None listed
Conditions
Brief summary
In Australia, about one in twelve babies are born prematurely. Compared to those born at term gestation these babies, particularly those born very or extremely preterm, are at increased risk of life-threatening conditions such as bronchopulmonary dysplasia. This condition represents a major challenge because, not only is it life-threatening, but also there is no specific directed treatment. Current management is essentially limited to supportive care. As such, the mortality and morbidity toll exacted by bronchopulmonary dysplasia remains challenging, to say the least. We have recently shown that stem-like cells can be isolated from the amniotic membrane. These cells, term human amnion epithelial cells (hAECs), bear many characteristics of traditional stem cells such as pluripotency, ability to self-renew and are able to escape immune surveillance, thus avoiding immune rejection even when administered xenogeneically. In our preclinical studies, we showed that hAECs were able to prevent and rescue lung injury in animal models of adult and neonatal lung disease. In this clinical trial, we aim to evaluate the safety of hAECs delivered intravenously to preterm babies with established bronchopulmonary dysplasia. In this trial, we will determine the following: 1. Safety of hAECs administered intravenously to premature babies with established bronchopulmonary dysplasia. 2. Effect of hAECs administration on the infant’s short term respiratory parameters.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. Extreme prematurity (less than or equals to 28 weeks gestation at birth) 2. At least 36 weeks postmenstrual age 3. Ongoing requirement for respiratory support, inclusive of either intubated neonates and non-invasive respiratory support (NIMV/ CPAP) with mean/ end pressure >7 cm H2O 4. Stable, yet dependent on respiratory support in terms of oxygen requirement i.e. FiO2 between 0.3 and 0.5.
Exclusion criteria
Infants who are mechanically ventilated with FiO2 requirement less than 0.3 or more than 0.5. Infants with active infection (who are on intravenous antibiotics) Infants with intercurrent viral illness Infants with severe preterm brain injury (Grade III-IV IVH, cystic PVL) Infants with active necrotizing enterocolitis (NEC) Infants receiving medical or surgical therapy for patent ductus arteriosus (PDA) at the time of enrolment