Chronic obstructive pulmonary disease (COPD) is a common, progressive, and heterogeneous respiratory disorder. It is associated with substantial morbidity and mortality worldwide, leading to progressive decline in lung function, impaired quality of life, and a significant healthcare burden. REGEND001, made from airway basal stem cells with ability to regenerate lung tissue, is promising to COPD treatment. In this study, a multicenter, randomized, blinded, placebo-parallel-controlled trial is performed to verify the efficacy and safety of REGEND001 in treatment of COPD patients with emphysema.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
102
Participants enrolled will have a bronchoscopy with brushing for cell collection, followed by a single adiministratoin of placebo via bronchoscopy and 1 year of follow-up.
Participants enrolled will have a bronchoscopy with brushing for cell collection, followed by a single adiministratoin of REGEND001 via bronchoscopy and 1 year of follow-up.
The First Affiliated Hospital of Guangzhou Medical University
Guangzhou, Guangdong, China
Change from baseline in the measured Diffusing Capacity of the Lung for Carbon Monoxide (DLCO)
The change from baseline in measured DLCO is defined as the difference between the absolute measured DLCO value at baseline and that measured at the assessment time point after treatment.
Time frame: Week 52 after treatment
Change from baseline in COPD Assessment Test (CAT) score
The COPD Assessment Test (CAT) is an 8-item questionnaire used to assess the impact of COPD on health status. The total score ranges from 0 to 40, with higher scores indicating a greater impact of COPD and worse health status. Change from baseline is calculated as the post-treatment CAT score minus the baseline CAT score.
Time frame: Week 12, 24 and 52 after treatment
Proportion of subjects with a ≥2-point improvement or worsening from baseline in CAT score
Minimal clinically important difference for CAT is recognized as 2 points.
Time frame: Week 12, 24 and 52 after treatment
Change from baseline in DLCO
DLCO is assessed by absolute measured value, hemoglobin (Hb)-corrected measured/predicted ratios and corresponding area under curve (AUC).
Time frame: Week 12, 24 and 52 after treatment
Proportion of subjects with a ≥11% relative improvement or worsening from baseline in absolute measured DLCO
Minimal clinically important difference (MCID) of DLCO is recognized as 11%.
Time frame: Week 12, 24 and 52 after treatment
Change from baseline in alveolar volume (VA)
VA is assessed by measured values, measured/predicted ratio and corresponding area under curve (AUC).
Time frame: Week 12, 24 and 52 after treatment
Change from baseline in forced expiratory volume in the first second (FEV1) post-bronchodilator
FEV1 is assessed by measured value, measured/predicted ratio and corresponding area under curve (AUC).
Time frame: Week 12, 24 and 52 after treatment
Change from baseline in 6-minute walk distance (6MWD)
6MWD is assessed by the measured value and corresponding area under curve
Time frame: Week 12, 24 and 52 after treatment
Proportion of subjects with a ≥30-meter change from baseline in 6MWD
Minimal clinically important difference (MCID) of 6MWD is recognized as 30 meters.
Time frame: Week 12, 24 and 52 after treatment
Change from baseline in St. George's Respiratory Questionnaire for COPD (SGRQ-C) score
The St. George's Respiratory Questionnaire for COPD (SGRQ-C) is a validated disease-specific patient-reported outcome measure used to assess the impact of COPD on patients' health status and quality of life. Total score, ranged from 0 to 100, is the sum of points from all items. A higher value represents a worse outcome.
Time frame: Week 12, 24 and 52 after treatment
Proportion of subjects with a ≥4-point improvement or worsening from baseline in SGRQ-C score
Minimal clinically important difference for SGRQ is recognized as 4 points.
Time frame: Week 12, 24 and 52 after treatment
Annualized rate of COPD exacerbations (AECOPD), adjusted for prior exacerbation history and baseline characteristics
The annualized rate of COPD exacerbations (AECOPD), adjusted for prior exacerbation history and baseline characteristics, represents the adjusted frequency of acute exacerbations of COPD over the assessment period.
Time frame: Week 52 after treatment
Change from baseline in arterial blood gas parameters
The change from baseline in arterial blood gas parameters reflects changes in gas exchange function and respiratory status over the assessment period.
Time frame: Week 52 after treatment
Change from baseline in HRCT images
HRCT images are quantitatively analyzed using dedicated software to measure emphysema volume (mL) and functional lung volume (mL).
Time frame: Week 52 after treatment
Adverse Event
An adverse event (AE) is any untoward medical occurrence in a subject who has received a study intervention, regardless of whether or not it is considered related to the intervention.
Time frame: Hour 24, Week 12, 24 and 52 after treatment
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