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Completed

NCT Number: NCT03871972

Umbilical Cord Blood Transfusion in Progeria Syndrome

This is a pilot study on safety and efficacy of umbilical cord blood therapy for patients with Hutchinson Gilford Progeria syndrome (HGPS). This is an 1 year trial with 3 IV infusions (4 months apart from each infusion) of umbilical cord blood units with oral Sirolimus to see the safety and efficacy.

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Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Bundang CHA Medical Center

Seongnam-si, Gyeonggi-do, 13496, South Korea

About this study

This is a pilot study on safety and efficacy of umbilical cord blood therapy for patients with Hutchinson Gilford Progeria syndrome (HGPS). HGPS is a rare genetic disease where affected LMNA gene coding lamin A protein leads to premature aging and early death.

Teenagers with HGPS are in high risk of atherosclerosis and ischemic stroke, and these are major reason of mortality in HGPS.Currently, there are no definite cure for this rare genetic disease. Among the potential drugs under investigation, Lornafarnib (farnesyltransferase inhibitor) lowered the carotid-femoral pulse wave velocity (cfPWV) and also lowered mortality.

Stem cell therapy has proven its efficacy in progeria mouse model. We are trying to study safety and efficacy of umbilical cord blood therapy in human HGPS patients.

Who can participate

Healthy volunteers accepted: No

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

This is a pilot study including 2 patients with HGPS.

Inclusion criteria

  • those who were clinically and genetically diagnosed as Hutchinson-Gilford progeria syndrome

Exclusion criteria

  • those who show definite hemorrhage or ischemia on brain MRI
  • those who are affected with systemic infection during study enrolling period
  • those who are not able to able to make consents to the study; those who are not accompanying any guardians
  • those who were enrolled in other clinical trials within last 30 days
  • those who are not appropriate according to laboratory criteria
  • whose ALT/AST > 2 fold of normal limit
  • whose serum creatinine > 1.5 fold of normal limit
  • whose total bilirubin > 2 fold of normal limit
  • whose total WBC count < 3000/mm3
  • whose platelet count < normal lower limit
  • those who are diagnosed with other malignancies
  • those who are affected by other serious medical (cardiopulmonary, gastrointestinal, endocrinologic, etc.) conditions

Treatment and study plan

Umbilical Cord Blood Unit

Drug

3 infusions of umbilical cord blood (UCB) unit (TNC > 2.0ⅹ107cells/kg) each 4 months apart and take oral Sirolimus (1 mg/m2/day) for 7 days (from 3 days before UCB infusion until 3 days after UCB infusion)

Other names: Oral Sirolimus

Primary outcomes

  1. Change from baseline Carotid-femoral pulse wave velocity at 48 weeks

    Time frame: 48 weeks after UCB infusion

    measured by carotid doppler ultrasonography

  2. Change from baseline serum HDL cholesterol at 48 weeks

    Time frame: 48 weeks after UCB infusion

    taken on routine lab

  3. Change from baseline weight at 48 weeks

    Time frame: 48 weeks after UCB infusion

    measured by bioimpedance analysis

Secondary outcomes

  1. Ankle-brachial index

    Time frame: baseline, 48 weeks after UCB infusion

    measured by automatic blood pressure gauge

  2. Body fat proportion

    Time frame: baseline, 48 weeks after UCB infusion

    taken by bioimpedance analysis

  3. Range of motion

    Time frame: baseline, 48 weeks after UCB infusion

    measured manually

  4. height

    Time frame: baseline, 48 weeks after UCB infusion

    measured by bioimpedance analysis

Sponsors and collaborators

Lead sponsor

Bundang CHA Hospital

Other

Registry information

Official study title

Safety and Efficacy of Umbilical Cord Blood Transfusion in Patients With Hutchinson-Gilford Progeria Syndrome

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Mar 12, 2019
Registry last updated
Nov 4, 2020

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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