Protocol summary

Study aim
Determination of intravenous injection of dental pulp mesenchymal stem cells in the treatment of patients with idiopathic pulmonary fibrosis - Phase 1 and 2 clinical trial
Design
Clinical trial, with control group, with parallel groups, without blinding, without randomization, phase 1 and 2, on 60 patients
Settings and conduct
This study is being conducted in the field of pulmonary diseases. The location of the study is Afzalipour Hospital and the Comprehensive Center for Cell Therapy and Regenerative Medicine of Kerman University of Medical Sciences. After the patient is selected by the physician, the mesenchymal stem cells are injected into the patient by the physician. The patients will be followed up every 12 weeks to 1 year after the injection.
Participants/Inclusion and exclusion criteria
Inclusion criteria: 1- Probable diagnosis of limited interstitial pneumonia, 2- Exclusion of other diagnoses, 3- At least 3 months have passed since diagnosis and have disease-related abnormalities, 4- Discontinuation of N-acetylcysteine ​​or pirfenidone 6 weeks before starting treatment Exclusion criteria: 1- with severe IPF, 2-with lung cancer, 3- with uncontrolled underlying disease, 4- with neurological abnormalities, 5- treated with anticoagulant drugs, 6- with active infection, 7- whose condition cannot be followed up.
Intervention groups
Thirty patients will be in the intervention group, where they will receive an injection of mesenchymal stem cells. 30 patients will also be in the control group, where they will receive standard treatments. Follow up will also be performed for these individuals every 12 weeks to 1 year, and the results will be compared between the groups.
Main outcome variables
Lung diffusing capacity; total lung volume; measurement of overall health of individuals; ratio of arterial oxygen pressure to inspiratory oxygen pressure; condition of the lungs

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20140911019125N15
Registration date: 2025-03-21, 1404/01/01
Registration timing: prospective

Last update: 2025-03-21, 1404/01/01
Update count: 0
Registration date
2025-03-21, 1404/01/01
Registrant information
Name
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 32 24618
Email address
afarsinejad@kmu.ac.ir
Recruitment status
Not yet recruiting
Funding source
Expected recruitment start date
2025-05-22, 1404/03/01
Expected recruitment end date
2027-05-22, 1406/03/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Study the effect of intravenous injection of dental pulp mesenchymal stem cells in treatment of patients with Idiopathic pulmonary Fibrosis- A Phase 1&2 Clinical Trial
Public title
The effect of mesenchymal stem cells from deciduous tooth pulp on pulmonary fibrosis
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Age 18 to 75 years High-resolution computed tomography (HRCT) scan compatible with the presumptive diagnosis of common interstitial pneumonia Bronchoalveolar lavage has ruled out other diagnoses. At least 3 months have passed since the onset of the disease and bibasilar inspiratory crackles are present. In addition, the following abnormalities are present: dyspnea score of at least 2 on a scale of 0 (minimum) to 10 (maximum), FVC > 50% and DLco > 35% of the predicted value. Patients who wish to sign an informed consent form Patients treated with N-acetylcysteine ​​or pirfenidone should discontinue the drug 6 weeks prior to treatment.
Exclusion criteria:
Patients with severe IPF, i.e. those with FVC <50 and DLCO <35% predicted normal limit Patients with lung cancer or other malignancies Patients with a history of uncontrolled underlying diseases such as heart, kidney, or liver disease. Patients with significant neurological abnormalities, including stroke and myasthenia gravis Patients treated with anticoagulant drugs or in severe weight loss Patients with active infection. Patients whose condition cannot be monitored regularly, including those with serious psychiatric disorders. Patients who are unwilling to sign an informed consent form
Age
From 18 years old to 75 years old
Gender
Both
Phase
1-2
Groups that have been masked
No information
Sample size
Target sample size: 60
Randomization (investigator's opinion)
Not randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee Of Kerman University Of Medical Science
Street address
Kerman University Of Medical Science, Haft Bagh Blvd.
City
Kerman
Province
Kerman
Postal code
7616911333
Approval date
2025-03-12, 1403/12/22
Ethics committee reference number
IR.KMU.REC.1400.350

Health conditions studied

1

Description of health condition studied
Treatment of patients with pulmonary fibrosis
ICD-10 code
J96.1
ICD-10 code description
Chronic respiratory failure

Primary outcomes

1

Description
Lung diffusing capacity
Timepoint
Every 12 weeks up to a year after injection
Method of measurement
Measurement with the device

2

Description
Total lung volume
Timepoint
Every 12 weeks up to a year after injection
Method of measurement
Measurement with the device

3

Description
Measuring people's overall health
Timepoint
Every 12 weeks up to a year after injection
Method of measurement
6-minute walk test

4

Description
Ratio of arterial oxygen pressure to inspiratory oxygen pressure
Timepoint
Every 12 weeks up to a year after injection
Method of measurement
Arterial blood gas test

5

Description
Determining the condition of the lungs
Timepoint
Every 12 weeks up to a year after injection
Method of measurement
Chest X-ray

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: 30 patients are in the intervention group, for whom the injection of mesenchymal stem cells from the pulp of deciduous teeth will be performed. Clinical examinations will be performed every 12 weeks to 1 year after the injection, and the results will be compared with the control group.
Category
Treatment - Other

2

Description
Control group: In this study, 30 patients will also be included in the control group and will receive standard treatments and interventions. Clinical examinations will also be conducted for these individuals every 12 weeks to 1 year and the results will be compared with the intervention group.
Category
Treatment - Other

Recruitment centers

1

Recruitment center
Name of recruitment center
Afzalipour Hospital, Kerman, Pulmonary Department
Full name of responsible person
Mehdi Hashemi
Street address
Imam Khomeini Highway (RA), next to Shahid Bahonar University, Afzalipour Medical Training Center, Kerman, Iran
City
Kerman
Province
Kerman
Postal code
7616913355
Phone
+98 34 3132 8000
Email
hashemimehdi70@yahoo.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Kerman University of Medical Sciences
Full name of responsible person
Hamid Sharifi
Street address
kerman university of medical science, Haft Bagh Blvd, Kerman, Iran
City
Kerman
Province
Kerman
Postal code
7616911333
Phone
+98 34 3226 3855
Email
hsharifi@kmu.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Kerman University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Kerman University of Medical Sciences
Full name of responsible person
Alireza Farsinejad
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Hematology
Street address
Kerman University of Medical Science, Haft Bagh Blvd, Kerman, Iran
City
Kerman
Province
Kerman
Postal code
7616911333
Phone
+98 34 3132 5374
Email
afarsinejad@kmu.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Kerman University of Medical Sciences
Full name of responsible person
Alireza Farsinejad
Position
Associate Professor
Latest degree
Ph.D.
Other areas of specialty/work
Hematology
Street address
Kerman University of Medical Science, Haft Bagh Blvd, Kerman, Iran
City
Kerman
Province
Kerman
Postal code
7616911333
Phone
+98 34 3132 5374
Email
afarsinejad@kmu.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Kerman University of Medical Sciences
Full name of responsible person
Alireza Farsinejad
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Hematology
Street address
Kerman University of Medical Science, Haft Bagh Blvd, Kerman, Iran
City
Kerman
Province
Kerman
Postal code
7616911333
Phone
+98 34 3132 5374
Email
afarsinejad@kmu.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD
There is no additional data.
Study Protocol
No - There is not a plan to make this available
Statistical Analysis Plan
Not applicable
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Not applicable
Data Dictionary
Not applicable
Title and more details about the data/document
In our study non of the personal data of patients will be shared. Only data that are related to outcomes of intervention will be shared.
When the data will become available and for how long
starting 6 months after publication
To whom data/document is available
The data will be available for people working in academic institutions and clinicians.
Under which criteria data/document could be used
Applicants are only allowed to use received data in clinical and they are not allowed to published them.
From where data/document is obtainable
1- Phone: 034-31325374 2- e-mail: afarsinejad@kmu.ac.ir 3- Fax: 034-31325375 4- address: Haft bagh Blvd, Kerman university of medical science Dr. Alireza Farsinejad
What processes are involved for a request to access data/document
Applicant can receive information after contact and send e-mail up to 10 days.
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