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PNEUMOSTEM for the Prevention and Treatment of Severe BPD in Premature Infants

Primary Purpose

Severe Bronchopulmonary Dysplasia

Status
Recruiting
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
PNEUMOSTEM
Placebo
Sponsored by
Medipost Co Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Severe Bronchopulmonary Dysplasia

Eligibility Criteria

undefined - 13 Days (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

at screening and randomization

  1. 23 weeks to < 25 weeks of gestational age
  2. 500g to 1,250g body weight at birth
  3. premature infant within postnatal 13 days of age
  4. use ventilator with ventilation rate >12 breaths/min or oxygen supply > 25%, or use high frequency ventilator (HFV)

at IP administration

  1. premature infant within postnatal 5 to 14 days of age
  2. No improvement in ventilator setting 24 hours prior to administration of IP

Exclusion Criteria:

  1. subject with cyanotic congenital heart disease or non-cyanotic congenital heart disease that can cause heart failure
  2. subject with pulmonary hypoplasia, congenital diaphragmatic hernia, or serious lung malformation such as congenital cystic lung disease
  3. subject with chromosome disorder with serious malformation (i.e. Edward syndrome, patau syndrome, Down syndrome, etc.), severe congenital malformation (i.e. hydrocephalus, encephalocele, etc.), or severe congenital infection (i.e., herpes, toxoplasmosis, rubella, syphilis, AIDS, etc.)
  4. subject with serious sepsis as active infection or shock due to sepsis
  5. subject with grade 3 or 4 of bilateral intraventricular hemorrhage
  6. at screening, subject with active pulmonary hemorrhage or active air leak syndrome
  7. subject who underwent/will undergo surgery within 72 hours before/after investigational product (IP) administration
  8. subject who is expected to be treated with surfactant within 24 hours prior to IP administration
  9. subject who is expected to be allergic to gentamicin (Birth mother's allergy for gentamicin will be confirmed).
  10. subject who have previously participated in other clinical trials
  11. subject who is considered ineligible by investigator due to other medical reasons

Sites / Locations

  • Asan medical CenterRecruiting
  • Samsung Medical CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

PNEUMOSTEM

Placebo

Arm Description

human umbilical cord blood derived mesenchymal stem cell (hUCB-MSC)

normal saline

Outcomes

Primary Outcome Measures

Percentage of subjects who have severe BPD or are dead
Percentage of subjects who have severe BPD or are dead

Secondary Outcome Measures

Percentage of subjects who have moderate/severe BPD or are dead
Percentage of subjects who have moderate/severe BPD or are dead
Percentage of subjects by severity of BPD
Percentage of subjects by severity of BPD
Percentage of subjects in death due to lung disease
Percentage of subjects in death due to lung disease
intubation duration
intubation duration
ventilation duration
ventilation duration
continuous positive airway pressure (CPAP) treatment duration
continuous positive airway pressure (CPAP) treatment duration
treatment duration with supplemental oxygen
treatment duration with supplemental oxygen
% of subjects treated with steroid for weaning ventilator
% of subjects treated with steroid for weaning ventilator
Retinopathy of prematurity (ROP) with stage III or higher
number of subjects with ROP with stage III or higher
number of subjects with retinopathy of prematurity that needs bevacizumab or laser therapy
number of subjects with retinopathy of prematurity that needs bevacizumab or laser therapy
z-score
percentile for body weight, height, and head circumference
days in hospitalization
days in hospitalization
changes in tracheal suction fluid examination
changes in tracheal suction fluid examination

Full Information

First Posted
December 20, 2017
Last Updated
March 13, 2023
Sponsor
Medipost Co Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03392467
Brief Title
PNEUMOSTEM for the Prevention and Treatment of Severe BPD in Premature Infants
Official Title
A Multi-center, Randomized, Double-blind, Parallel, Placebo-controlled Phase II Clinical Trial to Evaluate the Efficacy and Safety of PNEUMOSTEM for the Prevention and Treatment of Severe Bronchopulmonary Dysplasia in Premature Infants
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 13, 2018 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
March 2024 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
This study is to evaluate the efficacy and safety of PNEUMOSTEM® for the Prevention and Treatment of Severe Bronchopulmonary Dysplasia (Severe BPD) in Premature Infants. Half of subjects will receive PNEUMOSTEM, while the other half will receive a placebo.
Detailed Description
Bronchopulmonary dysplasia (BPD) is a chronic lung disease in which premature infants and it results in significant morbidity and mortality. PNEUMOSTEM is intended to prevent and treat BPD by modulating inflammation and repairing damaged lung tissue in premature infants through paracrine effects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Severe Bronchopulmonary Dysplasia

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
PNEUMOSTEM
Arm Type
Experimental
Arm Description
human umbilical cord blood derived mesenchymal stem cell (hUCB-MSC)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
normal saline
Intervention Type
Biological
Intervention Name(s)
PNEUMOSTEM
Intervention Description
human umbilical cord blood-derived mesenchymal stem cells
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
normal saline
Primary Outcome Measure Information:
Title
Percentage of subjects who have severe BPD or are dead
Description
Percentage of subjects who have severe BPD or are dead
Time Frame
36 weeks postmenstrual age (PMA)
Secondary Outcome Measure Information:
Title
Percentage of subjects who have moderate/severe BPD or are dead
Description
Percentage of subjects who have moderate/severe BPD or are dead
Time Frame
36 weeks PMA
Title
Percentage of subjects by severity of BPD
Description
Percentage of subjects by severity of BPD
Time Frame
prenatal 28 days/36 weeks PMA
Title
Percentage of subjects in death due to lung disease
Description
Percentage of subjects in death due to lung disease
Time Frame
prenatal 28 days/36 weeks PMA and study end timepoint
Title
intubation duration
Description
intubation duration
Time Frame
up to 24 weeks
Title
ventilation duration
Description
ventilation duration
Time Frame
up to 24 weeks
Title
continuous positive airway pressure (CPAP) treatment duration
Description
continuous positive airway pressure (CPAP) treatment duration
Time Frame
up to 24 weeks
Title
treatment duration with supplemental oxygen
Description
treatment duration with supplemental oxygen
Time Frame
up to 24 weeks
Title
% of subjects treated with steroid for weaning ventilator
Description
% of subjects treated with steroid for weaning ventilator
Time Frame
up to 24 weeks
Title
Retinopathy of prematurity (ROP) with stage III or higher
Description
number of subjects with ROP with stage III or higher
Time Frame
up to 24 weeks
Title
number of subjects with retinopathy of prematurity that needs bevacizumab or laser therapy
Description
number of subjects with retinopathy of prematurity that needs bevacizumab or laser therapy
Time Frame
up to 24 weeks
Title
z-score
Description
percentile for body weight, height, and head circumference
Time Frame
up to 24 weeks (visit 10)
Title
days in hospitalization
Description
days in hospitalization
Time Frame
up to 24 weeks
Title
changes in tracheal suction fluid examination
Description
changes in tracheal suction fluid examination
Time Frame
from screening to 7 days after IP administration (visit 5)

10. Eligibility

Sex
All
Maximum Age & Unit of Time
13 Days
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: at screening and randomization 23 weeks to < 25 weeks of gestational age 500g to 1,250g body weight at birth premature infant within postnatal 13 days of age use ventilator with ventilation rate >12 breaths/min or oxygen supply > 25%, or use high frequency ventilator (HFV) at IP administration premature infant within postnatal 5 to 14 days of age No improvement in ventilator setting 24 hours prior to administration of IP Exclusion Criteria: subject with cyanotic congenital heart disease or non-cyanotic congenital heart disease that can cause heart failure subject with pulmonary hypoplasia, congenital diaphragmatic hernia, or serious lung malformation such as congenital cystic lung disease subject with chromosome disorder with serious malformation (i.e. Edward syndrome, patau syndrome, Down syndrome, etc.), severe congenital malformation (i.e. hydrocephalus, encephalocele, etc.), or severe congenital infection (i.e., herpes, toxoplasmosis, rubella, syphilis, AIDS, etc.) subject with serious sepsis as active infection or shock due to sepsis subject with grade 3 or 4 of bilateral intraventricular hemorrhage at screening, subject with active pulmonary hemorrhage or active air leak syndrome subject who underwent/will undergo surgery within 72 hours before/after investigational product (IP) administration subject who is expected to be treated with surfactant within 24 hours prior to IP administration subject who is expected to be allergic to gentamicin (Birth mother's allergy for gentamicin will be confirmed). subject who have previously participated in other clinical trials subject who is considered ineligible by investigator due to other medical reasons
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Eunyoung Lee
Phone
82234656748
Email
ley0113@medi-post.co.kr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wonsoon Park
Organizational Affiliation
Samsung Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Airhan Kim
Organizational Affiliation
Asan Medical Center
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
Airhan Kim, MD
First Name & Middle Initial & Last Name & Degree
Airhan Kim, MD
Facility Name
Samsung Medical Center
City
Seoul
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wonsoon Park, MD
First Name & Middle Initial & Last Name & Degree
Wonsoon Park, MD

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

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PNEUMOSTEM for the Prevention and Treatment of Severe BPD in Premature Infants

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