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NCT Number: NCT07570836

Safety and Preliminary Efficacy of hUCMSC-EVs in Interstitial Lung Disease

This is an exploratory, randomized, single-blind, placebo-controlled, multiple-dose, dose-escalation clinical study. The study aims to evaluate the safety and preliminary efficacy of nebulized inhalation of Human Umbilical Cord Mesenchymal Stem Cell-Derived Extracellular Vesicles (hUCMSC-EVs) in patients with interstitial lung disease (ILD).

This study is designed to include three sequential dose cohorts-low, medium, and high-with dose escalation proceeding in an ascending order. Eligible subjects will be enrolled and randomized sequentially, with a planned enrollment of 8 subjects per cohort. Within each cohort, subjects will be randomly assigned in a 3:1 ratio to receive either hUCMSC-EVs or saline placebo.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Zhongshan Hospital, Fudan University

Shanghai, China

Location contact

Tong, M.D

CONTACT

[email protected]

86-13764089607

Yuanlin Song, M.D

PRINCIPAL_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Age 18 years and older, regardless of gender.
  • Diagnosed with interstitial lung disease (ILD).
  • High-resolution computed tomography (HRCT) findings within 3 months prior to randomization must be consistent with interstitial pulmonary imaging changes.
  • Pulmonary function test within the protocol-defined acceptable range prior to randomization.
  • Good compliance, able to understand and cooperate with the required examinations and procedures, and willing to attend follow-up visits as scheduled.
  • Voluntary participation and signing of written informed consent form.

Key Exclusion Criteria:

  • Inability to tolerate nebulized inhalation therapy.
  • Requirement for oxygen supplementation > 15 hours per day during the screening period.
  • Allergic diathesis or a history of life-threatening drug hypersensitivity.
  • History of malignancy within 5 years.
  • Active hepatitis B, hepatitis C, or HIV infection.
  • Active systemic infection requiring antibiotic therapy.
  • Clinically significant laboratory abnormalities at screening.
  • Concomitant significant or severe respiratory disease.
  • History of psychiatric illness, epilepsy, or other central nervous system disorders.
  • Concomitant severe cardiovascular, hepatic, or renal systemic disease.
  • Pregnancy, planned pregnancy in the near future, or breastfeeding.
  • Unwillingness to use effective contraception during the study period.
  • Any condition that, in the opinion of the investigator, may increase the risk to the participant or interfere with the study outcomes.

Treatment and study plan

Human Umbilical Cord Mesenchymal Stem Cell-Derived Extracellular Vesicles (hUCMSC-EVs)

Biological

hUCMSC-EVs , nebulized BID × 7d/cycle, 3 cycles

Normal Saline Placebo

Biological

Nebulized inhalation BID × 7d per cycle, 3 cycles

Primary outcomes

  1. Incidence and Severity of Adverse Events

    Time frame: From first dose to Week 12

Secondary outcomes

  1. Change from Baseline in Forced Vital Capacity (FVC)

    Time frame: From first dose to Week 24

    Forced Vital Capacity (FVC) will be assessed using standardized spirometry in accordance with American Thoracic Society (ATS)/European Respiratory Society (ERS) guidelines. Measurements will be performed at Baseline (prior to first dose) and at scheduled post-baseline visits. Spirometry will be conducted using a calibrated spirometer. Results will be summarized as absolute change from baseline and percent predicted normal values.

  2. Change from Baseline in Diffusing Capacity of the Lung for Carbon Monoxide (DLCO)

    Time frame: From first dose to Week 24

    Diffusing Capacity of the Lung for Carbon Monoxide (DLCO) will be assessed using the single-breath method in accordance with ATS/ERS guidelines. Hemoglobin-corrected DLCO values will be recorded if applicable. Measurements will be performed at Baseline and at scheduled post-baseline visits. Results will be summarized as absolute change from baseline and percent predicted normal values.

  3. Change from Baseline in 6-Minute Walk Test (6MWT) Distance

    Time frame: From first dose to Week 24

  4. Change from Baseline in St. George's Respiratory Questionnaire (SGRQ) Total Score

    Time frame: From first dose to Week 24

    The St. George's Respiratory Questionnaire (SGRQ) is a disease-specific instrument designed to measure health-related quality of life in patients with chronic respiratory diseases. The Total Score is calculated as a weighted sum of the domain scores and ranges from 0 to 100, with higher scores indicating worse health-related quality of life. A change of 4 units is generally considered the minimal clinically important difference (MCID).

Study contacts

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

Sponsors and collaborators

Lead sponsor

Shanghai Zhongshan Hospital

Other

Registry information

Official study title

A Clinical Study to Explore the Safety and Preliminary Efficacy of Human Umbilical Cord Mesenchymal Stem Cell-Derived Extracellular Vesicles in the Treatment of Interstitial Lung Disease

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
May 6, 2026
Registry last updated
May 6, 2026

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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