Multipotent Mesenchymal Stromal Cells for the Prophylaxis of Acute Graft-versus-Host Disease—A Phase II Study

The efficacy and the safety of the administration of multipotent mesenchymal stromal cells (MMSCs) for acute graft-versus-host disease (aGVHD) prophylaxis following allogeneic hematopoietic cell transplantation (HSCT) were studied. This prospective clinical trial was based on the random patient allo...

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Main Authors: Larisa A. Kuzmina, Natalia A. Petinati, Elena N. Parovichnikova, Lidia S. Lubimova, Elena O. Gribanova, Tatjana V. Gaponova, Irina N. Shipounova, Oxana A. Zhironkina, Alexey E. Bigildeev, Daria A. Svinareva, Nina J. Drize, Valery G. Savchenko
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/2012/968213
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author Larisa A. Kuzmina
Natalia A. Petinati
Elena N. Parovichnikova
Lidia S. Lubimova
Elena O. Gribanova
Tatjana V. Gaponova
Irina N. Shipounova
Oxana A. Zhironkina
Alexey E. Bigildeev
Daria A. Svinareva
Nina J. Drize
Valery G. Savchenko
author_facet Larisa A. Kuzmina
Natalia A. Petinati
Elena N. Parovichnikova
Lidia S. Lubimova
Elena O. Gribanova
Tatjana V. Gaponova
Irina N. Shipounova
Oxana A. Zhironkina
Alexey E. Bigildeev
Daria A. Svinareva
Nina J. Drize
Valery G. Savchenko
author_sort Larisa A. Kuzmina
collection DOAJ
description The efficacy and the safety of the administration of multipotent mesenchymal stromal cells (MMSCs) for acute graft-versus-host disease (aGVHD) prophylaxis following allogeneic hematopoietic cell transplantation (HSCT) were studied. This prospective clinical trial was based on the random patient allocation to the following two groups receiving (1) standard GVHD prophylaxis and (2) standard GVHD prophylaxis combined with MMSCs infusion. Bone marrow MMSCs from hematopoietic stem cell donors were cultured and administered to the recipients at doses of 0.9–1.3×106/kg when the blood counts indicated recovery. aGVHD of stage II–IV developed in 38.9% and 5.3% of patients in group 1 and group 2, respectively, (𝑃=0.002). There were no differences in the graft rejection rates, chronic GVHD development, or infectious complications. Overall mortality was 16.7% for patients in group 1 and 5.3% for patients in group 2. The efficacy and the safety of MMSC administration for aGVHD prophylaxis were demonstrated in this study.
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institution Kabale University
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publishDate 2012-01-01
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spelling doaj-art-181e7c236c064fb2b418ccb2a4d556402025-08-20T03:54:20ZengWileyStem Cells International1687-966X1687-96782012-01-01201210.1155/2012/968213968213Multipotent Mesenchymal Stromal Cells for the Prophylaxis of Acute Graft-versus-Host Disease—A Phase II StudyLarisa A. Kuzmina0Natalia A. Petinati1Elena N. Parovichnikova2Lidia S. Lubimova3Elena O. Gribanova4Tatjana V. Gaponova5Irina N. Shipounova6Oxana A. Zhironkina7Alexey E. Bigildeev8Daria A. Svinareva9Nina J. Drize10Valery G. Savchenko11FGBU Hematology Research Center, Russia Fedration Ministry of Public Health, 125167 Moscow, RussiaFGBU Hematology Research Center, Russia Fedration Ministry of Public Health, 125167 Moscow, RussiaFGBU Hematology Research Center, Russia Fedration Ministry of Public Health, 125167 Moscow, RussiaFGBU Hematology Research Center, Russia Fedration Ministry of Public Health, 125167 Moscow, RussiaFGBU Hematology Research Center, Russia Fedration Ministry of Public Health, 125167 Moscow, RussiaFGBU Hematology Research Center, Russia Fedration Ministry of Public Health, 125167 Moscow, RussiaFGBU Hematology Research Center, Russia Fedration Ministry of Public Health, 125167 Moscow, RussiaFGBU Hematology Research Center, Russia Fedration Ministry of Public Health, 125167 Moscow, RussiaFGBU Hematology Research Center, Russia Fedration Ministry of Public Health, 125167 Moscow, RussiaFGBU Hematology Research Center, Russia Fedration Ministry of Public Health, 125167 Moscow, RussiaFGBU Hematology Research Center, Russia Fedration Ministry of Public Health, 125167 Moscow, RussiaFGBU Hematology Research Center, Russia Fedration Ministry of Public Health, 125167 Moscow, RussiaThe efficacy and the safety of the administration of multipotent mesenchymal stromal cells (MMSCs) for acute graft-versus-host disease (aGVHD) prophylaxis following allogeneic hematopoietic cell transplantation (HSCT) were studied. This prospective clinical trial was based on the random patient allocation to the following two groups receiving (1) standard GVHD prophylaxis and (2) standard GVHD prophylaxis combined with MMSCs infusion. Bone marrow MMSCs from hematopoietic stem cell donors were cultured and administered to the recipients at doses of 0.9–1.3×106/kg when the blood counts indicated recovery. aGVHD of stage II–IV developed in 38.9% and 5.3% of patients in group 1 and group 2, respectively, (𝑃=0.002). There were no differences in the graft rejection rates, chronic GVHD development, or infectious complications. Overall mortality was 16.7% for patients in group 1 and 5.3% for patients in group 2. The efficacy and the safety of MMSC administration for aGVHD prophylaxis were demonstrated in this study.http://dx.doi.org/10.1155/2012/968213
spellingShingle Larisa A. Kuzmina
Natalia A. Petinati
Elena N. Parovichnikova
Lidia S. Lubimova
Elena O. Gribanova
Tatjana V. Gaponova
Irina N. Shipounova
Oxana A. Zhironkina
Alexey E. Bigildeev
Daria A. Svinareva
Nina J. Drize
Valery G. Savchenko
Multipotent Mesenchymal Stromal Cells for the Prophylaxis of Acute Graft-versus-Host Disease—A Phase II Study
Stem Cells International
title Multipotent Mesenchymal Stromal Cells for the Prophylaxis of Acute Graft-versus-Host Disease—A Phase II Study
title_full Multipotent Mesenchymal Stromal Cells for the Prophylaxis of Acute Graft-versus-Host Disease—A Phase II Study
title_fullStr Multipotent Mesenchymal Stromal Cells for the Prophylaxis of Acute Graft-versus-Host Disease—A Phase II Study
title_full_unstemmed Multipotent Mesenchymal Stromal Cells for the Prophylaxis of Acute Graft-versus-Host Disease—A Phase II Study
title_short Multipotent Mesenchymal Stromal Cells for the Prophylaxis of Acute Graft-versus-Host Disease—A Phase II Study
title_sort multipotent mesenchymal stromal cells for the prophylaxis of acute graft versus host disease a phase ii study
url http://dx.doi.org/10.1155/2012/968213
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