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
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
- 否
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
Intravenous infusion of 4 doses of allogenic adult mesenchymal stem cells from adipose tissue
干预措施: Infusion of MSC (Drug)
Placebo
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)
