HIV Liver Regeneration Project for HIV Patients With Cirrhosis by Autologous Bone Marrow Transplantation (HIV-ABMi)

September 24, 2014 updated by: National Center for Global Health and Medicine, Japan

A Safety and Efficacy Study of Autologous Bone Marrow Cell Infusion Therapy in HIV Infected Patients With Advanced Liver Cirrhosis

An international investigation to evaluate if, and if so how long, autologous bone marrow hematopoietic stem cell transplantation can safely restore liver functions for HIV infected patients who have decompensated liver cirrhosis.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

An international investigation to evaluate if, and if so how long, autologous bone marrow (ABM) hematopoietic stem cell transplantation (HSCT) can safely restore liver functions for HIV infected patients who have decompensated liver cirrhosis.

Study Type

Interventional

Enrollment (Anticipated)

10

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Japan
    • Tokyo
      • Shinjuku, Tokyo, Japan, 1628655
        • National Center for Global Health and Medicine

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

20 years to 70 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria: Outpatients or inpatients that are treated for HIV infection at AIDS Clinical Center of National Center for Global Health and Medicine who meet all criteria following:

  • have cirrhosis with 7 or higher Child-Pugh Score in Child-Pugh Score B
  • able to consent and willing to participate in the study
  • under good control for HIV infection

Exclusion Criteria: Cases applicable to ANY condition of the following:

  • Hepatocellular carcinoma (HCC), except for cases having been completely treated without history of recurrence
  • Malignant tumors other than HCC
  • Alcoholic liver disease (ALD)
  • Hemoglobin under 8g/dL or Platelets under 20/ml at the registration
  • Esophageal or gastric varices with a risk of bursting, except for cases with only cured history of such conditions
  • Cases that cannot obtain the informed consent to autologous blood transfusion
  • Pregnancy
  • Renal dysfunction with 2mg/dL or higher serum creatinine
  • Performance Status 3 or 4 (assessment excludes hemophilic arthritis related daily life limitations)
  • Cases not fit for general anesthesia
  • Other conditions considered not suitable for the study by doctors

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Hematopoietic stem cell transplantation
Extraction of bone marrow cells from HIV positive patients with advanced liver cirrhosis and transplant their bone marrow back into the patients
Procedure: Hematopoietic stem cell transplantation
Harvest and apheresis of bone marrow cells from HIV infected patients with cirrhosis under general anesthesia, using bone marrow collection system and transplanting the patients' hematopoietic stem cells back to the patients
Other Names:
  • Autologous bone marrow cell infusion therapy (ABMi)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Post-transplantation prognosis for cirrhosis
Time Frame: 24 weeks

Evaluate statistical significance between pre-transplantation and 24 weeks after in:

  • Child-Pugh score
  • albumin
  • serum fibrosis markers
  • Transient Elastography (TM)
  • ascites imagery
  • SF-36v2(TM) Health Survey.

Because advanced liver cirrhosis is a progressive condition itself, treatment efficacy is defined by "improvement" and "no change" in the indicators listed.
24 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Duration of the treatment efficacy
Time Frame: After 24 weeks up to 48 weeks
Using the same evaluation modules as of the primary outcomes, investigate and assess the autologous bone marrow transplantation effectivity chronologically after the primal 24 weeks up to 48 weeks to evaluate the duration of the treatment efficacy.
After 24 weeks up to 48 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

National Center for Global Health and Medicine, Japan

Collaborators

Ministry of Health, Labour and Welfare, Japan

Investigators

  • Principal Investigator: Shinichi Oka, MD PhD, National Center for Global Health and Medicine

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

March 1, 2011

Primary Completion (Anticipated)

March 1, 2016

Study Completion (Anticipated)

March 1, 2016

Study Registration Dates

First Submitted

March 3, 2011

First Submitted That Met QC Criteria

March 3, 2011

First Posted (Estimate)

March 7, 2011

Study Record Updates

Last Update Posted (Estimate)

September 25, 2014

Last Update Submitted That Met QC Criteria

September 24, 2014

Last Verified

September 1, 2014

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • FWA00005823-AMBi2011
  • UMIN000005174 (Other Identifier: University Hospital Medical Information Network (UMIN))

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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