A Safety Run-In will be followed by a Double-Blinded Randomized Phase. All subjects shall meet the inclusion/exclusion criteria, and will be evaluated prior to the scheduled infusion to establish baseline. There will be 3 subjects in the safety run-in phase and 15 subjects in the double-blinded phase.
Primary objective is to demonstrate the safety of Mesenchymal Stem Cells (MSCs) intravenously administered to subjects with cystic fibrosis. Secondary Objective is to explore if MSCs can improve the symptoms of cystic fibrosis, including lung function, the rate of pulmonary exacerbation, systemic and local inflammation and symptom-related quality of life. The Safety Run-In will be performed to evaluate the safety of MSC infusion into subjects with cystic fibrosis. 3 subjects will participate and they will receive a single administration of allogeneic MSCs given through intravenous infusion. In the randomized phase the subjects will be randomized at a ratio of 1:1:1 into 3 cohorts to receive infusions. There will be a total of 15 subjects in 3 cohorts. The total duration for each subject after infusion is 12 months, plus up to an additional 2 months for the Screening and Baseline Visits. Approximately 9 visits in total.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
1 peripheral intravenous infusion of allogeneic human mesenchymal stem cells (hMSCs)
1 peripheral intravenous infusion
Incidence of any treatment-emergent serious adverse event (TE-SAE)
Incidence of any treatment-emergent serious adverse event (TE-SAE), defined as one or more of the following untoward medical occurrences happening within the first 30 days after infusion.
Time frame: 30 days after infusion
Change in Symptoms for pulmonary function test
examining post-infusion changes from baseline between the MSC and Placebo Cohorts in terms of: • Resting pulmonary function tests (PFTs) assessed via spirometry: forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1 to FVC ratio, and forced expiratory flow between 25 - 75% of VC (FEF25-75) measured in adherence to American Thoracic Society/European Respiratory Society guidelines.
Time frame: baseline to 12 months
Change in Symptoms 6-minute walk test
examining post-infusion changes from baseline between the MSC and Placebo Cohorts in terms of: • 6-minute walk test (6MWT).
Time frame: baseline to 12 months
Change in Symptoms of body mass index
examining post-infusion changes from baseline between the MSC and Placebo Cohorts in terms of: • Changes in body mass index
Time frame: baseline to 12 months
Change in Rate of pulmonary exacerbations
examining post-infusion changes from baseline between the MSC and Placebo Cohorts in terms of: * Incidence of investigator-defined pulmonary exacerbation: events meeting the modified Fuchs' criteria (at least 4 of 12 signs and symptoms with or without intravenous or oral antibiotic treatment). * Semi-quantitative sputum cultures (change in colony forming units) * Procalcitonin serum levels
Time frame: baseline to 12 months
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Change in Local and Systemic Inflammation in inflammatory markers
examining post-infusion changes from baseline between the MSC and Placebo Cohorts in terms of: • Serum Inflammatory markers (CBC with differential, TNFα, C-reactive protein, Interleukin-1, Interleukin-6, D-dimer, Fibrinogen).
Time frame: baseline to 12 months
Change in Local and Systemic Inflammation for sputum inflammatory markers
examining post-infusion changes from baseline between the MSC and Placebo Cohorts in terms of: • Sputum inflammatory markers
Time frame: baseline to 12 months
Change in Local and Systemic Inflammation related to quality of life
examining post-infusion changes from baseline between the MSC and Placebo Cohorts in terms of: • Symptom Related Quality of Life
Time frame: baseline to 12 months
Change in Local and Systemic Inflammation via the short form-36
examining post-infusion changes from baseline between the MSC and Placebo Cohorts in terms of: • Physical activity via the short form-36 questionnaires.
Time frame: baseline to 12 months
Change in Local and Systemic Inflammation via the PHQ-9 Questionnaire
examining post-infusion changes from baseline between the MSC and Placebo Cohorts in terms of: • Subject quality of life (QOL) assessments via: \- Patient Health Questionnaire-9 (PHQ-9) for depression screening
Time frame: baseline to 12 months
Change in Local and Systemic Inflammation via the CFQ-R Questionnaire
examining post-infusion changes from baseline between the MSC and Placebo Cohorts in terms of: • Subject quality of life (QOL) assessments via: \- Cystic Fibrosis Questionnaire-Revised (CFQ-R)
Time frame: baseline to 12 months
Change in Local and Systemic Inflammation via the GAD-7 Questionnaire
examining post-infusion changes from baseline between the MSC and Placebo Cohorts in terms of: • Subject quality of life (QOL) assessments via: \- Generalized anxiety disorder 7 (GAD-7)
Time frame: baseline to 12 months