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Remestemcel-L

Phase 3

Grade B Acute Graft Versus Host Disease | Cell therapy | Hematology |Mesoblast Limited|Trials Updated: Mar 17, 2022

Remestemcel-L development status

Highest phase Phase 3
Registered trials 15 across 4 sponsors since Aug 2006

Remestemcel-L target and mechanism

ModalityCell therapy

Also known as Prochymal®, Adult human mesenchymal stem cells, ex-vivo cultured adult human mesenchymal stem cells, hMSCs

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials2
Total Enrollment87

FDA Designations

No designations recorded

Remestemcel-L clinical trials

Remestemcel-L · 2 trials · 6 indications

Phase 3 2
NCT02652130Safety Follow-up of Treatment With Remestemcel-L in Pediatric Participants Who Have Failed to Respond to Steroid Treatment for Acute GVHDGrade B Acute Graft Versus Host Disease
COMPLETED32 Analytics
NCT02336230A Prospective Study of Remestemcel-L, Ex-vivo Cultured Adult Human Mesenchymal Stromal Cells, for the Treatment of Pediatric Participants Who Have Failed to Respond to Steroid Treatment for Acute Graft-Versus-Host Disease (aGVHD)Grade B aGVHD
COMPLETED55 Analytics
PHASE3COMPLETED
Safety Follow-up of Treatment With Remestemcel-L in Pediatric Participants Who Have Failed to Respond to Steroid Treatment for Acute GVHD
Grade B Acute Graft Versus Host DiseaseUnlock trial analytics
PHASE3COMPLETED
A Prospective Study of Remestemcel-L, Ex-vivo Cultured Adult Human Mesenchymal Stromal Cells, for the Treatment of Pediatric Participants Who Have Failed to Respond to Steroid Treatment for Acute Graft-Versus-Host Disease (aGVHD)
Grade B aGVHDUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival Rate Through Day 180
From Baseline Day 1 in the Study MSB-GVHD001 up to Day 180 in Study MSB-GVHD002 (180 days)

The overall survival rate is defined as the percentage of participants alive at the given time point. OS is defined as the time to death from the start of drug therapy.

Overall Response Rate (ORR) at Day 28 Post Initiation of Therapy
Day 28

ORR was defined as the percentage of participants who had achieved overall response. Overall response was defined as complete response (CR) plus partial response (PR) as per aGVHD response criteria. CR was defined as resolution of aGVHD in all involved organs. PR was defined as organ improvement of at least 1 stage without worsening of any other organ.

Secondary Endpoints

Overall Survival Rate at Day 180 for Participants Who Had Overall Response (OR) at Day 28 of Study MSB-GVHD001
From Baseline (Day 1) in the Study MSB-GVHD001 up to Day 180 in the Study MSB-GVHD002 (180 days)
Overall Survival (OS) Rate at Day 100 Post Initiation of Therapy
Day 100
OS Rate at Day 100 Post Initiation of Therapy, Stratified by Responder Status at Day 28
Day 100
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeOTHER

Treatment Arms

ArmTypeDescription
Safety populationEXPERIMENTALAll participants who were enrolled and had received at least 1 dose of remestemcel-L in Study MSB-GVHD001.
Remestemcel-L 2×10^6 MSCs/kgEXPERIMENTALParticipants were treated with intravenous (IV) remestemcel-L at a dose of 2×10\^6 mesenchymal stromal cells (MSCs)/kilogram (kg) actual body weight at Screening, twice per week, for each of 4 consecutive weeks (initial therapy) given at least 3 days apart and no more than 5 days apart for any infusion. Eligible participants received an additional once per week infusion, for each of 4 consecutive weeks (continued therapy) of remestemcel-L and twice per week infusions, for each of 4 consecutive weeks (aGVHD flare therapy) of remestemcel-L at the same initial therapy dose of 2×10\^6 MSCs/kg actual body weight at Screening.

Interventions

NameTypeDescription
Remestemcel-LBIOLOGICALNo intervention was given in Study MSB-GVHD002 (NCT02652130). It was a safety follow-up trial of remestemcel-L-treated participants from Study MSB-GVHD001.
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Eligibility Criteria

Age Range2 Months to 17 Years
SexALL
Healthy VolunteersNo
Study Sites20

Inclusion Criteria: * Participants must have participated in MSB-GVHD001 and have received at least one infusion of remestemcel-L. * Participant or participant's authorized representative must be capable of providing written informed consent. Assent, if applicable, must also be collected when requi...

Countries:United States
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Frequently asked questions about Remestemcel-L

What is Remestemcel-L used for?

Remestemcel-L is being developed for steroid-refractory acute graft versus host disease, specifically Grade B acute GVHD, in pediatric patients who have failed to respond to steroid treatment. It is a cell therapy studied in this hematology indication.

Who is developing Remestemcel-L?

Remestemcel-L is being developed by Mesoblast Limited, which trades under the ticker MESO. The company is the sponsor of the clinical program for this cell therapy in acute graft versus host disease.

What phase is Remestemcel-L in?

Remestemcel-L is in Phase 3 clinical development. It is an investigational cell therapy and has not been approved by the FDA. The Phase 3 program includes completed trials in pediatric patients with steroid-refractory acute GVHD.

What clinical trials is Remestemcel-L in?

Remestemcel-L has been studied in two completed Phase 3 trials: NCT02336230, which enrolled 55 pediatric participants with Grade B, C, or D acute GVHD, and NCT02652130, a safety follow-up study that enrolled 32 pediatric participants. Both trials were conducted in the United States.

How does Remestemcel-L work?

Remestemcel-L is an ex-vivo cultured adult human mesenchymal stromal cell therapy. It is administered as a cell therapy for steroid-refractory acute graft versus host disease, though the specific molecular target has not been disclosed.