- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03826433
hUC Mesenchymal Stem Cells (19#iSCLife®-LC) in the Treatment of Decompensated Hepatitis b Cirrhosishepatitis b Cirrhosis
Clinical Study of Human Umbilical Cord Mesenchymal Stem Cells (19#iSCLife®-LC) in the Treatment of Decompensated Hepatitis b Cirrhosis
- Evaluation the safety of using human umbilical mesenchymal stem cells to treat patients with hepatitis B cirrhosis.
- Observe the curative effect of patients with hepatitis B cirrhosis who use human umbilical mesenchymal stem cells to treat.
- Explore the possible mechanism of human umbilical mesenchymal stem cells to treat patients with hepatitis B cirrhosis.
Study Overview
Detailed Description
This experimental use umbilical cord mesenchymal stem cells in treatment of decompensated hepatitis B cirrhosis to evaluate its safety and efficacy,
This experimental is mainly aimed at people aged 18-60 years old, regardless of gender and with body mass index (BMI) between 19-25kg/m2 (including boundary value). It was decided into treatment group and control group to evaluate the effectiveness and safety of mesenchymal stem cells by peripheral intravenous injection.
Study Type
Enrollment (Estimated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: Lei Guo, doctor
- Phone Number: 861064368977
- Email: georgeguo@sclnow.com
Study Contact Backup
- Name: Xuegong Fan, doctor
- Phone Number: 86731-84327392
- Email: xgfan@hotmail.com
Study Locations
-
-
Hunan
-
Changsha, Hunan, China, 410008
- Recruiting
- Xiangya Hospital Central South University
-
Contact:
- Xuegong Fan, doctor
- Phone Number: 86731-84327392
- Email: xgfan@hotmail.com
-
Contact:
- ShaLing Li, doctor
- Phone Number: 8613975186154
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18-60 years old, gender not limited, body mass index (BMI) between 19-25 kg/m2, including boundary value;
- The diagnosis of hepatitis B cirrhosis was in line with the 2015 American society of hepatology (AASLD) guidelines for the treatment of chronic hepatitis B, and the liver function grade was child-pugh B or child-pugh C, with a score range of 7-12 points, and Model for End-Stage Liver Disease score≤21 points.
- Have not received stem cell therapy in the recent 6 months;
- Subjects will be able to sign the informed consent in accordance with the study procedures and instructions.
Exclusion Criteria:
- Insufficiency of vital organs, such as heart, kidney and lung;
- End-stage cirrhosis with severe complications, including but not limited to: hepatic encephalopathy, gastrointestinal bleeding,Severe bleeding tendency, massive ascites, etc.
- Concomitant peritonitis, pneumonia, or other types of infection not under control;
- Have a history of severe allergic reaction or allergy to two or more kinds of food or medicine;
- Positive serum HIV antibody and syphilis antibody;
- Alpha fetoprotein>400ng/mL with primary liver cancer or without imaging evidence;
- Chronic liver disease and cirrhosis are caused by non-chronic hepatitis B virus infection, or other factors except chronic hepatitis B virus infection ;
- Patients with severe mental illness and cognitive impairment;
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Treatment Group
Mesenchymal Stem Cells : through peripheral intravenous slowly, every time 6*10^7 (30ml) Other medication of Treatment Group: before the30min of first time to inject stem cells, Intravenous methylprednisone 20mg.
All patients require oral nucleoside drugs resistant hepatitis B virus treatment.Use stem cell therapy, by Peripheral iv, 6 * 10 ^ 7 (30 ml)
|
6*10^7 cells
|
|
No Intervention: Control Group
Control Group: Using basic contrast .
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Validity evaluation by detection of the Model for end-stage Liver Disease score of participants
Time Frame: 12 month
|
After finish the mesenchymal stem cell treatment, observe the change in baseline outcome measures. 40 or more - 71.3% observed mortality 30-39 - 52.6% observed mortality 20-29 - 19.6% observed mortality 10-19 - 6.0% observed mortality <9 - 1.9% observed mortality |
12 month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety evaluation by detecting Blood routine
Time Frame: 12 month
|
To calculate the number of hemocyte and related protein (e.g.
erythrocyte, lymphocyte, and hemoglobin) after mesenchymal stem cell treatment
|
12 month
|
|
Validity evaluation by detection of the child-pugh of participants
Time Frame: 12 month
|
After finish the mesenchymal stem cell treatment, observe the change in baseline outcome measures. Points Class One-year survival Two-year survival 5-6 A 100% 85% 7-9 B 80% 60% 10-15 C 45% 35% |
12 month
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Validity evaluation by detection of the coagulation function of participants
Time Frame: 12 month
|
After finish the mesenchymal stem cell treatment, observe the change of Prothrombin Time and International Normalized Ratio (PT/INR) in baseline outcome measures. The time is around 12-13 seconds, the INR in absence of anticoagulation therapy is 0.8-1.2. |
12 month
|
|
Imaging examination
Time Frame: 12 month
|
After finish the mesenchymal stem cell treatment, observe the Computed Tomography (CT).
|
12 month
|
|
Imaging examination
Time Frame: 12 month
|
Fibro-Touch examination
|
12 month
|
|
Safety evaluation by detecting adverse events and serious adverse events
Time Frame: 12 month
|
To evaluate the changes of safety indexes before and after mesenchymal stem cell treatment
|
12 month
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Xuegong Fan, doctor, Xiangya Hospital of Central South University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SCLnow-XY-04
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
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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