- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03299413
Use of Mesenchymal Stem Cells in Inflammatory Bowel Disease
April 9, 2019 updated by: Hanan Jafar
Ulcerative Colitis Stem Cell Therapy
Scientists hypothesize that directly or parentally injecting Mesenchymal stem cells (MSCs) to affected areas will have a positive impact through reducing or abolishing intestinal inflammation in part via inhibition of neutrophil Myeloperoxidase (MPOx) activity.
Inhibiting MPOx should modify disease progression as well as reduce colitis associated cancer risk.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
Chronic inappropriate mucosal immune activation, due to aberrant host interactions with intestinal microbiota, is at the heart of inflammatory bowel disease (IBD) pathogenesis.
Currently, there is no cure for IBD and mainstays of therapy are limited to non-cell specific immunosuppression/immunomodulation, antibiotics and surgery.
Advanced ulcerative colitis patients cost approximately 10,000JD in therapy per year with 12.4% of patients presenting with rectal bleeding in Jordan being diagnosed with ulcerative colitis.
The role of MSCs in immune modulation is well established in many diseases.
However, the therapeutic potential of MSCs directly injected into the inflamed large intestine or parentally has not been fully investigated.
Injected MSCs may modulate the IBD immune response particularly lymphoid T-cell and neutrophil activities.
While a variety of immune cells contribute to the disease, increased neutrophil activity is associated with greater frequency and severity of active inflammation, as well as increased colitis associated cancer risk.
MPOx can transform lipids and polyamines into reactive carbonyl species (RCS) capable of modifying proteins and DNA, altering cell signalling pathways.
Finally, MPOx is reported as a useful tool in screening and risk stratification of human ulcerative colitis and colorectal cancer.
Inhibiting MPOx in an accelerated preclinical mouse model did reduce incidence and tumor load resulting from gut inflammation.
Additionally, in similar preclinical models others have reported that MSC transplantation reduces colitis severity and inflammatory markers including MPOx activity.
Even in the absence of the well-known MSC T-cell immune modulation, disease activity indices and MPOx activity were reduced in these models.
In addition to following traditional clinical outcomes, Reseachers will analyze gut immune responses, specifically neutrophil MPOx activity along with other IBD immune markers.
Study Type
Interventional
Enrollment (Anticipated)
20
Phase
- Phase 2
- 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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Amman, Jordan, 11942
- Cell Therapy Center
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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
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Single/unmarried females or married females using two modalities of contraception for six months after completion of the study.
- Signed informed consent.
- Patients with previous diagnosis of ulcerative colitis (UC) or newly diagnosed UC based on endoscopic or histopathologic features
- Colitis of any activity
Exclusion Criteria:
- Mental disability that impedes adequate understanding of the study and of the associated procedures.
- Extensive severe toxic colitis requiring admission and IV steroids or biological treatment/surgery.
- Patients with previous colectomies.
- History of malignant disease.
- Pregnant or breastfeeding women.
- Presence of severe concomitant diseases such as chronic obstructive pulmonary disease, Diabetes Mellitus, Cardiovascular and other autoimmune diseases.
- Positive to one or more of the infectious disease panel
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: Wharton Jelly Mesenchymal stem cells
Wharton Jelly Mesenchymal stem cells will be given as a cell suspension in aseptic buffered solution in disposable vials with no preservative agents.
The cells will be injected every two weeks at a total of three doses, 120 million cells in 10mls divided on two IV boli for each dose
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Wharton Jelly Mesenchymal stem cells will be injected intravenously
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Time Frame: 6 months
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Treatment adverse events are defined by any adverse event leading to hospitalization, organ failure or death
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6 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Evaluation of the efficacy of the injected cells (Change from Baseline in partial mayo score)
Time Frame: 3 months
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Remission will be considered if reaches 0 points and response if the score diminishes.
Endoscopy will be performed at 0 and 12 weeks.
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3 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
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 (Actual)
June 5, 2017
Primary Completion (Anticipated)
November 1, 2019
Study Completion (Anticipated)
January 1, 2020
Study Registration Dates
First Submitted
September 27, 2017
First Submitted That Met QC Criteria
September 27, 2017
First Posted (Actual)
October 3, 2017
Study Record Updates
Last Update Posted (Actual)
April 10, 2019
Last Update Submitted That Met QC Criteria
April 9, 2019
Last Verified
April 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IBDUJCTC
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Undecided
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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