bone marrow derived mesenchymal stem cells
Trade name: Ryoncil
Approved
Dec 18, 2024
Bone marrow is a semi-solid tissue found within the spongy portions of bones. In birds and mammals, bone marrow is the primary site of new blood cell production. It is composed of hematopoietic cells, marrow adipose tissue, and supportive stromal cells. In adult humans, bone marrow is primarily located in the ribs, vertebrae, sternum, and bones of the pelvis. Bone marrow comprises approximately 5% of total body mass in healthy adult humans, such that a person weighing 73 kg (161 lbs) will have around 3.7 kg (8 lbs) of bone marrow. — Wikipedia
Clinical trial activity
172 trials · 226 clinical orgs · 1 marketing orgs
Earliest trial started Jul 1, 1999 (NCT00186914)
Timeline
2000s
- Jan 1, 2004
Earliest Phase 3 Sponsor(trial)
- Dec 14, 2005
Orphan Drug Designation
2020s
- Dec 18, 2024
Mesoblast, Inc. — Earliest FDA Approval
- Dec 18, 2024
Mesoblast, Inc. — NDA Organization
Indications
Approved for
Studied for
- Acute-On-Chronic Liver Failure · Phase 1/Phase 2
- Aging · Phase 1/Phase 2
- Alcoholism · Phase 1/Phase 2
- Amputation, Traumatic · Phase 2
- Amyotrophic Lateral Sclerosis · Phase 3
- Anemia, Aplastic · Phase 2
- Anemia, Sickle Cell · Phase 2
- Anesthesia and Analgesia · Phase 2
- Angioplasty, Balloon, Coronary · Phase 2
- Anterior Cruciate Ligament Injuries · Phase 4
- Autism Spectrum Disorder · Phase 1
- Autoimmune Diseases · Phase 2
- Back Pain · Phase 2
- Bone Marrow Cells · Phase 4
- Bone Marrow Failure Disorders · Phase 2
- Brain Injuries, Traumatic · Phase 2
- Bronchiectasis · Phase 2
- Bronchitis, Chronic · Phase 2
- Cardiomyopathies · Phase 2
- Cardiomyopathy, Dilated · Phase 3
- Cardiovascular Diseases · Phase 1/Phase 2
- Chronic Kidney Disease-Mineral and Bone Disorder · Phase 1
- Chronic Limb-Threatening Ischemia · Phase 2
- Chronic Periodontitis · Phase 1/Phase 2
- Colitis, Ulcerative · Phase 1/Phase 2
- Connective Tissue Diseases · Phase 1
- Corneal Diseases · Phase 2
- Corneal Ulcer · Phase 2
- Coronary Artery Disease · Phase 2
- Coronary Disease · Phase 2
- Coronavirus Infections · Phase 1/Phase 2
- COVID-19 · Phase 3
- Crohn Disease · Phase 3
- Dental Pulp Necrosis · Phase 2/Phase 3
- Depression · Phase 1
- Diabetes Complications · Phase 2/Phase 3
- Diabetes Mellitus · Phase 2/Phase 3
- Diabetes Mellitus, Type 1 · Phase 2
- Diabetic Foot · Phase 2
- Drugs, Investigational · Phase 3
- End Stage Liver Disease · Phase 1/Phase 2
- Epidermolysis Bullosa · Phase 2
- Epidermolysis Bullosa Dystrophica · Phase 1/Phase 2
- Erectile Dysfunction · Phase 1
- Femoracetabular Impingement · Phase 4
- Fistula · Phase 1/Phase 2
- Fractures, Bone · Phase 3
- Frailty · Phase 1/Phase 2
- Fusion Proteins, bcr-abl · Phase 2
- Graft vs Host Disease · Phase 3
- Hand Injuries · Phase 2
- Heart Diseases · Phase 2
- Heart Failure · Phase 1
- Hematologic Neoplasms · Phase 3
- Hematopoietic Stem Cell Transplantation · Phase 3
- Ileum · Phase 1/Phase 2
- Infarction, Anterior Cerebral Artery · Phase 2
- Infarction, Middle Cerebral Artery · Phase 2
- Intervertebral Disc Degeneration · Phase 1/Phase 2
- Ischemia · Phase 2
- Ischemic Stroke · Phase 1/Phase 2
- Kidney Diseases · Phase 1/Phase 2
- Kidney Failure, Chronic · Phase 1
- Kidney Transplantation · Phase 1/Phase 2
- Kidney Tubular Necrosis, Acute · Phase 1/Phase 2
- Leukemia · Phase 2
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 2
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive · Phase 2/Phase 3
- Leukemia, Myeloid, Acute · Phase 3
- Leukemia, Myeloid, Chronic-Phase · Phase 1/Phase 2
- Liver Cirrhosis · Phase 4
- Low Back Pain · Phase 2/Phase 3
- Lung Diseases, Interstitial · Phase 1
- Lupus Erythematosus, Systemic · Phase 2
- Lupus Nephritis · Phase 2
- Lymphohistiocytosis, Hemophagocytic · Phase 1/Phase 2
- Lymphoma · Phase 2
- Lymphoma, B-Cell · Phase 2
- Lymphoma, Non-Hodgkin · Phase 2
- Lymphoma, T-Cell · Phase 2
- Major Depressive Disorder · Phase 1/Phase 2
- Maxillary Diseases · Phase 3
- Mesenchymal Stem Cells · Phase 3
- Mesenchymal Stem Cell Transplantation · Phase 3
- Metabolic Side Effects of Drugs and Substances · Phase 1/Phase 2
- Multiple Myeloma · Phase 3
- Multiple Sclerosis · Phase 1/Phase 2
- Musculoskeletal Diseases · Phase 3
- Myelodysplastic Syndromes · Phase 3
- Myeloproliferative Disorders · Phase 3
- Myocardial Infarction · Phase 3
- Myocardial Ischemia · Phase 2
- Neoplasms · Phase 1
- Osteoarthritis · Phase 3
- Osteoarthritis, Knee · Phase 4
- Osteogenesis Imperfecta · Phase 1/Phase 2
- Pancreatitis, Chronic · Phase 1
- Parkinson Disease · Phase 2
- Periapical Periodontitis · Phase 2/Phase 3
- Peripheral Arterial Disease · Phase 2
- Peripheral Vascular Diseases · Phase 2
- Pharmacological and Toxicological Phenomena · Phase 1/Phase 2
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 3
- Primary Ovarian Insufficiency · Phase 1/Phase 2
- Prostheses and Implants · Phase 1/Phase 2
- Pulmonary Disease, Chronic Obstructive · Phase 2/Phase 3
- Pulmonary Emphysema · Phase 2
- Rectal Fistula · Phase 1/Phase 2
- Rectovaginal Fistula · Phase 1/Phase 2
- Renal Insufficiency · Phase 1/Phase 2
- Respiratory Distress Syndrome · Phase 3
- Retinitis Pigmentosa · Phase 1
- Rotator Cuff Injuries · Phase 1/Phase 2
- Scleroderma, Systemic · Phase 1/Phase 2
- Severe Acute Respiratory Syndrome · Phase 2
- Shock, Septic · Phase 1/Phase 2
- Shoulder Injuries · Phase 4
- Sjogren's Syndrome · Phase 1
- Spinal Cord Compression · Phase 4
- Spinal Cord Injuries · Phase 2
- Spinal Diseases · Phase 2/Phase 3
- Stem Cells · Phase 1
- Stem Cell Transplantation · Phase 2
- Stroke · Phase 1
- Ulcer · Phase 1/Phase 2
- Wounds and Injuries · Phase 2
- Xerostomia · Phase 1
Mechanism of action
- Unspecified targetTissue restoration
tissue restoration
Approval history
- approvedDec 18, 2024
Chemistry & pharmacology
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
Oral
No
Parenteral
No
Topical
No
Sources
- WikipediaBone marrow ↗
- ChEMBLCHEMBL2108046 ↗
Also known as
- autologous alveolar bone-marrow derived mesenchymal stem cells
- autologous alveolar bone marrow mesenchymal stem cells
- autologous mesenchymal bone marrow cell
- bone marrow autologous mesenchymal stem cells
- bone marrow autologous stem cells
- bone marrow derived mesenchymal stem cells
- bone marrow-derived mesenchymal stem cells
- bone marrow-derived progenitor cells
- bone marrow derived stem cell
- bone marrow derived stem cells
- bone marrow-derived stem cells
- bone-marrow derived stem cells
- bone marrow stem cell
- bone marrow stem cells
- bone marrow stromal cells
- jr-0301
- prochymal
- prochymal
- remestemcel-l
- remestemcel-l
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07177677 | Phase 1 | Sep 30, 2025 | Capital Medical University |
| NCT06997939 | Phase 1/Phase 2 (Phase 2) | Jun 1, 2025 | Nantong University |
| NCT06750757 | Phase 4 | Feb 28, 2025 | American Hip Institute |
| NCT06662604 | Phase 3 | Oct 26, 2024 | Cairo University |
| NCT06392711 | Phase 1 | Oct 4, 2024 | University of Wisconsin |
| NCT06216028 | Phase 3 | Sep 30, 2024 | CELL Technologies Inc. |
| NCT06311513 | Phase 4 | Apr 30, 2024 | Arthritis Foundation, Emory University, Rockefeller University |
| NCT06400862 | Phase 1 | Feb 26, 2024 | Chinese University of Hong Kong |
| NCT06040957 | N/A | Jan 31, 2024 | University of Bologna |
| NCT06146062 | Phase 2 | Jan 2, 2024 | Assistance Publique - Hôpitaux de Paris, University of Paris |
| NCT06171906 | Phase 4 | Jan 1, 2024 | People's Liberation Army of China |
| NCT06063590 | Phase 1/Phase 2 (Phase 2) | Nov 28, 2023 | Cellcolabs Clinical LTD., PDC-CRO |
| NCT06084988 | Phase 1/Phase 2 (Phase 2) | Nov 8, 2023 | Cellcolabs Clinical LTD., PDC-CRO |
| NCT06001853 | Phase 2 | Nov 3, 2023 | Mayo Clinic |
| NCT06111846 | Phase 2 | Nov 1, 2023 | Guangzhou Medical University |
| NCT06070532 | Phase 1/Phase 2 (Phase 2) | Oct 9, 2023 | Cellcolabs Clinical LTD. |
| NCT06087848 | Phase 1/Phase 2 (Phase 2) | Oct 7, 2023 | Cellcolabs Clinical LTD. |
| NCT05881668 | Phase 1 | Sep 30, 2023 | Sun Yat-Sen University |
| NCT05705024 | Phase 2 | Sep 29, 2023 | Department of Defense, University of Illinois at Chicago |
| NCT06163833 | Phase 2 | Sep 19, 2023 | A.O. Ospedale Maggiore di Lodi, Fondazione IRCCS San Gerardo dei Tintori, Mario Negri Institute, University of Brescia |
Organizations
Research & Development (226)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Mesoblast, Inc. | For profit | 17 | 14 | 3 | 2005 |
| University of Texas at Houston | Academic/Hospital | 8 | 5 | 3 | 2001 |
| Guangzhou Medical University | Academic/Hospital | 7 | 1 | 2 | 2011 |
| The Cleveland Clinic | Academic/Hospital | 7 | 7 | 2 | 2020 |
| Sun Yat-Sen University | Academic/Hospital | 6 | 5 | 3 | 2015 |
| Harvard University | Academic/Hospital | 5 | 2 | 4 | 2001 |
| TCA Cellular Therapy | For profit | 5 | 5 | 2 | 2007 |
| Universidad Autonoma de Madrid | Academic/Hospital | 5 | 3 | 3 | 2014 |
| Cairo University | Academic/Hospital | 4 | 3 | 3 | 2014 |
| Cellcolabs Clinical LTD. | Academic/Hospital | 4 | 4 | 1 | 2023 |
| Duke University | Academic/Hospital | 4 | 0 | 4 | 2001 |
| Johns Hopkins University | Academic/Hospital | 4 | 3 | 2 | 2001 |
| Mayo Clinic | Academic/Hospital | 4 | 3 | 3 | 2017 |
| National Heart, Lung, and Blood Institute (NHLBI) | Government | 4 | 2 | 3 | 1999 |
| People's Liberation Army of China | Government | 4 | 4 | 2 | 2011 |
| Royan Institute | Academic/Hospital | 4 | 4 | 2 | 2008 |
| University of Miami | Academic/Hospital | 4 | 4 | 3 | 2004 |
| University of Minnesota | Academic/Hospital | 4 | 2 | 2 | 2001 |
| Autonomous University of Madrid | Academic/Hospital | 3 | 2 | 2 | 2014 |
| Bioinova, s.r.o. | For profit | 3 | 3 | 1 | 2012 |
Marketing (1)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Mesoblast, Inc. | For profit | NDA | Dec 18, 2024 |