The main ailm of this phase I-II study is to evaluate toxicity and efficacy of allogenic mesenchymal stem cell therapy to treat severe systemic sclerosis. In practice this treatment will be given to patients with a rapidly evolutive disease or refractory to cyclophosphamide.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Saint-Louis Hospital
Paris, France
Immediate Toxicity
Immediate Toxicity/tolerance defined as grade 3 or above toxicity base on the CTCAE - Cancer Therapy Evaluation Program (CTEP), observed during the first 10 days (http://ctep.cancer.gov/protocolDevelopment/electronic\_applications/docs/ctcaev3.pdf)
Time frame: 10 days
Medium-term tolerance
Treatment-related event-free survival at 2 years. Treatment-related event (morbidity) being defined by the onset of clinical events induced by the procedure and not explained by the natural or expected course of the scleroderma disease.
Time frame: 2 years
Survival
Time from inclusion to death
Time frame: 2 years
Progression free survival
Defined as the time in days from the day of inclusion until the occurrence of changes compared to the initial assessment, documented and re-evaluated at two successive examinations 3 months
Time frame: 2 years
CBC
complete blood count (CBC)
Time frame: 1, 2, 3, 4, 8, 12, 16, 20, 24 weeks
Platelet
Platelet blood count
Time frame: 1, 2, 3, 4, 8, 12, 16, 20, 24 weeks
Lymphocyte
Lymphocyte subpopulation blood count measured by flow cytometry
Time frame: 3, 6, 9, 12, 15, 18, 24 months
Antibody
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Antibody response
Time frame: 3, 6, 9, 12, 15, 18, 24 months
Rodnan score
modified Rodnan Score
Time frame: 3, 6, 9, 12, 15, 18, 24 months
SHAQ
Scleroderma Health Assessment Questionnaire (SHAQ)
Time frame: 3, 6, 9, 12, 15, 18, 24 months
Clinical progression
Occurence of visceral involvement, defined as any of the following: * Pulmonary: diffusion capacity of CO (DLCO and DLCO/VA), forced vital capacity (FVC), total lung capacity (TLC), residual volume (RV), pulmonary artery pressure (measured by echocardiography or right heart catheterisation), arterial blood gases (pO2, pCO2, p(A-a)O2) in ambient air, * Myocardial: ECG, left ventricular function measured by echocardiography (and cardiac MRI and/or Gating in the event of cardiac abnormality or suspected LV dysfunction on ultrasound) with semi-quantitative analysis of the degree of cardiac damage according to the cardiac score (based on the presence or absence of left axial deviation on the electrocardiogram and/or moderate or significant pericardial effusion according to the echocardiogram), * Renal: 24-hour proteinuria, creatinine clearance, * Patient's weight in kg,
Time frame: 3, 6, 9, 12, 15, 18, 24 months
Clinical response
Defined by a 25% improvement in modified Rodnan Score and/or ≥10% in DLCO or FVC compared to baseline state without the need to reintroduce other immunosuppressants.
Time frame: 3, 6, 9, 12, 15, 18, 24 months