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TerminatedNCT03454932Updated Jun 11, 2020

Research Study on the Immunosuppressive Effects of a Cell Therapy Product on PBMC Isolated From Blood of Patients With Inflammatory Rheumatic Diseases

An observational study in Rheumatoid Arthritis, Psoriatic Arthritis and Spondylarthritis, sponsored by Bone Therapeutics S.A. Terminated. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-06-11.

Sponsored by Bone Therapeutics S.A · Observational

Why this study was terminated
limited number of recruited patients
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
30
Ages
18 Years and older
Sex
All
01

Study summary

Rheumatic diseases regroup a variety of disorders affecting the locomotor system including joints, muscles, connective tissues and soft tissues around the joints and bones. Inflammation and/or autoimmune reactions contribute to the aetiology of many rheumatic diseases. Such autoimmune conditions, commonly referred to as inflammatory rheumatic diseases (IRD), include arthritis of various origins such as rheumatoid arthritis (RA), psoriatic arthritis (PsA) or spondylarthritis (SpA). Patients with autoimmune diseases such as RA or SpA are in higher risk of fractures compared to the general population.

Initial pharmacotherapies for IRD remain NSAID treatment for pain relief, and anti-resorptive agents (e.g., TNF-alpha blockers) which aim at reducing bone loss and preventing occurrence of new bone erosions. Yet current treatments may have strong side effects and are not always effective (e.g., 35-40% of the patients treated with TNF-alpha inhibitors will initially or progressively loose response). Therefore there is a need for further treatment modalities in IRD, which would focus on both suppressing inflammation and treating bone disorders.

Current research studies indicate that Bone Therapeutics' allogeneic osteoblastic cells exhibit in vitro potent immunosuppressive and anti-inflammatory properties (in addition to osteo-regenerative and immune-privileged properties).

The present research study aims at investigating in vitro the properties of these osteoblastic cells in the context of inflammatory rheumatic diseases. In this purpose, in vitro assays will be used to test these immunosuppressive effects on peripheral blood mononuclear cells (PBMCs) of subjects diagnosed with RA, PsA and SpA.

02

Conditions studied

  • Rheumatoid Arthritis
  • Psoriatic Arthritis
  • Spondylarthritis

Keywords

  • Rheumatoid Arthritis
  • Psoriatic Arthritis
  • Spondylarthritis
  • Rheumatic diseases
  • Inflammation
  • Autoimmune diseases
  • Osteoimmunology
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Rheumatoid Arthritis, Psoriatic Arthritis and Spondylarthritis Subjects

Inclusion criteria

  • Subjects of 18 years of age or older
  • Subjects must belong to one of this group: Rheumatoid Arthritis (RA) Subjects OR Psoriatic Arthritis (PsA) Subjects OR Spondylarthritis (SpA) Subjects

Exclusion criteria

Exclusion Criteria:

  • Subjects diagnosed with other autoimmune/inflammatory diseases other than Crohn's disease, psoriasis, uveitis, Sjögren's syndrome and auto-immune thyroiditis
  • Subjects with an active cancer and currently receiving a cancer treatment
  • Women with known pregnancy
  • Breastfeeding women
  • Subjects with a known history of HIV and/or Hepatitis B and/or Hepatitis C infection and/or positive for HBs antigens
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
30 participants (actual)
Patient registry
No

Groups and cohorts

  • Rheumatoid Arthritis

    Patients with Rheumatoid Arthritis

    Other: Blood sampling

  • Psoriatic Arthritis

    Patients with Psoriatic Arthritis

    Other: Blood sampling

  • Spondylarthritis

    Patients with Spondylarthritis

    Other: Blood sampling

Interventions

  • OtherBlood sampling
05

What researchers measure

Primary outcomes

  1. PBMC proliferation, as assessed with PBMC assay

    Freshly prepared cell therapy product and PBMC will be mixed together in wells. Mixes will be incubated for 7 days in a humidified atmosphere of 5% CO2 in air at 37°C. PBMC proliferation will be assessed using tritiated (³H)-thymidine uptake (β-counter).

    Time frame: 7 days

  2. Secretion of pro-inflammatory cytokines (e.g., IL-1β) and anti- inflammatory cytokines (e.g., IL-10), as assessed with PBMC assay

    Freshly prepared cell therapy product and PBMC will be mixed together in wells. Mixes will be incubated for 7 days in a humidified atmosphere of 5% CO2 in air at 37°C. Pro-inflammatory cytokines (e.g., IL-1β) and anti- inflammatory cytokines (e.g., IL-10) will be measured in culture supernatant using Luminex method.

    Time frame: 7 days

Secondary outcomes

  1. Record of past and current relevant medical history through questionnaire

    Time frame: time of first visit

  2. Record of concomitant medications through questionnaire

    Time frame: time of first visit

  3. Record of disease activity assessment (DAS28 and/or CASPAR and/or ASDAS and/or NY)

    Time frame: time of first visit

  4. Record of any adverse events (if any)

    occurring during and/or after the blood sample collection procedure

    Time frame: time of first visit

  5. Results of the laboratory blood tests for CBC, RF, CRP, HLA-B27

    Complete Blood Count (CBC), formula and electrolytes; Rheumatoid Factor (RF); C-Reactive Protein (CRP); HLA-B27

    Time frame: 7 days

06

Study locations

No study locations are listed for this record.

07

Registry details

Key details

Study ID
NCT03454932
Lead sponsor
Bone Therapeutics S.A
Responsible party
Sponsor
First posted
Mar 6, 2018
Start date
May 2015
Primary completion
Apr 2017
Completion
Jun 4, 2017
Last update
Jun 11, 2020

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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