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Hematologic NeoplasmsPhase 1/2NCT05672420

Umbilical Cord Derived Mesenchymal Stem Cells for Treatment-induced Myelosuppression in Hematologic Malignancies

A Phase 1/2 study testing umbilical cord derived mesenchymal stem cells in people with Hematologic Neoplasms and Neutropenia, run by Union Hospital, Tongji Medical College, Huazhong University of Science and Technology at 3 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of the study is to explore the safety and efficacy of umbilical cord derived mesenchymal stem cells in treatment-induced myelosuppression in patients with hematologic malignancies. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Hematologic Neoplasms, Neutropenia, Anemia
What is being tested?
umbilical cord derived mesenchymal stem cells
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
181 participants
Where
3 sitesChina
Study dates
1 Jan 2023to 31 Jan 2025
Phase
Phase 1/2
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 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Aged between 18 and 75 years old;
  • Either type of primary hematologic malignancies listed below:
  • Acute myeloid leukemia (AML, AML subtype M3 excluded) or acute lymphoblastic leukemia (ALL) diagosed according to the 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukemia, either treatment naive participants who are going to receive first induction therapy, or participants who failed first induction therapy and are going to receive re-inducton therapy;
  • AML or ALL participants who achieved remission and are going to receive consolidation therapy;
  • Relapsed/refractory AML or ALL participants who are going to receive first re-induction therapy;
  • Phase II trial will also include: participants with primary hematological maligancies who are going to receive autologous hematopoietic stem cell transplantation (allo-HSCT) whereas are poor mobilizers (CD34+cell count in peripheral blood was below 11-19/μL before collection, or the amount of CD34+ cells transfused was below 2×10^6/kg in allo-HSCT), and the participants' peripheral superficial veins have smooth blood flow which can meet the demand for intravenous drip;
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  • The participant or his/her legal guardian is adequately informed of the nature and risks of the study, voluntarily participates in the study with signed informed consent;
  • Male or female;
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 to 2 (by the day anti-cancer therapy is initiated)
  • Estimated survival of at least 3 months;
  • Adequate major organ function:
  • Respiratory function: indoor oxygen saturation of at least 95%;
  • Cardiac function: ejection fraction of left ventricular of at least 45%;
  • Hepatic function: alanine aminotransferase/aspartate aminotransferase of at most 2.5 times/upper limit of normal value and serum total bilirubin of at most 1.5 times/upper limit of normal value;
  • Renal function: Serum creatinine of at most 1.5 times/upper limit of normal value;
  • Participants who do not receive any type of anti-cancer therapy within 2 weeks before enrollment (radiation therapy, chemotherapy and/or immune therapy, et al.), and treatment-associated toxicities induced by previous therapy has recovered to Grade 1 or below (except for low grade toxities such as alopecia).

Who cannot join

  • Overt central nervous system manifestations of hematologic malignancies at diagnosis;
  • Secondary hematological maligancies;
  • Body mass index (BMI) of more than 30 kg/m^2;
  • Myelosuppression induced by conditions other than anti-cancer therapy;
  • Previous radiation therapy performed on sternum or pelvis;
  • Specifically diagnosed and uncontrolled infection at enrollment (Uncontrolled is defined as exhibiting ongoing signs and symptoms of infection without improvement despite anti-infective agents) ;
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  • Uncontrolled active bleeding at enrollment;
  • Severe underlying comorbidities affecting survival, including cachexia, severe malnutrition, etc;
  • Estimated survival of at most 48 hours;
  • Active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection;
  • History of or current human immunodeficiency virus (HIV) infection;
  • Continuous usage of immunosuppressants or received organ transplantation in the last 6 months;
  • Participation in clinical trials of other drugs within 6 weeks before enrollment;
  • Previous participation in clinical stem cell research;
  • Receiving any agent concurrently with UC-MSCs infusion which inhibits cell division (hydroxyurea, low-dose cytarabine or methotrexate, etc) ;
  • Severe allergic constitution, or known or suspected allergy to the study drug and its components;
  • Known contraindication to receiving hematopoietic growth factors, transfusion of blood components, anti-infective agents;
  • Female participants who are pregnant or breast feeding;
  • Participants with fertility plan;
  • Note: For female participants, they should be surgical sterilized or post-menopausal, or agree to utilize a medically recognised method of contraception (such as intrauterine device, condom) during treatment period of the study and within 6 months after the end of treatment period of the study; For male participants, they should be surgical sterilized or agree to utilize a medically recognised method of contraception (such as intrauterine device, condom) during treatment period of the study and within 6 months after the end of treatment period of the study;
  • Participants suffering from mental illness;
  • Presence of drug abuse/addiction;
  • History of other malignancies other than hematological malignancies within 3 years;
  • Participants without signed informed consent;
  • Participants with poor compliance and are unable to complete the whole course of the study;
  • Participants with circumstances that, in the opinion of the investigator, may increase the risk of the participants or interfere with conduct of the clinical trial and the judgment of results (excessive tension, sensitivity or cognitive impairment, etc) ;
  • Participants with other circumstances that are ineligible for enrollment in this study, in the opinion of the investigator.

Trial locations and contacts

3 sites in 1 country.

Qiubai Li, Professor contact

(027) 85726387

qiubaili@hust.edu.cn

China3 sites
  • Wuhan Central Hospital

    Wuhan, Hubei, 430014

    Hongxiang Wang, Professor, whitely1972@sina.com

    Hongxiang Wang, Professor

  • Wuhan Union Hospital

    Wuhan, Hubei, 430022

    Qiubai Li, Professor, (027) 85726387, qiubaili@hust.edu.cn

    Qiubai Li, Professor

  • Wuhan Tongji Hospital

    Wuhan, Hubei, 430030

    Yicheng Zhang, Professor, yczhang@tjh.tjmu.edu.cn

    Yicheng Zhang, Professor

Other trials in China

About this study

Official title: A Multicenter, Phase Ib/II Trial of the Safety and Efficacy of Umbilical Cord Derived Mesenchymal Stem Cells in Treatment-induced Myelosuppression in Patients With Hematologic Malignancies (USMYE Trial)

The purpose of the study is to explore the safety and efficacy of umbilical cord derived mesenchymal stem cells in treatment-induced myelosuppression in patients with hematologic malignancies.

Read the detailed description

Despite the improved prognosis of patients with hematologic malignancies, almost all patients will experience severe myelosuppression induced by anti-cancer treatment, leading to a series of complications such as infection due to neutropenia, bleeding due to thrombocytopenia and/or impaired major organ function such as cardiac function due to anemia, which are the main reasons for dose reduction, dose interrruptions of anti-cancer treatment, failure of hematopoietic stem cell transplantation, and also patients' treatment-related death. It is of significant clinical importance and an urgent need to promote early recovery of myelosuppression and reduce risks of related complications as well as medical burdens. Umbilical cord derived mesenchymal stem cells (UC-MSCs), as a kind of stem cells with multipotential, can widely act on the functional cell units of bone marrow microenvironment and promote the repairment and regeneration of key cells such as hematopoietic stem cells, mesenchymal stem cells and endothelial cells, thus making it an ideal means for effectively promoting recovery of myelosuppression. Patients with hematologic malignancies and treatment-induced myelosuppression will be invited to participate in the Phase Ib/II study, to receive UC-MSCs intravenous infusion and follow-up visits of up to 2 years after enrollment.

Being tested
umbilical cord derived mesenchymal stem cells
Keywords
umbilical cord derived mesenchymal stem cells, treatment-induced myelosuppression, neutropenia, anemia, thrombocytopenia, infections, bleeding, hematologic malignancies, leukemia, lymphoma, multiple myeloma, chemotherapy, targeted therapy, hematopoietic stem cell transplantation
Medical subject headings
Hematologic Neoplasms, Neutropenia, Anemia, Thrombocytopenia, Infections, Hemorrhage, Leukemia, Lymphoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • umbilical cord derived mesenchymal stem cellsBiological

    umbilical cord derived mesenchymal stem cells, intravenous infusion

Study groups in NCT05672420
Study groupRoleWhat they receive
umbilical cord derived mesenchymal stem cells (UC-MSCs)ExperimentalIn the Phase Ib study, participants will be those with treatment-induced myelosuppression and acute myeloid leukemia/acute lymphoblastic leukemia, UC-MSCs will be preset with 5 escalation dose levels: dose A , dose B, dose C ,dose D and dose E, frequency of infusion will be preset with 3 escalation levels: frequency 1, frequency 2, frequency 3, total course of treatment: 2 weeks; In the Phase II study, participants will be those with treatment-induced myelosuppression and acute myeloid leukemia/acute lymphoblastic leukemia/primary hematological maligancies who are going to receive hematopoietic stem cell transplantation, UC-MSCs will be preset according to the recommended phase II dose (RP2D) from the Phase Ib study, total course of treatment: 2 weeks.
Receives: Biological: umbilical cord derived mesenchymal stem cells

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose-limiting toxicities(DLT)

    During the DLT observation period, the subject has an adverse event that is reasonably related to UC-MSCs infusion (possibly, likely or definitely related).

    Measured: 4 days after the last UC-MSCs dose, up to 12 days

  2. Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)

    To investigate the safety characteristics, percentages will be calculated and grade will be evaluated.

    Measured: From the day that the last UC-MSCs dose is used to up to 21 days

  3. Maximum tolerated dose (MTD)

    During the dose-escalation phase, the highest dose of dose-limiting toxicity for subjects less than or equal to 1/3 in the dose group of at least 6 evaluble subjects of the study drug after the last UC-MSCs dose.

    Measured: From the day that the last UC-MSCs dose is used to up to 4 days

Secondary outcomes (20)
  1. Time to absolute neutrophil count recovery

    To investigate the efficacy characteristics, time will be measured in days.

    Measured: From the start of anti-cancer therapy or completion of hematopoietic stem cell transplantation to up to 42 days

  2. Incidence of febrile neutropenia

    To investigate the efficacy characteristics, percentages will be calculated.

    Measured: From the start of anti-cancer therapy or completion of hematopoietic stem cell transplantation to up to 42 days

  3. Duration of febrile neutropenia

    To investigate the efficacy characteristics, the duration will be measured in days.

    Measured: From the start of anti-cancer therapy or completion of hematopoietic stem cell transplantation to up to 42 days

  4. Incidence of severe thrombocytopenia

    To investigate the efficacy characteristics, percentages will be calculated.

    Measured: From the start of anti-cancer therapy or completion of hematopoietic stem cell transplantation to up to 42 days

  5. Time to severe thrombocytopenia recovery

    To investigate the efficacy characteristics, time will be measured in days.

    Measured: From the start of anti-cancer therapy or completion of hematopoietic stem cell transplantation to up to 42 days

  6. Incidence of severe anemia

    To investigate the efficacy characteristics, percentages will be calculated.

    Measured: From the start of anti-cancer therapy or completion of hematopoietic stem cell transplantation to up to 42 days

  7. Time to severe anemia recovery

    To investigate the efficacy characteristics, time will be measured in days.

    Measured: From the start of anti-cancer therapy or completion of hematopoietic stem cell transplantation to up to 42 days

  8. Incidence of infetion

    To investigate the efficacy characteristics, percentages will be calculated.

    Measured: From the start of anti-cancer therapy or completion of hematopoietic stem cell transplantation to up to 42 days

  9. Duration of infetion

    To investigate the efficacy characteristics, the duration will be measured in days.

    Measured: From the start of anti-cancer therapy or completion of hematopoietic stem cell transplantation to up to 42 days

  10. Incidence of bleeding

    To investigate the efficacy characteristics, percentages will be calculated.

    Measured: From the start of anti-cancer therapy or completion of hematopoietic stem cell transplantation to up to 42 days

  11. Duration of bleeding

    To investigate the efficacy characteristics, the duration will be measured in days.

    Measured: From the start of anti-cancer therapy or completion of hematopoietic stem cell transplantation to up to 42 days

  12. Application rate of blood transfusion

    To investigate the efficacy characteristics, percentages will be calculated.

    Measured: From the start of anti-cancer therapy or completion of hematopoietic stem cell transplantation to up to 42 days

  13. Application rate of anti-infective agents

    To investigate the efficacy characteristics, percentages will be calculated.

    Measured: From the start of anti-cancer therapy or completion of hematopoietic stem cell transplantation to up to 42 days

  14. Time to achievement of complete remission

    To investigate the efficacy characteristics, time will be measured in days.

    Measured: From enrollment to up to 28 days

  15. Duration of complete remission

    To investigate the safety characteristics, the duration will be measured in days or months.

    Measured: From enrollment to maximun up to 2 years

  16. Event free survival

    From enrollment to the day of any event.

    Measured: From enrollment to maximun up to 2 years

  17. Overall survival

    From enrollment to the day of death caused by any reason.

    Measured: From enrollment to maximun up to 2 years

  18. Incidence of infusion reactions in 2 years

    To investigate the safety characteristics, percentages will be calculated.

    Measured: 2 years since the last UC-MSCs infusion

  19. Incidence of secondary tumor in 2 years

    To investigate the safety characteristics, percentages will be calculated.

    Measured: 2 years since the last UC-MSCs infusion

  20. Cumulative incidence of relapse of primary disease in 2 years

    To investigate the safety characteristics, percentages will be calculated.

    Measured: 2 years since the last UC-MSCs infusion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Jan 2023
  2. Study start1 Jan 2023 (estimated)
  3. Primary completion31 Dec 2023 (estimated)
  4. Study completion31 Jan 2025 (estimated)

Resources

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 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
181 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05672420
Sponsor's protocol ID
UHCT22668
Status last verified
Jan 2023
First submitted
1 Jan 2023
Last updated
5 Jan 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing umbilical cord derived mesenchymal stem cells in people with Hematologic Neoplasms and Neutropenia, run by Union Hospital, Tongji Medical College, Huazhong University of Science and Technology at 3 sites in China.

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 16 inclusion and 27 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: status not confirmed, as of the sponsor's last update on 5 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in China. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Qiubai Li, Professor ((027) 85726387, qiubaili@hust.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose-limiting toxicities(DLT) (time frame: 4 days after the last UC-MSCs dose, up to 12 days). The study lists 3 primary outcomes in all. 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 5 Jan 2023.

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