchopulmonary Dysplasia in Premature Infants
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
April 2013 (undefined)
Primary Completion Date
May 2015 (Actual)
Study Completion Date
August 2015 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The objective of this study is to evaluate the efficacy and safety of a single intratracheal administration of Pneumostem® for treatment of Bronchopulmonary Dysplasia (BPD) in high-risk premature infants by comparing Pneumostem-treated group with a control group.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bronchopulmonary Dysplasia
Keywords
Human Umbilical Cord Blood Derived Mesenchymal Stem Cells, Bronchopulmonary dysplasia, Premature infants

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
69 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pneumostem®
Arm Type
Experimental
Arm Description
A single intratracheal administration of Pneumostem® (1.0 x 10^7 cells/kg)
Arm Title
normal saline
Arm Type
Placebo Comparator
Arm Description
A single intratracheal administration of normal saline
Intervention Type
Biological
Intervention Name(s)
Pneumostem®
Other Intervention Name(s)
Human umbilical cord blood-derived mesenchymal stem cells
Intervention Type
Other
Intervention Name(s)
Normal Saline
Primary Outcome Measure Information:
Title
Incidence of BPD (moderate to severe) or mortality at 36 weeks PMA
Description
Incidence of BPD (moderate to severe) or mortality rate at 36 weeks PMA
Time Frame
36 weeks PMA
Secondary Outcome Measure Information:
Title
Intubation duration
Time Frame
36 weeks PMA
Title
Incidence of BPD
Time Frame
28-days since birth
Title
Survival rate
Time Frame
28-days since birth, 36 weeks PMA, and termination of the trial
Title
Duration of ventilator dependence
Time Frame
Week 24
Title
Duration of CPAP treatment
Time Frame
Week 24
Title
Postnatal steroid use (%) for the purpose of ventilator weaning
Time Frame
Week 24
Title
Cumulative duration of oxygen use
Time Frame
Week 24
Title
Incidence of Retinopathy of Prematurity (ROP) of Grade III or more
Time Frame
Week 24
Title
Retinopathy of Prematurity (ROP) that require treatment with avastin or laser
Time Frame
Week 24
Title
Growth velocity (Z-score)
Time Frame
Week 24
Title
Length of stay prior to the first discharge from the hospital
Time Frame
duration of the hospital stay, an expected average of approximately 3 months since birth
Title
Incidence of adverse events
Time Frame
Week 24
Title
Clinically significant laboratory findings
Time Frame
Week 24
Title
Incidence of pneumothorax that require intubation
Time Frame
Week 24
Title
Incidence of moderate to severe pulmonary hemorrhage
Time Frame
Week 24
Title
Incidence of intraventricular hemorrhage of grade 3 or more
Time Frame
Week 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
5 Days
Maximum Age & Unit of Time
14 Days
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age: 5 - 14 days since birth Fetal gestational age: ≥23 weeks and <29 weeks Birth weight: ≥500g and ≤1250g Premature infant of equal to or less than 2 weeks of age who is receiving a ventilator therapy at a rate of > 12 breath/min and > 25% oxygen Patient whose ventilator setting has not been changed and who has shown aggravation of the illness within the 24 hours prior to the study enrollment Patient with a written consent form signed by a legal representative or a parent upon explanation of the clinical trial Exclusion Criteria: Patient with concurrent cyanotic or acyanotic congenital heart diseases, except for patent ductus arteriosus Patient with a concurrent severe lung malformation (i.e. Pulmonary hypoplasia, congenital diaphragmatic hernia, congenital cystic lung disease) Patient with a concurrent severe lung malformation with chromosome anomalies (i.e. Edward syndrome, Patau syndrome, Down syndrome, etc) or severe congenital malformation (Hydrocephalus, Encephalocele, etc) Patient with a concurrent severe congenital infection (i.e. Herpes, Toxoplasmosis, Rubella, Syphilis, AIDS, etc) Patient withCRP > 30 mg/dL; Severe sepsis or shock Patient who is scheduled for or expected to undergo a surgical procedure 72 hours prior to/following the administration of the study drug Patient who has been administered with a surfactant within the 24 hours prior to the administration of the study drug Patient with severe intracranial hemorrhage ≥ grade 3 or 4 Patient with active pulmonary hemorrhage or active air leak syndrome at the time of screening Patient with a history of participating in other clinical studies Patient who is allergic to Gentamicin Patient who is considered inappropriate to participate in the study by the investigator
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Won-Soon Park, MD, PhD
Organizational Affiliation
Department of Pediatrics, Samsung Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ai-Rhan Kim
Organizational Affiliation
Department of Neonatology, Asan Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Asan Medical Center
City
Seoul
Country
Korea, Republic of
Facility Name
Samsung Medical Center
City
Seoul
Country
Korea, Republic of

12. IPD Sharing Statement

Citations:
PubMed Identifier
33876883
Citation
Ahn SY, Chang YS, Lee MH, Sung SI, Lee BS, Kim KS, Kim AR, Park WS. Stem cells for bronchopulmonary dysplasia in preterm infants: A randomized controlled phase II trial. Stem Cells Transl Med. 2021 Aug;10(8):1129-1137. doi: 10.1002/sctm.20-0330. Epub 2021 Apr 20.
Results Reference
derived
Links:
URL
http://clinicaltrials.gov/ct2/show/NCT01297205?term=medipost&rank=2
Description
Related Info

Learn more about this trial

Efficacy and Safety Evaluation of Pneumostem® Versus a Control Group for Treatment of BPD in Premature Infants

We'll reach out to this number within 24 hrs