Table 3.

Summary of reviewed MSC-based therapies aimed to improve engraftment during hematopoietic stem cell transplant in phase 1/2 clinical trials

GraftMSC sourceMSC dose per kgAge range, y (n)Clinical contextOutcomeReference
PBPC (auto) BM (auto) 1 to 2.2 × 106 Adult (28) Breast cancer Hematopoietic recovery 100  
HSCT (allo) BM (third party) 1 to 5 × 106 1-16 (14) Hematol dis Graft acceptance and lymphocyte recovery 101  
HSCT (auto) BM (third party) 2 to 5 × 106 14-60 (22) Hematol dis 73% graft acceptance and neutrophil recovery 102 * 
UCBT (allo) BM (parent) 1 to 10 × 106 0-18 (15) Hematol dis Hematopoietic recovery 103  
UCBT (allo) BM (third party) 1 to 2.2 × 106 Adult (55) Hematol dis NE on engraftment or GVHD prevention 105  
UCBT (allo) BM (parent) 1 to 4.9 × 106 0-14 (13) Hematol dis NE on engraftment or hematopoietic recovery; GVHD prevention 104  
HSCT (allo) UC (third party) 5.0 × 105 4-31 (21) Hematol dis Engraftment; mild GVHD 108  
GraftMSC sourceMSC dose per kgAge range, y (n)Clinical contextOutcomeReference
PBPC (auto) BM (auto) 1 to 2.2 × 106 Adult (28) Breast cancer Hematopoietic recovery 100  
HSCT (allo) BM (third party) 1 to 5 × 106 1-16 (14) Hematol dis Graft acceptance and lymphocyte recovery 101  
HSCT (auto) BM (third party) 2 to 5 × 106 14-60 (22) Hematol dis 73% graft acceptance and neutrophil recovery 102 * 
UCBT (allo) BM (parent) 1 to 10 × 106 0-18 (15) Hematol dis Hematopoietic recovery 103  
UCBT (allo) BM (third party) 1 to 2.2 × 106 Adult (55) Hematol dis NE on engraftment or GVHD prevention 105  
UCBT (allo) BM (parent) 1 to 4.9 × 106 0-14 (13) Hematol dis NE on engraftment or hematopoietic recovery; GVHD prevention 104  
HSCT (allo) UC (third party) 5.0 × 105 4-31 (21) Hematol dis Engraftment; mild GVHD 108  

Conditioning regimen for all studies included chemotherapy and total body irradiation.

allo, allograft; auto, autograft; Hematol dis, hematological disorder; HSCT, hematopoietic stem cell transplant; NE, no effect; PBPC, peripheral blood progenitor cell; UC, umbilical cord; UCBT, umbilical cord blood transplant.

*

Randomized clinical trial of patients suffering autograft failure.

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