Stem Cell Therapy Combined Hormone Replacement Therapy in Patients With Premature Ovarian Failure
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Purpose
Premature ovarian failure (POF) refers the occurrence of amenorrhoea, elevated serum gonadotrophins and hypoestrogenism levels in female before the age of 40. It has important physical and psychological consequences/impact in those patients.
Premature ovarian failure (POF) is currently managed by non-physiological sex steroid regimens which are inadequate at optimizing uterine characteristics.
Human umbilical cord mesenchymal stem cells (hUCMSCs) and human cord blood mononuclear cells (hCBMNCs) have been shown to have the ability to modulate the immune response and enhance angiogenesis, suggesting the novel and promising therapeutic strategy for POF.
In this study, the safety and efficacy of hUCMSCs and hCBMNCs transplantation combined with Hormone Replacement Therapy will be evaluated in patients with Premature Ovarian Failure. Participants will be followed for an expected average of 48 weeks.
| Condition | Intervention | Phase |
|---|---|---|
|
Premature Ovarian Failure, |
Biological: human umbilical cord mesenchymal stem cells Biological: hUCMSCs and hCBMNCs Biological: human cord blood mononuclear cells Drug: Hormone Replacement Therapy |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Phase Ι/Π Study of Human Cord Blood Mononuclear Cells and Human Umbilical Cord Mesenchymal Stem Cells Transplantation Combined With Hormone Replacement Therapy in Patients With Premature Ovarian Failure |
- Serum Level of follicle-stimulating hormone [ Time Frame: 48 weeks after treatment ] [ Designated as safety issue: No ]
- Uterine and Ovary characteristics of B ultrasound, including Uterine/Ovarian size and Blood Flow [ Time Frame: 48 weeks after treatment ] [ Designated as safety issue: No ]
- Modified Kupperman Score [ Time Frame: 48 weeks after treatment ] [ Designated as safety issue: No ]
- Incidence of Adverse Events and Serious Adverse Events [ Time Frame: 48 weeks after treatment ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 40 |
| Study Start Date: | March 2012 |
| Estimated Study Completion Date: | March 2014 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Group1 : HRT plus hUCMSCs treatment:
Participants will be given HRT plus human cord mesenchymal stem cells transplantation with a 12 menstrual Cycle follow-up.
|
Biological: human umbilical cord mesenchymal stem cells |
|
Experimental: Group 2: HRT plus hCBMNCs and hUCMSCs therapy
Participants will be given HRT plus combination of hCBMNCs together with hUCMSCs transplantation with a 12 menstrual Cycle follow-up.
|
Biological: hUCMSCs and hCBMNCs |
|
Experimental: Group3 : HRT plus hCBMNCs treatment:
Participants will be given HRT plus human cord blood mononuclear cells transplantation with a 12 menstrual Cycle follow-up.
|
Biological: human cord blood mononuclear cells |
|
Experimental: Group 4:Hormone Replacement Therapy
Participants will be given conventional therapy only with a 12 menstrual Cycle follow-up.
|
Drug: Hormone Replacement Therapy |
Eligibility| Ages Eligible for Study: | 18 Years to 39 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Between age 18- 39 years, Female only.
- Diagnosed with Premature Ovarian Failure,and currently receiving Hormone Replacement Therapy;
- Willing to sign the Informed Consent Form.
Exclusion Criteria:
- Fragile X chromosome.
- polycystic ovary syndrome.
- HIV+.
- Autoimmune disease, e.g. lupus erythematosus, multiple sclerosis.
- Severe pulmonary and hematological disease, malignancy or hypo-immunity.
- Currently undertaking other treatment that may affect the safety/efficacy of stem cells.
- Pregnancy or lactation
- Enrollment in other trials in the last 3 months. • Other criteria the investigator consider improper for inclusion.
Contacts and Locations| Contact: FangMing Su, Master | 86-755-25533018 | sfmlxq@163.com |
| China, Guangdong | |
| Shenzhen People's Hospital | Recruiting |
| Shenzhen, Guangdong, China, 518020 | |
| Contact: Fangming Su 86-755-25533018 sfmlxq@163.com | |
| Principal Investigator: Fangming Su | |
More Information
No publications provided
| Responsible Party: | Shenzhen Beike Bio-Technology Co., Ltd. |
| ClinicalTrials.gov Identifier: | NCT01742533 History of Changes |
| Other Study ID Numbers: | BKCR-POF-1(Ⅰ) |
| Study First Received: | November 26, 2012 |
| Last Updated: | December 2, 2012 |
| Health Authority: | China: Ministry of Health |
Keywords provided by Shenzhen Beike Bio-Technology Co., Ltd.:
|
Hormone Replacement Therapy, Premature Ovarian Failure, Stem Cell Therapy |
Additional relevant MeSH terms:
|
Menopause, Premature Primary Ovarian Insufficiency Ovarian Diseases Adnexal Diseases Genital Diseases, Female Gonadal Disorders |
Endocrine System Diseases Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 21, 2013