A Phase 2 interventional study of placebo and MultiStem low dose in Colitis, Ulcerative, sponsored by Pfizer. Completed at 58 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-02-23.
Sponsored by Pfizer · Phase 2, Interventional, and Treatment
MultiStem(r) is a new biological product, manufactured from human stem cells obtained from adult bone marrow or other nonembryonic tissue sources. Factors expressed by MultiStem cells are believed to reduce inflammation and regulate immune system function, protect damaged or injured cells and tissue, promote formation of new blood vessels, and augment tissue repair and healing. MultiStem cell treatment resulted in significant efficacy in a mouse model of Graft versus Host Disease with almost complete reversal of gastrointestinal pathology (similar to pathology that would be expected in Ulcerative Colitis). These data, together with safety data generated in 2 other clinical trials, suggest that MultiStem has the potential to be a new treatment option for patients with ulcerative colitis. This is the first study of MultiStem in this patient population and will cautiously explore the safety/toleration and potential benefit of this new treatment in patients with moderate to severe disease.
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Exclusion Criteria:
The first 9 subjects will be recruited into Cohort 1 and will receive either placebo (n=3) or MultiStem low dose (n=6) as an intravenous infusion on Day 1. The first five patients enrolled constitute a subgroup of Cohort 1 and these patients will receive multiple doses, once every day for 7 days for 3 doses (Day 1 and Weeks 1 \& 2).
Drug: placebo · Drug: MultiStem low dose
This group will receive either placebo (n=3) or MultiStem high dose (n=6) as an intravenous infusion on Day 1. The subjects then receive the opposite dose of study medication at Week 8.
Drug: placebo · Drug: MultiStem high dose
These subjects (total n=88 evaluable patients) will receive either Placebo or MultiStem (1:1 randomization) as an intravenous infusion on Day 1. In addition all subjects in Cohort 3 will receive a single infusion of either MultiStem or Placebo at Week 8, depending on their randomization schedule. A total of \~22 patients will receive an additional infusion of MultiStem, \~44 patients will receive the alternative blinded therapy to that which they received for Day 1 infusion, and \~22 patients will receive an additional infusion of placebo.
Drug: placebo · Drug: MultiStem high dose
once every 7 days for 1- 3 doses
1-3 doses
Single dose at week 8
Single dose at week 8
Single dose Day 1
Single dose Day 1
Single dose at week 8
Single dose at week 8
Single dose Day 1
Single dose Day 1
Single dose at week 8
Single dose at week 8
Change From Baseline in Endoscopic Score (as Measured by Modified Baron Score) at Week 8
Modified Baron Score is an instrument designed to measure endoscopic activity of ulcerative colitis. It classifies the mucosal inflammation in 4 grades (0=normal, 1=granular mucosa with an abnormal vascular pattern, 2=friable mucosa, 3=microulceration with spontaneous bleeding, 4=gross ulceration with spontaneous bleeding).
Time frame: Baseline and Week 8
Change From Baseline in Rectal Bleeding Mayo Subscore at Week 4
Mayo Score is an instrument designed to measure disease activity of ulcerative colitis. Mayo subscores for rectal bleeding range from 0 to 3, with higher scores indicating more severe disease.
Time frame: Baseline and Week 4
Change From Baseline in Rectal Bleeding Mayo Subscore at Week 8
Mayo Score is an instrument designed to measure disease activity of ulcerative colitis. Mayo subscores for rectal bleeding range from 0 to 3, with higher scores indicating more severe disease.
Time frame: Baseline and Week 8
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE was any untoward medical occurrence in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 30 days after last dose that were absent before treatment or that worsened relative to pre-treatment state. AEs included both SAEs and non-SAEs.
Time frame: Baseline up to Week 52
Number of Participants With Treatment-Emergent AEs by System Organ Class (SOC)
Time frame: Baseline up to Week 52
Number of Treatment-Emergent AEs by Severity
The intensity grades were defined as follows: mild=does not interfere with participant's usual function; moderate=interferes to some extent with participant's usual function; severe=interferes significantly with participant's usual function.
Time frame: Baseline up to Week 52
Change From Baseline in Rectal Bleeding Mayo Subscore at Week 12 and Week 16
Mayo Score is an instrument designed to measure disease activity of ulcerative colitis. Mayo subscores for rectal bleeding range from 0 to 3, with higher scores indicating more severe disease.
Time frame: Baseline, Week 12, Week 16
Number of Participants With Laboratory Test Abnormalities
The total number of participants with laboratory test abnormalities with or without regard to baseline abnormality was assessed. Laboratory parameters included: hematology (hemoglobin, hematocrit, red blood cell \[RBC\] count, platelet count, white blood cell \[WBC\] count, total neutrophils, eosinophils, monocytes, basophils, lymphocytes, erythrocyte sedimentation rate); chemistry (blood urea nitrogen and creatinine, glucose, calcium, sodium, potassium, chloride, total bicarbonate, aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase, uric acid, albumin, total protein; urinalysis (pH, glucose, protein, blood, ketones, nitrites, leukocyte esterase, microscopy (only if urine dipstick was positive for blood, protein, nitrites or leukocyte esterase); other (follicle-stimulating hormone, human chorionic gonadotropin, stool microbiology, creatinine kinase, direct bilirubin, indirect bilirubin, gamma-glutamyl transferase, international normalized ratio.
Time frame: Baseline up to Week 24
Number of Participants With Potentially Clinically Significant Vital Signs Findings
Vital signs assessment included pulse rate, systolic blood pressure (SBP) and diastolic blood pressure (DBP). Criteria for vital sign values meeting potential clinical concern included: SBP \<90 millimeters of mercury (mm Hg) and \>=30 mm Hg increase/decrease from baseline, DBP \<50 mm Hg and \>=20 mm Hg increase/decrease from baseline, pulse rate \<40 or \>120 beats per minute (bpm),
Time frame: Baseline up to Week 52
Fold Change From Baseline in Fecal Calprotectin at Weeks 4, 8, 12, and 16
Fecal calprotectin, a very stable marker, is a 36kDa calcium and zinc binding protein which is neutrophil-derived. It represents 60% of cytosolic proteins in granulocytes and is a measurement of neutrophil migration to the gastrointestinal tract.
Time frame: Baseline, Weeks 4, 8, 12 and 16
Fold Change From Baseline in C-Reactive Protein (CRP) at Weeks 4, 8, 12, and 16
CRP is an acute-phase protein which provides an objective criterion of inflammatory activity. CRP has a short half-life (19 hours) and therefore rises early after the onset of inflammation and rapidly decreases after resolution of the inflammation. It is induced by interleukin-6, TNF-alpha and other pro-inflammatory cytokines that are produced within the intestinal lamina propria.
Time frame: Baseline, Weeks 4, 8, 12 and 16
Percentage of Participants With Rectal Bleeding Mayo Subscore of Zero at Weeks 4, 8, 12, and 16
Mayo subscores for rectal bleeding range from 0 to 3 (0=no blood seen; 1=streaks of blood with stool less than half the time; 2=obvious blood with stool most of the time; 3=blood alone passes).
Time frame: Week 4, 8, 12 and 16
Percentage of Participants in Endoscopic Remission at Week 8
Modified Baron Score is an instrument designed to measure endoscopic activity of ulcerative colitis. It classifies the mucosal inflammation in 4 grades (0=normal, 1=granular mucosa with an abnormal vascular pattern, 2=friable mucosa, 3=microulceration with spontaneous bleeding, 4=gross ulceration with spontaneous bleeding). Endoscopic remission is defined as modified Baron Endoscopic Score equal to 0.
Time frame: Week 8
Percentage of Participants in Clinical Remission at Week 8
Clinical remission is defined as a total Mayo score of 2 points or lower, with no individual subscores exceeding 1 point.
Time frame: Week 8
Percentage of Participants With Decrease From Baseline of at Least 1 Point in Rectal Bleeding Mayo Subscore at Weeks 4, 8, 12, and 16
Mayo subscores for rectal bleeding range from 0 to 3 (0=no blood seen; 1=streaks of blood with stool less than half the time; 2=obvious blood with stool most of the time; 3=blood alone passes). A decrease from baseline score indicates improvement.
Time frame: Baseline, Weeks 4, 8, 12 and 16
Percentage of Participants With Endoscopic Response at Week 8
Endoscopic response is defined as a decrease in modified Baron endoscopic score from baseline of at least 2 points.
Time frame: Week 8
Percentage of Participants in Clinical Response at Week 8
Clinical response is defined as a decrease in total Mayo score from baseline of at least 3 points and at least 30 percent (%), with an accompanying decrease in the subscore for rectal bleeding of at least 1 point or an absolute subscore for rectal bleeding of 0 or 1.
Time frame: Week 8
Change From Baseline in Total Mayo Scores at Week 8
Mayo Score is an instrument designed to measure disease activity of ulcerative colitis, with total score ranging from 0 to 12. It consists of 4 subscores (stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy, and physician global assessment \[PGA\]), each graded from 0 to 3, with higher scores indicating more severe disease.
Time frame: Baseline, Week 8
Change From Baseline in Partial Mayo Scores at Weeks 4, 8, 12, and 16
Mayo Score is an instrument designed to measure disease activity of ulcerative colitis. Mayo Score ranges from 0 to 12 points. It consists of 4 subscores, each graded from 0 to 3 with higher scores indicating more severe disease. A Partial Mayo Score (Mayo score without endoscopy) ranges from 0 (normal or inactive disease) to 9 (severe disease) and calculated as the sum of 3 subscores (stool frequency, rectal bleeding and PGA) with each ranging from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe). Higher scores indicate more severe disease.
Time frame: Baseline, Weeks 4, 8, 12 and 16
Change From Baseline in Biopsy Histology Scores at Week 8
A 15 to 25 centimeter (cm) biopsy sample of inflamed mucosal tissue was taken from the worst affected area and scored using the Riley Index. The Riley Index is a histologic scoring system for the assessment of the activity and severity of ulcerative colitis, ranging from 0 to 24. It consists of 6 histologic features (acute inflammatory cell infiltrate, crypt abscesses, mucin depletion, surface epithelial integrity, chronic inflammatory cell infiltrate, and crypt architectural irregularities), all scored on a 4-point scale (higher scores indicate more severe disease).
Time frame: Baseline and Week 8
Change From Baseline in Patient-Reported Rectal Bleeding up to Week 16
Patient-reported diary data assessed the number of bowel movements (BM) per day when not having a flare and the presence of blood in the stools (rectal bleeding \[RB\]), if any.
Time frame: Baseline and Week 16
| Milestone | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Started | 2 | 3 | 2 | 4 | 6 | 23 | 25 | 19 | 21 |
| Completed | 0 | 2 | 2 | 1 | 2 | 13 | 17 | 15 | 13 |
| Not completed | 2 | 1 | 0 | 3 | 4 | 10 | 8 | 4 | 8 |
| Withdrew: Adverse event | 0 | 0 | 0 | 1 | 0 | 2 | 0 | 0 | 1 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 1 |
| Withdrew: Withdrawal by subject | 2 | 1 | 0 | 2 | 0 | 4 | 2 | 3 | 3 |
| Withdrew: Other | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 |
| Withdrew: Insufficient clinical response | 0 | 0 | 0 | 0 | 1 | 3 | 6 | 0 | 3 |
Modified Baron Score is an instrument designed to measure endoscopic activity of ulcerative colitis. It classifies the mucosal inflammation in 4 grades (0=normal, 1=granular mucosa with an abnormal vascular pattern, 2=friable mucosa, 3=microulceration with spontaneous bleeding, 4=gross ulceration with spontaneous bleeding).
| scores on a scale | Pooled MultiStem | Pooled Placebo |
|---|---|---|
| Baseline | 3.13 ± 1.104 | 3.10 ± 1.128 |
| Change at Week 8 | 0.10 ± 1.134 | -0.30 ± 1.091 |
Mayo Score is an instrument designed to measure disease activity of ulcerative colitis. Mayo subscores for rectal bleeding range from 0 to 3, with higher scores indicating more severe disease.
| scores on a scale | Pooled MultiStem | Pooled Placebo |
|---|---|---|
| Baseline | 1.42 ± 0.942 | 1.23 ± 0.832 |
| Change at Week 4 | -0.44 ± 0.943 | -0.38 ± 0.705 |
Mayo Score is an instrument designed to measure disease activity of ulcerative colitis. Mayo subscores for rectal bleeding range from 0 to 3, with higher scores indicating more severe disease.
| scores on a scale | Pooled MultiStem | Pooled Placebo |
|---|---|---|
| Change From Baseline in Rectal Bleeding Mayo Subscore at Week 8 | -0.46 ± 1.051 | -0.43 ± 0.874 |
An AE was any untoward medical occurrence in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 30 days after last dose that were absent before treatment or that worsened relative to pre-treatment state. AEs included both SAEs and non-SAEs.
| participants | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| AEs | 2 | 3 | 0 | 4 | 5 | 20 | 18 | 16 | 19 |
| SAEs | 1 | 0 | 0 | 3 | 0 | 7 | 4 | 5 | 4 |
| participants | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| BLOOD AND LYMPHATIC SYSTEM DISORDERS | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 3 | 4 |
| CARDIAC DISORDERS | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 |
| EAR AND LABYRINTH DISORDERS | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 1 |
| ENDOCRINE DISORDERS | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 |
| EYE DISORDERS | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 3 |
| GASTROINTESTINAL DISORDERS | 2 | 1 | 0 | 2 | 4 | 13 | 10 | 11 | 12 |
| GENERAL DISORDERS | 2 | 1 | 0 | 3 | 1 | 8 | 5 | 5 | 6 |
| IMMUNE SYSTEM DISORDERS | 0 | 0 | 0 | 1 | 0 | 0 | 2 | 0 | 0 |
| INFECTIONS AND INFESTATIONS | 1 | 1 | 0 | 1 | 1 | 10 | 9 | 9 | 7 |
| INJURY, POISONING AND PROCEDURAL COMPLICATIONS | 0 | 1 | 0 | 1 | 0 | 2 | 2 | 2 | 1 |
| INVESTIGATIONS | 0 | 1 | 0 | 0 | 1 | 4 | 1 | 5 | 3 |
| METABOLISM AND NUTRITION DISORDERS | 0 | 0 | 0 | 1 | 0 | 2 | 0 | 1 | 1 |
| MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS | 0 | 2 | 0 | 0 | 2 | 6 | 5 | 2 | 1 |
| NEOPLASMS BENIGN, MALIGNANT AND UNSPECIFIED | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| NERVOUS SYSTEM DISORDERS | 0 | 1 | 0 | 1 | 1 | 1 | 3 | 9 | 6 |
| PSYCHIATRIC DISORDERS | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 3 | 2 |
| RENAL AND URINARY DISORDERS | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 |
| RESPIRATORY, THORACIC AND MEDIASTINAL DISORDERS | 1 | 1 | 0 | 0 | 0 | 5 | 5 | 1 | 4 |
| SKIN AND SUBCUTANEOUS TISSUE DISORDERS | 0 | 0 | 0 | 1 | 1 | 4 | 4 | 3 | 2 |
| SURGICAL AND MEDICAL PROCEDURES | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 |
| VASCULAR DISORDERS | 0 | 0 | 0 | 0 | 2 | 1 | 1 | 2 | 1 |
The intensity grades were defined as follows: mild=does not interfere with participant's usual function; moderate=interferes to some extent with participant's usual function; severe=interferes significantly with participant's usual function.
| adverse events | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Mild AEs | 6 | 16 | 0 | 8 | 13 | 61 | 35 | 56 | 48 |
| Moderate AEs | 4 | 0 | 0 | 5 | 2 | 33 | 31 | 21 | 17 |
| Severe AEs | 1 | 0 | 0 | 4 | 0 | 13 | 8 | 4 | 3 |
Mayo Score is an instrument designed to measure disease activity of ulcerative colitis. Mayo subscores for rectal bleeding range from 0 to 3, with higher scores indicating more severe disease.
| scores on a scale | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Change at Week 12 (n=0,0,0,0,0,22,25,17,19) | NA ± NA | NA ± NA | NA ± NA | NA ± NA | NA ± NA | -0.77 ± 0.869 | -0.64 ± 1.114 | -0.53 ± 0.874 | -0.47 ± 0.905 |
| Change at Week 16 (n=2,3,2,4,6,21,24,17,19) | -1.50 ± 0.707 | -1.00 ± 1.000 | 0.00 ± 0.000 | 0.00 ± 0.816 | -0.60 ± 1.140 | -0.57 ± 0.978 | -0.92 ± 1.100 | -0.47 ± 0.874 | -0.58 ± 0.838 |
The total number of participants with laboratory test abnormalities with or without regard to baseline abnormality was assessed. Laboratory parameters included: hematology (hemoglobin, hematocrit, red blood cell \[RBC\] count, platelet count, white blood cell \[WBC\] count, total neutrophils, eosinophils, monocytes, basophils, lymphocytes, erythrocyte sedimentation rate); chemistry (blood urea nitrogen and creatinine, glucose, calcium, sodium, potassium, chloride, total bicarbonate, aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase, uric acid, albumin, total protein; urinalysis (pH, glucose, protein, blood, ketones, nitrites, leukocyte esterase, microscopy (only if urine dipstick was positive for blood, protein, nitrites or leukocyte esterase); other (follicle-stimulating hormone, human chorionic gonadotropin, stool microbiology, creatinine kinase, direct bilirubin, indirect bilirubin, gamma-glutamyl transferase, international normalized ratio.
| participants | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Normal/Abnormal Baseline(n=2,3,2,4,6,23,25,19,21) | 2 | 2 | 1 | 4 | 4 | 14 | 20 | 15 | 17 |
| Normal Baseline (n=2,3,2,4,6,23,25,19,21) | 2 | 2 | 1 | 3 | 4 | 9 | 16 | 12 | 13 |
| Abnormal Baseline (n=2,3,2,2,3,22,19,15,18) | 1 | 1 | 1 | 1 | 2 | 7 | 4 | 4 | 6 |
Vital signs assessment included pulse rate, systolic blood pressure (SBP) and diastolic blood pressure (DBP). Criteria for vital sign values meeting potential clinical concern included: SBP \<90 millimeters of mercury (mm Hg) and \>=30 mm Hg increase/decrease from baseline, DBP \<50 mm Hg and \>=20 mm Hg increase/decrease from baseline, pulse rate \<40 or \>120 beats per minute (bpm),
| participants | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Supine SBP <90 mm Hg | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 |
| Supine DBP <50 mm Hg | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 |
| Supine Pulse Rate <40 bpm | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Supine Pulse Rate >120 bpm | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 1 | 0 |
| Supine SBP >=30 mm Hg Increase From Baseline | 0 | 0 | 0 | 1 | 1 | 1 | 3 | 1 | 2 |
| Supine DBP >=20 mm Hg Increase From Baseline | 2 | 0 | 0 | 1 | 0 | 3 | 0 | 2 | 4 |
| Supine SBP >=30 mm Hg Decrease From Baseline | 0 | 0 | 0 | 1 | 0 | 1 | 1 | 1 | 1 |
| Supine DBP >=20 mm Hg Decrease From Baseline | 1 | 1 | 0 | 0 | 0 | 6 | 1 | 3 | 0 |
Fecal calprotectin, a very stable marker, is a 36kDa calcium and zinc binding protein which is neutrophil-derived. It represents 60% of cytosolic proteins in granulocytes and is a measurement of neutrophil migration to the gastrointestinal tract.
| fold change | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Baseline (n=2,3,1,4,5,21,23,19,20) | 690.7549 ± 17 | 1189.8169 ± 22 | 739.2300 ± NA | 898.2758 ± 89 | 874.1363 ± 1462 | 576.5796 ± 237 | 476.1504 ± 222 | 513.2139 ± 208 | 821.1953 ± 220 |
| Change at Week 4 (n=2,3,1,3,5,20,21,18,19) | 0.6297 ± 50 | 1.8680 ± 103 | 2.0264 ± NA | 2.0549 ± 112 | 1.0940 ± 91 | 1.2196 ± 158 | 0.8179 ± 314 | 1.0541 ± 166 | 0.6722 ± 193 |
| Change at Week 8 (n=1,2,1,3,2,18,20,17,20) | 2.4504 ± NA | 2.4559 ± 51 | 2.6199 ± NA | 0.5744 ± 52 | 0.3282 ± 2 | 1.0704 ± 220 | 0.7462 ± 235 | 0.8598 ± 227 | 0.3479 ± 242 |
| Change at Week 12 (n=0,0,0,0,0,20,21,17,18) | NA ± NA | NA ± NA | NA ± NA | NA ± NA | NA ± NA | 0.9947 ± 171 | 0.8269 ± 310 | 0.8788 ± 293 | 0.5279 ± 171 |
| Change at Week 16 (n=2,3,1,4,4,18,18,16,17) | 2.1672 ± 49 | 0.7679 ± 32 | 1.1956 ± NA | 0.4459 ± 139 | 0.2474 ± 4517 | 0.6473 ± 277 | 0.8486 ± 149 | 0.5473 ± 309 | 0.5275 ± 243 |
CRP is an acute-phase protein which provides an objective criterion of inflammatory activity. CRP has a short half-life (19 hours) and therefore rises early after the onset of inflammation and rapidly decreases after resolution of the inflammation. It is induced by interleukin-6, TNF-alpha and other pro-inflammatory cytokines that are produced within the intestinal lamina propria.
| fold change | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Baseline (n=2,3,2,4,6,22,25,19,20) | 1.272 ± 45 | 1.527 ± 118 | 0.229 ± 34 | 0.578 ± 37 | 0.180 ± 74 | 0.613 ± 339 | 0.542 ± 236 | 0.397 ± 157 | 0.453 ± 297 |
| Change at Week 4 (n=2,3,2,3,6,21,25,18,20) | 0.289 ± 9 | 0.555 ± 82 | 1.937 ± 42 | 1.285 ± 60 | 1.446 ± 54 | 0.891 ± 147 | 0.764 ± 140 | 0.999 ± 103 | 0.588 ± 132 |
| Change at Week 8 (n=1,3,1,3,5,21,25,19,20) | 1.390 ± NA | 0.745 ± 49 | 2.331 ± NA | 1.172 ± 20 | 1.555 ± 31 | 1.189 ± 146 | 0.759 ± 207 | 1.200 ± 113 | 0.623 ± 150 |
| Change at Week 12 (n=0,0,0,0,0,21,24,17,18) | NA ± NA | NA ± NA | NA ± NA | NA ± NA | NA ± NA | 0.937 ± 211 | 0.710 ± 365 | 0.782 ± 149 | 0.373 ± 155 |
| Change at Week 16 (n=2,3,2,4,5,20,24,17,18) | 0.956 ± 164 | 0.481 ± 56 | 0.606 ± 248 | 0.869 ± 14 | 1.184 ± 54 | 0.776 ± 156 | 0.425 ± 176 | 0.612 ± 133 | 0.417 ± 197 |
Mayo subscores for rectal bleeding range from 0 to 3 (0=no blood seen; 1=streaks of blood with stool less than half the time; 2=obvious blood with stool most of the time; 3=blood alone passes).
| percentage of participants | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Week 4 | 50.0 | 66.7 | 50.0 | 33.3 | 40.0 | 52.2 | 28.0 | 31.6 | 42.9 |
| Week 8 | 50.0 | 66.7 | 50.0 | 33.3 | 40.0 | 47.8 | 36.0 | 31.6 | 47.6 |
| Week 12 | NA | NA | NA | NA | NA | 60.9 | 40.0 | 47.4 | 42.9 |
| Week 16 | 50.0 | 100 | 50.0 | 50.0 | 40.0 | 47.8 | 48.0 | 36.8 | 52.4 |
Modified Baron Score is an instrument designed to measure endoscopic activity of ulcerative colitis. It classifies the mucosal inflammation in 4 grades (0=normal, 1=granular mucosa with an abnormal vascular pattern, 2=friable mucosa, 3=microulceration with spontaneous bleeding, 4=gross ulceration with spontaneous bleeding). Endoscopic remission is defined as modified Baron Endoscopic Score equal to 0.
| percentage of participants | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Percentage of Participants in Endoscopic Remission at Week 8 | 0 | 0 | 0 | 0 | 16.7 | 4.3 | 4.0 | 0 | 9.5 |
Clinical remission is defined as a total Mayo score of 2 points or lower, with no individual subscores exceeding 1 point.
| percentage of participants | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Percentage of Participants in Clinical Remission at Week 8 | 0 | 0 | 0 | 0 | 0 | 0 | 8.0 | 0 | 19.0 |
Mayo subscores for rectal bleeding range from 0 to 3 (0=no blood seen; 1=streaks of blood with stool less than half the time; 2=obvious blood with stool most of the time; 3=blood alone passes). A decrease from baseline score indicates improvement.
| percentage of participants | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Week 4 | 100 | 66.7 | 0 | 0 | 40.0 | 43.5 | 48.0 | 21.1 | 38.1 |
| Week 8 | 100 | 33.3 | 0 | 0 | 40.0 | 34.8 | 48.0 | 31.6 | 47.6 |
| Week 12 | NA | NA | NA | NA | NA | 54.5 | 60.0 | 41.2 | 52.6 |
| Week 16 | 100 | 66.7 | 0 | 25.0 | 60.0 | 47.6 | 58.3 | 35.3 | 47.4 |
Endoscopic response is defined as a decrease in modified Baron endoscopic score from baseline of at least 2 points.
| percentage of participants | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Percentage of Participants With Endoscopic Response at Week 8 | 0 | 0 | 0 | 0 | 0 | 8.7 | 8.0 | 10.5 | 19.0 |
Clinical response is defined as a decrease in total Mayo score from baseline of at least 3 points and at least 30 percent (%), with an accompanying decrease in the subscore for rectal bleeding of at least 1 point or an absolute subscore for rectal bleeding of 0 or 1.
| percentage of participants | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Percentage of Participants in Clinical Response at Week 8 | 50.0 | 33.3 | 0 | 0 | 0 | 4.3 | 24.0 | 15.8 | 42.9 |
Mayo Score is an instrument designed to measure disease activity of ulcerative colitis, with total score ranging from 0 to 12. It consists of 4 subscores (stool frequency, rectal bleeding, findings of flexible proctosigmoidoscopy, and physician global assessment \[PGA\]), each graded from 0 to 3, with higher scores indicating more severe disease.
| scores on a scale | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Baseline (n=2,3,2,4,6,23,25,19,21) | 10.00 ± 2.828 | 7.33 ± 1.155 | 8.50 ± 0.707 | 7.75 ± 0.957 | 7.50 ± 2.258 | 8.74 ± 1.839 | 8.48 ± 2.143 | 8.47 ± 1.806 | 8.14 ± 2.220 |
| Change at Week 8 (n=2,3,2,3,5,23,25,19,21) | -2.00 ± 1.414 | 0.00 ± 2.646 | 1.00 ± 1.414 | 0.33 ± 0.577 | -0.60 ± 0.894 | -0.78 ± 2.088 | -1.20 ± 2.872 | -0.89 ± 2.132 | -2.00 ± 2.683 |
Mayo Score is an instrument designed to measure disease activity of ulcerative colitis. Mayo Score ranges from 0 to 12 points. It consists of 4 subscores, each graded from 0 to 3 with higher scores indicating more severe disease. A Partial Mayo Score (Mayo score without endoscopy) ranges from 0 (normal or inactive disease) to 9 (severe disease) and calculated as the sum of 3 subscores (stool frequency, rectal bleeding and PGA) with each ranging from 0 to 3 (0=normal, 1=mild, 2=moderate, 3=severe). Higher scores indicate more severe disease.
| scores on a scale | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Baseline (n=2,3,2,4,6,23,25,19,21) | 7.50 ± 2.121 | 5.33 ± 0.577 | 6.00 ± 1.414 | 5.75 ± 0.500 | 5.50 ± 1.378 | 6.22 ± 1.347 | 6.08 ± 1.605 | 6.00 ± 1.202 | 5.71 ± 1.736 |
| Change at Week 4 (n=2,3,2,3,5,23,25,19,21) | -3.00 ± 0.000 | -2.00 ± 1.732 | -0.50 ± 0.707 | 0.67 ± 1.528 | -0.40 ± 1.140 | -1.00 ± 1.414 | -0.96 ± 1.791 | -1.16 ± 1.675 | -1.24 ± 1.895 |
| Change at Week 8 (n=2,3,2,3,5,23,25,19,21) | -2.00 ± 1.414 | -1.00 ± 1.732 | 0.50 ± 0.707 | 0.33 ± 0.577 | -0.80 ± 1.095 | -0.91 ± 1.756 | -1.12 ± 2.472 | -0.79 ± 1.653 | -1.62 ± 2.037 |
| Change at Week 12 (n=0,0,0,0,0,22,25,17,19) | NA ± NA | NA ± NA | NA ± NA | NA ± NA | NA ± NA | -1.91 ± 1.974 | -1.52 ± 2.312 | -2.06 ± 2.135 | -2.11 ± 2.622 |
| Change at Week 16 (2,3,2,4,5,21,24,17,19) | -1.50 ± 0.707 | -3.00 ± 3.000 | -1.00 ± 2.828 | -1.25 ± 3.403 | -2.20 ± 1.924 | -1.86 ± 2.081 | -2.54 ± 2.621 | -2.41 ± 2.181 | -2.63 ± 2.033 |
A 15 to 25 centimeter (cm) biopsy sample of inflamed mucosal tissue was taken from the worst affected area and scored using the Riley Index. The Riley Index is a histologic scoring system for the assessment of the activity and severity of ulcerative colitis, ranging from 0 to 24. It consists of 6 histologic features (acute inflammatory cell infiltrate, crypt abscesses, mucin depletion, surface epithelial integrity, chronic inflammatory cell infiltrate, and crypt architectural irregularities), all scored on a 4-point scale (higher scores indicate more severe disease).
| scores on a scale | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Baseline(n=2,3,2,4,5,22,24,18,21) | 9.0 ± 1.41 | 9.7 ± 3.79 | 11.0 ± 2.83 | 7.0 ± 3.92 | 10.8 ± 3.77 | 9.4 ± 4.37 | 10.4 ± 4.24 | 9.9 ± 4.17 | 9.7 ± 5.14 |
| Change at Week 4 (n=2,3,1,3,5,21,24,15,20) | -3.5 ± 4.95 | 1.3 ± 1.15 | -3.0 ± NA | -1.0 ± 1.73 | -0.4 ± 2.07 | 1.4 ± 4.63 | -1.0 ± 3.76 | 0.9 ± 4.09 | -1.5 ± 4.80 |
Patient-reported diary data assessed the number of bowel movements (BM) per day when not having a flare and the presence of blood in the stools (rectal bleeding \[RB\]), if any.
| scores on a scale | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| BM: Baseline(n=2,3,2,4,6,23,25,19,21) | 12.50 ± 4.950 | 8.00 ± 2.784 | 6.75 ± 2.475 | 11.75 ± 10.508 | 8.42 ± 3.089 | 7.50 ± 3.490 | 7.78 ± 3.781 | 7.50 ± 3.571 | 6.88 ± 4.886 |
| BM: Change at Week 1 (n=2,3,2,4,5,23,25,19,21) | -1.60 ± 2.263 | -1.89 ± 1.766 | 4.15 ± 2.845 | -0.60 ± 2.177 | 0.40 ± 1.300 | -0.42 ± 1.509 | -0.59 ± 1.657 | -0.56 ± 1.215 | -0.81 ± 3.421 |
| BM: Change at Week 4 (n=2,2,2,3,5,23,23,16,19 | -1.43 ± 3.435 | -1.89 ± 5.101 | 2.36 ± 0.505 | 0.17 ± 2.038 | 1.31 ± 1.432 | -0.81 ± 2.088 | 0.28 ± 3.956 | -0.63 ± 1.856 | -1.08 ± 2.575 |
| BM: Change at Week 8 (n=2,3,2,3,6,23,23,16,19) | -1.67 ± 3.771 | -0.86 ± 3.517 | 3.18 ± 0.758 | 0.17 ± 2.754 | 0.41 ± 2.131 | -0.89 ± 2.864 | -1.15 ± 2.833 | 0.18 ± 2.531 | -1.41 ± 3.208 |
| BM: Change at Week 12 (n=1,1,1,2,2,21,25,16,18) | 0.14 ± NA | 1.43 ± NA | 1.57 ± NA | -1.68 ± 2.374 | 0.00 ± 0.000 | -0.67 ± 3.152 | -0.59 ± 4.426 | -1.77 ± 2.301 | -2.02 ± 3.502 |
| BM: Change at Week 16 (n=1,3,2,3,4,22,24,16,18) | 0.00 ± NA | -2.51 ± 3.716 | 1.72 ± 0.596 | -0.12 ± 2.324 | -2.45 ± 2.208 | -1.81 ± 3.278 | -2.17 ± 3.523 | -1.68 ± 2.899 | -1.86 ± 3.616 |
| RB: Baseline (n=2,3,2,4,6,23,25,19,21) | 1.25 ± 1.061 | 1.17 ± 1.258 | 1.00 ± 1.414 | 1.00 ± 0.816 | 1.33 ± 0.816 | 1.20 ± 0.974 | 1.46 ± 0.978 | 0.97 ± 0.950 | 1.05 ± 0.820 |
| RB: Change at Week 1 (n=2,3,2,4,5,23,25,19,21) | -0.32 ± 0.253 | -1.00 ± 1.167 | -0.33 ± 0.471 | -0.12 ± 0.158 | -0.30 ± 0.415 | -0.36 ± 0.697 | -0.24 ± 0.605 | -0.05 ± 0.574 | -0.10 ± 0.408 |
| RB: Change at Week 4 (n=2,2,2,3,5,23,23,16,19) | -0.75 ± 0.354 | -0.29 ± 1.010 | -0.25 ± 0.354 | 0.14 ± 0.378 | -0.71 ± 0.990 | -0.34 ± 0.883 | -0.47 ± 0.840 | -0.27 ± 0.738 | -0.26 ± 0.604 |
| RB: Change at Week 8 (n=2,3,2,3,6,22,23,13,20) | -0.75 ± 0.354 | -0.50 ± 0.500 | 0.00 ± 0.000 | 0.33 ± 0.577 | -0.47 ± 1.035 | -0.40 ± 0.709 | -0.51 ± 0.805 | -0.19 ± 0.997 | -0.51 ± 0.967 |
| RB: Change at Week 12 (n=1,1,1,2,2,21,25,16,18) | -0.57 ± NA | 0.00 ± NA | 0.00 ± NA | 0.00 ± 0.000 | 0.00 ± 0.000 | -0.60 ± 0.792 | -0.49 ± 1.084 | -0.48 ± 0.829 | -0.39 ± 0.783 |
| RB: Change at Week 16 (n=1,3,2,3,4,22,24,16,18) | -1.00 ± NA | -1.17 ± 1.258 | -0.10 ± 0.141 | 0.33 ± 0.577 | -1.14 ± 0.865 | -0.41 ± 0.936 | -0.86 ± 1.106 | -0.41 ± 0.838 | -0.39 ± 0.874 |
Collected over Baseline up to 28 days after last study drug administration.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Cohort 1: Placebo, MultiStem 300 | — | 1/2 (50%) | 2/2 (100%) |
| Cohort 2: Placebo, MultiStem 750 | — | 0/3 (0%) | 3/3 (100%) |
| Cohort 1: MultiStem 300, Placebo | — | 0/2 (0%) | 0/2 (0%) |
| Cohort 1: MultiStem 300 (x3), Placebo | — | 3/4 (75%) | 3/4 (75%) |
| Cohort 2: MultiStem 750, Placebo | — | 0/6 (0%) | 5/6 (83.3%) |
| Cohort 3: MultiStem 750, MultiStem 750 | — | 7/23 (30.4%) | 18/23 (78.3%) |
| Cohort 3: MultiStem 750, Placebo | — | 4/25 (16%) | 16/25 (64%) |
| Cohort 3: Placebo, MultiStem 750 | — | 5/19 (26.3%) | 15/19 (78.9%) |
| Cohort 3: Placebo, Placebo | — | 4/21 (19%) | 18/21 (85.7%) |
| Event | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| Colitis ulcerativeGastrointestinal disorders | 1/2 | 0/3 | 0/2 | 1/4 | 0/6 | 5/23 | 1/25 | 2/19 | 3/21 |
| ColitisGastrointestinal disorders | 0/2 | 0/3 | 0/2 | 1/4 | 0/6 | 0/23 | 1/25 | 0/19 | 0/21 |
| HypersensitivityImmune system disorders | 0/2 | 0/3 | 0/2 | 1/4 | 0/6 | 0/23 | 0/25 | 0/19 | 0/21 |
| Clostridium difficile infectionInfections and infestations | 0/2 | 0/3 | 0/2 | 0/4 | 0/6 | 1/23 | 2/25 | 1/19 | 0/21 |
| PneumoniaInfections and infestations | 0/2 | 0/3 | 0/2 | 0/4 | 0/6 | 0/23 | 0/25 | 1/19 | 0/21 |
| EpilepsyNervous system disorders | 0/2 | 0/3 | 0/2 | 0/4 | 0/6 | 0/23 | 0/25 | 1/19 | 0/21 |
| Diastolic hypertensionVascular disorders | 0/2 | 0/3 | 0/2 | 0/4 | 0/6 | 0/23 | 0/25 | 1/19 | 0/21 |
| Ventricular tachycardiaCardiac disorders | 0/2 | 0/3 | 0/2 | 0/4 | 0/6 | 0/23 | 0/25 | 0/19 | 1/21 |
| Clostridium difficile colitisInfections and infestations | 0/2 | 0/3 | 0/2 | 0/4 | 0/6 | 0/23 | 0/25 | 0/19 | 1/21 |
| Superior sagittal sinus thrombosisNervous system disorders | 0/2 | 0/3 | 0/2 | 0/4 | 0/6 | 0/23 | 0/25 | 0/19 | 1/21 |
| Event | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300, Placebo | Cohort 1: MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo |
|---|---|---|---|---|---|---|---|---|---|
| PyrexiaGeneral disorders | 0/2 | 0/3 | 0/2 | 3/4 | 0/6 | 2/23 | 2/25 | 1/19 | 2/21 |
| Abdominal tendernessGastrointestinal disorders | 1/2 | 0/3 | 0/2 | 0/4 | 1/6 | 0/23 | 0/25 | 0/19 | 0/21 |
| Gastrooesophageal reflux diseaseGastrointestinal disorders | 1/2 | 0/3 | 0/2 | 0/4 | 0/6 | 0/23 | 0/25 | 0/19 | 0/21 |
| Chest discomfortGeneral disorders | 1/2 | 0/3 | 0/2 | 0/4 | 1/6 | 0/23 | 0/25 | 2/19 | 1/21 |
| ChillsGeneral disorders | 0/2 | 1/3 | 0/2 | 2/4 | 0/6 | 1/23 | 0/25 | 0/19 | 0/21 |
| Influenza like illnessGeneral disorders | 1/2 | 0/3 | 0/2 | 0/4 | 0/6 | 1/23 | 1/25 | 0/19 | 0/21 |
| BronchitisInfections and infestations | 1/2 | 0/3 | 0/2 | 0/4 | 0/6 | 0/23 | 0/25 | 0/19 | 0/21 |
| InfluenzaInfections and infestations | 1/2 | 0/3 | 0/2 | 0/4 | 0/6 | 1/23 | 0/25 | 1/19 | 0/21 |
| CoughRespiratory, thoracic and mediastinal disorders | 1/2 | 1/3 | 0/2 | 0/4 | 0/6 | 3/23 | 3/25 | 0/19 | 0/21 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 1/2 | 0/3 | 0/2 | 0/4 | 0/6 | 1/23 | 0/25 | 0/19 | 1/21 |
The safety analysis set consisted of all participants who received at least 1 dose of study medication.
| Age, Continuous(years) | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300 or MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo | Total |
|---|---|---|---|---|---|---|---|---|---|
| Mean | 61.0 ± 7.1 | 52.0 ± 7.0 | 49.3 ± 14.1 | 40.0 ± 14.0 | 43.4 ± 12.8 | 38.8 ± 13.4 | 39.8 ± 12.5 | 42.5 ± 15.7 | 42.2 ± 13.7 |
| Sex: Female, Male(Participants) | Cohort 1: Placebo, MultiStem 300 | Cohort 2: Placebo, MultiStem 750 | Cohort 1: MultiStem 300 or MultiStem 300 (x3), Placebo | Cohort 2: MultiStem 750, Placebo | Cohort 3: MultiStem 750, MultiStem 750 | Cohort 3: MultiStem 750, Placebo | Cohort 3: Placebo, MultiStem 750 | Cohort 3: Placebo, Placebo | Total |
|---|---|---|---|---|---|---|---|---|---|
| Female | 0 | 1 | 1 | 5 | 7 | 12 | 3 | 7 | 36 |
| Male | 2 | 2 | 5 | 1 | 16 | 13 | 16 | 14 | 69 |
The record gives a start of Feb 2011, a primary completion of Nov 2014 and a completion of Nov 2014. It does not say whether these dates are actual or estimated.
Results were first posted in Feb 2016, 1 year 3 months after primary completion.
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