Stem Cell Therapy for Chronic Kidney Disease
Allogeneic Mesenchymal Stem Cell Therapy in Patients With Chronic Kidney Disease: A Phase I Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Federico Simon
- Phone Number: (904) 953-4205
- Email: Simon.FedericoRey@mayo.edu
Study Contact Backup
- Name: Andreas George
- Phone Number: (904) 953-3880
- Email: George.Andreas@mayo.edu
Study Locations
-
-
Florida
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Jacksonville, Florida, United States, 32224
- Mayo Clinic Florida
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic in Rochester
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 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.
Exclusion Criteria:
- 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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dose Arm 1
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.
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Two MSC infusions of 75x10^6 cells at time zero and three months; intravenous delivery
|
|
Experimental: Dose Arm 2
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.
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Single MSC infusion of 150x10^6 cells at time zero; intravenous delivery
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Adverse events and/or serious adverse events
Time Frame: 22 months
|
Number of adverse events and/or serious adverse events associated with mesenchymal stem cells intervention
|
22 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: LaTonya Hickson, MD, Mayo Clinic
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Endocrine System Diseases
- Pathologic Processes
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Chronic Disease
- Disease Attributes
- Metabolic Diseases
- Autoimmune Diseases
- Immune System Diseases
- Glucose Metabolism Disorders
- Diabetes Complications
- Renal Insufficiency
- Diabetes Mellitus, Type 2
- Diabetes Mellitus
- Diabetes Mellitus, Type 1
- Kidney Diseases
- Renal Insufficiency, Chronic
- Diabetic Nephropathies
Other Study ID Numbers
Other Study ID Numbers
- 20-008380
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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