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Acute Respiratory Distress SyndromePhase 1NCT05886985

Safety, Tolerability, and Efficacy of MatriPlax in Subjects With Acute Respiratory Distress Syndrome

A Phase 1 study testing MatriPlax in people with Acute Respiratory Distress Syndrome, run by BioSpring Medical Co., Ltd at 1 site in Taiwan.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this clinical trial is to explore the safety, tolerability, and efficacy in study intervention, MatriPlax, in subjects with Acute Respiratory Distress Syndrome (ARDS). MatriPlax contains placenta choriodecidual membrane-derived Mesenchymal Stem Cells (pcMSCs). Read more about this study

Who is it for?
Ages 20 to 80 years
Conditions the study is for
Acute Respiratory Distress Syndrome
What is being tested?
MatriPlax
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteTaiwan
Study dates
Dec 2023to May 2027
Phase
Phase 1
Are there results?
Not yet: the study is under way

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 20 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Clinical diagnosis of moderate or severe ARDS according to the Berlin definition
  • Acute onset of respiratory failure within 1 week of identified insult
  • Respiratory failure associated with known ARDS risk factors and not fully explained by either cardiac failure or fluid overload
  • Radiological abnormalities on chest X-ray or computerized tomography (CT) scan, i.e., bilateral infiltrates that are not fully explained by effusions, lobar/lung collapse, or nodules
  • Hypoxic respiratory failure
  • Moderate ARDS: PaO2/ FiO2 ratio > 100 mmHg (13.3 kPa) to ≤ 200 mmHg (26.6 kPa) with positive end expiratory pressure (PEEP) ≥ 5 cmH2O
Show all 17Show fewer
  • Severe ARDS: PaO2/ FiO2 ratio ≤ 100 mmHg (13.3 kPa) with PEEP ≥ 5 cmH2O
  • Administration of study drug must be planned to take place within 72 hours since moderate or severe ARDS diagnosis
  • Either gender, 20 ~ 80 years old (inclusive)
  • Dated and signed informed consent
  • A subject has been admitted to an ICU or RCC and is already on or candidates for mechanical ventilation
  • A subject with the primary disease of ARDS caused by documented virus infection (including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2))
  • With normal vital sign parameters:
  • Systolic blood pressure ≥ 90 mmHg and ≤ 160 mmHg
  • Diastolic blood pressure ≥ 50 mmHg and ≤ 95 mmHg
  • Pulse rate ≥ 60 beats per minute (bpm) and ≤ 100 bpm
  • Body temperature ≥ 35.5°C and ≤ 37.7°C

Who cannot join

  • No intent/unwillingness to follow lung-protective ventilation strategy or fluid management manual
  • On extracorporeal membrane oxygenation (ECMO) support
  • Severe chronic respiratory disease with a PaCO2 > 50 mm Hg or with any oxygen support
  • A subject who is extremely unlikely to survive more than 24 hours in the opinion of the investigator
  • World Health Organization (WHO) Class III or IV pulmonary hypertension
  • Clinical evidence of left ventricular failure
Show all 29Show fewer
  • With acute diseases or serious medical conditions include cardiovascular (such as cardiac arrhythmia, QT prolongation), pulmonary (except ARDS), hepatic, neurologic, metabolic, renal, psychiatric condition, autoimmune disease, medical history, physical findings, or laboratory abnormality that in the investigators' opinion are not in stable condition and participating in the study could adversely affect the safety of the subject
  • Severe liver disease (Childs-Pugh Score > 10)
  • Acute or chronic kidney disease (Stage-3B, 4 or 5 renal impair; estimated glomerular filtration rate (eGFR) ˂ 60 mL/min/1.73 m^2 or dialysis)
  • Note: eGFR (mL/min/1.73 m^2) = 186.3 × (serum creatinine in mg/dL)^-1.154 × (age)^-0.203× (0.742 if female) × (1.212 if African American/black)
  • History of pulmonary embolism
  • Previous solid organ transplant
  • With major surgery within 14 days prior to Screening visit Note: Major surgery is defined as an invasive operative procedure where one or more of the following occurred: 1) A body cavity was entered; 2) A mesenchymal barrier was crossed; 3) A fascial plane was opened; 4) An organ was removed; 5) Normal anatomy was operatively altered. All other invasive operative procedures are minor surgeries.
  • Presence of any active malignancy within 2 years prior to Screening visit
  • History of the human immunodeficiency virus (HIV) infection
  • History of severe allergic or anaphylactic reactions
  • Known or suspected hypersensitivity or previous adverse reaction to any ingredients of study product
  • Participation in a clinical trial of an interventional medicinal product within 12 weeks prior to Screening visit
  • With any other uncontrolled illness judged by the principal investigator that entering the trial may be detrimental to the subject
  • Pregnant or lactating or premenopausal with childbearing potential but not taking reliable contraceptive method(s) during the study period. At least one form of birth control must be adopted. Acceptable forms include:
  • Placement of an intrauterine device (IUD) or intrauterine system (IUS).
  • Barrier methods of contraception: condom or occlusive cap (diaphragm or cervical/vault caps)
  • Female subject with childbearing potential who has positive serum or urine pregnancy test at Screening Visit
  • Unable to return for follow-up visits for clinical evaluation or laboratory studies
  • Inappropriate to participate in this clinical study because of psychiatric disorders or any condition as judged by the principal investigator
  • Hypersensitive to penicillin, streptomycin and amphotericin B antibiotics
  • With specific known risk factors for thrombotic events, including obesity (Body mass index (BMI) >35), diabetes mellitus Type I, history of deep vein thrombosis (DVT) or thrombotic episodes, acquired or inherited thrombophilic disorders, hypercoagulable conditions, and other cardiovascular risk factors judged by the investigator
  • Use of estrogens/oral contraceptives within 6 weeks prior to Screening visit
  • Current smoker or has smoked within 3 months prior to Screening visit.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Han-Pin Kuo, M.D., Ph.D. contact

+886-2-27372181

q8828@tmu.edu.tw

Taiwan1 site
  • Taipei Medical University Hospital

    Taipei, 110301

    Han-Pin Kuo, M.D., Ph.D., +886-2-27372181, q8828@tmu.edu.tw

Other trials in Taiwan

About this study

Official title: A Phase I Open-Label, Dose-Escalation Study to Evaluate Safety, Tolerability, and Efficacy of Allogeneic Placenta-derived Human Mesenchymal Stem Cells for the Treatment of Acute Respiratory Distress Syndrome

The goal of this clinical trial is to explore the safety, tolerability, and efficacy in study intervention, MatriPlax, in subjects with Acute Respiratory Distress Syndrome (ARDS). MatriPlax contains placenta choriodecidual membrane-derived Mesenchymal Stem Cells (pcMSCs). Participants will receive two doses of MatriPlax on Day 1 and Day 4 and conduct efficacy and safety evaluations until 12 months after treatment or withdrawal from the study.

Read the detailed description

This open-label, dose-escalation Phase I study plans to evaluate the safety, tolerability, and efficacy of MatriPlax.

This is a conventional 3+3 dose-escalation study in which subjects with moderate or severe ARDS will receive intravenous MatriPlax infusion.

Participants will be assigned to one of three dose cohorts (low, middle and high doses of MatriPlax), depending on the time of their enrollment. Each participant will receive two doses of MatriPlax on Day 1 and Day 4. Each dose cohort will have three to six subjects enrolled sequentially with at least 1 week in between. All participants will be followed until 12 months after receiving MatriPlax or withdrawal from the study.

A Data Safety and Monitoring Board (DSMB) meeting will be held when all participants of each cohort complete their 28-day of treatment and evaluation period. The DSMB will determine if the study is safe to proceed to the next dose level or it requires to recruit more subjects to the concurrent dose level for safety evaluation.

Being tested
MatriPlax
Medical subject headings
Respiratory Distress Syndrome

What participants receive

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

  • MatriPlaxDrug

    Also called Placenta choriodecidual membrane-derived mesenchymal stem cells

    MatriPlax contains pcMSCs (placenta choriodecidual membrane-derived mesenchymal stem cells) and will be given intravenously on Day 1 and Day 4

Study groups in NCT05886985
Study groupRoleWhat they receive
MatriPlaxExperimentalEach subject will receive 2x10^7, 4x10^7, or 8x10^7 pcMSCs per administration
Receives: Drug: MatriPlax

What is being measured

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

  1. The incidence of treatment-emergent adverse events (TEAEs) up to 28 days after receiving MatriPlax

    TEAEs are adverse events (AE) that occur after the study intervention administration

    Measured: Day 1 to Day 29

  2. The incidence of serious adverse events (SAEs) up to 28 days after receiving MatriPlax

    SAE is an AE that results in any of the following outcomes: Death; Life-threatening; Requires inpatient hospitalization or prolongation of existing hospitalization; Results in persistent or significant disability/incapacity; Congenital anomaly/birth defect; Based upon appropriate medical judgment, the event may jeopardize the subject and may require medical or surgical intervention to prevent one of the outcomes listed above

    Measured: Day 1 to Day 29

  3. The incidence of suspected unexpected serious adverse reactions (SUSAR) up to 28 days after receiving MatriPlax

    SUSAR is an SAE that is considered related to study intervention and unexpected judged by sponsor and investigator

    Measured: Day 1 to Day 29

Secondary outcomes (24)
  1. Changes in PaO2/FiO2 ratio from baseline

    The PaO2/FiO2 ratio is the ratio of arterial oxygen partial pressure (PaO2) to fractional inspired oxygen (FiO2), which is an indicator of the severity of ARDS.

    Measured: Baseline, Day 4, 6, 8, 15, 29

  2. Changes in Lung injury score (LIS) from baseline

    The LIS is a standard measure of ARDS, which is composed of four components. Each component has 5 scores (0, 1, 2, 3 and 4-point) and the score of LIS is the average of the four components. A higher LIS indicates more severe lung injury.

    Measured: Baseline, Day 8, 29

  3. Overall survival

    Overall survival is defined as the time from treatment to death.

    Measured: Baseline, Day 29, Month 3, 6, 9, 12

  4. All-cause mortality rate

    All-cause mortality rate is defined as the rate of deaths from any cause in all participants.

    Measured: Baseline, Day 29, Month 3, 6, 9, 12

  5. Cumulative ventilator-free hours (VFH)

    Only subjects who wean from the ventilator and have at least 48 consecutive weaning hours

    Measured: Day 1 to 29

  6. Time to the first weaning from ventilator

    Only subjects who wean from the ventilator and have at least 48 consecutive weaning hours

    Measured: Up to 12 months

  7. Number of subjects weaned from ventilator

    Only subjects who wean from the ventilator and have at least 48 consecutive weaning hours

    Measured: Day 29

  8. Intensive Care Unit (ICU) free hours

    Only subjects who are stable for discharge from ICU and have at least 48 consecutive hours of discharge

    Measured: Day 1 to 29

  9. Time to the first ICU discharge

    Only subjects who are stable for discharge from ICU and have at least 48 consecutive hours of discharge

    Measured: Up to 12 months

  10. Number of subjects discharged from ICU

    Only subjects who are stable for discharge from ICU and have at least 48 consecutive hours of discharge

    Measured: Day 29

  11. ICU/Respiratory Care Center (RCC) free hours

    Only subjects who are stable for discharge from ICU/RCC and have at least 48 consecutive hours of discharge

    Measured: Day 1 to 29

  12. Changes in Sequential Organ Failure Assessment (SOFA) score from baseline

    The SOFA is a simple and objective score to evaluate the status of organ dysfunction of six organ systems (respiratory, coagulatory, liver, cardiovascular, renal, and neurologic). A subject is defined as free of organ failure when the SOFA score is zero. The total score of SOFA is 24.

    Measured: Baseline, Day 4, 6, 8, 15, 29

  13. Cumulative vasopressor free days

    The cumulative vasopressor free days are the sum of the days without taking vasopressor up to Day 29 or death.

    Measured: Day 1 to 29

  14. Cumulative oxygen support free hours

    The cumulative oxygen support free hours are the sum of hours without oxgen support up to Day 29 or death

    Measured: Day 1 to 29

  15. The net change in c-reactive protein (CRP) from baseline

    C-reactive protein is an inflammatory marker

    Measured: Baseline, Day 4, 6, 8, 15, and 29

  16. The net change in D-dimer from baseline

    D-dimer is an inflammatory marker

    Measured: Baseline, Day 4, 6, 8, 15, and 29

  17. The net change in Lactate Dehydrogenase (LDH) from baseline

    LDH is an inflammatory marker

    Measured: Baseline, Day 4, 6, 8, 15, and 29

  18. The domain scores and total score of 12-item Short Form Survey (SF-12) Quality of Life (QoL) health survey questionnaire

    The SF-12 QoL is a self-evaluated measurement of health status. It consists of eight domains and the score of each domain is transformed to a scale from 0 to 100. Zero indicates the worst health status, while 100 indicates the best health status.

    Measured: Month 3, 6, 9, 12

  19. Number of subjects who experienced Dose Limiting Toxicity (DLT)

    A DLT is defined as any SAE OR any equal or greater than Grade 3 (CTCAE v5.0) AE judged as MatriPlax-related during Day 1 to 29. The CTCAE (Common Terminology Criteria for Adverse Events) is a classification system used to grade AE.

    Measured: Day 1 to 29

  20. Incidence of TEAEs (treatment-emergent AEs) and SAEs

    The number of TEAEs (treatment-emergent AEs) and SAEs that occur in the study

    Measured: 12 months

  21. Number of participants with abnormalities in vital signs

    The vital signs include blood pressure, respiratory rate, oxygen saturation, pulse rate, and body temperature

    Measured: Baseline, Day 1, 4, 6, 8, 15, 29, Month 3, 6, 9, 12

  22. Number of participants with abnormalities in physical examination

    A physical examination includes general appearance, skin, eyes, ears, nose, throat, head and neck (including thyroid), heart, chest and lungs, abdomen, extremities, lymph nodes, musculoskeletal, neurological system, and other body systems if applicable.

    Measured: Baseline, Day 1, 4, 6, 8, 15, 29, Month 3, 6, 9, 12

  23. Number of participants with abnormalities in laboratory examination parameters

    The laboratory examination parameters include hematology (hemoglobin, hematocrit, red blood cell (RBC), platelet, white blood cell (WBC), neutrophils, lymphocytes, monocytes, eosinophils, basophils) and biochemistry (blood urea nitrogen (BUN), creatinine, albumin, total protein, alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin, C-reactive protein (CRP), prothrombin time (PT), D-dimer, Lactate Dehydrogenase (LDH))

    Measured: Baseline, Day 1, 4, 6, 8, 15, 29

  24. Number of participants with abnormalities in ECG parameters

    The ECG parameters include ventricular rate, PR interval, QRS interval, and QT interval. Each parameters will be evaluated by the investigator as "Normal", "Abnormal, non-clinical significant (NCS)" or "Abnormal, clinical significant (CS)".

    Measured: Baseline, Day 29

Timeline

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

  1. First posted2 Jun 2023
  2. Study startDec 2023 (estimated)
  3. Primary completionDec 2026 (estimated)
  4. Study completionMay 2027 (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
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
MatriPlax
Masking
None (open label)
Enrolment
24 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05886985
Sponsor's protocol ID
MP-01
Status last verified
Jul 2023
First submitted
24 May 2023
Last updated
27 Jul 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Chen MC, Lai KS, Chien KL, Teng ST, Lin YR, Chao W, Lee MJ, Wei PL, Huang YH, Kuo HP, Weng CM, Chou CL. pcMSC Modulates Immune Dysregulation in Patients With COVID-19-Induced Refractory Acute Lung Injury. Front Immunol. 2022 Apr 29;13:871828. doi: 10.3389/fimmu.2022.871828. eCollection 2022.

    PubMed 35585988

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MatriPlax in people with Acute Respiratory Distress Syndrome, run by BioSpring Medical Co., Ltd at 1 site in Taiwan.

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 17 inclusion and 29 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: opening soon, as of the sponsor's last update on 27 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Taiwan. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Han-Pin Kuo, M.D., Ph.D. (+886-2-27372181, q8828@tmu.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The incidence of treatment-emergent adverse events (TEAEs) up to 28 days after receiving MatriPlax (time frame: Day 1 to Day 29). 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?

On the ClinicalTrials.gov record for NCT05886985, which also lists 1 linked publication.

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 27 Jul 2023.

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