ClinicalTrials.gg
Not yet recruitingNCT07890649Updated Oct 22, 2026

A Study of hBMMSC Injection in Patients With aPAP

A Phase 2 interventional study of The human Bone Marrow Mesenchymal Stem Cell (hBMMSC) injection and Lactated Ringer's Injection (crystalloid) in Autoimmune Pulmonary Alveolar Proteinosis, sponsored by Jiuzhitang Maker (Beijing) Cell Technology Co.,Ltd.. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by Jiuzhitang Maker (Beijing) Cell Technology Co.,Ltd. · Phase 2, Interventional, and Treatment

Updated Oct 22, 2026Newly registeredGo to Updates ↓

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Phase
Phase 2
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this multicenter, randomized, double-blind, placebo-controlled phase IIb clinical trial is to evaluate the efficacy and safety of intravenous hBMMSC injection in patients with autoimmune pulmonary alveolar proteinosis (aPAP).

Read the detailed description

Autoimmune pulmonary alveolar proteinosis (aPAP) is a rare lung disease for which there is no specific drug treatment. Currently, the standard treatment strategy for PAP is whole-lung lavage (WLL), which is invasive and has limited therapeutic efficacy. The purpose of this study is to evaluate the efficacy and safety of hBMMSC intravenous treatment in patients with aPAP. The clinical trial intends to involve 10 participants. The trial is expected to last approximately 3 years.

02

Conditions studied

  • Autoimmune Pulmonary Alveolar Proteinosis
03

In context

Lead sponsor

Jiuzhitang Maker (Beijing) Cell Technology Co.,Ltd. is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male or female participants aged ≥18 years;
  2. Patients with pulmonary alveolar proteinosis (PAP) confirmed by imaging, bronchoalveolar lavage (BAL) cytology, or lung , including transbronchial lung biopsy (TBLB), transbronchial cryobiopsy (TBCB), or surgical lung biopsy, and who are positive for serum anti-GM-CSF antibodies;
  3. At rest and while breathing room air, arterial partial pressure of oxygen (PaO₂) >50 mmHg, and either PaO₂ ≤70 mmHg or an oxygenation index corrected for the fraction of inspired oxygen (PaO₂/FiO₂ ratio) ≤333 mmHg; or, in participants with symptoms such as cough, sputum production, and exertional dyspnea, PaO₂ \<75 mmHg or a PaO₂/FiO₂ ratio ≤357 mmHg;
  4. At least two assessments, performed at an interval of ≥2 months, indicating no significant spontaneous improvement of the disease, defined as an improvement in [A-a]DO₂ of \<10 mmHg and an improvement in DLCO % predicted of \<10%. If only one of these criteria is met, the investigator shall determine, based on the participant's symptoms, oxygen therapy requirements, imaging findings, and previous treatments, whether the disease is in a stable, non-remitting or progressive state, and shall document the basis for this determination;
  5. Participants of must use effective medically accepted methods, regardless of sex, until 1 year after the last study treatment administration;
  6. Voluntary provision of written .

Exclusion criteria

Exclusion Criteria:

  1. Patients diagnosed with hereditary, secondary, or other types of PAP;
  2. Patients who received whole-lung lavage (WLL) or granulocyte-macrophage colony-stimulating factor (GM-CSF) therapy within 3 months prior to screening;
  3. Patients who received treatment as part of another clinical study within 3 months prior to screening;
  4. Patients who participated in another clinical study involving stem cell therapy within 1 year prior to screening;
  5. Patients with inflammatory or diseases requiring concomitant treatment with agents, such as prednisolone >10 mg/day;
  6. Patients with a history of infection requiring systemic antibiotics, antifungal agents, or antiviral agents; active infections (viral, bacterial, fungal, or mycobacterial); or other diseases that may interfere with the assessment of efficacy in the study;
  7. History of ;
  8. Known or allergic reaction to any component of the product;
  9. Participants who, in the investigator's judgment, are unsuitable for participation in the study, or who have any condition that, in the investigator's opinion, may increase the participant's risk or interfere with the conduct or assessment of the clinical trial;
  10. Female participants who are pregnant or breastfeeding, female participants planning to become pregnant, or male or female participants who intend to have children within 3 months after completion of the study.
Terms in these criteria, in plain language(9)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
70 participants (estimated)

Study arms

  • Experimental
    hBMMSC injection: 2.0×10^6 cells/kg

    The hBMMSC injection will be administered by intravenous infusion.

    Drug: The human Bone Marrow Mesenchymal Stem Cell (hBMMSC) injection

  • Placebo comparator
    Lactated Ringer's Injection

    Lactated Ringer's Injection will be used as the comparator and administered by intravenous infusion.

    Drug: Lactated Ringer's Injection (crystalloid)

Interventions

  • DrugThe human Bone Marrow Mesenchymal Stem Cell (hBMMSC) injection

    The hBMMSC injection will be administered by intravenous infusion at a dose of 2.0 × 10⁶ cells/kg per administration. A total of 2 doses will be administered, with a 2-week interval between doses.

  • DrugLactated Ringer's Injection (crystalloid)

    Lactated Ringer's Injection will be used as the comparator and administered by intravenous infusion at a volume of 2 mL/kg per administration. A total of 2 doses will be administered, with a 2-week interval between doses.

06

What researchers measure

Primary outcomes

  1. Alveolar-arterial difference in oxygen tension (A-aDO2)

    The between-group difference in the change from baseline in the alveolar-arterial oxygen tension gradient (\[A-a\]DO₂) at Week 24, comparing the hBMMSC injection group with the placebo group.

    Time frame: 24 weeks

Secondary outcomes

  1. Diffusing capacity of the lungs for carbon monoxide (DLCO, % predicted)

    The between-group differences in the efficacy of hBMMSC injection versus placebo on the diffusing capacity of the lungs for carbon monoxide (DLCO, % predicted) at Weeks 24 and 48 after treatment

    Time frame: 24 weeks/48 weeks

  2. PaO₂

    The between-group differences in PaO₂ at Weeks 24 and 48 after treatment, comparing the hBMMSC injection group with the placebo group

    Time frame: 24 weeks/48 weeks

  3. Oxygenation index

    The between-group differences in oxygenation indexat Weeks 24 and 48 after treatment, comparing the hBMMSC injection group with the placebo group

    Time frame: 24 weeks/48 weeks

  4. Oxygen therapy requirements

    The between-group difference in oxygen therapy requirements at Weeks 24 and 48 after treatment, comparing the hBMMSC injection group with the placebo group

    Time frame: 24 weeks/48 weeks

  5. Disease severity score (DSS)

    The between-group differences in disease severity score (DSS) at Weeks 24 and 48 after treatment, comparing the hBMMSC injection group with the placebo group.Disease Severity Score (DSS) is a scoring system used to evaluate disease severity based on predefined clinical signs, symptoms, or pathological changes. a higher DSS indicates more severe disease, whereas a lower DSS indicates milder disease, with 0 typically representing no detectable disease.

    Time frame: 24 weeks/48 weeks

  6. 6-minute walk test (6MWT)

    The between-group differences in the 6-minute walk test (6MWT) results at Weeks 12, 24, and 48 after treatment, comparing the hBMMSC injection group with the placebo group

    Time frame: 12/24/48 weeks

  7. Cardiopulmonary exercise testing (CPET)

    The between-group differences in the cardiopulmonary exercise testing (CPET) results at Weeks 12, 24, and 48 after treatment, comparing the hBMMSC injection group with the placebo group

    Time frame: 12/24/48 weeks

  8. Forced vital capacity (FVC)

    The between-group differences in forced vital capacity (FVC) at Weeks 4, 24, and 48 after treatment, comparing the hBMMSC injection group with the placebo group

    Time frame: 4/24/48 weeks

  9. Forced expiratory volume in 1 second (FEV₁)

    The between-group differences in forced expiratory volume in 1 second (FEV₁) at Weeks 4, 24, and 48 after treatment, comparing the hBMMSC injection group with the placebo group

    Time frame: 4/24/48 weeks

  10. Pulmonary lesions assessed by imaging

    The between-group difference in changes in pulmonary lesions assessed by imaging at Weeks 24 and 48 after treatment, comparing the hBMMSC injection group with the placebo group

    Time frame: 24/48 weeks

  11. Proportion of patients whose disease progressed to requiring whole-lung lavage (WLL) during the study period and the interval to WLL

    The between-group difference in the proportion of patients whose disease progressed to requiring whole-lung lavage (WLL) during the study period and the interval to WLL, comparing the hBMMSC injection group with the placebo group

    Time frame: 96 weeks

  12. Medical Research Council (mMRC) dyspnea scores

    The between-group differences in modified Medical Research Council (mMRC) dyspnea scores at Weeks 4, 12, 24, and 48 after treatment, comparing the hBMMSC injection group with the placebo group. Modified Medical Research Council (mMRC) Dyspnea Scale is a questionnaire used to assess the severity of breathlessness and its impact on daily activities, particularly in patients with chronic obstructive pulmonary disease (COPD). The score ranges from 0 to 4, with Grade 0 indicating breathlessness only during strenuous exercise and Grade 4 indicating severe breathlessness that limits leaving the house or dressing. A higher mMRC score indicates more severe dyspnea and greater activity limitation

    Time frame: 4/12/24 weeks

  13. St. George's Respiratory Questionnaire (SGRQ) scores

    The between-group differences in St. George's Respiratory Questionnaire (SGRQ) scores at Weeks 4, 12, 24, and 48 after treatment, comparing the hBMMSC injection group with the placebo group. The St. George's Respiratory Questionnaire (SGRQ) is a disease-specific questionnaire used to assess health-related quality of life in patients with respiratory diseases. The total score ranges from 0 to 100, where higher scores represent worse respiratory health status and greater impairment of quality of life.

    Time frame: 4/12/24/48 weeks

  14. The safety of hBMMSC injection

    The safety of hBMMSC injection compared with placebo during Weeks 24 and 48, as assessed by the incidence of adverse events (AEs), serious adverse events (SAEs), adverse drug reactions (ADRs), important adverse events, and discontinuations due to AEs.

    Time frame: 24/48 weeks

  15. The proportion of patients with an improvement from baseline in [A-a]DO₂

    The proportion of patients with an improvement from baseline in \[A-a\]DO₂ at Weeks 24 and 48 after treatment

    Time frame: 24/48 weeks

  16. The proportion of patients with an improvement from baseline in DLCO

    The proportion of patients with an improvement from baseline in DLCO at Weeks 24 and 48 after treatment

    Time frame: 24/48 weeks

  17. The incidence of AEs and SAEs

    The incidence of AEs and SAEs through Week 48 after treatment

    Time frame: 48 weeks

  18. The proportion of patients with improvements from baseline in PaO₂

    The proportion of patients with improvements from baseline in PaO₂ at Weeks 24 and 48 after treatment

    Time frame: 24/48 weeks

  19. The proportion of patients with improvements from baseline in oxygenation index

    The proportion of patients with improvements from baseline in oxygenation index at Weeks 24 and 48 after treatment

    Time frame: 24/48 weeks

  20. The proportion of patients with improvements from baseline in disease severity score (DSS)

    The proportion of patients with improvements from baseline in disease severity score (DSS) at Weeks 24 and 48 after treatment

    Time frame: 24/48 weeks

  21. The proportion of patients with improvement in pulmonary lesions

    The proportion of patients with improvement in pulmonary lesions as assessed by imaging at Weeks 24 and 48 after treatment

    Time frame: 24/48 weeks

  22. The between-group differences in peripheral capillary oxygen saturation (SpO₂)

    The between-group differences in peripheral capillary oxygen saturation (SpO₂) at Weeks 4, 12, 24, and 48 after treatment, comparing the hBMMSC injection group with the placebo group

    Time frame: 4/12/24/48 weeks

  23. The proportion of patients with improvements in the 6-minute walk test (6MWT)

    The proportion of patients with improvements in the 6-minute walk test (6MWT) results at Weeks 12, 24, and 48 after treatment

    Time frame: 12/24/48 weeks

  24. The proportion of patients with improvements in the cardiopulmonary exercise testing (CPET)

    The proportion of patients with improvements in the cardiopulmonary exercise testing (CPET) results at Weeks 12, 24, and 48 after treatment

    Time frame: 12/24/48 weeks

  25. The change in serum anti-GM-CSF antibody levels

    The between-group difference in the change from baseline in serum anti-GM-CSF antibody levels at Weeks 24 and 48 after treatment

    Time frame: 24/48 weeks

  26. The changes in body weight in the hBMMSC injection group compared to the placebo group

    Time frame: 4/12/24/48 weeks

  27. The changes in height in the hBMMSC injection group compared with the placebo group

    Time frame: 4/12/24/48 weeks

  28. The changes in blood pressure in the hBMMSC injection group compared with the placebo group

    Time frame: 4/12/24/48 weeks

  29. The changes in pulse rate in the hBMMSC injection group compared with the placebo group

    Time frame: 4/12/24/48 weeks

  30. The changes in body temperature in the hBMMSC injection group compared with the placebo group

    Time frame: 4/12/24/48 weeks

  31. The changes in complete blood count in the hBMMSC injection group compared with the placebo group

    Time frame: 4/12/24/48 weeks

  32. The changes in urinalysis in the hBMMSC injection group compared with the placebo group

    Time frame: 4/12/24/48 weeks

07

Study locations

1 site
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Oct 2026; primary completion for Oct 2029, 36 months later.

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

Registered
Sep 28, 2026
First posted
Oct 22, 2026
StartEst.
Oct 30, 2026
Primary completionEst.
Oct 30, 2029
CompletionEst.
Feb 28, 2030
Last update
Oct 22, 2026
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.
Registered
First appeared on the registry. No changes since
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07890649
Lead sponsor
Jiuzhitang Maker (Beijing) Cell Technology Co.,Ltd.
Responsible party
Sponsor
First posted
Oct 22, 2026
Start date
Oct 30, 2026 (estimated)
Primary completion
Oct 30, 2029 (estimated)
Completion
Feb 28, 2030 (estimated)
Last update
Oct 22, 2026

Study contacts

Yuan Chen
Contact
ychen@jztmaker.com
+86 13671060568

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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