Erectile DysfunctionPhase 1NCT02344849
Safety of Autologous Bone Marrow Derived Mesenchymal Stem Cells in Erectile Dysfunction
A Phase 1 study testing mesenchymal stem cell in people with Erectile Dysfunction, run by Pharmicell Co., Ltd. at 1 site in South Korea.
Trial summary
This phase I clinical trial is designed to evaluate the safety of autologous Mesenchymal Stem Cells (MSC) injected intracavernously. Read more about this study
- Who is it for?
- Ages 20 years and older, men only
- Conditions the study is for
- Erectile Dysfunction
- What is being tested?
- mesenchymal stem cell
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 1 siteSouth Korea
- Study dates
- Jul 2015to Apr 2018
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Postprostatectomy Erectile Dysfunction
- A man aged 20 or older
- Who is willing to consent to participate in the study concerned with improving sexual activity after prostatectomy, the man has maintained normal sexual activity prior to prostatectomy
- Prior to prostatectomy PSA (prostate specific antigen) level<10 ng/mL
- At the time of Prostatectomy, Pathological Gleason sum ≤7
- At the time of Prostatectomy, Pathological stage ≤ T2c
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- 2 years or more postprostatectomy patients with PSA level ≤ 0.04 ng/mL without additional therapy after prostatectomy
- Who cannot satisfy sexual activity(more than 4 times) with proper sexual stimulation in spite of taking maximum dose of oral PDE5I(phos-phodiesterasetype-5 inhibitors) within last 8weeks.
- IIEF, EF(erectile function) domain score is under 17
- Have a consistent partner who is willing to engage in sexual activity more than twice per month during the study.
- Diabetes-associated Erectile Dysfunction
- HbA1c is between 6.5% and 10% of man over 20 years of age with diabetes
- Who cannot satisfy sexual activity(more than 4 times) with proper sexual stimulation in spite of taking maximum dose of oral PDE5I within last 8weeks.
- IIEF, EF domain score is under 17
- Who is willing to consent to participate in the study concerned with improving sexual activity
- Have a consistent partner who is willing to engage in sexual activity more than twice per month during the study.
Who cannot join
- History of bone marrow disorders
- Serum AST/ALT > 3 X upper limit of normal or Creatinine > 1.5 X upper limit of normal
- History of hypersensitivity against a gentamycin
- Severe cardiovascular disease(angina, arrhythmia, cardiac failure, stroke), kidney failure, respiratory failure
- Positive for human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV) and syphilis test
- Positive for PSA or CEA or AFP (Carcinoembryonic antigen), history of cancer in the last five years (except Prostatic cancer) Uncontrolled hypertension or hypotension (systolic blood pressure > 170 or < 90 mm Hg, diastolic pressure > 100 or < 50 mm Hg)
Show all 17Show fewer
- HbA1c exhibit greater than 10%
- Men on anticoagulant treatment
- Have a severe infectious disease
- Testosterone level is less than 200ng/dl
- Have a penile implant or willing to it
- Patients with morphological changes of the penis
- Patient's partner is trying to conceive during the trial period
- Unwilling to participate in the study
- Participating in other clinical trials in the past 30 days
- Unable to compliance with protocol
- Inappropriate patients to participate in the study according to the investigator
Trial locations and contacts
1 site in 1 country.
About this study
Official title: An Open, Single-center, Phase 1 Study to Evaluate Safety of Autologous Bone Marrow Derived Mesenchymal Stem Cell in Erectile Dysfunction.
This phase I clinical trial is designed to evaluate the safety of autologous Mesenchymal Stem Cells (MSC) injected intracavernously.
Read the detailed description
Cellgram-ED is autologous bone marrow-derived mesenchymal stem cells ex vivo expanded for approximately 30 days. Ten patients (Diabetes -associated ED; 5 patients, Postprostatectomy; 5patients) will be injected Cellgram-ED directly into the intracavernous. Patient will be evaluated the safety and potential efficacy of MSC.
- Conditions
- Erectile Dysfunction
- Being tested
- mesenchymal stem cell
- Medical subject headings
- Erectile Dysfunction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
mesenchymal stem cellDrug
Also called Cellgram-ED
Patients will receive single injection of Cellgram-ED( 30,000,000 mesenchymal stem cell) intracavernously.
| Study group | Role | What they receive |
|---|---|---|
| Mesenchymal stem cell | Experimental | Patients will receive single intracavernous injection of Mesenchymal stem cell. Oral PDE5-inhibitor can take on demand. Receives: Drug: mesenchymal stem cell |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number and severity of adverse events
Analyze the laboratory, vital sign, physical exam results from baseline to end of the study for investigate adverse reactions and view safety.
An SAE suggests a significant hazard, contraindication, side-effect, or precaution. With respect to human clinical experience, this includes any event that:
Results in death. Is life-threatening.* Requires in-patient hospitalization or prolongation of existing hospitalization.
Results in persistent or significant disability/incapacity. Is a congenital anomaly/birth defect. Other medically important condition
Life-threatening in the definition of a SAE or adverse reaction refers to an event in which the patient was at risk of death at the time of event; it does not refer to an event, which hypothetically might have caused death if it were more severe.
Measured: 12month
Secondary outcomes (4)
Change From Baseline in the International Index of Erectile Function(IIEF)
Description of the average variation from the screening value in each group using the Student's preordered t-test (Wilcoxon's signed bank test).
Function domain
- Erectile Function (Q1,2,3,4,5,15) : Min 6 ~ Max 30
- Orgasmic Function (Q9,10) : Min 2 ~ Max 10
- Sexual Desire (Q11,12) : : Min 2 ~ Max 10
- Intercourse Satisfaction (Q6,7,8): : Min 3 ~ Max 15
- Overall Satisfaction (Q13,14) : Min 2 ~ Max 10
Measured: month 1, 3, 6, 9 and 12
Penile Doppler Sonography, PDS
Change From Baseline in Peak systolic velocity (PSV) and End diastolic velocity (EDV), Evaluate Erection rigidity During the test.
The normal maximum systolic blood flow of the cavernosal artery after injection of vasodilators is 30 cm / s or more.
- PDS results are obtained 5 min, 10 min, 15 min, 20 min, 25 min and 30 min after intracavernosal injection.
- The peak systolic velocity (PSV) is assessed as follows: >25 cm/s is considered to be normal, 20-25 cm/s is considered to be mild ED, 12-20 cm/s is considered to be moderate ED, <12 cm/s is considered to be severe arteriogenic impotence.
- The end diastolic velocity (EDV) is assessed as follows:
- 5 cm/s is considered to be a normal value, >5 cm/s is considered to indicate a veno-occlusive disorder.
Measured: month 6, 12
Change From Baseline in Sexual Encounter Profile (SEP) Question 2
The SEP2 survey describes cumulative success rates for 30 days, 3 months, 6 months, 9 months and 12 months after cell treatment.
SEP 2 Were you able to insert your penis into your partner's vagina? Yes or No SEP 3 Did your erection last long enough to have successful intercourse? Yes or No
Measured: month 1, 3, 6, 9 and 12
Global Assessment Question (GAQ)
The GAQ survey describes cumulative success rates for 30 days, 3 months, 6 months, 9 months and 12 months after cell treatment.
GAQ
- Did Cellgram-ED improve your Erectile Function? Yes or No
- If so, did Cellgram-ED improve the ability to have sex? Yes or No
Measured: month 1, 3, 6, 9 and 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jan 2015 (estimated)
- Study startJul 2015
- Primary completion31 Jan 2018
- Study completionApr 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Erectile DysfunctionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pharmicell Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Chungsu Kim, Ph.D, Principal investigator, AIDS Malignancy Consortium
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02344849
- Sponsor's protocol ID
- Cellgram-ED
- Status last verified
- Jan 2019
- First submitted
- 13 Jan 2015
- Last updated
- 9 Jan 2019
- Results posted
- No
- Data monitoring committee
- No
Publications
You D, Jang MJ, Song G, Shin HC, Suh N, Kim YM, Ahn TY, Kim CS. Safety of autologous bone marrow-derived mesenchymal stem cells in erectile dysfunction: an open-label phase 1 clinical trial. Cytotherapy. 2021 Oct;23(10):931-938. doi: 10.1016/j.jcyt.2021.06.001. Epub 2021 Jul 27.
PubMed 34326007
Study at a glance
From the registry record, last updated by the sponsor on 9 Jan 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open, Single-center, Phase 1 Study to Evaluate Safety of Autologous Bone Marrow Derived Mesenchymal Stem Cell in Erectile Dysfunction.
- ClinicalTrials.gov ID
- NCT02344849
- Acronym / sponsor ID
- Cellgram-ED
- Conditions
- Erectile Dysfunction
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 10 participants (actual)
- Lead sponsor
- Pharmicell Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- Jul 2015
- Primary completion
- 31 Jan 2018 (actual)
- Study completion
- Apr 2018 (actual)
- First posted
- 26 Jan 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This phase I clinical trial is designed to evaluate the safety of autologous Mesenchymal Stem Cells (MSC) injected intracavernously.
Detailed description
Cellgram-ED is autologous bone marrow-derived mesenchymal stem cells ex vivo expanded for approximately 30 days. Ten patients (Diabetes -associated ED; 5 patients, Postprostatectomy; 5patients) will be injected Cellgram-ED directly into the intracavernous. Patient will be evaluated the safety and potential efficacy of MSC.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Mesenchymal stem cell | Experimental | Drug: mesenchymal stem cellPatients will receive single intracavernous injection of Mesenchymal stem cell. Oral PDE5-inhibitor can take on demand. |
Who may qualify
- Ages
- 20 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Postprostatectomy Erectile Dysfunction
- A man aged 20 or older
- Who is willing to consent to participate in the study concerned with improving sexual activity after prostatectomy, the man has maintained normal sexual activity prior to prostatectomy
- Prior to prostatectomy PSA (prostate specific antigen) level<10 ng/mL
- At the time of Prostatectomy, Pathological Gleason sum ≤7
Key exclusion criteria (17 listed)
- History of bone marrow disorders
- Serum AST/ALT > 3 X upper limit of normal or Creatinine > 1.5 X upper limit of normal
- History of hypersensitivity against a gentamycin
- Severe cardiovascular disease(angina, arrhythmia, cardiac failure, stroke), kidney failure, respiratory failure
- Positive for human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV) and syphilis test
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| mesenchymal stem cellAlso: Cellgram-EDPatients will receive single injection of Cellgram-ED( 30,000,000 mesenchymal stem cell) intracavernously. | Drug | Mesenchymal stem cell |
Primary outcome
Number and severity of adverse events
Time frame: 12month
Analyze the laboratory, vital sign, physical exam results from baseline to end of the study for investigate adverse reactions and view safety. An SAE suggests a significant hazard, contraindication, side-effect, or precaution. With respect to human clinical experience, this includes any event that: Results in death. Is life-threatening.* Requires in-patient hospitalization or prolongation of existing hospitalization. Results in persistent or significant disability/incapacity. Is a congenital anomaly/birth defect. Other medically important condition Life-threatening in the definition of a SAE or adverse reaction refers to an event in which the patient was at risk of death at the time of event; it does not refer to an event, which hypothetically might have caused death if it were more severe.
4 secondary outcomes
Change From Baseline in the International Index of Erectile Function(IIEF)
Time frame: month 1, 3, 6, 9 and 12
Penile Doppler Sonography, PDS
Time frame: month 6, 12
Change From Baseline in Sexual Encounter Profile (SEP) Question 2
Time frame: month 1, 3, 6, 9 and 12
Global Assessment Question (GAQ)
Time frame: month 1, 3, 6, 9 and 12
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jan 2019.
- Derived from this study: PubMed 34326007You D, Jang MJ, Song G, Shin HC, Suh N, Kim YM, Ahn TY, Kim CS. Safety of autologous bone marrow-derived mesenchymal stem cells in erectile dysfunction: an open-label phase 1 clinical trial. Cytotherapy. 2021 Oct;23(10):931-938. doi: 10.1016/j.jcyt.2021.06.001. Epub 2021 Jul 27.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Chungsu Kim, Ph.D principal investigator
AIDS Malignancy Consortium
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing mesenchymal stem cell in people with Erectile Dysfunction, run by Pharmicell Co., Ltd. at 1 site in South Korea.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 16 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number and severity of adverse events (time frame: 12month). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02344849, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jan 2019.