Evidence map›Paper›PMID 32758293›Full record

ArticleStem cell research & therapy2020

Comment on "Allogeneic umbilical cord-derived mesenchymal stem cell transplantation for treating chronic obstructive pulmonary disease: a pilot clinical study".

Talita Stessuk, João Tadeu Ribeiro-Paes

3 registry-linked trialsOpen access · goldAbstract readLetterComment
In one paragraph

Article in Stem cell research & therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00683722 phase2completednot on this map

A Phase II, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety and Efficacy of PROCHYMAL™ (ex Vivo Cultured Adult Human Mesenchymal Stem Cells) Intravenous Infusion for the Treatment of Subjects With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)

TypeinterventionalSponsorMesoblast, Inc.Ran2008 to 2010Enrolled62ConditionsPulmonary Disease, Chronic Obstructive, Pulmonary Emphysema, Chronic BronchitisArmsProchymal™, Placebo
NCT01110252 nacompletednot on this map

Unicentric Study Protocol of Cell Therapy in Chronic Obstructive Pulmonary Disease

TypeinterventionalSponsorUPECLIN HC FM Botucatu UnespRan2009 to 2011Enrolled4ConditionsChronic Obstructive Pulmonary Disease, Pulmonary EmphysemaArmsStem cells stimulation, stem cells collection, stem cells infusion
NCT01306513 phase1completednot on this map

Effect of Autologous Bone Marrow Derived Mesenchymal Stromal Cells Prior to Lung Volume Reduction Surgery for Severe Pulmonary Emphysema- a Phase I Safety and Feasibility Study

TypeinterventionalSponsorLeiden University Medical CenterRan2010 to 2012Enrolled10ConditionsEmphysemaArmsautologous bone marrow derived mesenchymal stromal cells
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Regenerative and translational medicine in COPD: hype and hope.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Talita StessukSão Paulo State University, UNESP - Campus de Assis, Assis, Brazil. talitastessuk@gmail.com.
João Tadeu Ribeiro-PaesSão Paulo State University, UNESP - Campus de Assis, Assis, Brazil. ribeiro.paes@unesp.br.ORCID 0000-0002-7645-5891
Universidade Estadual Paulista (Unesp) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the clinical study by Le Thi Bich et al., allogeneic expanded umbilical cord-derived mesenchymal stem cells (UC-MSCs) were intravenously infused to treat patients with chronic obstructive pulmonary disease (COPD). No severe or significant adverse effects were observed, while a significant improvement in COPD patients' quality of life was reported up to 6 months. In addition, the authors argue that bone marrow-derived cells are not suitable to treat COPD based on the "failure" of 3 clinical trials (NCT01110252, NCT01306513, and NCT00683722). In fact, Le Thi Bich et al. and the three above-mentioned studies reported similar clinical outcomes, id est., no significant improvement in the pulmonary function of COPD patients. Therefore, since no COPD treatment involving cells either from bone marrow or umbilical cord was detrimental or provided lung regeneration in human patients, in our view, it is too early to point failures of cellular sources. Instead, it is a valuable opportunity to reflect on the poorly understood therapeutic mechanism of MSCs and the pathophysiology of COPD. In respect of cellular sources, only controlled trials with a strict comparison between different tissues might determine the suitability and efficacy of specific cell types to treat COPD. Finally, further studies are still required to determine whether and via which mechanism MSCs are able to provide structural and functional restoration of gas exchange in COPD patients.

Indexed as

Hematopoietic Stem Cell TransplantationMesenchymal Stem Cell TransplantationPulmonary Disease, Chronic ObstructiveHumansQuality of LifeUmbilical CordCell therapyClinical trialCOPDPulmonary emphysema

Identifiers

PMID32758293
PMCPMC7409420
OpenAlexW3147031007

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.