Bajouri Amir, Orouji Zahra, Taghiabadi Ehsan, Nazari Abdoreza, Shahbazi Atefeh, Fallah Nasrin, Mohammadi Parvaneh, Rezvani Mohammad, Jouyandeh Zahra, Vaezirad Fatemeh, Khalajasadi Zahra, Ghasemi Mahshid, Fanni Aslan, Haji Hosseinali Sara, Alizadeh Ahad, Baharvand Hossein, Shafieyan Saeed, Aghdami Nasser
Department of Regenerative Medicine, Cell Science Research Center, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran, Iran.
Metabolic Diseases Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
Cell J. 2020 Apr;22(1):75-84. doi: 10.22074/cellj.2020.6340. Epub 2019 Sep 8.
Recently, the promising potential of fibroblast transplantation has become a novel modality for skin rejuvenation. We investigated the long-term safety and efficacy of autologous fibroblast transplantation for participants with mild to severe facial contour deformities.
In this open-label, single-arm phase IIa clinical trial, a total of 57 participants with wrinkles (n=37, 132 treatment sites) or acne scars (n=20, 36 treatment sites) who had an evaluator's assessment score of at least 2 out 7 (based on a standard photo-guide scoring) received 3 injections of autologous cultured fibroblasts administered at 4-6 week intervals. Efficacy evaluations were performed at 2, 6, 12, and 24 months after the final injection based on evaluator and patient's assessment scores.
Our study showed a mean improvement of 2 scores in the wrinkle and acne scar treatment sites. At sixth months after transplantation, 90.1% of the wrinkle sites and 86.1% of the acne scar sites showed at least a one grade improvement on evaluator assessments. We also observed at least a 2-grade improvement in 56.1% of the wrinkle sites and 63.9% of the acne scar sites. A total of 70.5% of wrinkle sites and 72.2% of acne scar sites were scored as good or excellent on patient assessments. The efficacy outcomes remained stable up to 24-month. We did not observe any serious adverse events during the study.
These results have shown that autologous fibroblast transplantation could be a promising remodeling modality with long-term corrective ability and minimal adverse events (Registration Number: NCT01115634).
最近,成纤维细胞移植展现出的潜在前景已成为皮肤年轻化的一种新方式。我们研究了自体成纤维细胞移植对轻至重度面部轮廓畸形参与者的长期安全性和有效性。
在这项开放标签、单臂IIa期临床试验中,共有57名有皱纹(n = 37,132个治疗部位)或痤疮瘢痕(n = 20,36个治疗部位)且评估者评估分数至少为7分制中的2分(基于标准照片指南评分)的参与者,接受了3次自体培养成纤维细胞注射,注射间隔为4 - 6周。在最后一次注射后的2、6、12和24个月,基于评估者和患者的评估分数进行疗效评估。
我们的研究显示,皱纹和痤疮瘢痕治疗部位平均改善了2分。移植后6个月,在评估者评估中,90.1%的皱纹部位和86.1%的痤疮瘢痕部位至少有一级改善。我们还观察到,56.1%的皱纹部位和63.9%的痤疮瘢痕部位至少有二级改善。在患者评估中,共有70.5%的皱纹部位和72.2%的痤疮瘢痕部位被评为良好或优秀。疗效结果在24个月内保持稳定。在研究期间,我们未观察到任何严重不良事件。
这些结果表明,自体成纤维细胞移植可能是一种有前景的重塑方式,具有长期矫正能力且不良事件最少(注册号:NCT01115634)。