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This study is a prospective, single-arm, dose-escalation exploratory clinical trial to investigate the safety, tolerability and preliminary efficacy of REGEND007 stem cell preparation administered by intravenous infusion in the treatment of idiopathic pulmonary fibrosis (IPF), with a follow-up period of 12 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| REGEND007 Cell Therapy | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| REGEND007 Cell Therapy | Biological | This study's intravenous infusion dose escalation protocol is based on a 3+3 dose escalation design, with a total of 4 dose groups. Each group included 3 subjects, and the dose is gradually increased until the maximum tolerated dose(MTD) or the maximum administered dose (MAD) is reached. |
| Measure | Description | Time Frame |
|---|---|---|
| The incidence and severity of drug-related adverse events (AEs) | All adverse medical events that occur from the time the subject signs the informed consent form. These can manifest as symptoms, signs, diseases, or abnormal laboratory test results, but they do not necessarily have a causal relationship with the investigational drug. | 12 weeks after the administration |
| Measure | Description | Time Frame |
|---|---|---|
| The change in the actual forced vital capacity (FVC) compared to the baseline | FVC is the full amount of air that can be-exhaled with effort in a complete breath | 24 hours after administration, 4 and 12 weeks after the last administration |
| The change in forced vital capacity (FVC) actual-to-predicted ratio compared to the baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kai Wang, Professor and Chief Physician | Contact | 086-0579-89935016 | kaiw@zju.edu.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Fourth Hospital of Zhejiang University School of Medicine | Yiwu | Zhejiang | 322000 | China |
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| ID | Term |
|---|---|
| D054990 | Idiopathic Pulmonary Fibrosis |
| ID | Term |
|---|---|
| D011658 | Pulmonary Fibrosis |
| D017563 | Lung Diseases, Interstitial |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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The FVC actual-to-predicted ratio is a crucial indicator in pulmonary function tests, and it is mainly used to determine whether there is restrictive ventilation dysfunction. |
| 24 hours after administration, 4 and 12 weeks after the last administration. |
| The change in the actual forced expiratory volume in one second (FEV1) compared to the baseline | FEV1 is the volume of breath exhaled with effort in one second. | 24 hours after administration, 4 and 12 weeks after the last administration |
| The change in the forced expiratory volume in one second (FEV1) actual-to-predicted ratio compared to the baseline | The FEV1 actual-to-predicted ratio is a crucial indicator in pulmonary function tests, representing the percentage relationship between the actual measured value of the first-second forced expiratory volume (FEV1) and the predicted value calculated based on individual characteristics. Under normal circumstances, the actual measured value of FEV1 should reach more than 80% of the predicted value. | 24 hours after administration, 4 and 12 weeks after the last administration |
| The change in the carbon monoxide diffusion capacity (DLCO) compared to the baseline | DLCO is a measure of the conductance of CO across the alveolar-capillary membrane and its binding with hemoglobin. | 24 hours after administration, 4 and 12 weeks after the last administration |
| The change in carbon monoxide diffusion capacity (DLCO) actual-to-predicted ratio compared to the baseline | DLCO actual-to-predicted ratio is a crucial indicator in pulmonary function testing, used to assess the oxygen exchange capacity and efficiency of the alveoli. | 24 hours after administration, 4 and 12 weeks after the last administration. |
| The change in the ratio of carbon monoxide diffusion capacity to lung alveolar volume (DLCO/VA) compared to the baseline | DLCO/VA is also known as the diffusion constant, since the diffusion amount is affected by the alveolar ventilation volume, a decrease in alveolar ventilation volume can lead to a reduction in DLCO. Therefore, this value is often used for correction to eliminate the influence of lung volume on the diffusion amount. | 24 hours after administration, 4 and 12 weeks after the last administration. |
| The change in the six-minute walk test (6MWT) compared to the baseline | 6MWT is one of the commonly used methods in clinical practice for assessing a patient's cardiac and pulmonary functions, which involves measuring the distance that a patient can walk quickly on a flat and hard surface within 6 minutes. | 24 hours after administration, 4 and 12 weeks after the last administration. |
| The time when the first acute exacerbation of IPF occurred after administration | The time when the first acute exacerbation of IPF occurred after administration is helpful for assessing disease progression and prognosis. | Within 12 weeks after administration |