- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02172885
Mesenchymal Stem Cell Based Therapy for the Treatment of Osteogenesis Imperfecta (TERCELOI)
September 29, 2023 updated by: Clara I. Rodríguez, Hospital de Cruces
The purpose of this study is to determine the safety and effectiveness of five infusions of characterized HLA-identical MSC in non immunosuppressed children with Osteogenesis Imperfecta (OI).
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The principal aim of this trial is to assess the safety of non-mutated HLA-identical Mesenchymal stem cell (MSC) transplantation for OI pediatric patients irrespective of treatment with biphosphonates.
Since MSC are inherently non-immunogenic and do not elicit proliferation of allogeneic lymphocytes (in co-culture experiments), a cell therapy based on HLA-identical or histocompatible (at least 5 shared out of 6 HLA antigens) allogenic MSC may be accomplished without subjecting the patients to immunosuppressor treatment.
Adverse secondary effects due to immunosuppressor treatment will be avoided using this strategy thus patients may benefit from two cellular infusions.
The patients will be followed for 2 years post their fifth and last MSC infusion.
Study Type
Interventional
Enrollment (Actual)
2
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Bizkaia
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Barakaldo, Bizkaia, Spain, 48903
- Hospital Universitario Cruces
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Madrid
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Getafe, Madrid, Spain
- Hospital Universitario Getafe
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
6 months to 12 years (Child)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Patient age: older than 6 months and younger than 12 years old.
- Patients with molecular confirmation of mutation in either COL1A1 or COL1A2 genes associated with OI (type III).
- Patients with HLA identical (that shared at least 5/6 antigens) siblings willing to donate bone marrow-MSCs.
- All patients that fulfil the inclusion criteria regardless of whether or not they are undergoing biphosphonate treatment.
- Patients whose parents or the legal guardians are willing to sign the consent forms to participate in this clinical trial.
Exclusion Criteria:
- Patient age: older than 12 years old
- Patients lacking confirmation of mutation in either COL1A1 or COL1A2 genes associated with severe deforming OI (type III).
- Other pathological subtypes of OI.
- Patients lacking of HLA identical (that shared at least 5/6 antigens) siblings willing to donate bone marrow-MSCs.
- Immunodeficiencies and any other malignancies.
- Participation in other clinical trial.
- Any medical or psychiatric condition that in the researcher´s opinion could affect the patient´s ability to complete the trial or hamper the participation in the trial.
- Patients whose parents or the legal guardians do not sign the consent forms
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Mesenchymal stem cells
Five Mesenchymal Stem Cell infusions
|
Mesenchymal Stem Cell Infusions
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Adverse Events as a Measure of Safety
Time Frame: up to 2 years post last MSCs infusion
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up to 2 years post last MSCs infusion
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
bone mineral density
Time Frame: up to 2 years post last MSCs infusion
|
up to 2 years post last MSCs infusion
|
|
fracture rate
Time Frame: up to 2 years post last MSCs infusion
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up to 2 years post last MSCs infusion
|
|
growth velocity
Time Frame: up to 2 years post last MSCs infusion
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up to 2 years post last MSCs infusion
|
|
change from baseline in degree of functionality
Time Frame: up to 2 years post last MSCs infusion
|
9 question survey using a Bleck functional scale
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up to 2 years post last MSCs infusion
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change from baseline in well-being
Time Frame: up to 2 years post last MSCs infusion
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A 20 item questionnaire designed to evaluate the well-being will be used
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up to 2 years post last MSCs infusion
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Clara I. Rodríguez, Ph. D., BioCruces Health Research Institute/Cruces University Hospital
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Infante A, Gener B, Vazquez M, Olivares N, Arrieta A, Grau G, Llano I, Madero L, Bueno AM, Sagastizabal B, Gerovska D, Arauzo-Bravo MJ, Astigarraga I, Rodriguez CI. Reiterative infusions of MSCs improve pediatric osteogenesis imperfecta eliciting a pro-osteogenic paracrine response: TERCELOI clinical trial. Clin Transl Med. 2021 Jan;11(1):e265. doi: 10.1002/ctm2.265.
- Infante A, Cabodevilla L, Gener B, Rodriguez CI. Circulating TGF-beta Pathway in Osteogenesis Imperfecta Pediatric Patients Subjected to MSCs-Based Cell Therapy. Front Cell Dev Biol. 2022 Feb 9;10:830928. doi: 10.3389/fcell.2022.830928. eCollection 2022.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
April 1, 2014
Primary Completion (Actual)
December 1, 2018
Study Completion (Actual)
December 1, 2018
Study Registration Dates
First Submitted
June 12, 2014
First Submitted That Met QC Criteria
June 23, 2014
First Posted (Estimated)
June 24, 2014
Study Record Updates
Last Update Posted (Actual)
October 3, 2023
Last Update Submitted That Met QC Criteria
September 29, 2023
Last Verified
September 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- EudraCT Number:2012-002553-38
- Health Department of Spain (Other Grant/Funding Number: EC10-219)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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-
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