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Autoimmune Pulmonary Alveolar ProteinosisPhase 2NCT07890649

A Study of hBMMSC Injection in Patients With aPAP

A Phase 2 study testing The human Bone Marrow Mesenchymal Stem Cell (hBMMSC) injection and Lactated Ringer's Injection (crystalloid) in people with Autoimmune Pulmonary Alveolar Proteinosis, run by Jiuzhitang Maker (Beijing) Cell Technology Co.,Ltd. at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial 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 more about this study

Who is it for?
Ages 18 years and older
What is being tested?
The human Bone Marrow Mesenchymal Stem Cell (hBMMSC) injection and Lactated Ringer's Injection (crystalloid)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
70 participants
Where
1 siteChina
Study dates
30 Oct 2026to 28 Feb 2030
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female participants aged ≥18 years;
  • Patients with pulmonary alveolar proteinosis (PAP) confirmed by imaging, bronchoalveolar lavage (BAL) cytology, or lung biopsy, including transbronchial lung biopsy (TBLB), transbronchial cryobiopsy (TBCB), or surgical lung biopsy, and who are positive for serum anti-GM-CSF antibodies;
  • 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;
  • 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;
  • Participants of childbearing potential must use effective medically accepted contraceptive methods, regardless of sex, until 1 year after the last study treatment administration;
  • Voluntary provision of written informed consent.

Who cannot join

  • Patients diagnosed with hereditary, secondary, or other types of PAP;
  • Patients who received whole-lung lavage (WLL) or granulocyte-macrophage colony-stimulating factor (GM-CSF) therapy within 3 months prior to screening;
  • Patients who received treatment as part of another clinical study within 3 months prior to screening;
  • Patients who participated in another clinical study involving stem cell therapy within 1 year prior to screening;
  • Patients with inflammatory or autoimmune diseases requiring concomitant treatment with immunosuppressive agents, such as prednisolone >10 mg/day;
  • 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;
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  • History of malignancy;
  • Known hypersensitivity or allergic reaction to any component of the investigational product;
  • 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;
  • 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.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site
  • The First Affiliated Hospital of Guangzhou Medical University

    Guangzhou, Guangdong, 510120

    Yuan Chen, 86+13671060568, ychen@jztmaker.com

Other trials in China

About this study

Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Phase IIb Clinical Trial to Evaluate the Efficacy and Safety of Human Bone Marrow-Derived Mesenchymal Stem Cell (hBMMSC) Injection in Patients With Autoimmune Pulmonary Alveolar Proteinosis (aPAP)

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.

Being tested
The human Bone Marrow Mesenchymal Stem Cell (hBMMSC) injection, Lactated Ringer's Injection (crystalloid)
Medical subject headings
Pulmonary Alveolar Proteinosis, Acquired

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • The human Bone Marrow Mesenchymal Stem Cell (hBMMSC) injectionDrug

    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.

  • Lactated Ringer's Injection (crystalloid)Drug

    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.

Study groups in NCT07890649
Study groupRoleWhat they receive
hBMMSC injection: 2.0×10^6 cells/kgExperimentalThe hBMMSC injection will be administered by intravenous infusion.
Receives: Drug: The human Bone Marrow Mesenchymal Stem Cell (hBMMSC) injection
Lactated Ringer's InjectionPlacebo comparatorLactated Ringer's Injection will be used as the comparator and administered by intravenous infusion.
Receives: Drug: Lactated Ringer's Injection (crystalloid)

What is being measured

The primary outcome is the main question the study is designed to answer.

  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.

    Measured: 24 weeks

Secondary outcomes (32)
  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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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.

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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.

    Measured: 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.

    Measured: 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

    Measured: 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

    Measured: 24/48 weeks

  17. The incidence of AEs and SAEs

    The incidence of AEs and SAEs through Week 48 after treatment

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 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

    Measured: 24/48 weeks

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

    Measured: 4/12/24/48 weeks

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

    Measured: 4/12/24/48 weeks

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

    Measured: 4/12/24/48 weeks

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

    Measured: 4/12/24/48 weeks

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

    Measured: 4/12/24/48 weeks

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

    Measured: 4/12/24/48 weeks

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

    Measured: 4/12/24/48 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Oct 2026
  2. Study start30 Oct 2026 (estimated)
  3. Primary completion30 Oct 2029 (estimated)
  4. Study completion28 Feb 2030 (estimated)

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
70 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07890649
Sponsor's protocol ID
MKMSC-CT-201
Status last verified
Oct 2026
First submitted
28 Sep 2026
Last updated
22 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing The human Bone Marrow Mesenchymal Stem Cell (hBMMSC) injection and Lactated Ringer's Injection (crystalloid) in people with Autoimmune Pulmonary Alveolar Proteinosis, run by Jiuzhitang Maker (Beijing) Cell Technology Co.,Ltd. at 1 site in China.

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 6 inclusion and 10 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: opening soon, as of the sponsor's last update on 22 Oct 2026. 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 China. 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Yuan Chen (+86 13671060568, ychen@jztmaker.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Alveolar-arterial difference in oxygen tension (A-aDO2) (time frame: 24 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 22 Oct 2026.

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