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Treatment of Chronic Graft-Versus-Host Disease With Mesenchymal Stromal Cells

Treatment of of Chronic Graft-Versus-Host Disease With Mesenchymal Stromal Cells. A Phase III Randomized Open Label Multi-center Study in Southern China.

Status
UNKNOWN
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02291770
Acronym
MSC-cGvHD
Enrollment
130
Registered
2014-11-14
Start date
2014-10-31
Completion date
2019-12-31
Last updated
2014-11-14

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

Conditions

Chronic Graft-Versus-Host Disease

Keywords

Chronic Graft-Versus-Host Disease, Mesenchymal Stromal Cells

Brief summary

Chronic Graft-versus-Host Disease (cGvHD) is a potentially lethal disorder. A variety of second line immunosuppressive agents have been investigated but no optimal treatment has emerged. There is therefore a need for novel treatment strategies. Mesenchymal stromal cells (MSC) exhibit immunomodulatory properties and a recent pilot study suggests a response rate of 70% in steroid- refractory patients. In the present randomized study the efficacy and safety of MSC treatment will be further studied in patients with cGvHD.

Interventions

BIOLOGICALMesenchymal Stromal Cells

Mesenchymal stem cell(MSC). Patients with newly diagnosed cGvHD: prednisone 1mg/kg + cyclosporine or tacrolimus and MSC 2×1,000,000 MSC/kg, IV twice a week for the first two weeks and weekly for the following two weeks(6 doses totally).

Sponsors

Sun Yat-sen University
CollaboratorOTHER
Nanfang Hospital, Southern Medical University
CollaboratorOTHER
Guangzhou General Hospital of Guangzhou Military Command
CollaboratorOTHER
Third Affiliated Hospital, Sun Yat-Sen University
CollaboratorOTHER
Guangzhou First People's Hospital
CollaboratorOTHER
Academy Military Medical Science, China
CollaboratorINDUSTRY
Guangdong Provincial People's Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
14 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Newly diagnosed cGvHD * Informed consent obtained from patient and donor. * Any patient who has undergone allogeneic stem cell transplantation with c GvHD. * Have not received additional agent for cGVHD within 3 months. * Expected life is more than 90 days. * Adequate pulmonary function with no evidence of chronic obstructive or severe restrictive pulmonary disease. * Adequate cardiac function with no evidence of uncontrolled high blood pressure,congestive heart failure, angina pectoris, acute myocardial infarction within 6 months prior to the process.

Exclusion criteria

* Invasive fungal disease. * Active cytomegalovirus (CMV)/Epstein-Barr virus(EBV)/varicella disease). * Patient is with a history of hypersensitivity to bovine products. * Relapsed malignancy.

Design outcomes

Primary

MeasureTime frame
Proportion of patients responding to treatment of cGvHD with MSC90 days

Secondary

MeasureTime frame
Overall survival2 year
Progression-free survival2 year
Time without systemic immunosuppression2 year
Cumulative incidents of non-relapse mortality2 year
Adverse events2 year

Other

MeasureTime frame
Quality of life2 year
Immune reconstitution including monitoring of absolute T-cell subsets, B-cells, NK-cells as well as biomarkers of cGvHD2 year

Countries

China

Contacts

Primary ContactXin Du, Prof.
miyadu@hotmail.com+86 02083827812-62122
Backup ContactJianyu Weng, Prof.
wengjianyu1969@163.com+86 02083827812-62122

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026