Bronchopulmonary DysplasiaPhase 1NCT02443961
Mesenchymal Stem Cell Therapy for Bronchopulmonary Dysplasia in Preterm Babies
A Phase 1 study testing Mesenchymal Stem Cell (MSC) therapy in people with Bronchopulmonary Dysplasia, run by Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y Cajal at 4 sites in Spain.
Trial summary
Bronchopulmonary Dysplasia (BPD) is the most frequent disease related to a premature birth, 15-50% of very low birth newborns (<1500 gr.) will develop BPD. The prevalence of BPD is increasing due to the advances in neonatology, with a rise in the survival of smaller and more premature babies. Read more about this study
- Who is it for?
- Ages 1 week to 28 weeks
- Conditions the study is for
- Bronchopulmonary Dysplasia
- What is being tested?
- Mesenchymal Stem Cell (MSC) therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 4 sitesSpain
- Study dates
- 2 Apr 2019to 7 Jul 2022
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 1 week to 28 weeks
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Preterm newborns ≤ 28 weeks gestational age
- Birth Weight <1250 gr.
- Still on of mechanical ventilation FiO2 > 0,3 at day + 14
Who cannot join
- Other congenital pathology (pulmonary malformations, active pulmonary bleeding, renal malformations, CHD, malformative syndromes, chromosomopathies)
- Severe neurological lesion.
- HIV infection
- Cardiovascular instability due to any cause
- 72 hours after mayor surgery
- Necrotizing enterocolitis grades II or higher, according to Bell classification, at the time of inclusion.
Trial locations and contacts
4 sites in 1 country.
Spain4 sites
Hospital Universitario A Coruña
A Coruña
Hospital Clínico San Carlos
Madrid
Hospital Universitario La Paz
Madrid
Hospital Universitario y Politécnico La Fe
Valencia
About this study
Official title: Clinical Trial: Security and Feasibility of Mesenchymal Stem Cell Therapy in Treatment and Prevention of Bronchopulmonary Dysplasia in Preterm Babies
Bronchopulmonary Dysplasia (BPD) is the most frequent disease related to a premature birth, 15-50% of very low birth newborns (<1500 gr.) will develop BPD. The prevalence of BPD is increasing due to the advances in neonatology, with a rise in the survival of smaller and more premature babies. The etiology of BPD is multifactorial, in which oxygen, maternal chorioamnionitis, insufficient pulmonary maturation etc. have an important role. These factors lead to a pathological development of the lung and pulmonary vessels, developing secondary Pulmonary Hypertension (PH). Nowadays there is no efficient treatment; this generates a important sanitary burden and a decrease in life quality. Multiple experimental models in mice have studied Mesenchymal Stem Cell (MSC) therapy as prevention of BPD, also recently some clinical trials have tried this therapy on premature newborns with promising results. Hypothesis: MSC therapy in patients at high risk of BPD prevents pulmonary lesions. Methods: The investigators have designed a clinical trial to evaluate the feasibility and security of MSC therapy in patients at high risk of developing BPD.
- Conditions
- Bronchopulmonary Dysplasia
- Being tested
- Mesenchymal Stem Cell (MSC) therapy
- Keywords
- Bronchopulmonary dysplasia, pulmonary hypertension, stem cell therapy, mesenchymal stem cells, very low weight preterm babies
- Medical subject headings
- Bronchopulmonary Dysplasia, Hypertension, Pulmonary
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mesenchymal Stem Cell (MSC) therapyBiological
3 doses of 5 million MSC will be administered
| Study group | Role | What they receive |
|---|---|---|
| Mesenchymal Stem Cell (MSC) therapy | Experimental | There will only be one treatment arm to evaluate the security of the treatment with MSC. Receives: Biological: Mesenchymal Stem Cell (MSC) therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Feasibility and security of MSC therapy in very low birth weight preterm babies at risk of developing bronchopulmonary dysplasia (Number of participants with adverse events)
Number of participants with adverse events as a measure of safety and tolerability
Measured: 24 months
Secondary outcomes (3)
Biomarker analysis (IL-1beta, IL-6, IP-10, INF-gamma, TGF beta, NLRP3, RAGE, HMGB1, VEGFA, GREMLIN1, sVEGFR1, IGF, ENDOTHELIN-1, SMPD-1, SP-D, SMPD3.
biomarkers will be measured in pg/ml
Measured: 24 months
Changes in the echocardiographic parameters related with PH and preterm birth, in patients treated with MSC (Number of participants with echocardiographic adverse events)
Flattening of the interventricular septum will be the main parameter (tipe I, I-II, II, II-III OR III)
Measured: 24 months
Incidence of BPD and PH in very low birth weight babies treated with MSC
Diagnosed at 36 weeks of postmenstrual age
Measured: 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 May 2015 (estimated)
- Study start2 Apr 2019
- Primary completion2 Apr 2020
- Study completion7 Jul 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Bronchopulmonary DysplasiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y Cajal
- Sponsor type
- University, hospital or other
- Collaborators
- Instituto de Salud Carlos III, Fundación de Ayuda a la Investigación sobre la Hipertensión pulmonar
- Responsible party
- Sponsor
- Investigators
- Maria Jesus del Cerro, PhD, Principal investigator, IRYCIS. Hospital Universitario Ramón y Cajal. Madrid. Spain
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02443961
- Sponsor's protocol ID
- PULMESCEL-1
- Status last verified
- Mar 2025
- First submitted
- 4 May 2015
- Last updated
- 17 Mar 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Trial: Security and Feasibility of Mesenchymal Stem Cell Therapy in Treatment and Prevention of Bronchopulmonary Dysplasia in Preterm Babies
- ClinicalTrials.gov ID
- NCT02443961
- Acronym / sponsor ID
- PULMESCEL-1
- Conditions
- Bronchopulmonary Dysplasia
- Keywords
- Bronchopulmonary dysplasia, pulmonary hypertension, stem cell therapy, mesenchymal stem cells, very low weight preterm babies
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 10 participants (actual)
- Lead sponsor
- Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y CajalUniversity, hospital or other
- Collaborators
- Instituto de Salud Carlos III, Fundación de Ayuda a la Investigación sobre la Hipertensión pulmonar
- Study start
- 2 Apr 2019 (actual)
- Primary completion
- 2 Apr 2020 (actual)
- Study completion
- 7 Jul 2022 (actual)
- First posted
- 14 May 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Bronchopulmonary Dysplasia (BPD) is the most frequent disease related to a premature birth, 15-50% of very low birth newborns (<1500 gr.) will develop BPD. The prevalence of BPD is increasing due to the advances in neonatology, with a rise in the survival of smaller and more premature babies. The etiology of BPD is multifactorial, in which oxygen, maternal chorioamnionitis, insufficient pulmonary maturation etc. have an important role. These factors lead to a pathological development of the lung and pulmonary vessels, developing secondary Pulmonary Hypertension (PH). Nowadays there is no efficient treatment; this generates a important sanitary burden and a decrease in life quality. Multiple experimental models in mice have studied Mesenchymal Stem Cell (MSC) therapy as prevention of BPD, also recently some clinical trials have tried this therapy on premature newborns with promising results. Hypothesis: MSC therapy in patients at high risk of BPD prevents pulmonary lesions. Methods: The investigators have designed a clinical trial to evaluate the feasibility and security of MSC therapy in patients at high risk of developing BPD.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Mesenchymal Stem Cell (MSC) therapy | Experimental | Biological: Mesenchymal Stem Cell (MSC) therapyThere will only be one treatment arm to evaluate the security of the treatment with MSC. |
Who may qualify
- Ages
- 1 week to 28 weeks
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (3 listed)
- Preterm newborns ≤ 28 weeks gestational age
- Birth Weight <1250 gr.
- Still on of mechanical ventilation FiO2 > 0,3 at day + 14
Key exclusion criteria (6 listed)
- Other congenital pathology (pulmonary malformations, active pulmonary bleeding, renal malformations, CHD, malformative syndromes, chromosomopathies)
- Severe neurological lesion.
- HIV infection
- Cardiovascular instability due to any cause
- 72 hours after mayor surgery
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mesenchymal Stem Cell (MSC) therapy3 doses of 5 million MSC will be administered | Biological | Mesenchymal Stem Cell (MSC) therapy |
Primary outcome
Feasibility and security of MSC therapy in very low birth weight preterm babies at risk of developing bronchopulmonary dysplasia (Number of participants with adverse events)
Time frame: 24 months
Number of participants with adverse events as a measure of safety and tolerability
3 secondary outcomes
Biomarker analysis (IL-1beta, IL-6, IP-10, INF-gamma, TGF beta, NLRP3, RAGE, HMGB1, VEGFA, GREMLIN1, sVEGFR1, IGF, ENDOTHELIN-1, SMPD-1, SP-D, SMPD3.
Time frame: 24 months
Changes in the echocardiographic parameters related with PH and preterm birth, in patients treated with MSC (Number of participants with echocardiographic adverse events)
Time frame: 24 months
Incidence of BPD and PH in very low birth weight babies treated with MSC
Time frame: 24 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Mar 2025.
- Individual participant dataSharing planned: No
Related trials for Bronchopulmonary Dysplasia
Recruiting
Optimization of Saturation Targets And Resuscitation Trial (OptiSTART)
Premature Infants, Bronchopulmonary Dysplasia
Recruiting
Controlled Remote Monitoring and Optimization of Oxygen Therapy in Preterm Infants
BPD - Bronchopulmonary Dysplasia, Pulmonary Hypertension
Not yet recruitingPhase 1/2
Little Lungs Study
Invasive Mechanical Ventilation, Severe Respiratory Distress Syndrome
Not yet recruiting
Strap To Reduce Apnea in Preterm Infants: A Randomized Crossover Trial
Apnea of Prematurity, Intermittent Hypoxemia
Recruiting
Ventilator Pressure and Optimization of Compliance and Hemodynamics
Bronchopulmonary Dysplasia, Pulmonary Hypertension Due to Lung Diseases and Hypoxia
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Maria Jesus del Cerro, PhD principal investigator
IRYCIS. Hospital Universitario Ramón y Cajal. Madrid. Spain
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Mesenchymal Stem Cell (MSC) therapy in people with Bronchopulmonary Dysplasia, run by Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y Cajal at 4 sites in Spain.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Feasibility and security of MSC therapy in very low birth weight preterm babies at risk of developing bronchopulmonary dysplasia (Number of participants with adverse events) (time frame: 24 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Mar 2025.