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Study to Evaluate the Efficacy of HepaStem in Urea Cycle Disorders Paediatric Patients (HEP002)

Phase 2
Completed
Conditions
Urea Cycle Disorders
Interventions
Biological: HepaStem
Registration Number
NCT02489292
Lead Sponsor
Cellaion SA
Brief Summary

The aim of the study is to assess the efficacy of HepaStem treatment in paediatric patients suffering from urea cycle disorders.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
5
Inclusion Criteria
  • Paediatric patients < 12 years prior to infusion
  • Patient presents with UCD
  • Patient shows patency of the portal vein and branches, with normal flow velocity as confirmed by Doppler US and accessibility of the portal vein and /or affluants.

Main

Exclusion Criteria
  • Patient has mild disease severity, easily controlled under standard of care therapy, with no recurrent metabolic crises.
  • Patient is registered on a liver transplant waiting list or is scheduled for living donor liver transplantation before the end of the study.
  • Patient presents acute liver failure.
  • Patient presents clinical or radiological evidence of liver cirrhosis.
  • Patient presents or has a history of hepatic or extrahepatic malignancy.
  • Patient has a known clinically significant cardiac malformation.
  • Patient has a personal history of venous thrombosis, or has a clinically significant abnormal value for protein S, protein C, anti-thrombin III, and /or activated Protein C Resistance (aPCR) at screening. In case of known family history, a complete coagulation work-up should be performed. In all above described cases, results need to be discussed with PB before enrolling the patient in the study.
  • Patient had or has a renal insufficiency treated by dialysis.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
HepaStemHepaStemTarget total dose 50x10E6 cells/kg
Primary Outcome Measures
NameTimeMethod
Efficacy as determined by de novo ureagenesis (C13 tracer method)at 6m post-first infusion day
Secondary Outcome Measures
NameTimeMethod
Efficacy as determined by de novo ureagenesis (C13 tracer method)at 3, 9 and 12 months post-first infusion day
Efficacy as determined by Ammonia (NH3) valuesup to 12 months post-first infusion day
Efficacy as determined by amino acids in plasmaup to 12 months post-first infusion day
Efficacy as determined by report of metabolic decompensationsup to 12 months post-first infusion day
Efficacy as determined by report on actual supportive treatment, adjustment of protein restriction and amino acids supplementsup to 12 months post-first infusion day
Efficacy as determined report on behavior, cognitive skills and health-related quality-of-life indicatorsup to 12 months post-first infusion day
To evaluate the safety during the year following HepaStem infusions (composite)up to 12 months post-first infusion day

Safety evaluation in terms of (1) clinical status, (2) portal vein hemodynamics, (3) morphology of the liver, bile ducts and portal system, (4) laboratory tests, (5) De novo detection of donor-specific circulating anti-human leukocyte antigen (HLA) antibodies, and/or other immune-related markers, (6) serious adverse events and clinically significant adverse events related to HepaStem, technical intervention, and concomitant treatments.

Trial Locations

Locations (6)

Hôpital Jeanne de Flandre, CHRU Lille

🇫🇷

Lille, France

Hospital Materno Infatil de Badajoz

🇪🇸

Badajoz, Spain

Instytut - Pomnik Centrum Zdrowia Dziecka

🇵🇱

Warszawa, Poland

Hospital Universitari Vall d'Hebron de Barcelona

🇪🇸

Barcelona, Spain

Hospital Materno Infantil de Málaga

🇪🇸

Málaga, Spain

Cliniques Universitaires Saint-Luc

🇧🇪

Brussels, Belgium

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