The study objectives are to evaluate the safety of a single intravenous (IV) infusion of autologous CD34+ cells enriched with placenta-derived allogeneic mitochondria in participant with primary mitochondrial disease associated with mitochondrial DNA mutations or deletions. 6 participants aged from 4 to 18 years old on the day of screening visit with primary mitochondrial disease associated with mitochondrial DNA mutations or deletions will be enrolled.
MNV-BM-PLC is a personalized cell therapy based on autologous patient-derived Hematopoietic stem/progenitor cells (HSPCs) enriched with mitochondria isolated from healthy placenta obtained from donors during C-section. Healthy mitochondria are employed, ex-vivo, to enrich the patient's CD34+ peripheral blood cells, followed by infusion of the mitochondrial enriched cells back to the patient. This therapeutic process of mitochondrial augmentation provides the patient with healthy mitochondria carrying non-mutated/deleted mtDNA that can supplement mitochondrial functionality in the patient's cells.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
During four days before the apheresis, Neupogen (G-CSF) at a dose of 10 microgram per kilogram will be administered subcutaneously in the morning (days -6 to -3 of cell therapy). In addition, Mozobil (Plerixafor) at a dose of 0.24 milligram per kilogram will be administered subcutaneously approximately 4 hours before apheresis initiation. A fifth dose of Neupogen (G-CSF) will be administered just prior to the apheresis
Apheresis will be performed two days prior to MNV-BM-PLC infusion. During this procedure, patient's peripheral blood will be collected by apheresis
The MNV-BM-PLC (autologous CD34+ cells enriched with placenta-derived allogeneic mitochondria) infusion will be performed by standard IV procedure. The dosing interval between patients will be at minimum 2 weeks.
Sheba Medical Center - Tel Ashomer
Ramat Gan, Israel
Number of participants with Treatment-related adverse events as assessed by CTCAE v5.0 following MNV-BM-PLC
Severity will graded according to CTCAE, Version 5.0
Time frame: 1 month
Measurement of hemoglobin level
Change from baseline in hematological parameter
Time frame: 1 month
Measurement of absolute neutrophil count
Change from baseline in hematological parameter
Time frame: 1 month
Measurement of platelet count
Change from baseline in hematological parameter
Time frame: 1 month
Number of participants with Treatment-related adverse events as assessed by CTCAE v5.0 following MNV-BM-PLC
Severity will graded according to CTCAE, Version 5.0
Time frame: 2 years
Measurement of hemoglobin level
Change from baseline in hematological parameter
Time frame: 2 years
Measurement of absolute neutrophil count
Change from baseline in hematological parameter
Time frame: 2 years
Measurement of platelet count
Change from baseline in hematological parameter
Time frame: 2 years
IPMDS (International Pediatric Mitochondrial Disease Scale)
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To compare the change in International Pediatric Mitochondrial Disease Scale (IPMDS) score during a follow up period of 3, 6 12 and 24 months post treatment. IPMDS total score ranges from 0 to 243. The score is expressed as the percentage of items which were feasible to perform. The lower the score is, the higher the child's function
Time frame: 2 years
Performance Score
Stabilization or improvement in performance score (Lansky score (for patients younger than 15 years) or Karnofsky (for patients older than 15) score relative to baseline
Time frame: 2 years
PEDI: Pediatric Evaluation of Disability Inventory
Stabilization or improvement in PEDI score relative to baseline
Time frame: 2 years
6-minute walk test
Stabilization or improvement in 6-minute walk test relative to baseline
Time frame: 2 years
30 Second chair stand
Stabilization or improvement in 30 Second chair stand relative to baseline
Time frame: 2 years
Hospitalization events
Reduction in number, cause and duration of hospitalization events relative to 12 months before IP treatment
Time frame: 1 year