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临床试验/NCT02290041
NCT02290041已完成1 期

Clinical Trial Phase I/II, of Test of Concept, Blind Double, Randomized, Controlled With Placebo, to Assess the Safety and Efficiency of the Treatment With Allogenic Adult Mesenchymal Stem Cells From Adipose Tissue Expanded, in HIV-infected Patients With Controlled Viremia and Immunological Discordant Response

Andalusian Initiative for Advanced Therapies - Fundación Pública Andaluza Progreso y Salud1 个研究点 分布在 1 个国家目标入组 5 人开始时间: 2017年2月8日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
发起方
入组人数
5
试验地点
1
主要终点
Incidence of adverse reactions

研究概览

简要总结

Phase I/IIClinical trial, proof of concept, double blind, and placebo-controlled, randomized 2:1 (MSCs: placebo), total sample size is 15 subjects

详细描述

This is a phase I-II, randomised, placebo-controlled, clinical trial, currently ongoing in a single Spanish hospital (Hospital Virgen del Rocío, Seville), to evaluate the safety and feasibility of a 4-doses treatment regimen with MSCs (1 million cells/Kg MSCs, weeks 0-4-8-20) in HIV infected adults with swith discordant virological and immunological response to antiretroviral therapy. In the initial phase of the trial (n=5), patients were sequentially recruited, with a safety period of 15 days, receiving unblinded cell therapy. In the second phase of the trial, subjects are block randomised (1:1) to receive either MSCs (n=5), or placebo (n=5), as the control treatment. Immune response variables, adverse events, opportunistic infection signs are evaluated as determinants of safety and efficacy of MSCs. Study endpoints are measured along a follow-up period of 24 months, that includes 17 visits according to a decreasing frequency rate. Intention to treat, and per protocol, and safety analysis will be performed.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Triple (Participant, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Confirmed HIV infection
  • Age> 18 years, both sexes
  • In treatment with antiretroviral therapy (ART)
  • Sustained HIV viral load <50 copies / ml for ≥ 1 years prior to study entry
  • CD4 + cell count < 350/mL
  • Immunological discordant response defined as: an increase <75 or <150 in CD4+ cell counts within one or two years of undetectable viraemia, respectively; or CD4 + cell count <350/mcl after 3 years of ART and undetectable viraemia (<50 copies/ml) ≥ 1 year
  • Writen informed consent
  • In women of child bearing potential or her partners:commitment to use contraceptive method of proved efficiency throughout the duration of the clinical trial

排除标准

  • Pregnancy, breastfeeding, or refusal to the use of contraceptive methods
  • Opportunistic infections in the last 12 months prior to study entry
  • Active co-infection with hepatitis B virus/hepatitis C virus
  • Child Pugh's scale stage C cirrhosis of the liver of any a aetiology
  • Portal hypertension and / or hypersplenism of any aetiology
  • Malignant neoplasia
  • Treatment with steroids, immunomodulators, interferon, chemotherapy or any other medicinal product that could modify the number of CD4+ within the last 12 months prior to study entry
  • Confirmed analytical 3 or 4 grade (AIDS Clinical Trials Group scale) abnormalities

研究组 & 干预措施

Mesenchymal stem cells

Experimental

Intravenous infusion of 4 doses of allogenic adult mesenchymal stem cells from adipose tissue

干预措施: Infusion of MSC (Drug)

Placebo

Placebo Comparator

Intravenous infusion of 4 doses of Placebo

干预措施: Infusion of placebo (Drug)

结局指标

主要结局

Incidence of adverse reactions

时间窗: 24 months

Incidence of adverse reactions grade 3 and 4 according to DAIDs scale

Incidence of opportunist diseases

时间窗: 24 months

Changes in CD4+ cell count and CD4+/CD8+ ratio

时间窗: 28 days after the 4th infusion MSCs/placebo

Changes in CD4+ cell count and CD4+/CD8+ ratio as measured by flow citometry

次要结局

  • T CD4 +/µl count evolution and CD4 +/CD8 + ratio throughout 48 weeks(48 weeks)

研究者

发起方
Andalusian Initiative for Advanced Therapies - Fundación Pública Andaluza Progreso y Salud
申办方类型
Other
责任方
Sponsor

研究点 (1)

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