Clinical Study of UCB Combined With UC-MSCs in the Treatment of Bone Marrow Failure Disorders
A Multicenter Collaborative Clinical Study of Umbilical Cord Blood Combined With Umbilical Cord Derived Mesenchymal Stem Cells in the Treatment of Bone Marrow Failure Disorders
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: zhe Yu, MD
- Phone Number: 86-18753103739
- Email: doctoryu1120@163.com
Study Locations
-
-
Shandong
-
Jinan, Shandong, China, 250031
- Recruiting
- Shandong Provincial Third Hospital
-
Contact:
- zhe Yu, MD
- Phone Number: 86-18753103739
- Email: doctoryu1120@163.com
-
Jinan, Shandong, China
- Recruiting
- Affiliated Hospital of Shandong University of Traditional Chinese Medicine
-
Contact:
- yuan Fang, MD
-
Jining, Shandong, China
- Recruiting
- Jining First People's Hospital
-
Contact:
- haiguo Zhang
- Email: wfmchero@126.com
-
Linyi, Shandong, China
- Recruiting
- Linyi People's Hospital
-
Contact:
- yu Xu
- Email: xuyumm@qq.com
-
Rizhao, Shandong, China
- Recruiting
- Rizhao People's Hospital
-
Contact:
- Jun Guo
-
Tai'an, Shandong, China
- Recruiting
- Tai'an Central Hospital
-
Contact:
- guanchen Bai
-
Weihai, Shandong, China
- Recruiting
- Weihai Municipal Hospital
-
Contact:
- xiuzhi Deng
-
Yantai, Shandong, China
- Recruiting
- Yantai Ludong Hospital (Shandong Provincial Hospital Group)
-
Contact:
- xiaolei Wang, MD
- Email: wxl1978@126.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with bone marrow failure disorders, including aplastic anemia, pure red cell aplastic anemia, immune-related pancytopenia, paroxysmal nocturnal hemoglobinuria, myelodysplastic syndrome, acute arrest of hemopoiesis, and cytopenia of unknown significance;
- Patients with no severe impairment of liver and kidney function (total bilirubin (TBIL): ≤ 1.5×ULN; ALT or AST: ≤ 2.5×ULN; Alkaline phosphatase: ≤ 3×ULN; Serum creatinine: ≤ 1.5×ULN);
- The prothrombin time (PT) or activated partial thrombin time (APTT) or international normalized ratio (INR): ≤ 1.5×ULN in the absence of anticoagulant therapy;
- The left ventricular ejection fraction (LVEF): ≥50% by cardiac echocardiography
- Hepatitis B surface antigen (HBsAg) and Hepatitis B core antibody (HBcAb) were negative. If any of the above items is positive, the HBV DNA titer in peripheral blood must be lower than the detection limit or 1×10^3 copys/ml;
- Patients with no plans for stem cell transplantation;
- Patients with ECOG 0-2;
- Those who voluntarily participate in this clinical study and have signed an informed consent .
Exclusion Criteria:
- Patients who have suffered malignant tumors other than squamous cell carcinoma of the skin, basal cell carcinoma of the skin, malignant melanoma cured by surgery, and carcinoma in situ of the cervix in the past 5 years;
- Patient with severe cardiac insufficiency (e.g. grade Ⅲ、Ⅳ by NYHA classification NYHA), and medically uncontrolled hypertension (systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥110 mmHg);
- Patients with severe mental illness;
- Patients with clinically significant infection should be recruited with delay;
- AST or ALT: above 3 times the upper limit of normal, creatinine, total bilirubin, or alkaline: phosphatase (ALP): above 1.5 times the upper limit of normal;
- Patients with test positive for HIV, HCV or syphilis;
- Patients with severe allergies or allergic to the active ingredients, excipients of the drug, or blood products in this clinical trials;
- Patients who are pregnant or breastfeeding, or have a childbirth plan in the near future;
- Patients receive allogeneic/autologous hematopoietic stem cell transplantation by the assessment of investigators;
- There are other conditions that the investigators consider inappropriate for inclusion.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Cyclosporine A
|
3-5 mg per kilogram per day.
|
|
Experimental: UCB+UC-MSCs
|
Intravenous infusion of umbilical cord blood and umbilical cord derived mesenchymal stem cells (5-8×10^7) at 1 week interval.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective Response Rate (ORR)
Time Frame: Up to two years
|
To evaluate efficacy of UCB in combination with UC-MSCs in the treatment of bone marrow failure disorders
|
Up to two years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Progression-free Survival (PFS)
Time Frame: Up to two years
|
To assess Progression-free Survival (PFS) of the combination
|
Up to two years
|
|
Overall Survival (OS)
Time Frame: Up to two years
|
To assess overall survival (OS) of the combination
|
Up to two years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: zhe Yu, MD, Shandong Provincial Third Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
Additional Relevant MeSH Terms
- Bone Marrow Diseases
- Hematologic Diseases
- Anemia
- Anemia, Hemolytic
- Myelodysplastic Syndromes
- Anemia, Aplastic
- Bone Marrow Failure Disorders
- Pancytopenia
- Hemoglobinuria, Paroxysmal
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Antirheumatic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Dermatologic Agents
- Antifungal Agents
- Calcineurin Inhibitors
- Cyclosporine
- Cyclosporins
Other Study ID Numbers
Other Study ID Numbers
- UCB&MSCs-BMF-2023
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
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