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
Related trials
Other published trials that may interest you.