Safety and Efficacy Study of Umbilical Mesenchymal Stem Cells for Liver Cirrhosis (LC)
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Purpose
Liver cirrhosis and subsequent liver failure are leading causes of morbidity and mortality worldwide. Alcohol abuse and viral hepatitis are the most common causes of cirrhosis. Novel therapies are necessary to prevent or block the process of the disease. In this current prospective cohort, the investigators plan to organize four hospitals to determine the safety and efficacy of intravenous administration of umbilical mesenchymal stem cells in the treatment of patients with liver cirrhosis in next three years.
| Condition | Intervention | Phase |
|---|---|---|
|
Liver Cirrhosis |
Biological: mesenchymal stem cells Biological: Conventional therapy |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Clinical Trial of Umbilical Mesenchymal Stem Cells Transplantation for Liver Cirrhosis-Phase I/II |
- survival time [ Time Frame: 3-year follow up ] [ Designated as safety issue: Yes ]
- Serum markers regarding liver and kidney function [ Time Frame: 0, 3, 6, 9 and 12 months ] [ Designated as safety issue: Yes ]liver functions:Albumin (ALB), Alanine aminotransferase (ALT), Aspartate Aminotransferase (AST), Prealbumin(PA), total bilirubin (TB), and direct bilirubin (DB) kidney function:Blood urea nitrogen (BUN), Urea (UA), and Crea (Cr)
- Serum markers regarding lipid and sugar profile [ Time Frame: 0, 3, 6, 9 and 12 months ] [ Designated as safety issue: Yes ]Total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), triglycerides (TG), very low density lipoprotein cholesterol (VLDL-C), and Non-HDL-C; blood sugar;
- Serum markers regarding cytokine profile [ Time Frame: 0, 3, 6, 9 and 12 months ] [ Designated as safety issue: Yes ]IL-1β, IL-4, IL-6, IL-8, IL-10, IL-12(p40), IL-15, IL-17A, TNFα, TNFβ, IFN-γ, RANTES, TGFβ, lymphotactin, and C-reactive protein level (CRP)
- Serum levels of Hepatitis B and C [ Time Frame: 0, 3, 6, 9 and 12 months ] [ Designated as safety issue: Yes ]Serum levels of Hepatitis B and C
- tolerance and the adverse events [ Time Frame: 3-year follow up ] [ Designated as safety issue: Yes ]
The classification for uncomfortable reaction is: 0, no discomfort; 1, slightly unwell, does not affect daily life; 2, moderate discomfort, affects daily life and work; 3, moderately unwell, significantly affects life, and bed rest; 4, severely unwell, life-threatening.
A serious adverse event is defined as fatal, life threatening, permanently disabling, and tumors, particularly hepatocellular carcinoma.
- Changes of any clinical symptoms [ Time Frame: 3-year follow up ] [ Designated as safety issue: Yes ]abdominal distension, appetite, debilitation, and edema of lower limbs.
| Estimated Enrollment: | 320 |
| Study Start Date: | July 2012 |
| Estimated Study Completion Date: | October 2015 |
| Estimated Primary Completion Date: | July 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Sham Comparator: Conventional therapy
only apply for conventional medical therapy without any cell therapy
|
Biological: Conventional therapy
Conventional therapy without cell therapy
|
|
Active Comparator: mesenchymal stem cells
combination of conventional therapy with umbilical mesenchymal stem cells intravenous injection, (4x107/40ml, once per three months, four times in one year)
|
Biological: mesenchymal stem cells
Conventional therapy plus UC-MSC intravenous administration (4x107/40ml, once per three months, four times in one year)
|
Eligibility| Ages Eligible for Study: | 30 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- written informed consent
- aged 30-60 years
- clinical diagnosis of compensated or decompensated liver
- child-Pugh B/C (7-12 points)
- expecting lifetime is over three years
Exclusion Criteria:
- pregnant woman
- patient with severe vascular diseases
- patient with any organ failure
- patient with any tumors
- patient with HIV
- patient who has been transplanted
- patient treated with immunosuppressors
- patient for whom the follow-up is considered impossible
- patients with any disease or condition which the investigator or treating physician feels would interfere with the trial or the safety of the subject
Contacts and Locations| Contact: Xuetao Pei, MD,PhD | 86-10-68214650 | peixt@nic.bmi.ac.cn |
| Contact: Haijie Ji, MD | 86-10-63188853 | jihaijie82@sohu.com |
| China, Beijing | |
| The 302 Hospital of Chinese People's Liberation Army | Not yet recruiting |
| Beijing, Beijing, China | |
| Principal Investigator: Hanwei Li, MD, PhD | |
| China, Gansu | |
| the First Affiliated Hospital of Lanzhou University | Not yet recruiting |
| Lanzhou, Gansu, China | |
| Contact: Xun Li, MD, PhD | |
| Principal Investigator: Xun Li, MD | |
| China, Jiangsu | |
| The first people's hospital of Lianyungang | Not yet recruiting |
| Lianyungang, Jiangsu, China, 222002 | |
| Contact: Hui Shi, MD | |
| Principal Investigator: Hui Shi, MD | |
| China, Shanghai | |
| Tongji Hospital of Tongji University | Not yet recruiting |
| Shanghai, Shanghai, China | |
| Contact: Liming Chen, MD, PhD | |
| Principal Investigator: Jianwei Lu, PhD | |
| China, Shannxi | |
| The 323 Hospital of Chinese People's Liberation Army | Not yet recruiting |
| Xi'an, Shannxi, China, 710054 | |
| Contact: Liming Wang, MD 86-29-84756502 wanglm@fmmu.edu.cn | |
| Principal Investigator: Liming Wang, MD | |
| Study Chair: | Xuetao Pei, MD,PhD | Chinese Industry and Innovative Technology Strategic Alliance of Stem Cells and Regenerative Medicine |
| Study Director: | Yongjun Liu, MD,PhD | Alliancells Bioscience Corporation Limited |
| Study Director: | Mingyuan Wu, MD,PhD | Eastern Union Stem Cell & Gene Engineering Co.,Ltd, Alliancells Bioscience Corporation Limited |
| Principal Investigator: | Hanwei Li, MD,PhD | The 302 Hospital of Chinese People's Liberation Army |
| Principal Investigator: | Liming Wang, MD | The 323 Hospital of Chinese People's Liberation Army |
| Principal Investigator: | Xun Li, MD,PhD | The First Affiliated Hospital of Lanzhou University |
| Principal Investigator: | Liming Chen, MD,PhD | ongji Hospital of Tongji University |
| Principal Investigator: | Jianwei Lu, MD | Tongji Hospital of Tongji University |
| Principal Investigator: | Hui Shi, MD | The First People's Hospital of Lianyungang |
More Information
No publications provided
| Responsible Party: | Alliancells Bioscience Corporation Limited |
| ClinicalTrials.gov Identifier: | NCT01573923 History of Changes |
| Other Study ID Numbers: | Alliancells-2012-1 |
| Study First Received: | April 6, 2012 |
| Last Updated: | May 14, 2012 |
| Health Authority: | China: Ministry of Health |
Keywords provided by Alliancells Bioscience Corporation Limited:
|
Umbilical Mesenchymal Stem Cells; Liver cirrhosis |
Additional relevant MeSH terms:
|
Liver Cirrhosis Fibrosis Liver Diseases Digestive System Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on May 23, 2013