| E.1 Medical condition or disease under investigation | 
| E.1.1 | Medical condition(s) being investigated | 
| This study will include all patients having received at least one infusion of the Investigational Medicinal Product (IMP) HepaStem HALPC during a previous interventional clinical study conducted by Promethera Biosciences or Promethera Therapeutics including patients suffering from urea cycle disorders (UCD), Crigler-Najjar (CN) and Fibro-inflammatory liver diseases |  | 
| E.1.1.1 | Medical condition in easily understood language | 
| This study is a long term safety follow-up for all the patients that have received at least one dose of HepaStem: patients suffering from UCD, CN and fibro-inflammatory liver diseases |  | 
| E.1.1.2 | Therapeutic area | Diseases [C] - Nutritional and Metabolic Diseases [C18] | 
| MedDRA Classification | 
| E.1.2 Medical condition or disease under investigation | 
| 
| E.1.2 | Version | 20.1 |  
| E.1.2 | Level | LLT |  
| E.1.2 | Classification code | 10021601 |  
| E.1.2 | Term | Inborn error of metabolism NOS |  
| E.1.2 | System Organ Class | 100000004850 |  | 
| E.1.2 Medical condition or disease under investigation | 
| 
| E.1.2 | Version | 20.0 |  
| E.1.2 | Level | LLT |  
| E.1.2 | Classification code | 10008954 |  
| E.1.2 | Term | Chronic liver disease and cirrhosis |  
| E.1.2 | System Organ Class | 100000004871 |  | 
| E.1.2 Medical condition or disease under investigation | 
| 
| E.1.2 | Version | 20.1 |  
| E.1.2 | Level | LLT |  
| E.1.2 | Classification code | 10049844 |  
| E.1.2 | Term | Acute liver failure |  
| E.1.2 | System Organ Class | 100000004871 |  | 
| E.1.2 Medical condition or disease under investigation | 
| 
| E.1.2 | Version | 21.1 |  
| E.1.2 | Level | LLT |  
| E.1.2 | Classification code | 10013373 |  
| E.1.2 | Term | Disorders of urea cycle metabolism |  
| E.1.2 | System Organ Class | 200000003094 |  | 
| E.1.3 | Condition being studied is a rare disease | Yes | 
| E.2 Objective of the trial | 
| E.2.1 | Main objective of the trial | 
| Longitudinal evaluation of the long-term safety post-HepaStem administration. |  | 
| E.2.2 | Secondary objectives of the trial |  | 
| E.2.3 | Trial contains a sub-study | No | 
| E.3 | Principal inclusion criteria | 
| 1- All patients having received at least one infusion of HepaStem during a previous interventional clinical study conducted by Promethera Biosciences or Promethera Therapeutics. 2- Written Informed Consent.
 For a patient who is a minor (according to the national regulations), and for adult patients legally incapable: the parents or legal representative have provided a signed informed consent before enrolment. If the patient is capable of signing, he/she is required to sign an assent in parallel.
 For adult patient (legally capable): patient has provided a written informed consent before enrolment.
 
 
 |  | 
| E.4 | Principal exclusion criteria | 
| 1- Patients who received an OLT and completed 6-month FU documentation prior to the start of the PROLONGSTEM study. 2- Patients who have received mature liver cells or stem cells other than HepaStem prior to the start of the PROLONGSTEM study.
 |  | 
| E.5 End points | 
| E.5.1 | Primary end point(s) | 
| Primary: Occurrence of Adverse Events of Specific Interest (AESI): - Event with fatal outcome (Death)
 - Organ Transplantation and Outcome.
 - Development of Malignancy or unwanted tissue formation in different organs (tumor malignant or not).
 - Disease linked to transmission of adventitious agents or reactivation of latent pathogens.
 - Any AE which in the opinion of the investigator has a plausible causal relationship to HepaStem.
 These AESI should be considered as medically important and reported as SAE.
 |  | 
| E.5.1.1 | Timepoint(s) of evaluation of this end point | 
| Patients who previously received the IMP HepaStem in the context of an interventional study with HepaStem administration will be followed-up for long-term safety surveillance up to 5 years in this PROLONGSTEM study. |  | 
| E.5.2 | Secondary end point(s) |  | 
| E.5.2.1 | Timepoint(s) of evaluation of this end point |  | 
| E.6 and E.7 Scope of the trial | 
| E.6 | Scope of the trial | 
| E.6.1 | Diagnosis | No | 
| E.6.2 | Prophylaxis | No | 
| E.6.3 | Therapy | No | 
| E.6.4 | Safety | Yes | 
| E.6.5 | Efficacy | No | 
| E.6.6 | Pharmacokinetic | No | 
| E.6.7 | Pharmacodynamic | No | 
| E.6.8 | Bioequivalence | No | 
| E.6.9 | Dose response | No | 
| E.6.10 | Pharmacogenetic | No | 
| E.6.11 | Pharmacogenomic | No | 
| E.6.12 | Pharmacoeconomic | No | 
| E.6.13 | Others | No | 
| E.7 | Trial type and phase | 
| E.7.1 | Human pharmacology (Phase I) | No | 
| E.7.1.1 | First administration to humans | No | 
| E.7.1.2 | Bioequivalence study | No | 
| E.7.1.3 | Other | No | 
| E.7.1.3.1 | Other trial type description |  | 
| E.7.2 | Therapeutic exploratory (Phase II) | Yes | 
| E.7.3 | Therapeutic confirmatory (Phase III) | No | 
| E.7.4 | Therapeutic use (Phase IV) | No | 
| E.8 Design of the trial | 
| E.8.1 | Controlled | No | 
| E.8.1.1 | Randomised | No | 
| E.8.1.2 | Open | Yes | 
| E.8.1.3 | Single blind | No | 
| E.8.1.4 | Double blind | No | 
| E.8.1.5 | Parallel group | No | 
| E.8.1.6 | Cross over | No | 
| E.8.1.7 | Other | No | 
| E.8.2 | Comparator of controlled trial | 
| E.8.2.1 | Other medicinal product(s) | No | 
| E.8.2.2 | Placebo | No | 
| E.8.2.3 | Other | No | 
| E.8.3 | The trial involves single site in the Member State concerned | No | 
| E.8.4 | The trial involves multiple sites in the Member State concerned | Yes | 
| E.8.4.1 | Number of sites anticipated in Member State concerned | 4 | 
| E.8.5 | The trial involves multiple Member States | Yes | 
| E.8.5.1 | Number of sites anticipated in the EEA | 20 | 
| E.8.6 Trial involving sites outside the EEA | 
| E.8.6.1 | Trial being conducted both within and outside the EEA | No | 
| E.8.6.2 | Trial being conducted completely outside of the EEA | No | 
| E.8.7 | Trial has a data monitoring committee | No | 
| E.8.8 | Definition of the end of the trial and justification where it is not the last
                        visit of the last subject undergoing the trial |  | 
| E.8.9 Initial estimate of the duration of the trial | 
| E.8.9.1 | In the Member State concerned years | 5 | 
| E.8.9.1 | In the Member State concerned months |  | 
| E.8.9.1 | In the Member State concerned days |  | 
| E.8.9.2 | In all countries concerned by the trial years | 5 |