PROLONGSTEM is a long term follow-up study of all the patients who have received at least one infusion of HepaStem

2022-500251-22-00 Protocol PROLONGSTEM Therapeutic exploratory (Phase II) Ended

Start 12 Apr 2018 · End 23 May 2024 · Status Ended · 5 EU/EEA countries · 29 sites · Protocol PROLONGSTEM

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 68
Countries 5
Sites 29

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.

VersionLevelCodeTermSystem 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

  1. 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.
  2. 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

  1. 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.
  2. 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

  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

HepaStem

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

OrganisationCity, countryDuties
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

CountryMS statusPlanned subjectsSites
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

Belgium

8 sites · Ended
Hopital Erasme
Gastroenterology, Lennikse Baan 808, 1070, Anderlecht
Catholic University De Louvain
Paediatric Department, Hippokrateslaan 54, Ucl 5471, Brussels
Antwerp University Hospital
Gastroenterology, Drie Eikenstraat 655, 2650, Edegem
UZ Leuven
Gastroenterology, Herestraat 49, 3000, Leuven
Association Hospitaliere De Bruxelles Et De Schaerbeek Centre Hospitalier Universitaire Brugmann
Gastroenterology, Arthur Van Gehuchtenplein 4, 1020, Brussels
CHC MontLegia
Gastroenterology, Boulev. De Patience Et Beajonc 2, 4000, Liege
Cliniques Universitaires Saint-Luc
Intensive Care Unit, Hippokrateslaan 10, Batiment 54, Sint-Lambrechts-Woluwe
Universitair Ziekenhuis Gent
Gastroenterology, Corneel Heymanslaan 10, 9000, Gent

Bulgaria

3 sites · Ended
Military Medical Academy
Gastroenterology, Ulitsa Sveti Georgi Sofiyski 3, 1606, Sofiya
University Multiprofile Hospital For Active Treatment Dr. Georgi Stranski EAD
Gastroenterology, Ulitsa Georgi Kochev 8-A, 5803, Pleven
UMHAT Medica Ruse
Gastroenterology, Ulitsa Riga 35, 7013, Ruse

France

11 sites · Ended
Centre Hospitalier Universitaire Amiens Picardie
Gastroenterology, 1 Place Victor Pauchet, 80080, Amiens
Hopital Paul Brousse
Gastroenterology, 12 Avenue Paul Vaillant Couturier, 94804, Villejuif Cedex
Centre Hospitalier Universitaire De Toulouse
Gastroenterology, 330 Avenue De Grande Bretagne, 31059, Toulouse Cedex 9
Centre Hospitalier Universitaire De Lille
Peadiatric, Avenue Eugene Avinee, 59000, Lille
University Hospital Of Bordeaux
Gastroenterology, 66 Avenue De Magellan, 33608, Pessac Cedex
Centre Hospitalier Universitaire De Montpellier
Gastroenterology, 80 Avenue Augustin Fliche, 34295, Montpellier Cedex 5
Assistance Publique Hopitaux De Paris
Gastroenterology, Num Voie 47 A 83, 47 Boulevard De L Hopital, Paris
Centre Hospitalier Universitaire D Angers
Gastroenterology, 4 Rue Larrey, 49933, Angers Cedex 9
Les Hopitaux Universitaires De Strasbourg
Hepato Gastroenterology, 3 Rue Koeberle, 67000, Strasbourg
Assistance Publique Hopitaux De Marseille
Hepato Gastroenterology, 144 Rue Saint Pierre, 13005, Marseille
Hospices Civils De Lyon
Hepato Gastroenterology, 103 Grande Rue De La Croix Rousse, 69317, Lyon Cedex 04

Poland

1 site · Ended
Id Clinic
Gastroenterology, Ul. Janowska 19, 41-400, Myslowice

Spain

6 sites · Ended
Hospital Unviersitario Miguel Servet
Gastroenterology, Paseo De Isabel La Catolica 1-3, 50009, Zaragoza
Parc Tauli Hospital Universitari
Gastroenterology and Hepatology, Parc Del Tauli 1 Edifici Santa Fe Ala Izquierda Planta 2ª, 08208, Sabadell
Hospital De La Santa Creu I Sant Pau
Hepatology, Calle De San Antonio Maria Claret 167, 08025, Barcelona
Hospital Universitari Vall D Hebron
Hepatology, Passeig De La Vall D.hebron 119-129, Edificio Materno-Infantil Planta 13, Barcelona
Hospital Universitario Ramon Y Cajal
Hepatology, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Hospital General Universitario Gregorio Maranon
Gastroenterology, Calle Del Doctor Esquerdo 46, 28009, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment 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

TitleSubmission dateStatusType
PROLONGSTEM study_Synopsis CSR_20SEP2024
SUM-49833
2024-10-04T11:36:12 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision 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