Artikel ; Online: Repeated intravenous doses of human umbilical cord-derived mesenchymal stromal cells for bronchopulmonary dysplasia: results of a phase 1 clinical trial with 2-year follow-up.
2024 Band 26, Heft 6, Seite(n) 632–640
Abstract: Background: Currently, there is a lack of effective treatments or preventive strategies for bronchopulmonary dysplasia (BPD). Pre-clinical studies with mesenchymal stromal cells (MSCs) have yielded encouraging results. The safety of administering ... ...
| Abstract | Background: Currently, there is a lack of effective treatments or preventive strategies for bronchopulmonary dysplasia (BPD). Pre-clinical studies with mesenchymal stromal cells (MSCs) have yielded encouraging results. The safety of administering repeated intravenous doses of umbilical cord tissue-derived mesenchymal stromal cells (UC-MSCs) has not yet been tested in extremely-low-gestational-age newborns (ELGANs). Aims: to test the safety and feasibility of administering three sequential intravenous doses of UC-MSCs every 7 days to ELGANs at risk of developing BPD. Methods: In this phase 1 clinical trial, we recruited ELGANs (birth weight ≤1250 g and ≤28 weeks in gestational age [GA]) who were on invasive mechanical ventilation (IMV) with FiO2 ≥ 0.3 at postnatal days 7-14. Three doses of 5 × 10 Results: From April 2019 to July 2020, 10 patients were recruited with a mean GA of 25.2 ± 0.8 weeks and a mean birth weight of 659.8 ± 153.8 g. All patients received three intravenous UC-MSC doses. The first dose was administered at a mean of 16.6 ± 2.9 postnatal days. All patients were diagnosed with BPD. All patients were discharged from the hospital. No deaths or any serious adverse events related to the infusion of UC-MSCs were observed during administration, hospital stays or at 2-year follow-up. Conclusions: The administration of repeated intravenous infusion of UC-MSCs in ELGANs at a high risk of developing BPD was feasible and safe in the short- and mid-term follow-up. |
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| Mesh-Begriff(e) | Humans ; Bronchopulmonary Dysplasia/therapy ; Female ; Mesenchymal Stem Cell Transplantation/methods ; Male ; Mesenchymal Stem Cells/cytology ; Infant, Newborn ; Umbilical Cord/cytology ; Follow-Up Studies ; Administration, Intravenous ; Gestational Age ; Infant, Premature |
| Sprache | Englisch |
| Erscheinungsdatum | 2024-03-11 |
| Erscheinungsland | England |
| Dokumenttyp | Journal Article ; Clinical Trial, Phase I ; Research Support, Non-U.S. Gov't |
| ZDB-ID | 2039821-9 |
| ISSN | 1477-2566 ; 1465-3249 |
| ISSN (online) | 1477-2566 |
| ISSN | 1465-3249 |
| DOI | 10.1016/j.jcyt.2024.02.028 |
| Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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