PMID- 37223507 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230525 IS - 2352-3042 (Electronic) IS - 2352-4820 (Print) IS - 2352-3042 (Linking) VI - 10 IP - 2 DP - 2023 Mar TI - Phase I trial of human umbilical cord-derived mesenchymal stem cells for treatment of severe bronchopulmonary dysplasia. PG - 521-530 LID - 10.1016/j.gendis.2022.02.001 [doi] AB - Severe bronchopulmonary dysplasia (BPD) is a chronic lung disorder that primarily affects premature babies with extremely low birth weight and involves in multiple organ system; no effective pharmacotherapy for this disease exists, and mortality remains high. Based on the evidence from previous preclinical studies and phase I clinical trials, this study aims to test the safety of intravenous application of a single dose of human umbilical cord-derived mesenchymal stem cells (hUC-MSCs) in patients with severe BPD. The Mesenchymal Stem cells for Bronchopulmonary Dysplasia Treatment (MSBDT) trial is a single center, open-label, dose-escalation phase I clinical trial. Severe BPD patients were enrolled in Children Hospital of Chongqing Medical University, Chongqing, China. The first six patients were treated with low-dose hUC-MSCs (1 x 10(6) cells/kg) and the next seven patients were treated with high-dose hUC-MSCs (5 x 10(6) cells/kg). This study is registered with ClinicalTrials.gov, number NCT03558334. No prespecified infusion-associated adverse events, immediate complication, respiratory or cardiovascular compromise were observed during infusion and 24 h after infusion. No significant changes in safety laboratory values were observed. One death event occurred in the low-dose group on study day 10, and one death event occurred in the high-dose group on study day 24, while, after review in detail, the two cases are not believed to be infusion-associated events. In conclusion, intravenous application of a single dose of hUC-MSCs was tolerated in thirteen patients with severe BPD. CI - (c) 2022 The Authors. Publishing services by Elsevier B.V. on behalf of KeAi Communications Co., Ltd. FAU - Xia, Yunqiu AU - Xia Y AD - Department of Dermatology, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing 400014, China. FAU - Lang, Tingyuan AU - Lang T AD - Department of Gynecologic Oncology, School of Medicine, Chongqing University Cancer Hospital, Chongqing University, Chongqing 400030, China. FAU - Niu, Yuqin AU - Niu Y AD - The First Affiliated Hospital, School of Medicine, Shihezi University, Shihezi, Xinjiang 832008, China. FAU - Wu, Xian AU - Wu X AD - Department of Respiratory Medicine, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, China. FAU - Zhou, Ou AU - Zhou O AD - Department of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014, China. FAU - Dai, Jihong AU - Dai J AD - Department of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014, China. FAU - Bao, Lei AU - Bao L AD - Department of Neonatology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China. FAU - Yang, Ke AU - Yang K AD - Chongqing Engineering Technology Research Center of Stem Cell Therapy, Children's Hospital of Chongqing Medical University, Chongqing 400014, China. FAU - Zou, Lin AU - Zou L AD - Center for Clinical Molecular Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014, China. FAU - Fu, Zhou AU - Fu Z AD - Department of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014, China. AD - Chongqing Engineering Technology Research Center of Stem Cell Therapy, Children's Hospital of Chongqing Medical University, Chongqing 400014, China. FAU - Geng, Gang AU - Geng G AD - Department of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014, China. LA - eng SI - ClinicalTrials.gov/NCT03558334 PT - Journal Article DEP - 20220222 PL - Netherlands TA - Genes Dis JT - Genes & diseases JID - 101635967 PMC - PMC10201597 OTO - NOTNLM OT - Bronchopulmonary dysplasia OT - Dose escalation OT - Human umbilical cord-derived mesenchymal stem cells OT - Intravenous treatment OT - Phase I trial COIS- All authors declare that there are no conflicts of interest related to the contents of this article. EDAT- 2022/02/22 00:00 MHDA- 2022/02/22 00:01 PMCR- 2022/02/22 CRDT- 2023/05/24 11:48 PHST- 2021/12/15 00:00 [received] PHST- 2022/01/13 00:00 [revised] PHST- 2022/02/01 00:00 [accepted] PHST- 2022/02/22 00:01 [medline] PHST- 2022/02/22 00:00 [pubmed] PHST- 2023/05/24 11:48 [entrez] PHST- 2022/02/22 00:00 [pmc-release] AID - S2352-3042(22)00034-4 [pii] AID - 10.1016/j.gendis.2022.02.001 [doi] PST - epublish SO - Genes Dis. 2022 Feb 22;10(2):521-530. doi: 10.1016/j.gendis.2022.02.001. eCollection 2023 Mar.