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Review​​​. 2022 Jan;18(1):142-154. doi: 10.1007/s12015-021-10262-3. Epub 2021 Sep 16.

Review of the Current Trends in Clinical Trials Involving Induced Pluripotent Stem Cells

Jennifer Yejean Kim # 1 2Yoojun Nam # 2Yeri Alice Rim 2Ji Hyeon Ju 3 4

Affiliations

  • 1Department of Biology, Georgetown University, Washington, DC, USA.
  • 2CiSTEM Laboratory, Catholic iPSC Research Center, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 3CiSTEM Laboratory, Catholic iPSC Research Center, College of Medicine, The Catholic University of Korea, Seoul, Korea. juji@catholic.ac.kr.
  • 4Division of Rheumatology, Department of Internal Medicine, St. Mary's Hospital, Institute of Medical Science, College of Medicine, The Catholic University of Korea, Seoul, Korea. juji@catholic.ac.kr.

#Contributed equally.

Abstract

In 2006, the induced pluripotent stem cell (iPSC) was presented to the world, paving the way for the development of a magnitude of novel therapeutic alternatives, addressing a diverse range of diseases. However, despite the immense cell therapy potential, relatively few clinical trials evaluating iPSC-technology have actually translated into interventional, clinically applied treatment regimens. Herein, our aim was to determine trends in globally conducted clinical trials involving iPSCs. Data were derived both from well-known registries recording clinical trials from across the globe, and databases from individual countries. Comparisons were firstly drawn between observational and interventional studies before the latter was further analyzed in terms of therapeutic and nontherapeutic trials. Our main observations included global distribution, purpose, target size, and types of disorder relevant to evaluated trials. In terms of nontherapeutic trials, the USA conducted the majority, a large average number of participants-187-was included in the trials, and studies on circulatory system disorders comprised a slightly higher proportion of total studies. Conversely, Japan was the frontrunner in terms of conducting therapeutic trials, and the average number of participants was much lower, at roughly 29. Disorders of the circulatory, as well as nervous and visual systems, were all studied in equal measure. This review highlights the impact that iPSC-based cell therapies can have, should development thereof gain more traction. We lastly considered a few companies that are actively utilizing iPSCs in the development of therapies for various diseases, for whom the global trends in clinical trials could become increasingly important.

Keywords: Allogeneic; Autologous; Cell therapy; Clinical trials; Induced pluripotent stem cells; Interventional; Nontherapeutic; Therapeutic.

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Conflict of interest statement

The authors declare no competing interests. Y.N. are employee at YiPSCELL, Inc., and J.H.J. is the employer. J.H.J. is the founder of YiPSCELL. Inc. and also a MD and professor at the Seoul St. Mary’s hospital, Catholic University of Korea.

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