Clinical trial • Phase IV • Cardiology

ALLOGENEIC ADIPOSE-DERIVED MESENCHYMAL STEM CELLS EXPANDED for Abdominal aortic aneurysm

Phase IV trial of ALLOGENEIC ADIPOSE-DERIVED MESENCHYMAL STEM CELLS EXPANDED for Abdominal aortic aneurysm.

Overview

Trial Therapeutic Area
Cardiology
Trial Disease
Abdominal aortic aneurysm
Trial Stage
Phase IV
Drug Modality
Cell therapy

Key dates

Initial CTIS Submission Date
07-11-2023
First CTIS Authorization Date
16-02-2024

Trial design

open-label, historical cohort receiving conventional endovascular treatment (no active drug comparator specified).-controlled Phase IV trial across 1 site in Spain.

Open Label
Yes
Comparator
Historical cohort receiving conventional endovascular treatment (no active drug comparator specified).
Real World Control
Yes
Target Sample Size
8
Trial Duration For Participant
365

Eligibility

Recruits 8 Vulnerable population not selected; only adults (≥18 years) eligible; no specific consent/assent handling described in the record..

Pregnancy Exclusion
Women who are breastfeeding or pregnant women.
Vulnerable Population
Vulnerable population not selected; only adults (≥18 years) eligible; no specific consent/assent handling described in the record.

Inclusion criteria

  • {"criterion_text":"- Subjects with AAA greater than 5 cm in diameter with indication for endovascular treatment, analyzed by aortic AngioCT."}
  • {"criterion_text":"- Subjects ≥ 18 years of age at the time of inclusion."}
  • {"criterion_text":"- Subjects with a good infrarenal neck for placement of a standard device, neither fenestrated nor branched."}
  • {"criterion_text":"- Patients with an estimated life expectancy greater than two years at inclusion."}
  • {"criterion_text":"- Women of childbearing potential must have a negative pregnancy test at inclusion and must agree to use highly effective contraceptive methods (diaphragms plus spermicide or male condom plus spermicide, oral contraceptive combined with a second method contraceptive implant, injectable contraceptive, permanent intrauterine device, sexual abstinence or partner with vasectomy) during their participation in the study."}
  • {"criterion_text":"- The patient must be able to attend all study visits and abide by all study procedures."}

Exclusion criteria

  • {"criterion_text":"- Patients with a history of unresolved neoplasm or hematologic disease."}
  • {"criterion_text":"- Administration of any investigational drug at the time of inclusion or in the three months prior."}
  • {"criterion_text":"- Women who are breastfeeding or pregnant women."}
  • {"criterion_text":"- Transplanted patients."}
  • {"criterion_text":"- Patients with uncontrolled arterial hypertension (≥180/110) at inclusion."}
  • {"criterion_text":"- Patients with severe heart failure (New York Heart Association [NYHA] IV) or ejection fraction <20%."}
  • {"criterion_text":"- Patients with malignant ventricular arrhythmias."}
  • {"criterion_text":"- Patients with deep vein thrombosis in the last three months."}
  • {"criterion_text":"- Patient with active septic picture at the time of inclusion."}
  • {"criterion_text":"- Patients with acute myocardial infarction or stroke the previous month."}
  • {"criterion_text":"- Medical or psychiatric illness of any kind that, in the opinion of the investigator, may be a reason for exclusion from the study."}
  • {"criterion_text":"- Patient with major surgery or severe craniocerebral trauma in the 3 months prior to inclusion in the study."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Proportion of procedure-related adverse events occurring throughout the study.","definition_or_measurement_approach":"Measured as the proportion of procedure-related adverse events occurring throughout the study period."}
  • {"endpoint_text":"- Proportion of adverse events related to allogeneic adipose tissue-derived mesenchymal stem cell infusion occurred throughout the study.","definition_or_measurement_approach":"Measured as the proportion of adverse events attributable to the allogeneic adipose-derived mesenchymal stem cell infusion occurring throughout the study period."}
  • {"endpoint_text":"- Proportion of patients with major adverse cerebral and cardiovascular events (MACCE) within 12 months after treatment.","definition_or_measurement_approach":"Measured as the proportion of patients experiencing MACCE within 12 months after treatment."}

Secondary endpoints

  • {"endpoint_text":"- Reduction of the size of the aneurysm sac in the imaging tests performed during follow-up (CT and Doppler echo). A reduction in the maximum diameter of the aneurysm sac greater than or equal to 5mm in a period of 6 months is considered significant.","definition_or_measurement_approach":"Reduction measured by CT and Doppler ultrasound; a decrease in maximum sac diameter ≥5 mm at 6 months is considered significant."}
  • {"endpoint_text":"- Percentage of patients with stent migration compared to the historical cohort.","definition_or_measurement_approach":"Proportion of patients with stent migration assessed on imaging and compared to historical cohort rates."}
  • {"endpoint_text":"- Percentage of patients with presence of leaks on control CT at 1 month and 1 year compared to the historical cohort.","definition_or_measurement_approach":"Proportion of patients with endoleaks identified on control CT at 1 month and 1 year, compared to a historical cohort."}
  • {"endpoint_text":"- Reoperation rate at 1 year compared to historical cohort.","definition_or_measurement_approach":"Rate of reoperations within 1 year post-treatment compared with historical cohort."}
  • {"endpoint_text":"- Hospital admission rate compared to the historical cohort.","definition_or_measurement_approach":"Hospital admission rate during follow-up compared to historical cohort."}
  • {"endpoint_text":"- Assessment of change in quality of life: specific quality of life assessment survey at one month and one year after treatment with respect to baseline. A 10% change in quality of life scores is considered clinically relevant.","definition_or_measurement_approach":"Quality of life assessed by a specific survey at 1 month and 1 year versus baseline; ≥10% change in scores considered clinically relevant."}

Recruitment

Planned Sample Size
8
Recruitment Window Months
24
Consent Approach
Informed consent to be provided by adult participants; no assent or special consent procedures described. Women of childbearing potential must have a negative pregnancy test at inclusion and agree to use highly effective contraceptive methods during study participation.

Geography

Total Number Of Sites
1
Total Number Of Participants
8

Spain

Earliest CTIS Part Ii Submission Date
28-11-2023
Latest Decision Or Authorization Date
03-06-2024
Processing Time Days
188
Number Of Sites
1
Number Of Participants
8

Sites

Site Name
Hospital Universitario La Paz
Department Name
Angiology and Vascular Surgery
Principal Investigator Name
Luis Riera del Moral
Principal Investigator Email
Luis.riera@salud.madrid.org
Contact Person Name
Luis Riera del Moral
Contact Person Email
Luis.riera@salud.madrid.org
Number Of Participants
8

Sponsor

Primary sponsor

Full Name
Grupo Dermatologico Y Estetico Pedro Jaen S.A.
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
Células mesenquimales troncales alogénicas de tejido adiposo expandidas.
Active Substance
ALLOGENEIC ADIPOSE-DERIVED MESENCHYMAL STEM CELLS EXPANDED
Modality
Cell therapy
Routes Of Administration
INJECTION
Route
Injection
Authorisation Status
MIA number ES/037I/21 (investigational medicinal product)
Starting Dose
1x10e6 cells/kg patient weight
Dose Levels
1x10e6 cells/kg (single dose specified)
Frequency
Single local infusion on the day of the abdominal aortic aneurysm endovascular intervention
Maximum Dose
1000000

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