MedPath

Role of Stem Cell Therapy in Interstitial Pulmonary Fibrosis

Phase 1
Conditions
Stem Cell Transplant Complications
Interventions
Biological: autologous bone marrow mesenchymal stem cells
Registration Number
NCT03187431
Lead Sponsor
Assiut University
Brief Summary

Currently, the application status of MSCs as treatment modalities in IPF is still in its infancy and remains exploratory. Although a number of safety and efficacy clinical trials of MSCs as therapeutic options in immune-mediated and cardiac diseases have already been published with tantalizing results, to our disappointment, pulmonary and critical care medicine have traditionally lagged behind other therapeutic and research fields including hematology, gastroenterology and cardiology in translational studies of the use of reparative cells

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
12
Inclusion Criteria
  • Age 18 to 75 years (both inclusive)
  • high-resolution computed tomography (HRCT) scan that is very suggestive or consistent with a probable diagnosis of usual interstitial pneumonia.
  • Bronchoalveolar lavage must be performed at any time before inclusion and must have failed to show features supporting alternative diagnoses.
  • The duration of the disease should be more than three months, and bibasilar inspiratory crackles should be present.
  • dyspnea score of at least 2 on a scale of 0 (minimum) to 10 (maximum).
  • FVC > 50% of the predicted normal value and DLco > 35% of the predicted value.
  • Patients under treatment with n-acetylcysteine or pirfenidone should discontinue drug and enter a wash-out period for at least 6 weeks prior study enrolment.
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Exclusion Criteria
  • FVC < 50% predicted normal value and DLCO < 35%predicted normal value.
  • lung cancer or with an evidence of active malignancyfor at least 5 years.
  • uncontrolled heart failure.
  • renal failure
  • hepatic failure,
  • neurological abnormalities including stroke and myasthenia Gravis
  • Anti-coagulants therapy.
  • Active infections.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
IPF patientsautologous bone marrow mesenchymal stem cellsautologous bone marrow mesenchymal stem cells
Primary Outcome Measures
NameTimeMethod
number of participants with treatment related side effects as infection, allergic reaction, disease acute exacerbation, and ectopic tissue formation6 months

safety and side effects

Secondary Outcome Measures
NameTimeMethod
Post therapy diffusing capacity of CO% (DLCO)predicted6-12 months

Efficacy of procedure

post therapy forced vital capacity (FVC)% predicted.6-12 months

efficacy of the procedure

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