A Multicenter Phase I/II Clinical Trial, Randomized, Double Blind, Controlled With Placebo to Evaluate Safety and Efficiency of Allogenic Adult Mesenchymal Stem Cells From Adipose Tissue in the Treatment of Draining Fistulas in Patients With Hidradenitis Suppurativa
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Hidradenitis Suppurativa
- Sponsor
- Andalusian Network for Design and Translation of Advanced Therapies
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Efficacy of the administration of allogeneic mesenchymal stem cells derived from adipose tissue assessed by Survival Rate
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
Multicenter Phase I/II Clinical Trial to Evaluate Safety and Efficiency of Allogenic Adult Mesenchymal Stem Cell from Adipose Tissue in Patients With Hidradenitis Suppurativa
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients who give informed consent for participation in the clinical trial
- •Diagnosed 6 months before inclusion
- •Drainage fistula with a minimum of 1 subcutaneous tract and 1 cutaneous drainage orifice evaluated clinically and by cutaneous ultrasound. The fistula must have active drainage 4 weeks prior to inclusion
- •Treatment with Adalimumab for at least 12 weeks.
- •Normal renal function or moderate chronic renal insufficiency with creatinine clearance values greater than 60 ml/min or serum creatinine less than 1.5 times the upper limit.
- •Normal liver function with total bilirubin values less than 1.5 times the upper limit of normal and transaminases \< 2.5 times the upper limit of normal.
- •Hemogram and coagulation studies within normal values (Leukocytes ≥ 3000, Neutrophils ≥ 1500, Platelets ≥ 100000, hemoglobin\>10g/dl).
- •Negative blood pregnancy test for patients of childbearing age
- •Acceptance by the patient, of childbearing age, to use safe contraceptive methods throughout the study, including six months of follow-up.
- •Willingness and ability to comply with the visit schedule, treatment plan, clinical tests and all study procedures. and all study procedures.
Exclusion Criteria
- •Poorly controlled HS requiring additional systemic treatment or change of baseline anti-inflammatory therapy
- •Abscess or inflammatory collection \> 2 cm adjacent to the fistula to be treated.
- •Previous surgical treatment on the draining fistula
- •Known history of alcohol abuse in the 6 months prior to study entry
- •Active malignancy or patients with a history of a previous malignant tumor.
- •Presence or recent history of severe, progressive and uncontrolled hepatic, hematologic, gastrointestinal, endocrine, pulmonary, cardiac, neurologic, psychiatric or skin disease
- •Congenital or acquired immunodeficiencies
- •Positive serology for HIV, HCV or HBV.
- •Active COVID-19 infection confirmed by serology and PCR or rapid antigen test
- •Allergy to any of the components/excipients of the Investigational Product
Outcomes
Primary Outcomes
Efficacy of the administration of allogeneic mesenchymal stem cells derived from adipose tissue assessed by Survival Rate
Time Frame: 23 months
To evaluate the efficacy of intralesional administration of human allogeneic mesenchymal cells versus the control group, in terms of combined remission of the draining fistula.
Safety of the administration of allogeneic mesenchymal stem cells derived from adipose tissue assessed by Adverse Event Rate
Time Frame: 24 months
To determine the safety of intralesional administration of allogeneic mesenchymal cells in draining fistulas in patients with hidradenitis suppurativa