Preclinical quality, safety, and efficacy of a human embryonic stem cell-derived product for the treatment of Parkinson's disease, STEM-PD.

Agnete Kirkeby, Jenny Nelander, Deirdre B Hoban, Nina Rogelius, Hjálmar Bjartmarz, Petter Storm, Alessandro Fiorenzano, Andrew F Adler, Shelby Vale, Janitha Mudannayake, Yu Zhang, Tiago Cardoso, Bengt Mattsson, Anne M Landau, Andreas N Glud, Jens C Sørensen, Thea P Lillethorup, Mark Lowdell, Carla Carvalho, Owen Bain, Trinette van Vliet, Olle Lindvall, Anders Björklund, Bronwen Harry, Emma Cutting, Håkan Widner, Gesine Paul, Roger A Barker, Malin Parmar
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Abstract

Cell replacement therapies for Parkinson's disease (PD) based on transplantation of pluripotent stem cell-derived dopaminergic neurons are now entering clinical trials. Here, we present quality, safety, and efficacy data supporting the first-in-human STEM-PD phase I/IIa clinical trial along with the trial design. The STEM-PD product was manufactured under GMP and quality tested in vitro and in vivo to meet regulatory requirements. Importantly, no adverse effects were observed upon testing of the product in a 39-week rat GLP safety study for toxicity, tumorigenicity, and biodistribution, and a non-GLP efficacy study confirmed that the transplanted cells mediated full functional recovery in a pre-clinical rat model of PD. We further observed highly comparable efficacy results between two different GMP batches, verifying that the product can be serially manufactured. A fully in vivo-tested batch of STEM-PD is now being used in a clinical trial of 8 patients with moderate PD, initiated in 2022.

用于治疗帕金森病的人类胚胎干细胞衍生产品的临床前质量、安全性和疗效。
基于多能干细胞衍生的多巴胺能神经元移植的帕金森病细胞替代疗法目前正在进入临床试验。在这里,我们提供了支持首次人体STEM-PD I/IIa期临床试验的质量、安全性和疗效数据以及试验设计。STEM-PD产品是根据GMP生产的,并在体外和体内进行了质量测试,以满足监管要求。重要的是,在一项为期39周的大鼠GLP毒性、致瘤性和生物分布安全性研究中,在测试该产品时没有观察到不良反应,而一项非GLP疗效研究证实,在PD的临床前大鼠模型中,移植细胞介导了全功能恢复。我们进一步观察到两个不同GMP批次之间的疗效结果具有高度可比性,验证该产品可以串行制造。一批经过全面体内测试的STEM-PD目前正在2022年开始的一项针对8名中度PD患者的临床试验中使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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