Table 2.
The Clinical Experiments Estimating the Efficacy of MSC Treatment and AD Outcomes
| Phase | MSC/MSC-EV Source |
Enrollment Criteria | Period | Therapy | Dose | Frequency | Follow-Up Indicators | Clinical Outcomes | Ref. |
|---|---|---|---|---|---|---|---|---|---|
| I/IIa | Umbilical cord | 34 patients with moderate to severe AD (7 in stage 1 and 27 in stage 2a) SCORAD Score> 20, age 20 and 60 years, persistent symptoms (6 months) |
Phase 1:4 weeks; Phase 2a: 12 weeks. To evaluate the safety of hUCB-MSCs in moderate to severe AD | Hypodermic injection | Low dose: 2.5^107 MSC; High dose: 5.0^107 MSC |
Once a week | EASI, IGA, and SCORAD scores; Serum IgE levels and the number of eosinophils | Achieved EASI-50 remission in 55% of high-dose patients and 36% of low-dose patients; decreased total serum IgE levels and blood eosinophil count | [114] |
| – | Bone marrow | 5 patients with moderate to severe AD with a SCORAD score> 20); Ages ranged from 20 to 60 years, persistent symptoms (6 months) |
16 weeks (4 weeks of treatment, 12 weeks of follow-up) | Intravenous injection | 1.0^106 cells/kg. | Every 2 weeks 3 times | EAS I, IGA, and SCORAD scores; serum levels of CCL-17, CCL-22, IL-13, IL-18, IL-22, and IgE | EASI-50 mitigation: S001 first cycle; S002 two cycles; S003 and S004 second cycle; S005 none; decreased CCL-17, IL-13, and IL-22; S001 and S002 IgE decreased significantly | [115] |
| – | Adipose tissue | Two AD patients with refractory DFR | 6 weeks | Electropore transdermal administration | 1mL ASCEs | Once a week | Whether the facial erythema lesions | Significantly improved facial erythema lesion | [116] |
Abbreviations: hUCB-MSC, Human umbilical cord mesenchymal stem cells; AD, Atopic dermatitis; EASI, eczema area, and severity index; IGA, Investigator Global Assessment; SCORAD, SCORing Atopic Dermatitis; CCL-17, C-C motif chemokine ligand 17; CCL-22, C-C motif chemokine ligand 22; IL-13, Interleukin-13; IL-18, Interleukin-18; IL-22, Interleukin-22; IgE, Immunoglobulin E; ASCEs, Adipose tissue-derived mesenchymal stem cell (MSC)-derived exosome.