Evidence map›Paper›PMID 33238991›Full record

ArticleBMC pulmonary medicine2020

A phase Ib/IIa, randomised, double-blind, multicentre trial to assess the safety and efficacy of expanded Cx611 allogeneic adipose-derived stem cells (eASCs) for the treatment of patients with community-acquired bacterial pneumonia admitted to the intensive care unit.

Pierre-François Laterre, Miguel Sánchez-García, Tom van der Poll, Olga de la Rosa, Kathy-Ann Cadogan, Eleuterio Lombardo, Bruno François

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC pulmonary medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03158727 (A Phase Ib/IIa, Randomised, Double Blind, Parallel Group, Placebo Controlled, Multicentre Study to Assess the Safety and Efficacy of Expanded Cx611 Allogeneic Adipose-derived Stem Cells), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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.

NCT03158727 phase1 / phase2completednot on this map

A Phase Ib/IIa, Randomised, Double Blind, Parallel Group, Placebo Controlled, Multicentre Study to Assess the Safety and Efficacy of Expanded Cx611 Allogeneic Adipose-derived Stem Cells (eASCs) for the Intravenous Treatment of Adult Patients With Severe Community-acquired Bacterial Pneumonia and Admitted to the Intensive Care Unit

TypeinterventionalSponsorTigenix S.A.U.Ran2017 to 2020Enrolled84ConditionsBacterial PneumoniaArmsCx611, Placebo
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Role of the regulation of mesenchymal stem cells on macrophages in sepsis.International journal of immunopathology and pharmacology
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 5 countries.

Pierre-François LaterreIntensive Care Unit, St Luc University Hospital, Université Catholique de Louvain, 10 avenue, 1200, Brussels, Belgium. pierre-francois.laterre@uclouvain.be.ORCID https://orcid.org/0000-0001-5712-7449
Miguel Sánchez-GarcíaIntensive Care Department, Hospital Clínico San Carlos, Madrid, Spain.
Tom van der PollThe Center of Experimental and Molecular Medicine, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-9199-5079
Olga de la RosaTakeda Madrid, Cell Therapy Technology Center, Tres Cantos, Spain.
Kathy-Ann CadoganTakeda Pharmaceuticals, Cambridge, MA, USA.
Eleuterio LombardoTakeda Madrid, Cell Therapy Technology Center, Tres Cantos, Spain.
Bruno FrançoisIntensive Care Unit, and Inserm CIC1435 & UMR1092, Dupuytren University Hospital, Limoges, France.ORCID https://orcid.org/0000-0002-2531-1652
Amsterdam University Medical Centers · NLHospital Clínico San Carlos · ESInserm · FRTakeda (United States) · USUCLouvain · BE

Funding

Horizon 2020 681031
6 · The paper itself

Abstract

backgroundCommunity-acquired bacterial pneumonia (CABP) can lead to sepsis and is associated with high mortality rates in patients presenting with shock and/or respiratory failure and who require mechanical ventilation and admission to intensive care units, thus reflecting the limited effectiveness of current therapy. Preclinical studies support the efficacy of expanded allogeneic adipose-derived mesenchymal stem cells (eASCs) in the treatment of sepsis. In this study, we aim to test the safety, tolerability and efficacy of eASCs as adjunctive therapy in patients with severe CABP (sCABP).

methodsIn addition to standard of care according to local guidelines, we will administer eASCs (Cx611) or placebo intravenously as adjunctive therapy to patients with sCABP. Enrolment is planned for approximately 180 patients who will be randomised to treatment groups in a 1:1 ratio according to a pre-defined randomization list. An equal number of patients is planned for allocation to each group. Cx611 will be administered on Day 1 and on Day 3 at a dose of 160 million cells (2 million cells / mL, total volume 80 mL) through a 20-30 min (240 mL/hr) intravenous (IV) central line infusion after dilution with Ringer Lactate solution. Placebo (Ringer Lactate) will also be administered through a 20-30 min (240 mL/hr) IV central line infusion at the same quantity (total volume of 80 mL) and following the same schedule as the active treatment. The study was initiated in January 2017 and approved by competent authorities and ethics committees in Belgium, Spain, Lithuania, Italy, Norway and France; monitoring will be performed at regular intervals. Funding is from the European Union's Horizon 2020 Research and Innovation Program. DISCUSSION: SEPCELL is the first trial to assess the effects of eASCs in sCABP. The data generated will advance understanding of the mode of action of Cx611 and will provide evidence on the safety, tolerability and efficacy of Cx611 in patients with sCABP. These data will be critical for the design of future confirmatory clinical investigations and will assist in defining endpoints, key biomarkers of interest and sample size determination.

trial registrationNCT03158727 , retrospectively registered on 9 May 2017.

Indexed as

Adipose TissueAdministration, IntravenousClinical Trials, Phase I as TopicClinical Trials, Phase II as TopicCommunity-Acquired InfectionsDouble-Blind MethodFranceHumansIntensive Care UnitsMesenchymal Stem Cell TransplantationMulticenter Studies as TopicPneumonia, BacterialRandomized Controlled Trials as TopicRespiration, ArtificialSeverity of Illness IndexTreatment OutcomeAdjunctive therapyClinical trialCommunity acquired bacterial pneumoniaMesenchymal stem cellsStudy protocol

Identifiers

PMID33238991
PMCPMC7686829
OpenAlexW3107442143

What OpenQuestion holds

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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.