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临床试验/NCT04869761
NCT04869761已完成1 期

Allogeneic Mesenchymal Stem Cell Therapy in Patients With Chronic Kidney Disease: A Phase I Study

LaTonya J. Hickson2 个研究点 分布在 1 个国家目标入组 10 人开始时间: 2021年10月7日最近更新:
适应症
干预措施

试验速览

阶段
1 期
状态
已完成
发起方
入组人数
10
试验地点
2
主要终点
Adverse events and/or serious adverse events

研究概览

简要总结

The purpose of this study is to assess the safety and tolerability of allogeneic mesenchymal stem / stromal cell therapy in individuals with chronic kidney disease.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Other
盲法
None

入排标准

年龄范围
30 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age 30-80 years.
  • Estimated glomerular filtration rate (eGFR) 25-55 ml/min/1.73m^2
  • Spot urine albumin:creatinine ≥30 mg/g unless on Renin-angiotensin-aldosterone system (RAAS) inhibition.
  • Ability to give informed consent.

排除标准

  • Hemoglobin A1c greater than or equal to 11%.(in individuals with diabetes mellitus)
  • Anemia (hemoglobin less than 9g/dL)
  • Body weight greater than 150 kg or BMI greater than 50
  • Uncontrolled hypertension: sustained systolic blood pressure (SBP) greater than 155 mmHg at screening exam (a maximum of 3 screening visits will be allowed for demonstration of blood pressure control)
  • Chronic hypotension: sustained SBP less than 85 mmHg at screening exam.
  • Glomerulonephritis not in partial or complete remission for 6 months (or estimated/measured proteinuria greater than 10 grams/day)
  • Active glomerulonephritis (glomerular disease) include: ANCA associated glomerulonephritis, post-infectious glomerulonephritis, lupus nephritis, amyloidosis, or other monoclonal gammopathy of renal significance.
  • Nephrotic syndrome defined as proteinuria greater than 3.5g per 24 hours, plus hypoalbuminemia (serum albumin less than or equal to 2.5g/L) and edema
  • Autosomal dominant or recessive polycystic kidney disease
  • Kidney failure requiring renal replacement therapy (hemodialysis, peritoneal dialysis, or kidney transplantation)
  • Active immunosuppression therapy (including prednisone greater than or equal to 10mg daily)
  • Kidney transplantation history
  • Solid organ transplantation history
  • Recent cardiovascular event (myocardial infarction, stroke, congestive heart failure) within 6 months or uncontrolled cardiac arrhythmias
  • Liver cirrhosis
  • Chronic obstructive pulmonary disease, asthma
  • History of blood clotting disorder (thromboembolism; pulmonary embolism, deep venous thrombosis)
  • Pregnancy
  • Active malignancy
  • Active infection
  • Active hepatitis B or C, or HIV infection
  • History of allergic reaction to cellular products (ie. blood transfusions, platelets)
  • Active tobacco use
  • Illicit drug use and excessive alcohol use presence of psychosocial issues (e.g., uncontrolled mental illness, unpredictable childcare or eldercare responsibilities, irregular/inflexible work schedule) that may interfere with the ability to complete all study procedures
  • Subjects anticipating prolonged travel or other physical restrictions that would prohibit return for scheduled study visits
  • Inability or unwilling to have magnetic resonance imaging (MRI) or computed tomography (CT) studies
  • Inability to give informed consent

研究组 & 干预措施

Dose Arm 1

Experimental

Subjects with chronic kidney disease will receive allogeneic adipose tissue-derived mesenchymal stem cells (MSC) in two intravenous infusions of 75x10^6 cells at day 0 and month 3.

干预措施: Allogeneic adipose-derived mesenchymal stem cells (MSC)-Two Infusions (Drug)

Dose Arm 2

Experimental

Subjects with chronic kidney disease will receive a single intravenous infusion of allogeneic adipose tissue-derived mesenchymal stem cells (MSC) of 150x10^6 cells at day 0.

干预措施: Allogeneic adipose-derived mesenchymal stem cells (MSC)-Single Infusion (Drug)

结局指标

主要结局

Adverse events and/or serious adverse events

时间窗: 22 months

Number of adverse events and/or serious adverse events associated with mesenchymal stem cells intervention

次要结局

未报告次要终点

研究者

发起方
LaTonya J. Hickson
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

LaTonya J. Hickson

Principal Investigator

Mayo Clinic

研究点 (2)

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