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CompletedNCT01765283HEP001Updated Oct 19, 2020

Safety Study of HepaStem for the Treatment of Urea Cycle Disorders (UCD) and Crigler-Najjar Syndrome (CN)

A Phase 1/2 interventional study of HepaStem in Urea Cycle Disorders and Crigler Najjar Syndrome, sponsored by Cellaion SA. Completed at 11 sites in 5 countries. Open to participants aged Up to 17 Years. Per ClinicalTrials.gov, last updated 2020-10-19.

Sponsored by Cellaion SA · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
Up to 17 Years
Sex
All
01

Study summary

The purpose of this study is to assess the safety and to appraise the efficacy of one cycle of Hepastem (Heterologous Human Adult Liver-derived Progenitor Cells, HHALPC) infusions in paediatric patients suffering from CN or UCD.

The study duration: 12 months starting from the day of treatment: 6 months active surveillance and 6 months observation post-infusion.

02

Conditions studied

  • Urea Cycle Disorders
  • Crigler Najjar Syndrome

Keywords

  • CN,
  • UCD
03

In context

Urea Cycle Disorders, Inborn

66 studies on the registry are indexed under Urea Cycle Disorders, Inborn; 14 are open to participants now.

This study's enrollment of 20 is above the median of 17 across 39 interventional studies indexed under Urea Cycle Disorders, Inborn.

Browse Urea Cycle Disorders, Inborn studies →

Lead sponsor

Cellaion SA is the lead sponsor of 7 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

GENERAL:

  1. Subject shows patency of the portal vein and branches, with normal flow velocity in the main portal vein as confirmed by Doppler ultrasound and accessibility of the portal vein, or respectively, accessibility of the umbilical vein.
  2. Subject (if capable of signing) and parents or legal representative have provided a written informed assent/consent.
  3. Female subjects of need to have a negative pregnancy test and must agree to use an acceptable method of throughout the study.

MAIN INCLUSION CRITERIA

Crigler-Najjar Syndrome specific:

  • Patient presents with Crigler-Najjar syndrome type 1.
  • Patient presents with Crigler-Najjar syndrome type 2, poorly controlled under phenobarbital treatment, or experiencing serious impairment in quality of life.

Diagnosis must be confirmed by genetic mutation analysis if not available.

Urea Cycle Disorders specific:

  • Diagnosis of one of the urea cycle disorders of which the disease is of such severity to warrant liver transplantation or alternatives despite full conservative therapy,
  • subject experiencing serious impairment in quality of life despite full conservative therapy.

MAIN EXCLUSION CRITERIA

  • The subject is 18 years or older at time of screening.
  • The subject presents acute liver failure, clinical or radiological evidence of liver fibrosis or cirrhosis, presents or has a history of hepatic or extrahepatic
  • The patient has a non-corrected cardiac malformation, has a known medical or family history of coagulopathy, had or has a renal insufficiency treated by dialysis.
  • The subject requires valproate therapy.
  • The subject has a thrombosis of the portal vein or persisting impairment of anterograde portal blood flow.
  • The subject has a porto systemic shunt or fistula assessed by Doppler US.
  • Patients with disease of such severity that liver transplantation is an absolute indication.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Hepastem Low dose

    12.5x106cells/kg

    Biological: HepaStem

  • Experimental
    Hepastem Intermediate dose

    50x106cells/kg

    Biological: HepaStem

  • Experimental
    Hepastem High dose

    200x106cells/kg

    Biological: HepaStem

Interventions

  • BiologicalHepaStem

    Also known as: HHALPC,Heterologous Human Adult Liver derived Progenitor Cells

06

What researchers measure

Primary outcomes

  1. Safety of HepaStem in paediatric patients suffering from CN or UCD

    Evaluation of the clinical status, portal-vein hemodynamics, morphology of the liver, de novo detection of circulating anti-HLA antibodies, and/or other immune related markers as well as Serious Adverse Events (SAEs) and clinically significant Adverse Events (AEs) related to infusion.

    Time frame: 6 months

Secondary outcomes

  1. Long-term safety profile of HepaStem in both indications

    Assessment of reactogenicity and safety of the treatment during 6 to 12 months post infusion (long-term safety) is evaluated.

    Time frame: From 6 to 12 months post-administration

  2. Preliminary efficacy of HepaStem in both indications (CN and UCD) and for different weight cohorts

    UCD: 13C tracer test to measure ureagenesis, ammonium values, amino acids in plasma, neuropsychological assessment and quality of life indicators: (1) report on actual supportive treatment and any adjustment of diet (protein restriction (low protein diet) and amino acids supplements). (2) report on cognitive skills, behaviour, and health related quality of life effect). CN: measure of the blood unconjugated bilirubin and serum total bilirubin levels and quality of life indicators: (1) adjustment of duration of phototherapy, (2) report on cognitive skills, behaviour, and (3) health related quality of life effect.

    Time frame: 0-6 months, 6-12 months

Other outcomes

  1. To characterize the engraftment of HepaStem

    By liver biopsy, enzymatic activity (quantitative) on the biopsies or, donor sequences by RT PCR or in situ hybridisation (FISH) or immunohistochemistry.

    Time frame: at 6 month, and optional at 12 month.

07

Study locations

11 sites
  • Saint Luc University Hospital
    Brussels, Belgium
  • Universitair Ziekenhuis (UZ) Antwerpen
    Edegem, 2650, Belgium
  • CHU Bicêtre
    Le Kremlin Bicêtre Cedex, 94275, France
  • Hôpital Jeanne de Flandre, CHRU Lille
    Lille Cedex, 59037, France
  • Hôpital des Enfants, CHU de Toulouse
    Toulouse cedex 9, 31059, France
  • Rambam Medical Center, Meyer Children's Hospital
    Haifa, 31096, Israel
  • Hadassah Ein-Kerem Medical Center
    Jerusalem, 91240, Israel
  • Schneider Children's Medical Center of israel
    Petach Tikva, 49202, Israel
  • Ospedale Pediatrico Bambino Gesu di Roma
    Roma, 00165, Italy
  • Birmingham Children's Hospital
    Birmingham, B4 6NH, United Kingdom
  • Great Ormond Street Hospital London
    London, WC1N 3JH, United Kingdom
08

References and documents

Publications

  • Coppin LCF, Smets F, Ambroise J, Sokal EEM, Stephenne X. Infusion-related thrombogenesis by liver-derived mesenchymal stem cells controlled by anticoagulant drugs in 11 patients with liver-based metabolic disorders. Stem Cell Res Ther. 2020 Feb 7;11(1):51. doi: 10.1186/s13287-020-1572-7. PubMed 32028991 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Mar 2012, a primary completion of Oct 2014 and a completion of Apr 2015. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 9, 2013
First posted
Jan 10, 2013
Start
Mar 2012
Primary completionActual
Oct 2014
CompletionActual
Apr 2015
Last update
Oct 19, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 19, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01765283
Lead sponsor
Cellaion SA
Responsible party
Sponsor
First posted
Jan 10, 2013
Start date
Mar 2012
Primary completion
Oct 2014
Completion
Apr 2015
Last update
Oct 19, 2020

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

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