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NCT Number: NCT03384420

A Study to Evaluate the Safety and Therapeutic Effects of Transplantation of MNV-BM-BLD in Pediatric Patients With Pearson Syndrome

Mitochondrial diseases are a genetically heterogeneous group of disorders caused by mutations or deletions in mitochondrial DNA (mtDNA) displaying a wide range of severity and phenotypes. These diseases may be inherited from the mother (mitochondrial inheritance) or non-inherited. The latter are ultra-rare pediatric diseases caused by a mutation or deletion of mtDNA, which develop into a systemic multi organ disease and eventually death. MNV-BM-BLD is a therapeutic process for enrichment of patient's peripheral hematopoietic stem cells with normal and healthy mitochondria derived from donor blood cells. The process, called mitochondria augmentation therapy, aims to reduce the symptoms of mitochondrial diseases.

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Key information

Age range

3 year–18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Sheba Medical Center Hospital- Tel Hashomer

Ramat Gan, Israel

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient diagnosed with Pearson Syndrome, as verified by molecular identification of a defect in the mitochondrial DNA.
  • Normal maternal mitochondria as verified by mtDNA sequencing.
  • Males and females between 3 years or older and up to 18th birthday.
  • Patient is transfusion independent.
  • Patient has at least one of the following systematic involvements:
  • High baseline lactate levels
  • Episodes of metabolic crisis in the last year before pre-screening
  • Renal failure (not dependent on dialysis) or evidence of proximal tubulopathy
  • Growth retardation or failure to thrive

Exclusion criteria

  • Absence of detectable mitochondria mutation or deletion.
  • Patient or patient's mother have a positive test for microbiologic
  • Patient is unable to undergo leukapheresis.
  • Patient suffers from chronic severe infection, malignant disease or any other disease or condition that may risk the patient or interfere with the ability to interpret the study results.
  • Patient has been treated previously with any cell or gene therapy.
  • Patient has participated in another clinical treatment trial or received other experimental medications outside of a clinical trial within 1 month prior to start of this study.

Treatment and study plan

CD34+ cells enriched with MNV-BLD

Biological

Transplantation of autologous stem cell enriched with MNV-BLD (blood-derived mitochondria)

Primary outcomes

  1. Number of participants with Treatment-related adverse events as assessed by CTCAE v5.0 following MNV-BM-BLD during a follow up period of 12 months post treatment.

    Time frame: 1 year

    Severity will graded according to CTCAE, Version 5.0

  2. IPMDS (International Pediatric Mitochondrial Disease Scale)

    Time frame: 1 year

    To compare the change in International Pediatric Mitochondrial Disease Scale (IPMDS) score during a follow up period of 12 months post treatment. IPMDS total score ranges from 0 to 243. The score is expressed as the percentage of items which were feasible to perform. The lower the score is, the higher the child's function

Secondary outcomes

  1. Weight

    Time frame: 1 year

    To compare the changes (kilograms) to Baseline

  2. Quantification of levels of normal mtDNA in blood and urine

    Time frame: 1 years

    To compare the changes to Baseline

  3. Metabolic crisis events occurrence compared to two years prior to the study.

    Time frame: 3 Years

    To compare the changes during 3 years (2 years prior the study entry and 1 year follow up)

  4. Change in renal function

    Time frame: 1 year

    Measurement of blood creatinine in a serum sample

  5. Change in Brain involvement

    Time frame: 1 year

    Lactate peak as assessed by MRS

  6. Height

    Time frame: 1 year

    To compare the changes (in meters) to Baseline

  7. Change in cardiac function

    Time frame: 1 year

    Assessment of left ventricular ejection fraction via echocardiography

  8. Monitoring for liver disease

    Time frame: 1 year

    Measurement of Aspartate Aminotransferase and Alanine aminotransferase level

Other outcomes

  1. Hospitalization events

    Time frame: 1 year

    To compare the changes from medical history to 1 year follow up

  2. Change in functional status

    Time frame: 1 year

    Distance traveled during the 6MWT (meters)

  3. Change in hematological parameter

    Time frame: 1 year

    Measurement of hemoglobin level

  4. Change in hematological parameter

    Time frame: 1 year

    Measurement of absolute neutrophil count

  5. Change in hematological parameter

    Time frame: 1 year

    Measurement of platelet count

  6. Control of blood glucose concentration

    Time frame: 1 year

    Hemoglobin A1c% in whole blood

  7. ATP content.

    Time frame: 1 year

    To compare the changes to Baseline

Sponsors and collaborators

Lead sponsor

Minovia Therapeutics Ltd.

Industry

Registry information

Official study title

A Phase I/II, Open Label, Single Dose Clinical Study to Evaluate the Safety and Therapeutic Effects of Transplantation of MNV-BM-BLD (Autologous cd34+ Cells Enriched With Blood Derived Mitochondria) in Pediatric Patients With Pearson Syndrome

Important dates

Study start
2019
Primary completion
2021
Study completion
2021
First posted
Dec 27, 2017
Registry last updated
Aug 31, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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