- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT04089579
자폐 스펙트럼 장애 아동의 hCT-MSC (IMPACT)
자폐 스펙트럼 장애 아동을 대상으로 한 탯줄 유래 중간엽 간질 세포 제품인 hCT-MSC의 2상 연구
연구 개요
상세 설명
이 이중 맹검 2상 연구의 목적은 자폐 스펙트럼 장애(ASD)가 있는 소아에서 두 가지 다른 투여 전략으로 투여된 인간 제대 조직 유래 중간엽 간질 세포(hCT-MSC)의 효능을 결정하는 것입니다.
이 연구는 4-11세의 ASD가 있는 아동을 등록할 것입니다. 적격 피험자는 신경심리학적 평가, EEG 테스트, 시선 추적, CVA 평가 및 연구 제품 주입을 받게 됩니다. 피험자는 두 연구 부문 중 하나로 무작위 배정됩니다. 1) 기준선에서 6.0x106 세포/Kg의 단일 주입 후 6개월에 맹검 위약 주입 또는 2) 기준선에서 위약 주입 후 6개월에 6x106 세포/Kg의 정맥 투여.
이 연구의 1차 종점은 기준선에서 6개월까지의 사회적 의사소통 기술의 변화입니다. 중간엽 줄기세포 주입과 관련된 잠재적 위험에는 제품에 대한 반응(발진, 숨가쁨, 쌕쌕거림, 호흡곤란, 저혈압, 입, 목 또는 눈 주위의 부기, 빈맥, 발한), 감염 전파 및 HLA 감작이 포함됩니다.
연구 유형
등록 (실제)
단계
- 2 단계
연락처 및 위치
연구 장소
-
-
North Carolina
-
Durham, North Carolina, 미국, 27705
- Duke University Medical Center
-
-
참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
설명
포함 기준
- 동의 시점에 만 4세 이상 ~ 만 12세 미만(11세 364일)
- 자폐증 증상의 간략한 관찰(BOSA) 및 자폐 진단 인터뷰 개정판(ADI-R)에 의해 정보가 제공되는 DSM-5 체크리스트를 사용하여 자폐증 스펙트럼 장애의 임상 DSM-5 진단 확인
- Fragile X 테스트 수행 및 음성; CMA 및/또는 전체 엑솜 시퀀싱 수행 및 결과가 자폐증 진단과 연결되지 않음
- 연구 제품 주입 전 최소 2개월 동안 현재의 정신과 약물 요법(용량 및 투약 일정)에 안정적임
- 정상적인 절대 림프구 수(아프리카계 미국인 참가자의 경우 ≥1200/uL, 다른 모든 참가자의 경우 ≥1500/uL)
- 연구 인력의 인지 테스트를 통한 GAI ≥ 65
- 참가자 및 학부모/보호자는 영어를 구사합니다.
- 듀크 대학교에 2회(기준, 6개월) 여행할 수 있으며 학부모/보호자는 중간 설문 조사 및 인터뷰에 참여할 수 있습니다.
- 최소 한 명의 부모/보호자의 부모/보호자 동의
제외 기준
일반적인:
- 의료 기록 및/또는 스크리닝 평가 검토 결과 ASD 진단 및/또는 GAI > 65 자신감 없음
- 공존하는 다음 정신 질환 중 하나에 대한 알려진 진단: 우울증, 양극성 장애, 정신 분열증, 양극성 장애와 관련된 강박 장애, 뚜렛 증후군
- 스크리닝 데이터는 참가자가 연구 팀이 평가한 연구 절차의 요구 사항을 준수할 수 없음을 시사합니다.
- 가족이 프로토콜 후속 조치를 포함하여 모든 연구 관련 평가에 참여하기를 꺼리거나 할 수 없습니다.
- 형제자매가 이(Duke IMPACT) 연구에 등록되었습니다.
유전:
- 기록에 따르면 어린이는 취약 X 증후군, 신경섬유종증, 레트 증후군, 결절성 경화증, PTEN 돌연변이, 낭포성 섬유증, 근이영양증 또는 ASD와 관련이 있는 것으로 확실히 알려진 유전적 결함과 같은 알려진 유전적 증후군을 가지고 있습니다.
- ASD(예: 16p11.2, 15q13.2, 2q13.3)
전염성:
- 알려진 활동성 CNS 감염
- 기록 또는 임상 평가에 근거한 통제되지 않은 감염의 증거
- 알려진 HIV 양성
- 지난 14일 동안 COVID-19에 노출되었거나 지난 28일 동안 COVID-19 테스트에서 양성 판정을 받았습니다. COVID-19 감염 과거력이 있는 피험자는 최초 방문 전 14일 동안 증상이 없어야 합니다.
의료:
- 알려진 대사 장애
- 알려진 미토콘드리아 기능 장애
- 불안정 간질 또는 조절되지 않는 발작 장애, 영아 연축, 레녹스 가스토 증후군, 드라베 증후군 또는 기타 유사한 만성 발작 장애의 병력
- 활성 악성종양 또는 화학요법으로 치료받은 이전 악성종양
- 원발성 면역결핍 질환의 병력
- 자가면역성 혈구감소증(즉, ITP, AIHA) 병력
- 아동을 연구 절차의 합병증 위험을 증가시키는 병존하는 의학적 상태
- 향후 줄기 세포 이식이 필요할 수 있는 동시 유전적 또는 후천적 질병 또는 동반이환
- 상당한 감각(예: 실명, 난청, 교정되지 않은 청력 장애) 또는 운동(예: 뇌성마비) 장애
- 길버트병이 있는 환자를 제외하고 혈청 크레아티닌 >1.5mg/dL 또는 총 빌리루빈 >1.3mg/dL로 결정되는 손상된 신장 또는 간 기능
- 다음과 같이 정의된 중대한 혈액학적 이상: 헤모글로빈 <10.0 g/dL, 혈소판 <150 x 10e9/uL, WBC <3,000 세포/mL, 아프리카계 미국인의 경우 ALC <1200/uL 또는 기타 모든 참가자의 경우 <1500/uL.
- 신경 발달 상태와 관련된 이형 특징을 식별하도록 훈련된 의료 유전학자 및 정신과 의사를 포함하여 PI 또는 다른 조사자가 평가한 유전 증후군을 나타내는 임상적으로 관련된 신체적 이형의 증거.
현재/이전 요법:
ㅏ. 은행에 보관된 적격 자가 제대혈 장치의 가용성 또는 부모가 적격한 자가 제대혈 장치의 사용을 연기 b. 이전 세포 치료 이력 c. NSAID를 제외한 IVIG 또는 기타 항염증 약물의 현재 또는 이전 사용 d. 현재 또는 이전의 면역억제 요법 i. 2주 이상 지속된 전신 스테로이드 요법 및 등록 전 3개월 이내에 전신 스테로이드 요법 없음. 국소 및 흡입 스테로이드는 허용됩니다.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 네 배로
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: MSC
6x10e6 세포/kg의 1회 용량을 정맥 내로 투여합니다.
|
인간 제대 조직 유래 중간엽 간질 세포(hCT-MSC), 동종 비혈연 공여자의 제대 조직에서 분리 및 확장.
6x10e6 세포/kg의 1회 용량을 정맥 내로 투여합니다.
|
|
위약 비교기: 위약 주입
|
위약 비교 주입
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Change on the Average Socialization and Communication Subscale Standard Scores on the Vineland Behavior Scales (VABS-3)
기간: Baseline, 6 months
|
The primary outcome measure is the mean of the Socialization and Communication Subscale Standard Scores on the Vineland Adaptive Behavior Scales (VABS-3) from the Comprehensive Interview form.
The primary endpoint is the change in this outcome measure from baseline to six months before the second infusion.
A positive change in the scores indicates an improvement in socialization and communication.
A standard score of 100 is the mean with a standard deviation of 15 points.
A score of 100 should be understood as being similar to the typical population of the same age.
Scores greater than or equal to 86 are considered adequate or above adequate.
Domain scores less than or equal to 85 are considered moderately low to low and indicate the patient has a significant skill deficit when compared with similarly aged peers.
|
Baseline, 6 months
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Change in VABS-3 (Vineland Adaptive Behavior Scales) Socialization Standard Score
기간: Baseline, 6 months
|
The change in the Socialization Subscale Standard Scores on the Vineland Adaptive Behavior Scales (VABS-3) from baseline to six months.
Higher Socialization Standard scores indicate greater socialization.
A positive change in the scores indicates an improvement in socialization.
A standard score of 100 is the mean with a standard deviation of 15 points.
A score of 100 should be understood as being similar to the typical population of the same age.
Scores greater than or equal to 86 are considered adequate or above adequate.
Domain scores less than or equal to 85 are considered moderately low to low and indicate the patient has a significant skill deficit when compared with similarly aged peers.
|
Baseline, 6 months
|
|
Change in VABS-3 Communication Standard Score
기간: Baseline, 6 months
|
The change in the Communication Standard Scores on the Vineland Adaptive Behavior Scales (VABS-3) from the Comprehensive Interview form from baseline to six months before the second infusion.
Higher scores indicate greater communication.
A positive change in the scores indicates an improvement in communication.
A standard score of 100 is the mean with a standard deviation of 15 points.
A score of 100 should be understood as being similar to the typical population of the same age.
Scores greater than or equal to 86 are considered adequate or above adequate.
Domain scores less than or equal to 85 are considered moderately low to low and indicate the patient has a significant skill deficit when compared with similarly aged peers.
|
Baseline, 6 months
|
|
CGI-S (Clinical Global Impression - Severity of Illness) Overall Score
기간: 6 months
|
The CGI-S Overall Score is a 7-point scale that requires the clinician to rate the severity of the participant's overall functioning and symptoms of autism at the time of assessment, relative to the clinician's experience with participants who have the same diagnosis.
The clinician rates the severity of autism symptoms - 1, normal, no symptoms; 2, borderline level of symptoms; 3, mild symptoms; 4, moderate symptoms; 5, marked symptoms; 6, severe symptoms; or 7, extremely severe symptoms.
The higher ratings indicate greater severity of overall functioning impairment.
|
6 months
|
|
CGI-I (Clinical Global Impression - Improvement) Overall Score
기간: 6 months
|
The CGI-I Overall Score is a 7-point scale that requires the clinician to assess how much the participant's autism overall functioning and symptoms have improved or worsened relative to a baseline assessment.
The symptoms are rated as: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse.
The lower scores indicate greater improvement.
|
6 months
|
|
Change in the Pediatric Quality of Life (PedsQL) Total Scale Score
기간: Baseline, 6 months
|
The PedsQL 4.0 Generic Core Scales is a 5-minute parent questionnaire that measures the child's functioning in the dimensions of physical, emotional, social, and school.
The items use a Likert rating scale from 0 (Never) to 4 (Almost Always).
This 0-4 scale is then transformed to 0=100, 1=75, 2=50, 3=25, and 4=0 for a reverse score.
The Total Scale Score is then computed as the sum of all the items over the number of items answered on all the Scales for a total score range of 0 to 100.
Higher scores indicate a better quality of life.
|
Baseline, 6 months
|
기타 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Number of Participants Experiencing an Infusion Reaction
기간: up to 12 months
|
To assess safety, participants were considered according to the treatment received at each time point, not what they were randomized.
Patients received the infusion to which they were randomized at baseline and the alternate treatment at 6 months.
Therefore, adverse events are reported by randomized treatment arm broken into periods: 0-6 months (post-baseline infusion, pre-six month infusion) and 6-12 months (post-six month infusion).
|
up to 12 months
|
|
Number of Participants Experiencing Product-related Infections
기간: up to 12 months
|
To assess safety, participants were considered according to the treatment received at each time point, not to what they were randomized.
Patients received the infusion to which they are randomized at baseline, and the alternate treatment at 6 months.
AEs are reported by randomized treatment arm broken into periods: 0-6 months (post-baseline infusion, pre-six month infusion) and 6-12 months (post-six month infusion).
6-12 month evaluation time points are further broken into whether or not the participant received a second infusion, since three MSC patients and one Placebo patient did not receive the 6-month incentive infusion but were still evaluated.
|
up to 12 months
|
|
Evidence of Formation of Anti-HLA Antibodies
기간: Baseline, 6 months, 12 months
|
Assess for anti-HLA antibodies
|
Baseline, 6 months, 12 months
|
|
Number of Participants Experiencing Graft Versus Host Disease (GVHD)
기간: up to 12 months
|
To assess safety, participants were considered according to the treatment received at each time point, not to what they were randomized.
Patients received the infusion to which they are randomized at baseline, and the alternate treatment at 6 months.
AEs are reported by randomized treatment arm broken into periods: 0-6 months (post-baseline infusion, pre-six month infusion) and 6-12 months (post-six month infusion).
6-12 month evaluation time points are further broken into whether or not the participant received a second infusion, since three MSC patients and one Placebo patient did not receive the 6-month incentive infusion but were still evaluated.
|
up to 12 months
|
|
Number of Participants Experiencing Unexpected Adverse Events Related to the Study Product
기간: up to 12 months
|
To assess safety, participants were considered according to the treatment received at each time point, not to what they were randomized.
Patients received the infusion to which they are randomized at baseline, and the alternate treatment at 6 months.
AEs are reported by randomized treatment arm broken into periods: 0-6 months (post-baseline infusion, pre-six month infusion) and 6-12 months (post-six month infusion).
6-12 month evaluation time points are further broken into whether or not the participant received a second infusion, since three MSC patients and one Placebo patient did not receive the 6-month incentive infusion but were still evaluated.
|
up to 12 months
|
|
Change on the Adaptive Behavior Composite Subscale Standard Score on the Vineland Behavior Scales (VABS-3)
기간: Baseline, 6 months
|
The change in the Vineland Adaptive Behavior Scales (VABS-3) Adaptive Behavior Composite Subscale from baseline to 6 months before the second infusion.
Higher Adaptive Behavior Composite Standard scores indicate greater adaptive behavior.
A positive change in the scores indicates an improvement in adaptive behavior.
A standard score of 100 is the mean with a standard deviation of 15 points.
A score of 100 should be understood as being similar to the typical population of the same age.
Scores greater than or equal to 86 are considered adequate or above adequate.
Domain scores less than or equal to 85 are considered moderately low to low and indicate the patient has a significant skill deficit when compared with similarly aged peers.
|
Baseline, 6 months
|
|
Change in VABS-3 (Vineland Adaptive Behavior Scales) Daily Living Skills Standard Score
기간: Baseline, 6 months
|
The change in the Daily Living Skills Subscale Standard Scores on the Vineland Adaptive Behavior Scales (VABS-3) from baseline to six months before the second infusion.
Higher Daily Living Skills Standard scores indicate greater daily living skills.
A positive change in the scores indicates an improvement in daily living skills.
A standard score of 100 is the mean with a standard deviation of 15 points.
A score of 100 should be understood as being similar to the typical population of the same age.
Scores greater than or equal to 86 are considered adequate or above adequate.
Domain scores less than or equal to 85 are considered moderately low to low and indicate the patient has a significant skill deficit when compared with similarly aged peers.
|
Baseline, 6 months
|
|
Change in VABS-3 Motor Skills Standard Score
기간: Baseline, 6 months
|
The change in the Motor Skills Standard Scores on the Vineland Adaptive Behavior Scales (VABS-3) from the Comprehensive Interview form from baseline to six months before the second infusion.
Higher scores indicate greater motor skills.
A positive change in the scores indicates an improvement in motor skills.
A standard score of 100 is the mean with a standard deviation of 15 points.
A score of 100 should be understood as being similar to the typical population of the same age.
Scores greater than or equal to 86 are considered adequate or above adequate.
Domain scores less than or equal to 85 are considered moderately low to low and indicate the patient has a significant skill deficit when compared with similarly aged peers.
|
Baseline, 6 months
|
|
Change in Aberrant Behavior Checklist-Community (ABC-C) Social Withdrawal
기간: Baseline, 6 months
|
The change in the Aberrant Behavior Checklist-Community (ABC-C) Social Withdrawal scale from baseline to six months before the second infusion.
Higher scores indicate greater problems with social withdrawal.
A positive change in the scores indicates a worsening in social withdrawal.
This scale has 16 items that are scored on a 4-point Likert scale: 0 = not a problem, 1 = slight problem, 2 = moderately serious problem, 3 = severe problem.
The individual items are added together to calculate the Social Withdrawal scale score.
|
Baseline, 6 months
|
|
Change in Pervasive Developmental Disorder Behavior Inventory (PDDBI) Total Score
기간: Baseline, 6 months
|
The change in the Pervasive Developmental Disorder Behavior Inventory (PDDBI) from baseline to 6 months before the second infusion.
The PDDBI is a measure of problem behaviors and social, language, and learning or memory skills of children who have been diagnosed with autism spectrum disorder.
Raw scores are converted to T-scores.
The T-score has a mean of 50 with a standard deviation of 10 points with a range of 10-100.
Higher scores indicate greater behavioral issues and a positive change in score indicates worsening.
|
Baseline, 6 months
|
|
Change in the Autism Impact Measure (AIM)
기간: Baseline, 6 months
|
The change in the Autism Impact Measure (AIM) from baseline to 6 months before second infusion.
AIM is a measure of core Autism Spectrum Disorder Symptoms.
It is a parent-report questionnaire that includes 41 core-symptom items rated on two corresponding 5-point scales: frequency (ranging from "never" to "always") and impact (ranging from "not at all" to "severely") over the previous two weeks.
Frequency and impact ratings are combined, yielding a total score range of 82 to 410.
Higher scores indicate greater symptom severity; a positive change in score indicates worsening of symptoms.
|
Baseline, 6 months
|
|
Change in the Behavior Rating Inventory of Executive Function (BRIEF) Emotional Control Subscale
기간: Baseline, 6 months
|
The change in the Behavior Rating Inventory of Executive Function (BRIEF) Emotional Control subscale from baseline to month 6 before the second infusion.
BRIEF is a survey that assesses executive function and self-regulation with the following subscales: Inhibit, Shift, Emotional Control, Working Memory, and Planning and Organization.
Higher scores indicate greater levels of dysfunction each respective domain.
A positive change in score indicates worsening the respective domain.
Raw scores for each domain are converted to t-scores (Mean = 50, SD = 10) and percentiles.
T scores 60-64 are considered to be mildly elevated, 65-69 are considered to be potentially clinically elevated, and >= 70 are considered to be clinically elevated.
|
Baseline, 6 months
|
|
Change in the Behavior Rating Inventory of Executive Function (BRIEF) Working Memory Subscale
기간: Baseline, 6 months
|
The change in the Behavior Rating Inventory of Executive Function (BRIEF) Working Memory subscale from baseline to month 6 before the second infusion.
The BREIF is a survey that assesses executive function and self-regulation with the following subscales: Inhibit, Shift, Emotional Control, Working Memory, and Planning and Organization.
Higher scores indicate greater levels of dysfunction each respective domain.
A positive change in score indicates worsening the respective domain.
Raw scores for each domain are converted to t-scores (Mean = 50, SD = 10) and percentiles.
T scores 60-64 are considered to be mildly elevated, 65-69 are considered to be potentially clinically elevated, and >= 70 are considered to be clinically elevated.
|
Baseline, 6 months
|
|
Change in the Behavior Rating Inventory of Executive Function (BRIEF) Inhibit Subscale
기간: Baseline, 6 months
|
The change in the Behavior Rating Inventory of Executive Function (BRIEF) Inhibit subscale from baseline to month 6 before the second infusion.
The BRIEF is a survey that assesses executive function and self-regulation with the following subscales: Inhibit, Shift, Emotional Control, Working Memory, and Planning and Organization.
Higher scores indicate greater levels of dysfunction each respective domain.
A positive change in score indicates worsening the respective domain.
Raw scores for each domain are converted to t-scores (Mean = 50, SD = 10) and percentiles.
T scores 60-64 are considered to be mildly elevated, 65-69 are considered to be potentially clinically elevated, and >= 70 are considered to be clinically elevated.
|
Baseline, 6 months
|
|
Change in the Behavior Rating Inventory of Executive Function (BRIEF) Plan/Organization Subscale
기간: Baseline, 6 months
|
The change in the Behavior Rating Inventory of Executive Function (BRIEF) Plan/Organization subscale from baseline to month 6 before the second infusion.
The BRIEF is a survey that assesses executive function and self-regulation with the following subscales: Inhibit, Shift, Emotional Control, Working Memory, and Planning and Organization.
Higher scores indicate greater levels of dysfunction each respective domain.
A positive change in score indicates worsening the respective domain.
Raw scores for each domain are converted to t-scores (Mean = 50, SD = 10) and percentiles.
T scores 60-64 are considered to be mildly elevated, 65-69 are considered to be potentially clinically elevated, and >= 70 are considered to be clinically elevated.
|
Baseline, 6 months
|
|
Change in the Behavior Rating Inventory of Executive Function (BRIEF) Shift Subscale
기간: Baseline, 6 months
|
The change in the Behavior Rating Inventory of Executive Function (BRIEF) Shift subscale from baseline to month 6 before the second infusion.
The BRIEF is a survey that assesses executive function and self-regulation with the following subscales: Inhibit, Shift, Emotional Control, Working Memory, and Planning and Organization.
Higher scores indicate greater levels of dysfunction each respective domain.
A positive change in score indicates worsening the respective domain.
Raw scores for each domain are converted to t-scores (Mean = 50, SD = 10) and percentiles.
T scores 60-64 are considered to be mildly elevated, 65-69 are considered to be potentially clinically elevated, and >= 70 are considered to be clinically elevated.
|
Baseline, 6 months
|
|
Change in the Expressive Vocabulary Test (Third Edition, EVT-3)
기간: Baseline, 6 months
|
The change in the Expressive Vocabulary Test (Third Edition, EVT-3) from baseline to 6 months before the second infusion.
The EVT-3 is a measure of a participant's ability to match a spoken word with an image of an object, action, or concept.
The number of words that are retrieved is converted to a Standard Score, where 100 is the mean with a standard deviation of 15 points.
A score of 100 should be understood as being similar to the typical population of the same age.
Scores greater than or equal to 86 are considered adequate or above adequate.
Scores less than or equal to 85 are considered moderately low to low and indicate the patient has a significant skill deficit when compared with similarly aged peers.
A positive change in EVT-3 score indicates improvement.
|
Baseline, 6 months
|
공동 작업자 및 조사자
수사관
- 수석 연구원: Lauren Franz, MBChB, Duke University
- 수석 연구원: Beth Shaz, MD, Duke University
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
키워드
추가 관련 MeSH 약관
기타 연구 ID 번호
- Pro00113011
- Pro00102894 (기타 식별자: Duke IRB)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
미국에서 제조되어 미국에서 수출되는 제품
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
자폐 스펙트럼 장애에 대한 임상 시험
-
University Hospital, Basel, SwitzerlandGebert Rüf-Stiftung완전한ESBL(Extended Spectrum Beta Lactamases) 대장균스위스
척수 조직 중간엽 간질 세포에 대한 임상 시험
-
Universidad de la SabanaFundación Neumologica Colombiana; Stem Medicina Regenerativa; Innocell SAS사용 가능
-
Central Hospital, Nancy, France완전한
-
Restem, LLC.완전한
-
Black Tie Medical, Inc.Robert W. Alexander, MD초대로 등록코로나바이러스 감염 | 특발성 폐 섬유증 | 간질성 폐질환 | COPD | 폐포 단백증 | 바이러스성 폐렴미국