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NCT Number: NCT06610773

HUC-MSC for Treatment of High-risk HPV Infection

To evaluate the safety and initial effectiveness of human umbilical cord mesenchymal stem cells in HPV clearance.

Recruiting

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Key information

Age range

25 year–60 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Shanghai Shanghai East Hospital, Tongji University School of Medicine

Shanghai, Shanghai Municipality, 200120, China

Location status: Recruiting

Location contact

Fang Li, M.D.,PH.D.

CONTACT

[email protected]

13801986709

Fang Li, M.D.,PH.D.

CONTACT

Zhongmin Liu, M.D.,PH.D.

CONTACT

About this study

Cervical cancer is one of the most common malignant tumors of the female reproductive system with the highest incidence. Nearly 99.7% of cervical cancer is caused by HPV infection. Studies have shown that the persistent infection of high-risk human papillomavirus (HR-HPV) is an independent risk factor for cervical cancer which can lead to a 250-fold increased risk of high-grade cervical intraepithelial neoplasia (CIN). In patients with persistent HR-HPV infection for more than 12 months, the risk of diagnosis of high-grade squamous intraepithelial lesions of the cervix by 30 months increased to 21%. In the process of progression from HPV infection to cervical cancer, cervical precancerous lesions, namely intraepithelial neoplasia (CIN), will be experienced. Therefore, effective control of HPV infection, especially the elimination of persistent HR-HPV infection, will greatly reduce the incidence of CIN and cervical cancer. It is an urgent clinical need to actively intervene in patients with persistent infections for more than one year with a clinical significance at present.

Mesenchymal Stem Cells (MSCs) are a class of pluripotent stem cells derived from the mesoderm and ectoderm of early development, which can be easily obtained from a variety of tissue organs, having a strong proliferation and multidirectional differentiation potential in vitro. hUC-MSCs have a great effect on immune regulation and anti-inflammatory properties with a fewer ethical, availability, safety issues and a broader prospect in clinical research and application. At present, many experimental data have proved that MSCs can enhance the clearance of virus by immune cells in vivo, and have a certain application prospect in fighting virus infection. The purpose of this study was to evaluate the safety and therapeutic efficacy of human umbilical cord mesenchymal stem cells (HUC-MSCs) in clearing HPV infection, and to provide clinical basis for HUC-MSCs to clear HPV infection.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Women aged 25-60 with a sexual history of more than 2 years;
  • Confirmed HPV infection by HPV-24 test;Patients diagnosed with high-risk human papillomavirus (HR-HPV) persistent infection; (note: the HR HPV: HPV 16/18/31/33/35/39/45/51/52/53/56/58/59/66/68; 15 types)
  • The subjects were not participating in other clinical trials at the same time, and had no other anti-HPV drugs or intervention therapy recently;
  • If the pregnancy test is negative and the subjects have fertility potential, they agree to use effective contraception during the study period and within 6 months of completion or termination of the study;
  • Voluntarily participate in and agree to cooperate in accordance with the requirements of the program, and sign the informed consent.

Exclusion criteria

  • Women who are preparing for pregnancy, pregnancy or breastfeeding;
  • Pathological diagnosis of high-grade squamous intraepithelial lesion (HSIL) or cervical cancer;
  • Previous HPV vaccinations;
  • A history of severe drug allergies, or allergies to stem cell products or other biologics;
  • Previous cervical site physical therapy or related surgical history;
  • Patients with severe immune dysfunction (such as AIDS, systemic lupus erythematosus and other immune system diseases or history of organ transplantation, malignant tumor chemotherapy history), serious cardiovascular, liver, kidney, nervous, hematopoietic system diseases or malignant tumors, or mental diseases;
  • Recent use of other antiviral drugs, immunosuppressants, immunomodulators or steroid hormones that affect the immune system;
  • Patients with acute genital tract inflammation or pelvic inflammation;
  • Those who have participated in or are participating in clinical trials of other drugs within three months;
  • Other conditions considered inappropriate by the investigator for inclusion in this clinical trial.

Treatment and study plan

hUC-MSCs

Biological

1×10^6/Kg hUC-MSCs (suspended in 100 mL normal saline containing 5% albumin) are infused intravenously to patients at a controlled rate of 60-80 drops/min.

Other names: Umbilical Cord Mesenchymal Stem Cells

Saline+albumin

Biological

Normal saline containing 5% albumin had a similar suspension and appearance package to hUC-MSCs, but no MSCs

Primary outcomes

  1. Adverse events-The incidence rate of allergic reaction

    Time frame: 1day,1st,4th,12th,and 36th week

    The allergic reaction rate on the 1st day, 1st week, 4th week, 12th week, and 36th week after the infusion.

  2. The 24 type HPV viral load

    Time frame: -28th~0day,4th,12th,and 36th week

    HPV24 genotypes test is classified from female genitourinary secretions and exfoliating cells of cervix by fluorescent PCR before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 4th week, 12th week, and 36th week after the infusion.

Secondary outcomes

  1. The percentage of CD3+

    Time frame: -28th~0day,1day,1st,4th,12th,and 36th week

    The peripheral blood serum of the patients will be collected to detect the percentage(%)of CD3+ before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week, 12th and 36th week after the infusion.

  2. The percentage of CD4+

    Time frame: -28th~0day,1day,1st,4th,12th,and 36th week

    The peripheral blood serum of the patients will be collected to detect the percentage(%)of CD4+ before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week, 12th and 36th week after the infusion.

  3. The percentage of CD8+

    Time frame: -28th~0day,1day,1st,4th,12th,and 36th week

    The peripheral blood serum of the patients will be collected to detect the percentage(%) of CD8 before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week, 12th and 36th week after the infusion.

  4. The percentage of CD19+

    Time frame: -28th~0day,1day,1st,4th,12th,and 36th week

    The peripheral blood serum of the patients will be collected to detect the percentage(%)of CD19+ before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week, 12th and 36th week after the infusion

  5. The percentage of CD16+/CD56+

    Time frame: -28th~0day,1day,1st,4th,12th,and 36th week

    The peripheral blood serum of the patients will be collected to detect the percentage(%) of CD16+/CD56+ before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week, 12th and 36th week after the infusion.

  6. The serum level of IFN-γ

    Time frame: -28th~0day,1day,1st,4th,12th,and 36th week

    The peripheral blood serum of the patients will be collected to detect the level of IFN-γ (pg/mL) before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 12th week, and 36th week after the infusion.

  7. The serum level of IL-6

    Time frame: -28th~0day,1day,1st,4th,12th,and 36th week

    The peripheral blood serum of the patients will be collected to detect the level of IL-6 (pg/mL) before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week,12th week, and 36th week after the infusion.

  8. The serum level of IL-8

    Time frame: -28th~0day,1day,1st,4th,12th,and 36th week

    The peripheral blood serum of the patients will be collected to detect the level of IL-8 (pg/mL) before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week,12th week, and 36th week after the infusion.

  9. The serum level of IL-10

    Time frame: -28th~0day,1day,1st,4th,12th,and 36th week

    The peripheral blood serum of the patients will be collected to detect the level of IL-10 (pg/mL) before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week,12th week, and 36th week after the infusion.

  10. The serum level of TNF-α

    Time frame: -28th~0day,1day,1st,4th,12th,and 36th week

    The peripheral blood serum of the patients will be collected to detect the level of TNF-α (pg/mL) before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 12th week, and 36th week after the infusion.

Study contacts

Contact information is provided by the study sponsor or research team.

Jingjing Liu, M.D,.PH.D.

CONTACT

[email protected]

13795350828

Sponsors and collaborators

Lead sponsor

Shanghai East Hospital

Other

Registry information

Official study title

Effectiveness and Safety of Human Umbilical Cord Mesenchymal Stem Cells for the Treatment of HPV High-risk Infection

Important dates

Study start
2024
Primary completion
2025
Study completion
2026
First posted
Sep 24, 2024
Registry last updated
Sep 24, 2024

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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