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Safety and Preliminary Efficacy of hUCMSC-EVs in Interstitial Lung Disease

2026年5月1日 更新者:Shanghai Zhongshan Hospital

A Clinical Study to Explore the Safety and Preliminary Efficacy of Human Umbilical Cord Mesenchymal Stem Cell-Derived Extracellular Vesicles in the Treatment of Interstitial Lung Disease

This is an exploratory, randomized, single-blind, placebo-controlled, multiple-dose, dose-escalation clinical study. The study aims to evaluate the safety and preliminary efficacy of nebulized inhalation of Human Umbilical Cord Mesenchymal Stem Cell-Derived Extracellular Vesicles (hUCMSC-EVs) in patients with interstitial lung disease (ILD).

This study is designed to include three sequential dose cohorts-low, medium, and high-with dose escalation proceeding in an ascending order. Eligible subjects will be enrolled and randomized sequentially, with a planned enrollment of 8 subjects per cohort. Within each cohort, subjects will be randomly assigned in a 3:1 ratio to receive either hUCMSC-EVs or saline placebo.

研究概览

研究类型

介入性

注册 (估计的)

24

阶段

  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习联系方式

学习地点

      • Shanghai、中国
        • Zhongshan hospital, Fudan university
        • 接触:
        • 首席研究员:
          • Yuanlin Song, M.D

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人
  • 年长者

接受健康志愿者

不

描述

Key Inclusion Criteria:

  • Age 18 years and older, regardless of gender.
  • Diagnosed with interstitial lung disease (ILD).
  • High-resolution computed tomography (HRCT) findings within 3 months prior to randomization must be consistent with interstitial pulmonary imaging changes.
  • Pulmonary function test within the protocol-defined acceptable range prior to randomization.
  • Good compliance, able to understand and cooperate with the required examinations and procedures, and willing to attend follow-up visits as scheduled.
  • Voluntary participation and signing of written informed consent form.

Key Exclusion Criteria:

  • Inability to tolerate nebulized inhalation therapy.
  • Requirement for oxygen supplementation > 15 hours per day during the screening period.
  • Allergic diathesis or a history of life-threatening drug hypersensitivity.
  • History of malignancy within 5 years.
  • Active hepatitis B, hepatitis C, or HIV infection.
  • Active systemic infection requiring antibiotic therapy.
  • Clinically significant laboratory abnormalities at screening.
  • Concomitant significant or severe respiratory disease.
  • History of psychiatric illness, epilepsy, or other central nervous system disorders.
  • Concomitant severe cardiovascular, hepatic, or renal systemic disease.
  • Pregnancy, planned pregnancy in the near future, or breastfeeding.
  • Unwillingness to use effective contraception during the study period.
  • Any condition that, in the opinion of the investigator, may increase the risk to the participant or interfere with the study outcomes.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:随机化
  • 介入模型:顺序分配
  • 屏蔽:单身的

武器和干预

参与者组/臂
干预/治疗
实验性的:低剂量组
hUCMSC-EVs , nebulized BID × 7d/cycle, 3 cycles
Nebulized inhalation BID × 7d per cycle, 3 cycles
实验性的:高剂量组
hUCMSC-EVs , nebulized BID × 7d/cycle, 3 cycles
Nebulized inhalation BID × 7d per cycle, 3 cycles
实验性的:Moderate-dose group
hUCMSC-EVs , nebulized BID × 7d/cycle, 3 cycles
Nebulized inhalation BID × 7d per cycle, 3 cycles

研究衡量的是什么?

主要结果指标

结果测量
大体时间
Incidence and Severity of Adverse Events
大体时间:From first dose to Week 12
From first dose to Week 12

次要结果测量

结果测量
措施说明
大体时间
Change from Baseline in Forced Vital Capacity (FVC)
大体时间:From first dose to Week 24
Forced Vital Capacity (FVC) will be assessed using standardized spirometry in accordance with American Thoracic Society (ATS)/European Respiratory Society (ERS) guidelines. Measurements will be performed at Baseline (prior to first dose) and at scheduled post-baseline visits. Spirometry will be conducted using a calibrated spirometer. Results will be summarized as absolute change from baseline and percent predicted normal values.
From first dose to Week 24
Change from Baseline in Diffusing Capacity of the Lung for Carbon Monoxide (DLCO)
大体时间:From first dose to Week 24
Diffusing Capacity of the Lung for Carbon Monoxide (DLCO) will be assessed using the single-breath method in accordance with ATS/ERS guidelines. Hemoglobin-corrected DLCO values will be recorded if applicable. Measurements will be performed at Baseline and at scheduled post-baseline visits. Results will be summarized as absolute change from baseline and percent predicted normal values.
From first dose to Week 24
Change from Baseline in 6-Minute Walk Test (6MWT) Distance
大体时间:From first dose to Week 24
From first dose to Week 24
Change from Baseline in St. George's Respiratory Questionnaire (SGRQ) Total Score
大体时间:From first dose to Week 24
The St. George's Respiratory Questionnaire (SGRQ) is a disease-specific instrument designed to measure health-related quality of life in patients with chronic respiratory diseases. The Total Score is calculated as a weighted sum of the domain scores and ranges from 0 to 100, with higher scores indicating worse health-related quality of life. A change of 4 units is generally considered the minimal clinically important difference (MCID).
From first dose to Week 24

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (估计的)

2026年4月30日

初级完成 (估计的)

2027年4月30日

研究完成 (估计的)

2028年9月30日

研究注册日期

首次提交

2026年4月17日

首先提交符合 QC 标准的

2026年5月1日

首次发布 (实际的)

2026年5月6日

研究记录更新

最后更新发布 (实际的)

2026年5月6日

上次提交的符合 QC 标准的更新

2026年5月1日

最后验证

2026年5月1日

更多信息

与本研究相关的术语

其他研究编号

  • ACE001-RI001

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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