Treatment of Pediatric Bronchiolitis Obliterans by Airway Basal Stem Cells

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age28-18
SponsorRegend Therapeutics

About this trial

Bronchiolitis obliterans (BO) is a chronic lung disease which was initiated with injury of the bronchiolar epithelium and resulted in nonuniform luminal obliteration or narrowing. Among children, the most common form of BO is post-infectious BO with a lack of treatment guidelines or standard therapy. In this study, an open, single-armed study is performed to preliminarily evaluate the safety and efficacy of airway basal stem cells on treatment of pediatric BO.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Males and females, aged between 28 days and 18 years;

Diagnosed with bronchiolitis obliterans according to the guidelines;

Meeting at least one of the following: FEV1 < 55% of predicted value; requiring continuous assisted mechanical ventilation or oxygen therapy;

None of acute infections within the past four weeks;

Disqualifiers

Subjects with bronchiolitis obliterans syndrome (BOS) who are on a current cGVHD treatment regimen at screening.

At the time of screening, subject who is positive in each of treponema pallidum antibody (TP-Ab), human immunodeficiency virus (HIV) antibody, hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody test. Hepatitis B virus carriers with stable current condition can be enrolled. Cured hepatitis C patients with negative result in HCV ribonucleic acid (RNA) test can be enrolled as well.

Subject who is assessed to have major lung diseases other than BO by investigators at screening or who has other severe systemic diseases within 6 months prior to screening and is considered to be unsuitable for this study by investigators.

Presence of severe coagulation dysfunction at screening and may compromise the safety of bronchoscopy in the investigator's judgment.

Trial design

Design model

Single group

Treatments tested in this trial

  • Airway Basal Stem Cells

    Biological/Vaccine

    Airway Basal Stem Cells

Treatment groups

12 Participants
are divided into 1 treatment group
Group A: Airway Basal Stem CellsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change in clinical symptoms

Cough, wheezing, respiratory rate are included in clinical symptomes. Both status and frequency would be evaluated.

Time frame
12 and 24 weeks after treatment
2

Changes in oxygen therapy

Oxygen saturation (SpO₂), oxygen therapy settings, and daily duration of oxygen therapy would be evaluated.

Time frame
24 weeks after treatment

Secondary outcomes

1

Changes in general condition

Rate of weight gain, time of independent activity are evaluated as general condition.

Time frame
24 weeks after treatment
2

Change in lung diffusing capacity for carbon monoxide (DLCO) from baseline

DLCO is a measure of the conductance of CO across the alveolar-capillary membrane and its binding with hemoglobin.

Time frame
12 and 24 weeks after treatment
3

Change in forced expiratory volume in one second (FEV1) from baseline

FEV1 is the volume of breath exhaled with effort in one second.

Time frame
12 and 24 weeks after treatment
4

Change in forced vital capacity (FVC) from baseline

FVC is the full amount of air that can be exhaled with effort in a complete breath

Time frame
12 and 24 weeks after treatment

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Regend Therapeutics

Lead sponsor

Shanghai Children's Hospital

Collaborator