Phase I/II open-label trial of intravenous allogeneic mesenchymal stromal cell therapy in adults with recessive dystrophic epidermolysis bullosa

被引:55
|
作者
Rashidghamat, Ellie [1 ]
Kadiyirire, Tendai [1 ]
Ayis, Salma [2 ]
Petrof, Gabriela [5 ]
Liu, Lu [6 ]
Pullabhatla, Venu [7 ]
Ainali, Chrysanthi [1 ,9 ]
Guy, Alyson [6 ]
Aristodemou, Sophia [6 ]
McMillan, James R. [6 ]
Ozoemena, Linda [6 ]
Mee, John [10 ]
Pramanik, Rashida [1 ]
Saxena, Alka [7 ]
Nuamah, Rosamund [7 ]
de Rinaldis, Emanuele [11 ]
Serrano, Sonia [8 ]
Maurin, Clarisse [8 ]
Martinez-Queipo, Magdalena [1 ]
Lwin, Su M. [1 ]
Ilic, Dusko [3 ]
Martinez, Anna [5 ]
Dazzi, Francesco [4 ]
Slaper-Cortenbach, Ineke [12 ]
Westinga, Kasper [12 ]
Zeddies, Sabrina [12 ]
van den Broek, Marcel [12 ]
Onoufriadis, Alexandros [1 ]
Mellerio, Jemima E. [1 ]
McGrath, John A. [1 ]
机构
[1] Kings Coll London, St Johns Inst Dermatol, Sch Basic & Med Biosci, London, England
[2] Kings Coll London, Sch Populat Hlth & Environm Sci, London, England
[3] Kings Coll London, Fac Life Sci & Med, Dept Women & Childrens Hlth, Guys Assisted Concept Unit,Stem Cell Labs, London, England
[4] Kings Coll London, Rayne Inst, Dept Haematol Med, London, England
[5] Great Ormond St Hosp Children NHS Fdn Trust, Dept Dermatol, London, England
[6] Guys Hosp, Robin Eady Natl Diagnost Epidermolysis Bullosa La, Viapath, London, England
[7] Guys & St Thomas NHS Fdn Trust, UK NIHR GSTFT KCL Comprehens Biomed Res Ctr, London, England
[8] Guys & St Thomas NHS Fdn Trust, Clin Trial Management Res Platform, NIHR Biomed Res Ctr, London, England
[9] Dignosis Ltd, London, England
[10] St Thomas Hosp, Viapath, Immunodermatol Lab, London, England
[11] Sanofi, I&I Precis Immunol, Cambridge, MA USA
[12] Univ Med Ctr Utrecht, Dept Clin Pharm, Cell Therapy Facil, Utrecht, Netherlands
关键词
BM-MSC; epidermolysis bullosa; mesenchymal stromal cells; RDEB; IIND INTERNATIONAL-SYMPOSIUM; BONE-MARROW; STEM-CELLS; MANAGEMENT; CARCINOMA; SEVERITY; SANTIAGO; CHILE; ITCH; EB;
D O I
10.1016/j.jaad.2019.11.038
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background: Recessive dystrophic epidermolysis bullosa (RDEB) is a hereditary blistering disorder due to a lack of type VII collagen. At present, treatment is mainly supportive. Objectives: To determine whether intravenous allogeneic bone marrow-derived mesenchymal stromal/stem cells (BM-MSCs) are safe in RDEB adults and if the cells improve wound healing and quality of life. Methods: We conducted a prospective, phase I/II, open-label study recruiting 10 RDEB adults to receive 2 intravenous infusions of BM-MSCs (on day 0 and day 14; each dose 2-4 3 106 cells/kg). Results: BM-MSCs were well tolerated with no serious adverse events to 12 months. Regarding efficacy, there was a transient reduction in disease activity scores (8/10 subjects) and a significant reduction in itch. One individual showed a transient increase in type VII collagen. Limitations: Open-label trial with no placebo. Conclusions: MSC infusion is safe in RDEB adults and can have clinical benefits for at least 2 months.
引用
收藏
页码:447 / 454
页数:8
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