NCT03899298

Brief Summary

To determine the safety and efficacy of Amniotic and Umbilical Cord Tissue for the treatment of the following condition categories: Orthopedic, Neurologic, Urologic, Autoimmune, Renal, Cardiac and Pulmonary Conditions. The hypotheses are that the treatments are not only extremely safe, but also statistically beneficial for all conditions. Outcomes will be determined by numerous valid outcome instruments that compile general quality of life information along with condition-specific information as well.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
5,000

participants targeted

Target at P75+ for phase_1

Timeline
35mo left

Started Sep 2019

Longer than P75 for phase_1

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress70%
Sep 2019Mar 2029

First Submitted

Initial submission to the registry

March 27, 2019

Completed
6 days until next milestone

First Posted

Study publicly available on registry

April 2, 2019

Completed
5 months until next milestone

Study Start

First participant enrolled

September 1, 2019

Completed
4.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 20, 2024

Completed
5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 20, 2029

Expected
Last Updated

August 22, 2019

Status Verified

March 1, 2019

Enrollment Period

4.6 years

First QC Date

March 27, 2019

Last Update Submit

August 20, 2019

Conditions

Keywords

stem cell therapyumbilical stem cellsamniotic stem cellsstem cellsregenerative mediciner3 stem cellperinatal tissueplacenta stem cell

Outcome Measures

Primary Outcomes (9)

  • Disabilities of Arm, Shoulder, Hand Questionnaire (DASH)

    Upper Extremity Outcome Instrument

    Follow up time-frames will measure changes occurring from baseline post procedure at 1 month, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months and 120 months.

  • Sexual Health Inventory for Men Questionnaire (SHIM)

    Erectile Function Questionnaire. Scoring exists from 0 to 25. The lower the score, the more severe the Erectile Dysfunction.

    Follow up time-frames will measure changes occurring from baseline post procedure at 1 month, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months and 120 months.

  • Kidney Disease and Quality of Life Questionnaire (KDQOL)

    Renal Function Outcome Instrument. Raw, precoded numeric values for 36 items are transformed linearly to a 0 to 100 range, with higher scores reflecting better quality of life.

    Follow up time-frames will measure changes occurring from baseline post procedure at 1 month, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months and 120 months.

  • Assessment of Quality of Life Questionnaire (AQOL)

    General Health Outcome Instrument. Each instrument is used to derive a simple psychometric score for health related quality of life (HRQoL) and to provide profile scores on the different dimensions or items of the descriptive systems. The score is derived by adding the unweighted response order of each question, with a lower score denoting a better quality of life.

    Follow up time-frames will measure changes occurring from baseline post procedure at 1 month, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months and 120 months.

  • Clinical Chronic Obstructive Pulmonary Disease Questionnaire

    COPD Outcome Instrument. Items are scored on a Likert scale (range 0-60). Higher scores indicate a worse health status.

    Follow up time-frames will measure changes occurring from baseline post procedure at 1 month, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months and 120 months.

  • Mini Mental State Examination (MMSE)

    Memory Outcome Instrument. The maximum MMSE score is 30 points. The lower the score, the more severe the dementia.

    Follow up time-frames will measure changes occurring from baseline post procedure at 1 month, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months and 120 months.

  • O'Leary/Sant Questionnaire

    Voiding and Pain Indices. Possible score of 0-20 with higher scores denoting better function.

    Follow up time-frames will measure changes occurring from baseline post procedure at 1 month, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months and 120 months.

  • Oswestry Low Back Pain Disability Questionnaire

    Low Back Pain Outcome Instrument. Possible score of 0-100 with lower scores denoting better function.

    Follow up time-frames will measure changes occurring from baseline post procedure at 1 month, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months and 120 months.

  • Western Ontario and McMaster Osteoarthritis Index (WOMAC)

    Arthritis Outcome Instrument. Individual question scores are then summed to form a raw score ranging from 0 (worst) to 96 (best).

    Follow up time-frames will measure changes occurring from baseline post procedure at 1 month, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months and 120 months.

Study Arms (7)

Amniotic and Umbilical Cord Tissue for Autoimmune Conditions

EXPERIMENTAL

Purpose is to evaluate an amniotic and umbilical cord stem cell rich tissue substance for autoimmune conditions. Outcomes will be compared to the literature results of the current gold standard for several conditions.

Biological: Amniotic and Umbilical Cord Tissue Procedure

Amniotic and Umbilical Cord Tissue for Orthopedic Conditions

EXPERIMENTAL

Purpose is to evaluate an amniotic and umbilical cord stem cell rich tissue substance for orthopedic conditions. Outcomes will be compared to the literature results of the current gold standard for several conditions.

Biological: Amniotic and Umbilical Cord Tissue Procedure

Amniotic and Umbilical Cord Tissue for Neurologic Conditions

EXPERIMENTAL

Purpose is to evaluate an amniotic and umbilical cord stem cell rich tissue substance for neurologic conditions. Outcomes will be compared to the literature results of the current gold standard for several conditions.

Biological: Amniotic and Umbilical Cord Tissue Procedure

Amniotic and Umbilical Cord Tissue for Urologic Conditions

EXPERIMENTAL

Purpose is to evaluate an amniotic and umbilical cord stem cell rich tissue substance for urologic conditions. Outcomes will be compared to the literature results of the current gold standard for several conditions.

Biological: Amniotic and Umbilical Cord Tissue Procedure

Amniotic and Umbilical Cord Tissue for Cardiac Conditions

EXPERIMENTAL

Purpose is to evaluate an amniotic and umbilical cord stem cell rich tissue substance for cardiac conditions. Outcomes will be compared to the literature results of the current gold standard for several conditions.

Biological: Amniotic and Umbilical Cord Tissue Procedure

Amniotic and Umbilical Cord Tissue for Renal Conditions

EXPERIMENTAL

Purpose is to evaluate an amniotic and umbilical cord stem cell rich tissue substance for renal conditions. Outcomes will be compared to the literature results of the current gold standard for several conditions.

Biological: Amniotic and Umbilical Cord Tissue Procedure

Amniotic and Umbilical Cord Tissue for Pulmonary Conditions

EXPERIMENTAL

Purpose is to evaluate an amniotic and umbilical cord stem cell rich tissue substance for pulmonary conditions. Outcomes will be compared to the literature results of the current gold standard for several conditions.

Biological: Amniotic and Umbilical Cord Tissue Procedure

Interventions

Amniotic and Umbilical Cord Cell Therapy with protocols dependent on the patient condition. Protocols include options for IV, Injection, Intranasal and/or Nebulizer.

Also known as: Amniotic and Umbilical Cord Tissue Infusion, Amniotic and Umbilical Cord Tissue Nebulizer, Amniotic and Umbilical Cord Tissue Injection, Amniotic and Umbilical Cord Tissue Intranasal
Amniotic and Umbilical Cord Tissue for Autoimmune ConditionsAmniotic and Umbilical Cord Tissue for Cardiac ConditionsAmniotic and Umbilical Cord Tissue for Neurologic ConditionsAmniotic and Umbilical Cord Tissue for Orthopedic ConditionsAmniotic and Umbilical Cord Tissue for Pulmonary ConditionsAmniotic and Umbilical Cord Tissue for Renal ConditionsAmniotic and Umbilical Cord Tissue for Urologic Conditions

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18 and over.
  • Ability to attend follow up visits or at least converse on phone or complete email follow up forms.
  • Competent to understand the study protocol and provide voluntary informed consent.
  • Patients with any of the following conditions: Arthritis (Degenerative, Rheumatoid, Psoriatic, Lupus, Gout), Sports or Overuse Injuries (e.g. Rotator Cuff injury, Tennis Elbow), Chronic Kidney Disease (may be on dialysis), Back/Neck Pain, Erectile Dysfunction, Peyronie's Disease, Alzheimer's Disease, Parkinson's Disease, Neuropathy, Post-Stroke, Post-Concussion Syndrome, COPD, Emphysema, Pulmonary Fibrosis, Post myocardial infarction (at least 6 months out), Cardiomyopathy, Congestive Heart Failure.

You may not qualify if:

  • Active Cancer
  • Pregnancy, Lactating
  • Severe Clotting disorder
  • Myocardial Infarction less than six months ago.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Links

MeSH Terms

Conditions

Musculoskeletal DiseasesNervous System DiseasesUrologic DiseasesErectile DysfunctionAutoimmune DiseasesRenal InsufficiencyKidney DiseasesCardiovascular DiseasesCardiomyopathiesLung DiseasesPulmonary Disease, Chronic ObstructiveAlzheimer DiseaseStrokeNeuritisArthritis

Condition Hierarchy (Ancestors)

Female Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesGenital Diseases, MaleGenital DiseasesSexual Dysfunction, PhysiologicalSexual Dysfunctions, PsychologicalMental DisordersImmune System DiseasesHeart DiseasesRespiratory Tract DiseasesLung Diseases, ObstructiveChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsDementiaBrain DiseasesCentral Nervous System DiseasesTauopathiesNeurodegenerative DiseasesNeurocognitive DisordersCerebrovascular DisordersVascular DiseasesPeripheral Nervous System DiseasesNeuromuscular DiseasesJoint Diseases

Study Officials

  • David Greene, MD, MBA

    R3 Stem Cell

    STUDY DIRECTOR

Central Study Contacts

David L Greene, MD, MBA

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Masking Details
No masking.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: The study will be ongoing for patient inclusion and data acquisition. Patients will be separated into one of seven categories including: Orthopedic, Neurologic, Urologic, Autoimmune, Renal, Cardiac and Pulmonary Conditions. The treatments will not be randomized or blinded. This is a partially patient funded study. The study has been approved by an Alion accredited Institutional Review Board, Solutions IRB as of March 2019.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 27, 2019

First Posted

April 2, 2019

Study Start

September 1, 2019

Primary Completion

March 20, 2024

Study Completion (Estimated)

March 20, 2029

Last Updated

August 22, 2019

Record last verified: 2019-03

Data Sharing

IPD Sharing
Will not share

Data will be blinded and password protected. Research publications will be produced for medical journals. Participating Investigators will have password protected access only.