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Role of Stem Cell Therapy in Interstitial Pulmonary Fibrosis

Primary Purpose

Stem Cell Transplant Complications

Status
Unknown status
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
autologous bone marrow mesenchymal stem cells
Sponsored by
Assiut University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Stem Cell Transplant Complications focused on measuring Stem cell, Therapy, IPF

Eligibility Criteria

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

Inclusion Criteria:

  • Age 18 to 75 years (both inclusive)
  • high-resolution computed tomography (HRCT) scan that is very suggestive or consistent with a probable diagnosis of usual interstitial pneumonia.
  • Bronchoalveolar lavage must be performed at any time before inclusion and must have failed to show features supporting alternative diagnoses.
  • The duration of the disease should be more than three months, and bibasilar inspiratory crackles should be present.
  • dyspnea score of at least 2 on a scale of 0 (minimum) to 10 (maximum).
  • FVC > 50% of the predicted normal value and DLco > 35% of the predicted value.
  • Patients under treatment with n-acetylcysteine or pirfenidone should discontinue drug and enter a wash-out period for at least 6 weeks prior study enrolment.

Exclusion Criteria:

  • FVC < 50% predicted normal value and DLCO < 35%predicted normal value.
  • lung cancer or with an evidence of active malignancyfor at least 5 years.
  • uncontrolled heart failure.
  • renal failure
  • hepatic failure,
  • neurological abnormalities including stroke and myasthenia Gravis
  • Anti-coagulants therapy.
  • Active infections.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    IPF patients

    Arm Description

    autologous bone marrow mesenchymal stem cells

    Outcomes

    Primary Outcome Measures

    number of participants with treatment related side effects as infection, allergic reaction, disease acute exacerbation, and ectopic tissue formation
    safety and side effects

    Secondary Outcome Measures

    Post therapy diffusing capacity of CO% (DLCO)predicted
    Efficacy of procedure
    post therapy forced vital capacity (FVC)% predicted.
    efficacy of the procedure

    Full Information

    First Posted
    April 11, 2017
    Last Updated
    June 13, 2017
    Sponsor
    Assiut University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03187431
    Brief Title
    Role of Stem Cell Therapy in Interstitial Pulmonary Fibrosis
    Official Title
    Mesenchymal Stem Cell as Therapeutic Modality in Interstitial Pulmonary Fibrosis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2017
    Overall Recruitment Status
    Unknown status
    Study Start Date
    December 11, 2017 (Anticipated)
    Primary Completion Date
    October 1, 2018 (Anticipated)
    Study Completion Date
    December 1, 2018 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Assiut University

    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
    Currently, the application status of MSCs as treatment modalities in IPF is still in its infancy and remains exploratory. Although a number of safety and efficacy clinical trials of MSCs as therapeutic options in immune-mediated and cardiac diseases have already been published with tantalizing results, to our disappointment, pulmonary and critical care medicine have traditionally lagged behind other therapeutic and research fields including hematology, gastroenterology and cardiology in translational studies of the use of reparative cells

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Stem Cell Transplant Complications
    Keywords
    Stem cell, Therapy, IPF

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    12 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    IPF patients
    Arm Type
    Experimental
    Arm Description
    autologous bone marrow mesenchymal stem cells
    Intervention Type
    Biological
    Intervention Name(s)
    autologous bone marrow mesenchymal stem cells
    Intervention Description
    intravenous infusion
    Primary Outcome Measure Information:
    Title
    number of participants with treatment related side effects as infection, allergic reaction, disease acute exacerbation, and ectopic tissue formation
    Description
    safety and side effects
    Time Frame
    6 months
    Secondary Outcome Measure Information:
    Title
    Post therapy diffusing capacity of CO% (DLCO)predicted
    Description
    Efficacy of procedure
    Time Frame
    6-12 months
    Title
    post therapy forced vital capacity (FVC)% predicted.
    Description
    efficacy of the procedure
    Time Frame
    6-12 months

    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: Age 18 to 75 years (both inclusive) high-resolution computed tomography (HRCT) scan that is very suggestive or consistent with a probable diagnosis of usual interstitial pneumonia. Bronchoalveolar lavage must be performed at any time before inclusion and must have failed to show features supporting alternative diagnoses. The duration of the disease should be more than three months, and bibasilar inspiratory crackles should be present. dyspnea score of at least 2 on a scale of 0 (minimum) to 10 (maximum). FVC > 50% of the predicted normal value and DLco > 35% of the predicted value. Patients under treatment with n-acetylcysteine or pirfenidone should discontinue drug and enter a wash-out period for at least 6 weeks prior study enrolment. Exclusion Criteria: FVC < 50% predicted normal value and DLCO < 35%predicted normal value. lung cancer or with an evidence of active malignancyfor at least 5 years. uncontrolled heart failure. renal failure hepatic failure, neurological abnormalities including stroke and myasthenia Gravis Anti-coagulants therapy. Active infections.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    Role of Stem Cell Therapy in Interstitial Pulmonary Fibrosis

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