Table 4.
Intravenous administration of allogeneic MSCs in DKD patients
MSC source | Age | DM type | Sample | Sample distribution | No. of injections | Injection method | Results | Phase | Adverse events (n) | Follow up (m) | Ref |
---|---|---|---|---|---|---|---|---|---|---|---|
BM-MPC |
Placebo: 74:8 ± 7:9 y, Lower dose MSCs: 70:5 ± 7:4 y Higher dose MSCs: 64:8 ± 10:1 y |
T2DM | 30 | 150 × 106/kg (lower dose) or 300 × 106/kg (higher dose) | Single dose | IV | ↔ eGFR, albuminuria ↔ lipid profile ↔ blood pressure ↔ serum C-reactive protein, TNF-α ↓ serum IL-6 | I/II | None | 12 | [152] |
BM-MSC | Placebo: 54–66 y, ORBCEL-M: 66–73 y | T2DM | 16 | ORBCEL-M (80 × 106 cells) | Single dose | IV |
↔ eGFR, ↓ annual mGFR decline in groups ↔ UACR, ↔ Safety, = blood glucose; HbA1c; serum total cholesterol; serum triglycerides; and serum C-reactive protein, ↑ sTNFR1, 1NGAL, sVCAM-1, Tregs |
1b/IIa | None | 18 | [153] |
mGFR measured glomerulus filtration rate, Tregs regulatory T cells, sTNFR1 tumor necrosis factor receptor 1,NGAL neutrophil gelatinase-associated lipocalin, sVCAM-1 soluble vascular cell adhesion molecule 1, IV intravenous
↔ represents a no significant change or impact in either direction
↓ indicates a downward or decreasing effect
= represents stability as values or parameters remain unchanged or steady over time
↑ indicates increasing levels