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Safety and Efficacy of Adipose Derived Stem Cells for Chronic Obstructive Pulmonary Disease

Phase 1
Completed
Conditions
Chronic Obstructive Pulmonary Disease
Interventions
Drug: Adipose Derived Stem Cell (ADSC) Therapy
Registration Number
NCT02216630
Lead Sponsor
Kimera Society Inc
Brief Summary

This will be an open-label, non-randomized multi-center study designed to assess the safety and efficacy of Adipose-derived Stem Cell (ASC) IV implantation. The therapy is composed of cells isolated from a patient's own adipose tissue. Liposuction will be performed to collect the adipose tissue specimen for subsequent processing to isolate the stem cells.

Detailed Description

In the context of the proposed study, adipose derived stem cells (ASC) constitute an autologous cell product that is delivered to the patient via intra-venous injection. In this study, we propose to investigate the immunosuppressive potential of the non-manipulated non-cultured stromal vascular fraction obtained via liposuction. Endpoints will be measured both by improvement of the forced evacuation volume in one second (FEV1) and distance covered in a 6 minute walk distance test (6MWD). The stromal vascular fraction comprises stromal cells isolated from total fat via enzymatic digestion ex-vivo. These cells are not cultured but are isolated from adipose tissue using a sterile tissue process in under two hours. The process includes rinsing in a saline solution to remove red blood cells, draining, and enzymatic digestion (collagenase) which isolates endothelial cells from adipose tissue. Post-processing, the pellet obtained via centrifugation is filtered and delivered to the patient who remains sedated within the same ambulatory center.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
26
Inclusion Criteria
  • Age 18 to 85, inclusive
  • A prior diagnosis of moderate to severe COPD
  • GOLD IIa, III, IV
Exclusion Criteria
  • Pregnant or lactating
  • Life expectancy < 6 months due to concomitant illnesses.
  • Exposure to any investigational drug or procedure within 1 month prior to study entry or enrolled in a concurrent study that may confound results of this study.
  • Any illness which, in the Investigators judgment, will interfere with the patient's ability to comply with the protocol, compromise patient safety, or interfere with the interpretation of study results
  • Subjects on chronic immunosuppressive or chemotherapeutic therapy
  • Known drug or alcohol dependence or any other factors which will interfere with the study conduct or interpretation of the results or who in the opinion of the investigator are not suitable to participate.
  • Subjects with Alpha-1 antitrypsin deficiency (an inherited disorder that can cause lung disease and liver disease).
  • Unwilling and/or not able to give written consent
  • Patient is positive for hepatitis (past history of Hepatitis A is allowed)
  • Any medical condition, which in the opinion of the clinical investigator, would interfere with the treatment or outcome of the patient
  • Cerebral aneurysm clips

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Adipose-Derived Stem Cell (ADSC) TherapyAdipose Derived Stem Cell (ADSC) TherapyThis arm, as the sole arm, will consist of the ADSC treatment procedure. Intervention will consist of Adipose Derived Stem Cell (ADSC) Therapy
Primary Outcome Measures
NameTimeMethod
FEV1 Decline12 months

The primary efficacy outcome will be a FEV1 decline of approximately or less than 30 ml at 12 month follow-up.

Number of Adverse Events12 months
Secondary Outcome Measures
NameTimeMethod
Secondary Efficacy Objective12 Months

The secondary efficacy objective will be a decrease in six minute walking distance (6MWD) of less than 5% over one year.

Trial Locations

Locations (5)

Las Vegas

🇺🇸

Las Vegas, Nevada, United States

Melvin Propis M.D.

🇺🇸

Davie, Florida, United States

Chicago

🇺🇸

Chicago, Illinois, United States

Dallas

🇺🇸

Dallas, Texas, United States

New York

🇺🇸

New York, New York, United States

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