Clinical Trial to Evaluate Safety and Efficiency of Mesenchymal Stem Cell in Patients With Hidradenitis Suppurativa
A Multicenter Phase I/II Clinical Trial, Randomized, Double Blind, Controlled With Placebo to Evaluate Safety and Efficiency of Allogenic Adult Mesenchymal Stem Cells From Adipose Tissue in the Treatment of Draining Fistulas in Patients With Hidradenitis Suppurativa
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: María del Mar Macías Sánchez
- Phone Number: 671 533 802
- Email: mmar.macias@juntadeandalucia.es
Study Locations
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Granada, Spain, 18014
- Recruiting
- Hospital Universitario Virgen de Las Nieves
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Contact:
- ALEJANDRO MOLINA LEYVA
- Email: alejandromolinaleyva@gmail.com
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients who give informed consent for participation in the clinical trial
- Diagnosed 6 months before inclusion
- Drainage fistula with a minimum of 1 subcutaneous tract and 1 cutaneous drainage orifice evaluated clinically and by cutaneous ultrasound. The fistula must have active drainage 4 weeks prior to inclusion
- Treatment with Adalimumab for at least 12 weeks.
- Normal renal function or moderate chronic renal insufficiency with creatinine clearance values greater than 60 ml/min or serum creatinine less than 1.5 times the upper limit.
- Normal liver function with total bilirubin values less than 1.5 times the upper limit of normal and transaminases < 2.5 times the upper limit of normal.
- Hemogram and coagulation studies within normal values (Leukocytes ≥ 3000, Neutrophils ≥ 1500, Platelets ≥ 100000, hemoglobin>10g/dl).
- Negative blood pregnancy test for patients of childbearing age
- Acceptance by the patient, of childbearing age, to use safe contraceptive methods throughout the study, including six months of follow-up.
- Willingness and ability to comply with the visit schedule, treatment plan, clinical tests and all study procedures. and all study procedures.
Exclusion Criteria:
- Poorly controlled HS requiring additional systemic treatment or change of baseline anti-inflammatory therapy
- Abscess or inflammatory collection > 2 cm adjacent to the fistula to be treated.
- Previous surgical treatment on the draining fistula
- Known history of alcohol abuse in the 6 months prior to study entry
- Active malignancy or patients with a history of a previous malignant tumor.
- Presence or recent history of severe, progressive and uncontrolled hepatic, hematologic, gastrointestinal, endocrine, pulmonary, cardiac, neurologic, psychiatric or skin disease
- Congenital or acquired immunodeficiencies
- Positive serology for HIV, HCV or HBV.
- Active COVID-19 infection confirmed by serology and PCR or rapid antigen test
- Allergy to any of the components/excipients of the Investigational Product
- Major surgery or severe trauma in the previous 6 months
- Patients unwilling or unable to comply with study procedures.
- Anticipated need for surgery in the anatomical area for a reason other than hidradenitis suppurative
- Contraindication to the anesthetic procedure
- Systemic immunomodulatory biologic therapy other than Adalimumab, topical or systemic antibiotics for HS, systemic or intralesional corticosteroids, live vaccines, or any experimental treatment or intervention study participation.
- Contraindication of nuclear magnetic resonance with contrast.
- Women who are pregnant, breastfeeding, or of childbearing age who are not using an effective contraceptive method.
- Patients who are currently participating or have completed participation in a clinical trial in a period of less than 3 months or who have participated in an Advanced Therapies clinical trial at any previous time and have been assigned to an experimental group.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Injectable suspension of allogeneic adult mesenchymal stem cells
Patients will receive an injectable suspension of allogeneic adult mesenchymal stem cells from adipose tissue intralesionally.
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Cell therapy treatment will be administered in a single dose at the beginning of the study.
The treatment consists of the administration of a single dose of allogeneic adult mesenchymal stem cells from adipose tissue.
The dose is 120 million cells (drug volume: 20 ml, concentrated at 6 million cels/ml).
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Placebo Comparator: Placebo
Patients will receive the cell-free suspension vehicle: 49% DMEM without phenol red, 1% L-Alanine LGlutamine and 50% hyaluronic acid
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The placebo consists of the administration of the excipient of the suspension without cells.
The excipient is a mixture of 50% hyaluronic acid, 49% DMEM without phenol red and 1% L-Alanine-L Glutamine.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Safety of the administration of allogeneic mesenchymal stem cells derived from adipose tissue assessed by Adverse Event Rate
Time Frame: 24 months
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To determine the safety of intralesional administration of allogeneic mesenchymal cells in draining fistulas in patients with hidradenitis suppurativa
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24 months
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Efficacy of the administration of allogeneic mesenchymal stem cells derived from adipose tissue assessed by Survival Rate
Time Frame: 23 months
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To evaluate the efficacy of intralesional administration of human allogeneic mesenchymal cells versus the control group, in terms of combined remission of the draining fistula.
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23 months
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Collaborators and Investigators
Sponsor
Sponsor
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
Other Study ID Numbers
Other Study ID Numbers
- HidraQureS/2020
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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