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Angiogenic Cell Therapy
Angiogenic Cell Therapy for Pulmonary Hypertension (SAPPHIRE Trial)
Phase 2 & 3
Waitlist Available
Research Sponsored by Northern Therapeutics
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
6-Minute Walk Distance (6MWD) of ≥ 125 meters and ≤ 440 meters on two consecutive tests
Scleroderma associated PAH (limited or diffuse);
Must not have
Significant musculoskeletal disease or any other disease that would significantly limit ambulation
Unrepaired or recently repaired congenital systemic-to-pulmonary shunt other than patent foramen ovale
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 3 and 9 months
Summary
This trial is testing whether a treatment involving a person's own cells, transfected with human eNOS, is effective and safe for patients with severe PAH who are already on other PAH-targeted therapies.
Who is the study for?
Adults aged 18-80 with severe Pulmonary Arterial Hypertension (PAH) due to conditions like scleroderma or congenital heart defects, not participating in other trials or pulmonary rehab recently. Must be on stable PAH therapy for at least 3 months, able to walk unassisted, and meet specific criteria on diagnostic tests.
What is being tested?
The SAPPHIRE trial is testing the safety and effectiveness of monthly doses of autologous EPCs enhanced with human eNOS gene against a placebo in improving symptoms of PAH. Participants will receive either the treatment first followed by placebo or vice versa.
What are the potential side effects?
Potential side effects are not explicitly listed but may include reactions at the injection site, immune responses to modified cells, or complications from underlying health issues exacerbated by treatment.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I can walk between 125 and 440 meters in 6 minutes.
Select...
My condition is scleroderma with associated pulmonary arterial hypertension.
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I have not used appetite suppressants or been exposed to toxins.
Select...
My PAH is caused by genetics, scleroderma, drugs/toxins, or heart defects.
Select...
My tests show I don't have blood clots in my lungs.
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I am between 18 and 80 years old.
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I can walk by myself, even if I use oxygen.
Select...
My pulmonary arterial hypertension is either idiopathic or inherited.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I do not have a disease that severely limits my ability to walk.
Select...
I have a heart defect that hasn't been fixed or was recently repaired, except for a patent foramen ovale.
Select...
My PAH is not caused by conditions listed in the trial's inclusion criteria.
Select...
I have moderate to severe lung disease.
Select...
My liver condition is severe.
Select...
My kidney function is very low or I need dialysis.
Select...
I have had a procedure to create a hole in the wall between the upper chambers of my heart.
Select...
I have a history of serious heart artery problems.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 3 and 9 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~3 and 9 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Secondary study objectives
Change in 6 Minute Walk Distance (6MWD) from Baseline
Change in Echocardiography Right Ventricular (RV) Function Measures from Baseline
Change in Magnetic Resonance Imaging Right Ventricular (RV) Function Measures from Baseline
+3 moreTrial Design
3Treatment groups
Experimental Treatment
Group I: Placebo followed by Autologous EPCs transfected with eNOSExperimental Treatment1 Intervention
4 monthly IV injections of Placebo (Plasma-Lyte A) during Course 1 followed by 4 monthly IV injections of Autologous EPCs transfected with human eNOS (total of 80 million cells) during Course 2
Group II: Autologous EPCs transfected with eNOS followed by PlaceboExperimental Treatment1 Intervention
4 monthly IV injections of Autologous EPCs transfected with human eNOS (total of 80 million cells) during Course 1 followed by 4 monthly IV injections of Placebo (Plasma-Lyte A) during Course 2
Group III: Autologous EPCs transfected with eNOSExperimental Treatment1 Intervention
4 monthly IV injections of Autologous EPCs transfected with human eNOS in Course 1 followed by 4 monthly injections of Autologous EPCs transfected with human eNOS in Course 2 (total of 160 million cells)
Find a Location
Who is running the clinical trial?
Ottawa Hospital Research InstituteOTHER
576 Previous Clinical Trials
3,139,916 Total Patients Enrolled
Northern TherapeuticsLead Sponsor
2 Previous Clinical Trials
18 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- My PAH is classified as moderate to severe, and I've been on stable treatment for over 3 months.I had surgery to fix a heart defect more than a year ago.I do not have a disease that severely limits my ability to walk.I can walk between 125 and 440 meters in 6 minutes.My condition is scleroderma with associated pulmonary arterial hypertension.You have three or more specific risk factors for heart failure with preserved ejection fraction (HFpEF) mentioned in the AMBITION study.You have participated in gene therapy or studies involving certain protein growth factors.I have not used appetite suppressants or been exposed to toxins.You are expected to live less than 1 year because of another health condition.I do not have any serious illnesses or abnormal lab results that could risk my safety or affect the study.My PAH is caused by genetics, scleroderma, drugs/toxins, or heart defects.Your blood pressure is too low.Your resting oxygen level is 88% or higher.My tests show I don't have blood clots in my lungs.I have a heart defect that hasn't been fixed or was recently repaired, except for a patent foramen ovale.I am between 18 and 80 years old.I have been on stable treatment for PAH for at least 3 months.I haven't used any experimental treatments in the last 3 months.My PAH is not caused by conditions listed in the trial's inclusion criteria.I have moderate to severe lung disease.My liver condition is severe.My kidney function is very low or I need dialysis.I have had a procedure to create a hole in the wall between the upper chambers of my heart.I have not had cancer in the last 5 years, except for a minor skin cancer that was fully treated.You are allergic to gentamicin or amphotericin.I can walk by myself, even if I use oxygen.A heart ultrasound shows specific things.You have had a specific heart test that showed signs of pulmonary arterial hypertension.I have a history of serious heart artery problems.You have a current infection with certain diseases during the screening process.You need to pass certain breathing tests.My pulmonary arterial hypertension is either idiopathic or inherited.
Research Study Groups:
This trial has the following groups:- Group 1: Autologous EPCs transfected with eNOS followed by Placebo
- Group 2: Autologous EPCs transfected with eNOS
- Group 3: Placebo followed by Autologous EPCs transfected with eNOS
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.