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Placenta-derived mesenchymal stem cells and placenta-derived mesenchymal stem cells exosomes in the treatment of acute GvHD

Evaluaing the safety and effectiveness of intravenous infusion of placenta-derived mesenchymal stem cells and placenta-derived mesenchymal stem cell exosomes in steroid-resistant acute GvHD patients; Phase I and II clinical trial

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
IRCT
Registry ID
IRCT20140818018842N40
Enrollment
60
Registered
2024-06-09
Start date
2024-06-21
Completion date
Unknown
Last updated
2024-07-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute GvHD. Graft-versus-host disease

Interventions

Intervention 1: Intervention group: intravenous injection of a solution containing mesenchymal stem cells obtained from the human placenta is performed in 20 patients with acute graft-versus-host dise

Sponsors

Tehran University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
12 Years to 65 Years

Inclusion criteria

Inclusion criteria: Acute aGvHD grade II-IV according to MAGIC criteria and steroid resistant according to EBMT-NIH-CIBMTR A patient who underwent allogeneic HSCT with the following conditions: HLA-matched donor (MRD), HLA-mismatched donor (MUD), unrelated cord blood (UCB), haploidal donor

Exclusion criteria

Exclusion criteria: Positive serology for hepatitis B, hepatitis C and AIDS virus or fungal infection Patients with penicillin and/or gentamicin allergy or known allergy to cow or pork products Participants with uncontrolled diseases including persistent or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness or specific social situations that limit compliance with study requirements Any condition that, in the investigator's judgment, interferes with full participation in the study, including the administration of study medication or participation in required study visits, or poses a significant risk to the participant, or interferes with the interpretation of study data Transplant recipient for solid tumor Diagnosis of Sinus Obstructive Syndrome (SOS) or Venous Obstructive Disease, at any time of study with appropriate tests Pregnancy and breastfeeding

Design outcomes

Primary

MeasureTime frame
Adverse events. Timepoint: day of injection, 1 and 2 weeks, 1, 3 and 6 months after the first injection. Method of measurement: History and clinical examination based on common terminological criteria for adverse events.

Secondary

MeasureTime frame
Complete response rate. Timepoint: Day of injection, 1 and 2 weeks, 1, 3 and 6 months after the first injection. Method of measurement: Clinical examination.;Total survival rate. Timepoint: 0 to 6 months. Method of measurement: Clinical evaluation.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactMaryam Barkhordar

Tehran University of Medical Sciences

barkhordarm.n@gmail.com+98 21 8800 4140

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026