Clinical Study to Evaluate Efficacy and Safety of ASC and Fibringlue or Fibringlue in Patients With Crohn's Fistula
Phase 3 Clinical Study to Evaluate Efficacy and Safety of ASC(Autologous Adipose-derived Stem Cells) and Fibringlue or Fibringlue in Patients With Crohn's Fistula.: A Randomized Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: KyuJoo Park, MD. Ph D
- Phone Number: +82-02-2072-2901
- Email: kjparkmd@plaza.snu.ac.kr
Study Locations
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-
Seodaemun-gu
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Seoul, Seodaemun-gu, South Korea, 03722
- Severance
-
-
Seoul
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Seoul, Seoul, South Korea, 05505
- Asan Medical Center
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Seoul, Seoul, South Korea, 03080
- Seoul Natinoal Univetsity Hospital
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Seoul, Seoul, South Korea, 06351
- Samsung Medical Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient who has obtained the consent of their legal representative if they are over 18 years of age and under 20 years of age.
- Patient is diagnosed with Crohn's disease.
- Patient who has one or more Crohn's fistulas .
- In the case of women of childbearing potential, patient who is negative for beta-HCG pregnancy tests at the screening visit.
- Patient is able to give written informed consent prior to study start and willing to comply with the study requirements.
Exclusion Criteria:
- Patient who participated in other clinical trials within 30 days prior to the start of this clinical trial, or who has not passed a period equal to five times of the half-life of the drug dosed in other clinical trials.
- Patient with a medical history or family history of Variant Creutzfeld Jakob Disease or related to this disease.
- Patient who is sensitive to anesthetic drugs or bovine-derived materials.
- Patient with autoimmune disease except for Crohn's disease.
- Patient with infectious diseases such as HBV, HCV and HIV.
- Patient with signs of Septicemia.
- Patient with Active Tuberculosis.(Including patient with Anal Tuberculosis)
- Pregnant or breast-feeding.
- . Is unwilling to use an acceptable method of birth control during the whole study.
- Patient with Inflammatory Bowel disease except for Crohn's disease.
- Patient who is sensitive to Fibringlue.
- Patient with a clinically relevant history of alcohol or drugs abuse, habitual smoking.
- Patient whose adipose tissue obtained by liposuction is insufficient to manufacture the Investigational product at the intended dose.
- Patient who is not able to understand the objective of the study or to comply with the study requirements.
- Patient who is considered by the investigator to have a significant disease which might impact the study.
- Patient who is considered not suitable for the study by investigator.
- Patient who is Active Crohn's disease with CDAI 450 or higher.
- Patient with medical history of surgery for malignant cancer in the past 5 years.(Except for carcinoma in situ)
- Patient who exceeds 2 cm in the longest diameter of fistula.
- Patient who dosed anti-TNF formulations such as infliximab, adalimumab, certolizumab within 3 months prior to injection.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ASC (test arm)
(Autologous Adipose-derived Mesenchymal Stem Cells)
|
Injection of ASC(Autologous Adipose-derived Mesenchymal Stem Cells) to Crohn's Fistula. The ASC injection dose is about 1x10^7 cells of ASC per 1cm^2 of the surface area of the fistula, and the additional injection dose is 1.5 times the initial injection dose. and up to 30% of the ASC injection dose is administered in combination with Fibringlu.
Other Names:
|
|
Placebo Comparator: Fibringlue
Standard comparator
|
Injection of Fibringlue to Crohn's Fistula.
The Fibringlu injection dose is given the size of the fistula that is fill the entire fistula, and the additional injection dose is the same.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of subjects who are completely blocked fistula
Time Frame: In the 8th week after 1st injection
|
complete blockage
|
In the 8th week after 1st injection
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of subjects who are completely blocked fistula
Time Frame: During 12 months after injection
|
complete blockage
|
During 12 months after injection
|
|
Proportion of subjects who are more than 50% blocked fistula
Time Frame: During 12 months after injection
|
50% blockage
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During 12 months after injection
|
|
Score of evaluation about Investigator satisfaction using questionnaire
Time Frame: In the 8th week, 6th month and 12th month after final injection
|
Score of evaluation about Investigator satisfaction range from 1 to 5. The lower this score, it means that the higher investigator's satisfaction with treatment effect of investigational product.
|
In the 8th week, 6th month and 12th month after final injection
|
|
Proportion of subjects who are confirmed maintenance of fistula blockage by radiology test
Time Frame: Between 6th month and 12th month after final injection
|
Radiology test is performed to subjects who are completely blocked fistula.
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Between 6th month and 12th month after final injection
|
|
Visual improvement effect of perianal fistula wound through photography of it
Time Frame: Immediately before and after the injection(intervention) and during 12 months after injection(intervention)
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Visual improvement effect of perianal fistula wound is evaluated by photograph of perianal fistula wound before and after the injection(intervention).
|
Immediately before and after the injection(intervention) and during 12 months after injection(intervention)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: KyuJoo Park, MD. Ph D, Seoul National University Hospital
- Principal Investigator: ChangSik Yu, MD. Ph D, Asan Medical Center
- Principal Investigator: YongBeom Cho, MD. Ph D, Samsung Medical Center
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ANTG-ASC-301
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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