Phase 1 Study of ULSC in Patients With Polymyositis (PM) and Dermatomyositis (DM)

NCT ID: NCT04723303

Last Updated: 2025-01-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

EARLY_PHASE1

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-06

Study Completion Date

2024-03-08

Brief Summary

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This study will investigate Umbilical Cord Lining Stem Cells (ULSC) as an investigational medicinal product and its use in patients with polymyositis (PM) or dermatomyositis (DM) to see if a single intravenous (IV) infusion of allogeneic umbilical cord lining stem cells (ULSC) safe, tolerable, and feasible to administer.

Detailed Description

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Conditions

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Polymyositis Dermatomyositis

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

Study Participants will be assigned to one of 3 doses of stem cells depending on when the subject is enrolled. The first three patients will be assigned to the low dose group, the next three patients will be assigned the intermediate dose group and last three patients will receive the high dose of ULSC's. An independent review group will evaluate the response to therapy to each dose group before moving to the next dose. The groups and doses are described below:

A low dose group receives an IV infusion of 50 million stem cells.

An intermediate dose group receives an IV infusion of 100 million stem cells.

A high dose group receives an IV infusion of 200 million stem cells.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment Arm

A single IV infusion of ULSC's in patients with DM or PM

Group Type EXPERIMENTAL

Umbilical Cord Lining Stem Cells

Intervention Type DRUG

An IV infusion of ULSCs will be administered.

Interventions

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Umbilical Cord Lining Stem Cells

An IV infusion of ULSCs will be administered.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Adult, male or female, age ≥18 years old
2. Diagnosis of definite or probable DM or PM, according to the criteria of Bohan and Peter
3. Patients with PM will either be positive for a myositis-associated antibody or have undergone evaluation to exclude mimics, as deemed appropriate by the Investigator (See Note below).
4. Signs informed consent.

Exclusion Criteria

1. A diagnosis of inclusion body myositis, juvenile DM or PM, myositis in the context of significant overlap with another systemic autoimmune rheumatologic disease.
2. Non immune myopathies.
3. Cancer associated myositis.
4. Hypersensitivity to study product components. History of hypersensitivity to dimethyl sulfoxide (DMSO).
5. Pregnant or lactating women.
6. Concomitant severe cardiac, pulmonary disease, active infection or other conditions that preclude assessment of safety and efficacy of the study product.
7. Patients with predominant muscle atrophy secondary to uncontrolled or chronic DM or PM, based on clinical, biochemical, and/or radiologic assessment, despite previous optimized treatment.
8. Anticipated need for surgery during the trial period.
9. A history of prevalent noncompliance with medical therapy.
10. Recipient of an organ transplant.
11. Neutropenia (absolute neutrophil count\<1,800/mm3 \[or \<1,000/mm3 in African-American subjects\]).
12. Severe impairment in renal function (estimated glomerular filtration rate \<30 ml/kg\*min).
13. Recent or planned use of vaccination with live attenuated viruses.
14. Active cancer or prior diagnosis of cancer within the past 2 years (patients with basal and squamous cell cancer of skin will not be excluded).
15. Condition that would impair an assessment of muscle strength, including neurological disorders such as Parkinson's disease or severe musculoskeletal condition.
16. Any other condition that, in the judgment of the Investigator or Sponsor, would be a contraindication to enrollment, study product administration, or follow-up.
17. History of Atrial septal defect or ventricular septal defect
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Restem, LLC.

INDUSTRY

Sponsor Role collaborator

University of Florida

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Carl Pepine, MD

Role: PRINCIPAL_INVESTIGATOR

University of Florida

Locations

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University of Florida

Gainesville, Florida, United States

Site Status

Countries

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United States

Other Identifiers

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IRB201903442

Identifier Type: OTHER

Identifier Source: secondary_id

OCR33722

Identifier Type: OTHER

Identifier Source: secondary_id

DM/PM V2.0

Identifier Type: -

Identifier Source: org_study_id

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