Phase I Trial to Establish Safety of Autologous Progenitor Cell-based Gene Therapy Delivery of heNOS in Patients With Severe Pulmonary Arterial Hypertension(PAH)Refractory to Conventional Treatment
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Hypertension, Pulmonary
- Sponsor
- Northern Therapeutics
- Enrollment
- 7
- Locations
- 2
- Primary Endpoint
- The primary endpoints will be related to the tolerability and safety of injection of genetically engineered progenitor cells in patients with severe PAH.
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The primary objective is to establish the safety of autologous progenitor cell-based gene therapy of heNOS in patients with severe Pulmonary Arterial Hypertension(PAH) refractory to conventional treatment.
Detailed Description
This is a two centre, phase I clinical trial. A total of 18 patients will be studied using an open-label, dose escaling protocol; three patients will be entered into each of the five dosing panels. An additional three patients will be entered into the final dose panel to establish safety at the maximum tolerated dose.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Clinical diagnosis of idiopathic Pulmonary Arterial Hypertension
- •Familial PAH or anorexigen induced PAH
- •Specified 6-minute walk distance
Exclusion Criteria
- •Intra or extra cardiac communication between the right and left sided circulations
- •Hemodynamic instability
- •Left ventricular ejection fraction \< 40%
- •Thromboembolic event or recent hospitalization for worsening right sided heart failure in past 3 months
- •CVP\>20mmHg at time of research heart catheterization
- •Pregnancy
- •Concurrent hepatitis or HIV
Outcomes
Primary Outcomes
The primary endpoints will be related to the tolerability and safety of injection of genetically engineered progenitor cells in patients with severe PAH.
Time Frame: 5 years
Secondary Outcomes
- Potential efficacy of this approach will be assessed by changes in hemodynamic pressures, patient perceived quality of life and exercise capacity(3 month post cell delivery)