Intra-ovarian Injection of MSC-EVs in Idiopathic Premature Ovarian Failure

Phase

1/2

Condition

Perimenopause

Female Hormonal Deficiencies/abnormalities

Treatment

Intra-ovarian injection of bone marrow mesenchymal stromal cells-derived extracellular vesicles

Clinical Study ID

NCT06202547

400000134

IRCT20080831001141N43

Ages 20-38
Female

Study Summary

Premature ovarian failure (POF) is a clinical syndrome defined by loss of ovarian activity before the age of 40 years. POF is characterized by menstrual disturbance (amenorrhea or oligomenorrhea) with raised gonadotrophins and low estradiol. The prevalence of POF is 1-2%. Extracellular vesicles (EVs) are membrane-packed vesicles that are secreted by a variety of cell types, including T cells, B cells, dendritic cells, platelets, mast cells, epithelial cells, endothelial cells, neuronal cells, cancerous cells, oligodendrocytes, Schwann cells, embryonic cells, and mesenchymal stromal cells-derived (MSCs). MSCs-EV more stable and induce stronger signaling and are produced in higher concentrations than stem cells. They demonstrate no inherent toxicity, are not associated with any long-term maldifferentiation of engrafted cells or tumor generation, and carry no apparent risk of aneuploidy or immune rejection following in vivo allogenic administration.Several studies have evaluated the safety and possible efficacy of injection MSCs-EV for the treatment of premature ovarian failure in animal models. Based on the available evidence, the study was designed with the aim of investigating the safety and effectiveness of intraovarian injection of MSCs-EV in patients with POF diagnosis.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Women between 20-38 years old
Baseline serum level of follicle stimulating hormone (FSH) higher or equal to 25 IU/lat least twice with an interval of 3 or 4 months
At least one year has passed since secondary amenorrhea and premature ovarian failure (POF) diagnosis
Normal karyotype and fragile X messenger ribonucleoprotein 1 (FMR1) gene

Exclusion

Exclusion Criteria:

Primary amenorrhea
Congenital anomaly of the ovary
Thyroid disease Immune system diseases such as lupus, etc.
Previous and/or family history of ovarian tumor
Previous and/or family history of suffering from major diseases in the past andpresent such as cancer
Positive serological evidence regarding previous or current hepatitis B and C, HumanT-lymphotropic virus 1, Human immunodeficiency virus (HIV), Syphilis Disturbance inthe normal range of laboratory tests as levels of Hemoglobin Subunit Alpha 1 (HbA1),Alanine transaminase (ALT), The aspartate aminotransferase (AST), the number of whiteblood cells (WBCs), The creatinine (Cr), International normalised ratio (INR) ,Platelets (Plt), Hematocrit (Hct) tests.
History of specific systemic disease (rheumatology, endocrine, cardiovascular, etc.)
Severe endometriosis (stage III and IV)
Small and non-injectable ovaries Lack of patient satisfaction
The patient's unwillingness to continue participating in the study

Study Design

Intra-ovarian injection of bone marrow mesenchymal stromal cells-derived extracellular vesicles

1/2

February 20, 2023

February 18, 2025

Study Description

Investigating the effect of intraovarian injection of bone marrow-derived extracellular vesicles (MSC-EV) on serum levels of Follicle-Stimulating Hormone (FSH),Anti-Mullerian Hormone (AMH) levels, as well as the return of the menstrual cycle in infertile patients with premature ovarian failure, as well as the evaluation of its possible side effects. A before/after clinical trial (phase I) on 10 patients is designed. Eligible patients will be included in the study if they have written consent. Infertile women who have been diagnosed with premature ovarian failure and have normal body mass index and normal genetic tests are invited to participate in this project. Patients with early amenorrhea and certain immunological and cardiovascular diseases, as well as a history of ovarian masses or abnormal serological tests will not be included in the study. If the patient has undergone hormone replacement therapy (HRT), the HRT will be stopped for at least two months and then the injection cycle will be started.Injection of bone marrow-derived extracellular vesicles with a dose equivalent to 3 times 10 million clonal mesenchymal stem cells in 2 ml will be performed for all patients. Follow-up of patients in order to respond to treatment for 8 months based on evaluation of Follicle-Stimulating Hormone (FSH),Anti-Mullerian Hormone (AMH) levels, return of menstrual cycle, ovarian ultrasound and also check possible complications due to injection (fever, bacteremia, sepsis, Pelvic inflammatory disease, anaphylactic shock and hematoma from the first 24 hours and in the first week) will be done.

Primary Outcome Measures, Safety evaluation, [Time Frame: 8 months]:Early-onset possible side effects (fever, bacteremia, sepsis, PID, anaphylactic shock, and hematoma will be evaluated at the first 24 h and during the first week. Possible second side effects such as ovarian abscesses and benign or malignant neoplasms will be assessed until 8 months after intra-ovarian EV injection.

Secondary Outcome Measures, Feasibility evaluation, [Time Frame: 8 months]: The Serum FSH, Estradiol and AMH levels measurements and Return of menstrual cycle will be evaluated until months after intra-ovarian EV injection. Ultrasonography evaluation will be performed monthly to evaluate the ovarian volume (cc), the antral follicle count, Endometrium thickness, the number and size of the follicles.

Connect with a study center

Royan Institute
Tehran,
Iran, Islamic Republic of
Active - Recruiting

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