A Study of Human TH-SC01 Cell Injection for Treating Perianal Fistulas in Patients With Crohn's Disease
A Phase I Study to Evaluate the Safety and Tolerability of Human TH-SC01 Cell Injection for the Treatment of Perianal Fistulas in Crohn's Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Zhaoshen Li, Dr.
- Phone Number: 021-81873241
- Email: zhaoshen-li@hotmail.com
Study Contact Backup
- Name: Li Zhang, Dr.
- Phone Number: 021-31162333
- Email: chyyzhl@163.com
Study Locations
-
-
Shanghai
-
Shanghai, Shanghai, China
- Shanghai
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Signed informed consent.
- Subjects with Crohn's disease diagnosed at least 6 months earlier according to the Chinese Consensus Opinion on the Diagnosis and Treatment of Inflammatory Bowel Diseases (Beijing, 2018).
- Subjects with active perianal fistula and non active luminal CD defined by a CDAI ≤ 200.
- Subjects with perianal fistula confirmed by clinical assessment and MRI.
- Subjects aged between 18 and 70, both male and female.
- All subjects and their partners were not planning to have a child from screening to the end of the trial and agreed to use effective non-drug contraception during the trial.
- Subjects failed to respond to adequate treatment with any of the conventional antibiotics, immunomodulatory drugs (including steroids), anti-tumor necrosis factor-α (TNF-α) monoclonal antibodies and other biological agents.
Exclusion Criteria:
- Subjects with active infection evaluated by the investigator.
- Subjects with Crohn's disease requiring immediate therapy.
- Subjects with abscess or collections >2 cm.
- Subjects with rectal and/or anal stenosis and/or active proctitis.
- Subjects who treated with systemic steroids in the 4 weeks prior to stem cells administration.
- Subjects with abnormal laboratory results: liver function: total bilirubin >=1.5 × ULN, and aspartate aminotransferase (AST) and alanine aminotransferase (ALT) >=2 × ULN; renal function: creatinine clearance below 60 mL/minute calculated using Cockcroft-Gault formula or by serum creatinine >=1.5 × upper limit of normal (ULN).
- Subjects with malignant tumors or a history of malignant tumors.
- Subjects with severe, progressive, uncontrolled hepatic, hematological, gastrointestinal (except Crohn's disease), endocrine, pulmonary, cardiac, neurological, psychiatric, or cerebral diseases.
- Serum virology test (HBeAg, HCV antibody, HIV antibody, Treponema pallidum antibody) positive.
- Subjects allergic to gentamicin sulfate, anesthetics or contrast media.
- Subjects allergic to MRI contrast.
- Subjects who has received stem cells in a previous clinical study or as a therapeutic agent.
- Subjects who has major surgery or severe trauma within 6 months prior to the screening period.
- Subjects who has received any investigational drug within 3 months prior to the screening.
- Subjects deemed inappropriate by the investigator to participate in this clinical trial.
- The female participant who is pregnant, or is lactating.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Human TH-SC01 cell injection
Single injection of 0.6×10^7, 1.2×10^8, 1.8×10^8 cells/kg
|
Single injection of human TH-SC01 cell injection
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Severity and incidence of adverse events
Time Frame: 28 days
|
Severity and incidence of adverse events within 28 days after adiministration
|
28 days
|
|
Dose-limiting toxicity (DLT)
Time Frame: 84 days
|
Exploration of dose-limiting toxicity (DLT)
|
84 days
|
|
Maximum tolerated dose (MTD)
Time Frame: 84 days
|
Exploration of maximum tolerated dose (MTD)
|
84 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Perianal fistula healing
Time Frame: 84 days
|
Change from baseline in Van Assche Score by MRI test.
The score range was from 0 to 25.
Higher score means more severe disease.
|
84 days
|
|
Crohn's Disease Activity Index (CDAI) score
Time Frame: 84 days
|
Change from baseline in the Crohn's Disease Activity Index (CDAI) score.
Higher score means more severe disease and especially severe disease was defined as a value of greater than 450.
|
84 days
|
|
Perianal Disease Activity Index (PDAI)
Time Frame: 84 days
|
Change from baseline in Perianal Disease Activity Index (PDAI).
Total score ranges from 0 to 20.
Higher score means more severe disease.
|
84 days
|
|
Inflammatory Bowel Disease Questionnaire(IBDQ)score
Time Frame: 84 days
|
Change from baseline in IBDQ score.
Total score ranges from 32 to 224.
Higher score means better quality of life.
|
84 days
|
|
VAS score
Time Frame: 84 days
|
Change from baseline in pain score (VAS score).Total score ranges from 0 to 10. Higher score means more pain.
|
84 days
|
|
Anal sphincter function:Wexner incontinence score
Time Frame: 84 days
|
Change from baseline in anal sphincter function, Wexner incontinence score,Total score ranges from 0 to 20.
Higher score means more severe disease.
|
84 days
|
|
Anal sphincter function: rectal pressure
Time Frame: 84 days
|
Change from baseline in rectal pressure,In healthy people, the pressure ranges from 60 to 150mmHg, with the internal sphincter pressure accounts for about 80% and external sphincter pressure accounts for 20%.
|
84 days
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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 (Actual)
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
- TH-SC 2.0
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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