Bronchopulmonary Dysplasia, Extremely Premature Infants, No Severe Congenital Anomalies, no Severe IVH Neither Cystic PVL, Severe BPD That Conventional Therapies Has Failed
Conditions
Keywords
Bronchopulmonary dysplasia (BPD), Extremely premature infant, Mesenchymal stem cells (MSCs), umbilical cord
Brief summary
Mesenchymal stem cells (MSCs) have been reported to be effective to prevent alveolar growth arrest in experimental bronchopulmonary dysplasia (BPD). The aim is to treat the extremely premature infant with severe BPD to establish whether intratracheal instillation of umbilical cord-derived MSCs (ucMSCs) is safe and effective as a rescue treatment for severe BPD.
Interventions
the ucMSCs suspension(3× 106 cells per kg of the patient's weight) will be instilled through a 6 French end-hole catheter inserted into the infant's endotracheal tube
the same amount of ucMSCs suspension will be instilled through a 6 French end-hole catheter inserted into the infant's endotracheal tube
Sponsors
Study design
Eligibility
Inclusion criteria
* severe BPD, defined by the National Institute of Child Health and Human Development workshop, who conventional therapies (including furosemide and theophylline, and HFO ventilation) has failed
Exclusion criteria
* severe congenital anomalies * severe intraventricular hemorrhage ≥ grade 3 or cystic periventricular leukomalacia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The relations between the cytokine concentrations in the BAL fluid and PAP. | Up to 20 weeks | To examine the relations between the cytokine concentrations in the BAL fluid and PAP. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The severity score of BPD ranging from 0 to 6 on the serial chest radiographs | 6 months to 1 year | The severity score of BPD ranging from 0 to 6 on the serial chest radiographs will be graded by a single radiologist, without knowledge of the infant's identity or clinical course, using the roentgenographic severity scoring system. |
Countries
Taiwan