Exosome Evidence Index

Studies / Lung disease in premature infants

IV stem cell vesicles (UNEX-42) for premature infants at high risk of chronic lung disease

United Therapeutics, ClinicalTrials.gov NCT03857841

Stopped for a safety eventStrength of design, level 2 of 5: Study without a control groupRegistry results

Stopped for a safety event: The study was halted after a serious problem in a participant.

Level 2 of 5: A group was treated and followed, but nobody was left untreated for comparison. Improvement may come from time, other care, or the placebo effect.

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Design
Dose-escalation safety trial
People
Stopped in the lowest-dose group
Made from
Stem cells, tissue not specified here
How it was given
IV infusion

What they found

The trial was stopped after one of the two infants in the lowest-dose group developed necrotizing enterocolitis, a serious bowel complication. A 2025 review describes the event as fatal.

What limits it

Reported on a trial registry rather than in a peer-reviewed paper. Necrotizing enterocolitis is a known complication of extreme prematurity, so a link to the product is not established.

View the trial record