50 Participants Needed

Nebulized Human Amniotic Fluid for Interstitial Lung Disease

(HAF ILD Trial)

KH
BV
Overseen ByBonnie Vasquez
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: Maule Stem Cell Research Institute, Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment using nebulized human amniotic fluid, called Matrix, to determine its safety and effectiveness for adults with interstitial lung disease (ILD). ILD is a lung condition where tissue becomes thick and scarred, making breathing difficult. The study includes two groups, each receiving a different dose to identify the optimal amount. It seeks participants diagnosed with ILD who have stable breathing and require minimal oxygen support. The goal is to determine if this treatment can safely improve lung function in those affected by ILD. As a Phase 1 trial, this research aims to understand how the treatment works in people, offering participants the chance to be among the first to receive this innovative therapy.

Will I have to stop taking my current medications?

The trial requires that you stop taking any medication, treatment, or experimental agents for ILD within four weeks of screening, except for non-drug therapies like oxygen supplementation and pulmonary rehabilitation.

Is there any evidence suggesting that this treatment is likely to be safe for humans?

Research has shown that human amniotic fluid, used in treatments like the Matrix, is still under study to ensure safety. In one study involving many patients using amniotic-derived exosomes, some participants tolerated the treatment well, but detailed safety information remains limited.

This is an early phase trial, primarily aimed at determining the treatment's safety for people. At this stage, researchers are beginning to gather data on how participants respond to the treatment. While the treatment appears promising, it remains in the early stages of safety testing for individuals with interstitial lung disease.12345

Why do researchers think this study treatment might be promising?

Researchers are excited about using nebulized human amniotic fluid for interstitial lung disease because it utilizes a novel approach involving exosomes, which are tiny particles that can facilitate cell communication and repair. Unlike traditional treatments that often focus on reducing inflammation or suppressing the immune system, these exosomes might help regenerate lung tissue, potentially offering a new mechanism of healing. Additionally, the delivery method via nebulization allows for direct application to the lungs, which could enhance the treatment's effectiveness and reduce systemic side effects. This innovative approach could transform how we manage and treat interstitial lung disease.

What evidence suggests that nebulized HAF-Matrix might be an effective treatment for interstitial lung disease?

Research shows that human amniotic fluid, particularly the exosomes it contains, might help treat lung diseases. These exosomes can reduce inflammation and aid in lung tissue repair. Studies on exosomes from certain stem cells suggest they lessen lung damage by delivering beneficial substances to injured areas. Although direct evidence for treating interstitial lung disease is still developing, these early results are promising. In this trial, participants will receive different dosages of Matrix (Exosomes) in separate treatment arms: Cohort A will receive 1.0 mL, and Cohort B will receive 1.5 mL. The treatment aims to improve lung function and slow the disease by addressing inflammation and tissue damage.12467

Who Is on the Research Team?

CS

Cynthia S. Maule, M.D.

Principal Investigator

Maule Stem Cell Research Institute

Are You a Good Fit for This Trial?

This clinical trial is for adults with interstitial lung disease (ILD), a condition where scar tissue forms in the lungs, making it hard to breathe. Participants should be interested in trying a new treatment that isn't widely available yet.

Inclusion Criteria

Have a clinical diagnosis of ILD prior to screening in accordance with the guidelines of the American Thoracic Society/European Respiratory Society
Provide written informed consent
FVC ≥ 45% predicted and DLCO ≥30% (corrected for hemoglobin but not alveolar volume)
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Exclusion Criteria

CT and/or surgical lung biopsy results inconsistent with the diagnosis of IPF
Clinically important abnormal screening laboratory values, including but not limited to: hemoglobin <8 g/dl, white blood cell count <3000/mm3, platelets <80,000/mm3, INR > 1.5, aspartate transaminase, alanine transaminase, or alkaline phosphatase > 2 times upper limit of normal, total bilirubin > 1.5 mg/dl
I have been cancer-free for 2.5 years, except for certain skin or cervical cancers.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

Initial dosing with a 3+3 cohort design to monitor early safety signals

Approximately 1 month
Multiple visits for dosing and monitoring

Treatment

Participants receive nebulized Matrix (HAF) therapy in two cohorts with different doses

6 months
Regular visits for dosing and monitoring

Follow-up

Participants are monitored for safety and effectiveness after treatment

7 months

What Are the Treatments Tested in This Trial?

Interventions

  • Matrix

Trial Overview

The trial is testing 'Matrix,' which is nebulized human amniotic fluid. It's given as a mist you breathe in and aims to see if it can help people with ILD by improving lung function or slowing down the disease.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Group I: Cohort BExperimental Treatment1 Intervention
Group II: Cohort AExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Maule Stem Cell Research Institute, Inc.

Lead Sponsor

Citations

Nebulized Human Amniotic Fluid in Patients With Interstitial ...

This pilot study will generate critical safety and preliminary efficacy data to inform future larger-scale trials and optimize dosing strategies ...

Advancements in mesenchymal stromal cells for treating ...

Increased serum levels of sCD40L were associated with rapidly progressive interstitial lung disease in idiopathic inflammatory myopathies.

Amniotic Fluid as a Potential Source of Extracellular ...

All patients were treated with nebulization of MSC-derived exosomes, and primary safety and efficacy outcomes were evaluated. Results Our ...

Native and Engineered Extracellular Vesicles for the ...

Both native and engineered extracellular vesicles (EVs) are served as promising therapeutic agents for treating acute lung injury (ALI) and ...

Mesenchymal stem cell-derived exosomes as delivery ...

MSC-Exos treat lung diseases by delivering different non-coding RNAs. MSC-Exos-non-coding RNAs reduce lung injury and have dual effects on lung cancer.

amniotic-derived-exosomes-in-clinical-practice-safety-and- ...

large-scale human safety data are limited. This study reports safety and observational outcomes in a large cohort treated with amniotic-derived.

A case report on nebulized human umbilical cord ... - PMC

This study retrospectively evaluated the safety and efficacy of nebulized human umbilical cord mesenchymal stem cell exosome therapy in three ...