Overview
Sponsor-declared trial summary
This study will include all patients having received at least one infusion of the Investigational Medicinal Product (IMP) HepaStem HALPC during a previous interventional clinical study conducted by Promethera Biosciences or Promethera Therapeutics including patients suffering from urea cycle disorders (UCD), Crigler-Najjar (CN) and Fibroinflammatory liver diseases.
To assess the long-term safety of HepaStem therapy post administration in patients who have been infused with at least one dose of HepaStem in a previous interventional clinical study conducted by Promethera Therapeutics.
Key facts
- Sponsor
- Cellaïon SA
- Participant type
- Pediatric, Patients
- Age range
- 0-17 years, 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Nutritional and Metabolic Diseases [C18]
- Trial duration
- 12 Apr 2018 → 23 May 2024
- Decision date (initial)
- 2023-03-02
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- Yes
- Vulnerable population
- Yes
- Funding sources
- Cellaïon SA
External identifiers
- EU CT number
- 2022-500251-22-00
- EudraCT number
- 2017-003989-27
- ClinicalTrials.gov
- NCT03343756
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety
To assess the long-term safety of HepaStem therapy post administration in patients who have been infused with at least one dose of HepaStem in a previous interventional clinical study conducted by Promethera Therapeutics.
Conditions and MedDRA coding
This study will include all patients having received at least one infusion of the Investigational Medicinal Product (IMP) HepaStem HALPC during a previous interventional clinical study conducted by Promethera Biosciences or Promethera Therapeutics including patients suffering from urea cycle disorders (UCD), Crigler-Najjar (CN) and Fibroinflammatory liver diseases.
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.1 | LLT | 10021601 | Inborn error of metabolism NOS | 10010331 |
| 20.0 | LLT | 10008954 | Chronic liver disease and cirrhosis | 10019805 |
| 21.1 | LLT | 10013373 | Disorders of urea cycle metabolism | 10010331 |
| 20.1 | LLT | 10049844 | Acute liver failure | 10019805 |
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency, Medicines And Healthcare Products Regulatory Agency, Paul Ehrlich Institute, Federal Agency For Medicines And Health Products
- EMA paediatric investigation plan (PIP)
- EMEA-001155-PIP01-11
- Plan to share IPD
- No
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 2
- Patients who have received at least one infusion of HepaStem during a previous interventional clinical study conducted by Promethera Therapeutics. Note: Patients currently participating in ongoing double-blinded controlled interventional studies during which HepaStem is administered will be invited to enter the PROLONGSTEM study. Once this doubleblinded controlled interventional study is complete and/or treatment is unblinded, the patients will be informed about the treatment they received. HepaStem-recipients will remain in the PROLONGSTEM study, and the participation of control-recipients in the PROLONGSTEM study will be terminated.
- Patients who are able to understand and give written informed consent. For children (as defined according to national regulations), an informed consent shall be sought from the parents or legal representative on behalf of the child. If the child is capable of understanding the purpose of the study, he/she should provide an informed assent and sign an assent form. Minor patients at the time of inclusion who become adult (according to national regulations) during the course of the PROLONGSTEM study should provide an informed consent (and sign the adult ICF) as soon as they reach adulthood. For adult patients who are legally incapable of providing informed consent at the time of inclusion (due to an incapacitating condition such as brain disease or hepatic encephalopathy), a legal representative should provide a signed informed consent before enrollment. After improvement of the incapacitating condition, and as soon as the investigator considers that the patients have become capable to consent by themselves, the patients must sign the ICF.
Exclusion criteria 2
- Patients who received an orthotopic liver transplantation and who completed the 6-month follow-up Organ Transplantation Questionnaire prior to the start of the PROLONGSTEM study. Note: Patients who received an orthotopic liver transplantation and who did not complete the 6-month follow-up Organ Transplantation Questionnaire prior to the start of the PROLONGSTEM study may be included in the PROLONGSTEM study. These patients will remain in the PROLONGSTEM study until the completion of the 6-month follow-up Organ Transplantation Questionnaire. Data from the last visit of the previous clinical study conducted by the Sponsor (i.e., the start of the PROLONGSTEM study) up to the date of completion of the 6-month follow-up Organ Transplantation Questionnaire will be collected.
- Patients who received mature liver cells or stem cells other than HepaStem prior to the start of the PROLONGSTEM study. Note: Patients who received mature liver cells or stem cells other than HepaStem after the last visit of the previous clinical study conducted by the Sponsor (i.e., the start of the PROLONGSTEM study) may be included in the PROLONGSTEM study. Only retrospective data (between the last visit of the previous study and before the administration of such cells) will be collected from those patients.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- To document the occurrence of adverse events of special interest (AESIs) as defined below: • Event with fatal outcome (death) • Organ transplantation and outcome • Development of malignancy or unwanted tissue formation in different organs (tumor development malignant or not) • Disease linked to transmission of adventitious agents or reactivation of latent pathogens • Any adverse event (AE) judged to have a plausible causal relationship to HepaStem.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD890421 · Product
- Active substance
- Hhalpc
- Pharmaceutical form
- CELL SUSPENSION FOR INJECTION
- Route of administration
- INTRAVENOUS USE
- Max daily dose
- 4000 million organisms million organisms
- Max total dose
- 4000 million organisms million organisms
- Max treatment duration
- 8 Day(s)
- Authorisation status
- Not Authorised
- MA holder
- PROMETHERA BIOSCIENCES
- Paediatric formulation
- No
- Orphan designation
- Yes
- Orphan designation number
- EU/3/13/1161
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Cellaïon SA
- Sponsor organisation
- Cellaïon SA
- Address
- Rue Granbonpre 11
- City
- Mont-Saint-Guibert
- Postcode
- 1435
- Country
- Belgium
Scientific contact point
- Organisation
- Cellaïon SA
- Contact name
- Regulatory Affairs
Public contact point
- Organisation
- Cellaïon SA
- Contact name
- Regulatory Affairs
Third parties 1
| Organisation | City, country | Duties |
|---|---|---|
| Comac Medical Ltd. ORG-100026829
|
Sofia, Bulgaria | On site monitoring, Code 12, Code 5, Code 8 |
Locations
5 EU/EEA countries · 29 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Belgium | Ended | 15 | 8 |
| Bulgaria | Ended | 13 | 3 |
| France | Ended | 25 | 11 |
| Poland | Ended | 2 | 1 |
| Spain | Ended | 12 | 6 |
| Rest of world
United Kingdom
|
— | 1 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Belgium | 2018-04-12 | 2018-04-12 | |||
| Bulgaria | 2020-09-18 | 2020-09-18 | |||
| France | 2019-01-07 | 2019-01-07 | |||
| Poland | 2022-08-03 | 2022-11-30 | |||
| Spain | 2019-10-01 | 2019-10-01 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Summary of results Art. 37(4) CTR
| Title | Submission date | Status | Type |
|---|---|---|---|
| PROLONGSTEM study_Synopsis CSR_20SEP2024 SUM-49833
|
2024-10-04T11:36:12 | Submitted | Summary of Results |
Layperson summary Annex V
| Title | Submission date | Status | Type |
|---|---|---|---|
| PROLONGSTEM_CSR Final_Synopsis_20240920 | 2024-10-04T11:37:04 | Submitted | Laypersons Summary of Results |
Documents 2 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Laypersons summary of results (for publication) | PROLONGSTEM_CSR Final_Synopsis_20240920 | 1 |
| Summary of results (for publication) | PROLONGSTEM_CSR Final_Synopsis_20240920 | 1 |
Application history
7 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2022-12-20 | Belgium | Acceptable 2023-02-02
|
2023-02-03 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2023-08-18 | Belgium | Acceptable 2023-02-02
|
2023-08-18 |
| 3 | SUBSTANTIAL MODIFICATION | SM-1 | 2023-09-26 | Belgium | Acceptable | 2023-11-06 |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2023-12-06 | Acceptable | 2023-12-22 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-2 | 2024-01-15 | Acceptable | 2024-01-30 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-4 | 2024-04-04 | |||
| 7 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2024-05-21 | Belgium | Acceptable | 2024-05-21 |