Phase 2 Trial of Mesenchymal Stem Cells in Systemic Lupus Erythematosus (MiSLE)

Therapuetic Areas:Immunology / Infectious Diseases
Age Range:18 - 65
Start Date:October 26, 2018
End Date:June 2021
Contact:Gary Gilkeson
Phone:(843) 792 - 6043

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A Phase II Controlled Trial of Allogeneic Mesenchymal Stem Cells for the Treatment of Refractory Lupus

The purpose of this study is to evaluate the efficacy and safety of mesenchymal stem cells
(MSCs) obtained from umbilical cords for the treatment of adults with systemic lupus
erythematosus (SLE). The goal of this study is to determine if patients receiving an MSC
infusion plus standard of care respond better than patients receiving placebo infusion plus
standard of care.

A phase 2 multicenter (several medical research centers participating), placebo controlled,
randomized (assigned by chance), double blind (neither the participant nor the investigator
will know if active drug or placebo is assigned) trial to evaluate the safety and efficacy of
mesenchymal stem cells (MSCs) for the treatment of systemic lupus erythematosus (SLE) in

The MSCs will be obtained from healthy donor umbilical cords and two doses of MSCs will be
tested. The cells will be produced at the Medical University of South Carolina (MUSC) and
will be shipped to other participating centers for patients with SLE. Participants will
receive either active drug or placebo through a single IV infusion. All participants will
receive standard of care and their safety will be monitored throughout the study.

Inclusion Criteria:

- Patients between 18 and 65 years old, male or female, of any race

- Historical presence of at least 4 of 11 of the ACR Classification Criteria

- Evidence of a positive ANA (≥1:80 titer) or positive dsDNA antibody test within 6
months of screening

- Clinically active SLE determined by SLEDAI score ≥6 and the presence of at least one
BILAG A or BILAG B at screening, despite standard-of-care therapy

- If the patient has a BILAG A or BILAG B score in the renal organ system, he/she must
have completed at least 6 months of therapy for the current episode of nephritis prior
to Screening. Therapy must include at least 6 months of mycophenolate or at least 3
months of cyclophosphamide followed by mycophenolate or azathioprine

- Able and willing to give written informed consent

Exclusion Criteria:

- Active CNS lupus affecting mental status

- Active lupus nephritis requiring dialysis

- Laboratory exclusions: eGFR <30, WBC <2.0/mm3, hemoglobin <8 g/dL, platelet count
<30,000/mm3, liver enzymes AST or ALT >4 times upper limit normal.

- Positive testing for HIV, hepatitis B or hepatitis C, tuberculosis (TB), or chest
X-ray (CXR) findings consistent with TB or latent fungal infection.

- History of malignant neoplasm within the last 5 years, except for adequately treated
cancers of the skin (basal or squamous cell) or carcinoma in situ of the uterine

- Pregnant or breast feeding

- A woman of childbearing potential (not post-menopausal or surgically sterile) who is
not willing to use adequate contraception

- History of renal transplantation

- Herpes zoster within the past 90 days or any infection requiring hospitalization or
intravenous or intramuscular antibiotics within the past 60 days

- Clinically significant EKG or chest X-ray changes

- Any other medical condition, related or unrelated to SLE, that in the opinion of the
investigator would render the patient inappropriate or too unstable to complete study

- Use of prednisone >0.5 mg/kg/day (or equivalent corticosteroid) within 1 month of
Baseline visit

- Change or addition to immunosuppressant regimen within 3 months of Baseline visit
(except corticosteroids); Use of other experimental therapeutic agents within 3 months
of Baseline visit

- Having received belimumab within 2 months of Baseline, or having received rituximab or
other B cell depleting biologic therapy within 6 months of Baseline.

- Comorbidities requiring corticosteroid therapy

- Current substance abuse or recent (within one year) history of substance abuse
We found this trial at
201 Dowman Dr
Atlanta, Georgia 30303
(404) 727-6123
Principal Investigator: S. Sam Lim, MD, MPH
Phone: 404-616-7553
Emory University Emory University, recognized internationally for its outstanding liberal artscolleges, graduate and professional schools,...
Atlanta, GA
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Chapel Hill, North Carolina 27599
(919) 962-2211
Principal Investigator: Saira Z Sheikh, MD
Phone: 919-445-2730
University of North Carolina at Chapel Hill Carolina’s vibrant people and programs attest to the...
Chapel Hill, NC
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8700 Beverly Blvd # 8211
Los Angeles, California 90048
Principal Investigator: Mariko L. Ishimori, MD
Phone: 310-423-1232
Cedars Sinai Med Ctr Cedars-Sinai is known for providing the highest quality patient care. Our...
Los Angeles, CA
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601 Elmwood Avenue
Rochester, New York 14642
(585) 275-2100
Principal Investigator: Ummara Shah, MD
Phone: 585-275-7167
Univ of Rochester Medical Center One of the nation's top academic medical centers, the University...
Rochester, NY
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171 Ashley Avenue
Charleston, South Carolina 29425
Principal Investigator: Gary S. Gilkeson, MD
Phone: 843-792-6043
Medical University of South Carolina The Medical University of South Carolina (MUSC) has grown from...
Charleston, SC
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303 East Superior Street
Chicago, Illinois 60611
Principal Investigator: Rosalind Ramsey-Goldman, MD
Phone: 312-503-0251
Chicago, IL
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San Diego, California 92093
Principal Investigator: Kenneth Kalunian, MD
Phone: 858-246-2381
San Diego, CA
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