Therapeutic Effects of Liver Failure Patients Caused by Chronic Hepatitis B After Autologous MSCs Transplantation

Study Description

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Study Description Study Design Groups and Cohorts Outcome Measures Eligibility Criteria Contacts and Locations More Information

Brief Summary:

The study aimed to investigate the short-term efficacy and long-term prognosis of liver failure patients caused by hepatitis B after single transplantation with autologous marrow mesenchymal stem cells (MMSCs). Liver failure inpatients caused by hepatitis B were recruited and received the same medical treatments, among whom some patients underwent single transplantation with autologous MMSCs and other patients with matched age, gender and biochemical indexes [alanine aminotransferase (ALT), albumin (ALB), total bilirubin (TBIL), prothrombin time (PT) and Model for End-stage Liver Disease (MELD) ] were in control group. A total of 120 ml bone marrow were obtained from patients, diluted and separated. Then MMSCs suspension were slowly transfused into the liver through the proper hepatic artery by interventional procedures. The levels of ALB, TBIL, PT and MELD score of patients in translation group were compared with those in control group. In 3 ~ 48 months of follow-up, differences in long-term outcomes such as incidence of HCC (hepatocellular carcinoma) and mortality between two groups were compared.

Condition or disease
Liver Failure; Mesenchymal Stem Cells

Detailed Description:

A total of 527 patients with chronic hepatitis B induced liver failure were recruited from May 2005 to June 2009 from our department. The diagnoses of chronic hepatitis B and liver failure were based on previously described criteria. All patients received the same medical treatments (reducibility glutathione, glycyrrhizin, ademetionine, polyene phosphatidylcholine, alprostadil, and human serum albumin). Informed consent was obtained before study. Among these patients, 53 received transplantation with autologous MMSCs. The day of surgery served as the first day of observation. And 105 patients with matched age, gender and some biochemical indexes (ALT, ALB, TBIL, PT and MELD ) were served as controls.

Study Design

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Study Type :	Observational
Actual Enrollment :	158 participants
Observational Model:	Case Control
Time Perspective:	Retrospective
Official Title:	Therapeutic Effects Including Short-term Changes And Long-term Outcomes of Liver Failure Patients Caused by Chronic Hepatitis B After Single Transplantation With Autologous Bone Marrow Mesenchymal Stem Cells.
Study Start Date :	May 2005
Actual Primary Completion Date :	June 2009
Actual Study Completion Date :	July 2010

Groups and Cohorts

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Group/Cohort
group A; autologous MSCs transplantation were performed plus medical treatments (reducibility glutathione, glycyrrhizin, ademetionine, polyene phosphatidylcholine, alprostadil, and human serum albumin)
group B; only medical treatments (reducibility glutathione, glycyrrhizin, ademetionine, polyene phosphatidylcholine, alprostadil, and human serum albumin) were performed without autologous MSCs transplantation.

Outcome Measures

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Study Description Study Design Groups and Cohorts Outcome Measures Eligibility Criteria Contacts and Locations More Information

Primary Outcome Measures :

1. Short-term therapeutic effects of transplantation. [ Time Frame: 1 to 4 weeks after transplantation ]
   Biochemical indexes [alanine aminotransferase (ALT), albumin (ALB), total bilirubin (TBIL), prothrombin time (PT) and Model for End-stage Liver Disease (MELD) ] were compared 1 to 4 weeks after transplantation.

Secondary Outcome Measures :

1. Long-term outcomes of transplantation. [ Time Frame: 3 ~ 48 months years after transplantation ]
   In 3 ~ 48 months of follow-up, incidence of HCC (hepatocellular carcinoma) and mortality were compared between two groups.

Eligibility Criteria

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Ages Eligible for Study:	15 Years to 70 Years (Child, Adult, Senior)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No
Sampling Method:	Probability Sample

Study Population

Liver failure patients with HBV infection

Criteria

Inclusion Criteria:

• Liver failure

Exclusion Criteria:

• HBV negative

Contacts and Locations

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Locations

China, Guangdong
The Third Affiliated Hospital Of Sun Yat-sen University
Guangzhou, Guangdong, China, 510630

Sponsors and Collaborators

Sun Yat-sen University

Investigators

Study Director:	Zhi-liang Gao, Dr	Department of Infectious Diseases, 3rd Affiliated Hospital of Sun Yat-sen University, China

More Information

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Study Description Study Design Groups and Cohorts Outcome Measures Eligibility Criteria Contacts and Locations More Information

Responsible Party:	The Third Affliated Hospital of Sun Yat-sen University
ClinicalTrials.gov Identifier:	NCT00956891 History of Changes
Other Study ID Numbers:	SunYat-senU 5010 hepatitisB
First Posted:	August 11, 2009
Last Update Posted:	December 7, 2010
Last Verified:	August 2009

Keywords provided by Sun Yat-sen University:

short-term effects; long-term follow-up; liver failure patients; autologous MSCs transplantation

Additional relevant MeSH terms:

Hepatitis, Chronic; Hepatitis B; Hepatitis B, Chronic; Liver Failure; Hepatitis; Liver Diseases; Digestive System Diseases; Hepadnaviridae Infections; DNA Virus Infections	Virus Diseases; Hepatitis, Viral, Human; Hepatic Insufficiency; Polyene phosphatidylcholine; Hypolipidemic Agents; Antimetabolites; Molecular Mechanisms of Pharmacological Action; Lipid Regulating Agents