The effect of mesenchymal stem cells improves the healing of burn wounds: a phase 1 dose-escalation clinical trial.
Carl I SchulmanNicholas NamiasLouis PizanoLuis Rodriguez-MenocalDivya AickaraWellington GuzmanAmbar CandanedoEric MarandaAudrey BeirnJeffrey D McBrideEvangelos V BadiavasPublished in: Scars, burns & healing (2022)
. Patients with deep second-degree burn wounds up to 20% of the total body surface area were eligible for treatment. Allogeneic BM-MSC were applied to burn wounds topically or by injection under transparent film dressing <7 days after injury. Patients were followed for at least six months after treatment.Using two dose levels allowed us to gain preliminary information as to whether different amounts of BM-MSC administered to burn wounds will result in significant differences in safety/ clinical response. Once the safety and dose-response analysis were completed, we evaluated the efficacy of allogeneic stem cell therapy in the treatment of deep second-degree burn wounds.In this study, we examined the role of allogeneic BM-MSC treatment in patients with deep second-degree burn injuries, in a dose-dependent manner. No significant related adverse events were reported. Safety was evaluated both clinically and by laboratory-based methods. Efficacy was assessed clinically through evidence of re-pigmentation, hair follicle restoration and regenerative change. While these findings are encouraging, more studies will be needed to better establish the benefit of BM-MSC in the treatment of burn injuries.
Keyphrases
- wound healing
- mesenchymal stem cells
- cell therapy
- clinical trial
- stem cell transplantation
- bone marrow
- low dose
- chronic kidney disease
- end stage renal disease
- newly diagnosed
- gold nanoparticles
- phase ii
- prognostic factors
- replacement therapy
- hematopoietic stem cell
- open label
- social media
- reduced graphene oxide
- smoking cessation
- patient reported