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Effect of PMSCs and Their Secretome for the Treatment of GvHD

Phase 3
Completed
Conditions
GVHD
Interventions
Other: 4 cc distilled water dissolved in albumin 20%
Biological: Secretome (set of substances released from the cell to its surroundings) of mesenchymal stem cells retrieved from the placenta (containing 400 microgram protein/ milliliter)
Registration Number
NCT06469411
Lead Sponsor
Tabriz University of Medical Sciences
Brief Summary

In this clinical trial study, 60 patients with GvHD referred to Shahid Qazi Hospital in Tabriz, were randomly divided into 2 intervention and control groups (n= 30 in each) that received secretome and distilled water by injection, respectively. The method of blinding was triple-blinded and all the names and personal information of the patients were coded at the time of data collection and remained completely confidential.

Detailed Description

This study is a safety, feasibility, and efficacy trial that was conducted on eligible GvHD patients with the diagnosis of expert doctors after obtaining permission from the respected ethics committee and registering the trial at the Iranian Trial Registration Center. During the phone call, while stating the title and objectives of the study, the entry and exclusion criteria were checked. If they are eligible, they were asked to attend the Ghazi Hospital if they wish to participate in the study. In the face-to-face meeting, the objectives of the research were fully explained and the study criteria were re-examined. The written informed consent was obtained and questionnaires fulfilled three times which include personal-social characteristics, medical characteristics, appetite questionnaire, 24-hour food record (Food record), and family members. At the beginning of the study, 50 cc of blood was used to collect serum and to culture and condition mesenchymal stem cells. 200 men with GvHD were randomly assigned using random block method using blocks of 4 and 6 and RAS (Random Allocation Software) and allocation ratio 1:1 to two groups receiving intravenous secretome with The first protocol (30 people) and receiving the mesenchymal stem cells secretome of the second protocol (30 people) were allocated and they received the skin spray for 1 year. Participants in the first protocol group at the beginning of the study, day 3, end of the week, the end of the second week, and the end of the month 5 times and in the second protocol group at the beginning of the study, skin spray were done. The secretome of both groups was the same.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Patients with acute GvHD with fever and requiring hospitalization
Exclusion Criteria
  • Patients with sepsis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Control group4 cc distilled water dissolved in albumin 20%Recipient of 6 doses of 4 cc distilled water dissolved in albumin 20% every week for 6 weeks
Intervention groupSecretome (set of substances released from the cell to its surroundings) of mesenchymal stem cells retrieved from the placenta (containing 400 microgram protein/ milliliter)Recipient of 6 doses secretome (set of substances released from the cell to its surroundings) of mesenchymal stem cells retrieved from the placenta (containing 400 microgram protein/ milliliter) (It was produced through the cell culture from the placenta in the laboratory) 4 cc dissolved in albumin 20% every week for 6 weeks
Primary Outcome Measures
NameTimeMethod
Liver involvementAt the beginning of the study and 6 weeks after the intervention

Measurement of Bilirubin level

Intestine conditionAt the beginning of the study and 6 weeks after the intervention

Diarrhea volume measurement

Skin rashAt the beginning of the study and 6 weeks after the intervention

Determination of BSA percentage

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Abolfazl Barzegari

🇮🇷

Tabriz, East Azerbaijan, Iran, Islamic Republic of

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