Efficacy Evaluation of UCB-MNCs in the Treatment of Refractory Neonatal Diseases

NCT ID: NCT06427642

Last Updated: 2024-05-24

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

RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-01

Study Completion Date

2025-04-30

Brief Summary

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Hypoxic-ischemic encephalopathy (HIE), bronchopulmonary dysplasia (BPD), short bowel syndrome (SBS) are refractory in clinical treatment. Thus, how to better prevent such diseases is currently a key research topic in the international field. The use of cord blood-derived mononuclear cells may promote to save lives and improve patient outcomes.

Detailed Description

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Conditions

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Hypoxic-Ischemic Encephalopathy Bronchopulmonary Dysplasia Short Bowel Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental group for children with HIE

Intravenous infusion of UCB-MNCs is given within 24 hours of being identified as a high-risk patient

Group Type EXPERIMENTAL

Mononuclear cells

Intervention Type BIOLOGICAL

UCB-MNCs are obtained from umbilical cord blood by density gradient centrifugation

Mild hypothermia therapy

Intervention Type DEVICE

Mild hypothermia therapy via hypothermia therapy apparatus

Control group for children with HIE

Mild hypothermia therapy is given for 72 hours to maintain anal temperature between 33.5°C and 34°C

Group Type ACTIVE_COMPARATOR

Mild hypothermia therapy

Intervention Type DEVICE

Mild hypothermia therapy via hypothermia therapy apparatus

Experimental group for children with BPD

Intravenous infusion of UCB-MNCs is given within 24 hours of being identified as a high-risk patient

Group Type EXPERIMENTAL

Mononuclear cells

Intervention Type BIOLOGICAL

UCB-MNCs are obtained from umbilical cord blood by density gradient centrifugation

Breathing support technique

Intervention Type DEVICE

Breathing support via ventilator

Control group for children with BPD

Clinical routine treatment

Group Type ACTIVE_COMPARATOR

Breathing support technique

Intervention Type DEVICE

Breathing support via ventilator

Experimental group for children with SBS

Intravenous infusion of UCB-MNCs

Group Type EXPERIMENTAL

Mononuclear cells

Intervention Type BIOLOGICAL

UCB-MNCs are obtained from umbilical cord blood by density gradient centrifugation

Total parenteral nutrition

Intervention Type PROCEDURE

Liquid nutrition injected directly into the bloodstream

Control group for children with SBS

Clinical routine treatment

Group Type ACTIVE_COMPARATOR

Total parenteral nutrition

Intervention Type PROCEDURE

Liquid nutrition injected directly into the bloodstream

Interventions

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Mononuclear cells

UCB-MNCs are obtained from umbilical cord blood by density gradient centrifugation

Intervention Type BIOLOGICAL

Mild hypothermia therapy

Mild hypothermia therapy via hypothermia therapy apparatus

Intervention Type DEVICE

Breathing support technique

Breathing support via ventilator

Intervention Type DEVICE

Total parenteral nutrition

Liquid nutrition injected directly into the bloodstream

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* For children with hypoxic-ischemic encephalopathy (HIE): meet the diagnostic criteria for HIE.

For children with bronchopulmonary dysplasia (BPD): 1) preterm infants with definite gestational age of 25-30 weeks; 2) birth weight 401-1249 g; 3) the risk of BPD was assessed to be greater than 60%. The scoring was based on the BPD high risk scoring system established by the NCHD Neonatal Cooperative Network; 4)parents read the subject's instructions, agreed to the treatment and signed the informed consent.

For children with short bowel syndrome (SBS): 1) postoperative short bowel syndrome caused by neonatal necrotizing enterocolitis and other causes (developmental malformations of the digestive tract: intestinal atresia, anal atresia, intestinal stenosis, etc.); 2) parents read the subject's instructions, agreed to the treatment and signed the informed consent.

Exclusion Criteria

* For children with HIE: unable or unwilling to provide informed consent or unable to comply with trial requirements.

For children with BPD: 1) with severe anemia, severe intracranial hemorrhage, pulmonary hemorrhage, congenital respiratory malformations (posterior nostril atresia, tracheoesophageal fistula, cleft palate, etc.), complicated congenital heart disease, diaphragmatic hernia, shock, other serious comorbidities or complications (congenital inherited metabolic diseases, endocrine diseases, severe congenital malformations and other diseases that affect lung development); 2) unable or unwilling to provide informed consent or unable to comply with trial requirements.

For children with SBS: unable or unwilling to provide informed consent or unable to comply with trial requirements.
Minimum Eligible Age

1 Day

Maximum Eligible Age

28 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Qilu Children's Hospital of Shandong University

OTHER

Sponsor Role collaborator

Shandong Qilu Stem Cells Engineering Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Xiaoying Li, MD

Role: PRINCIPAL_INVESTIGATOR

Qilu Children's Hospital of Shandong University

Locations

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Qilu Children's Hospital of Shandong University

Jinan, Shandong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yujie Han, MD

Role: CONTACT

+86 187 5414 6336

Facility Contacts

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Xiaoying Li

Role: primary

Other Identifiers

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MNCs-2024

Identifier Type: -

Identifier Source: org_study_id

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