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The certification of cell-based treatment in the settings need to be updated.
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Umbilical Cord-derived Mesenchymal stem cell has been proven effective in the experimental bronchopulmonary dysplasia (BPD).A multi-center study was designed to evaluate the safety and efficacy of the cellular therapy in extremely preterm infants at high risk for BPD.
Brochopulmonary dysplasia is a severe chronic lung disease in extremely preterm infants. The morbidity of BPD is increasing in CHINA. The preventive and therapy methods of BPD are still lacking.
Umbilical Cord-derived Mesenchymal stem cell has been proven effective in the experimental bronchopulmonary dysplasia (BPD). A multi-center study was designed to evaluate the safety and efficacy of the cellular therapy in extremely preterm infants at high risk for BPD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mesenchymal stem cell | Experimental | Human Umbilical Cord-derived Mesenchymal stem cell in the saline |
|
| placebo | Placebo Comparator | saline without mesenchymal stem cell |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Human Umbilical Cord-derived Mesenchymal stem cell | Drug | The Human Umbilical Cord-derived Mesenchymal stem cells suspension (2×10^7/kg per KG of the infant 's weight ) will be instilled once through a catheter into the infant' s endotracheal tube |
| Measure | Description | Time Frame |
|---|---|---|
| Oxygen requirement 3 days after transplantation | Temporal profiles of the fraction of inspiration oxygen 3 days after transplantation, the tolerable required oxygen ,which is the minimum fraction of inspiration oxygen in which the participants has a stable SpO2 (90%-95%), measured in % | 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| Oxygen requirement 7 days after transplantation | Temporal profiles of the fraction of inspiration oxygen 7 days after transplantation, the tolerable required oxygen ,which is the minimum fraction of inspiration oxygen in which the participants has a stable SpO2 (90%-95%), measured in % | 7 days |
| Duration of ventilator dependence |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Chen Chao, PhD,MD | Chiledren's Hospital of Fudan University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Obstetrics and Gynecology Hospital of Fudan University | Shanghai | Shanghai Municipality | 200011 | China | ||
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| placebo | Drug | saline |
|
The duration from transplantation to weaning from ventilator |
| up to 36 weeks PMA |
| Incidence of severe BPD | percentage of participants with severe BPD ,diagnosed at 36 weeks PMA | up to 36 weeks PMA |
| Survival rate | Percentage of participants who survived up to 36 weeks PMA | up to 36 weeks PMA |
| Temperature | Temporal profiles of temperature | 3 days |
| Heart rate | Temporal profiles of heart rate | 3 days |
| Respiratory rate | Temporal profiles of respiratory rate | 3 days |
| Duration of CPAP treatment | Duration of CPAP treatment | up to 36 weeks PMA |
| Percentage of participants treated with steroids for weaning from ventilator | Percentage of participants treated with steroids for weaning from ventilator | up to 36 weeks PMA |
| Growth velocity (Z-score) | percentile for body weight, height, and head circumference | up to 36 weeks PMA |
| bronohoalveolar lavage (BAL) cytokine level | BAL were collected 7 days after transplantation for cytokine (IL-6,IL-8,TNF-α,TGF-β,VEGF,HGF) level examination, measured in pg/ml | 7 days |
| The severity of BPD in X-ray patterns | A chest X-ray was performed in participants before and after transplantation. The severity of BPD (mild,moderate,severe) was assessed by a single radiographic doctor who is blind about randomization | 7 days |
| Children's Hospital of Fudan University |
| Shanghai |
| Shanghai Municipality |
| 201102 |
| China |
| Shanghai First Maternity and Infant Hospital | Shanghai | Shanghai Municipality | 201204 | China |
| ID | Term |
|---|---|
| D001997 | Bronchopulmonary Dysplasia |
| ID | Term |
|---|---|
| D055397 | Ventilator-Induced Lung Injury |
| D055370 | Lung Injury |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D007235 | Infant, Premature, Diseases |
| D007232 | Infant, Newborn, Diseases |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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