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Klinische Studie zur Bewertung der Wirksamkeit und Sicherheit der Cellgram-LC-Verabreichung bei Patienten mit alkoholischer Zirrhose (Cellgram-LC)

16. September 2026 aktualisiert von: Pharmicell Co., Ltd.

Eine multizentrische, randomisierte, offene klinische Phase-III-Studie zur Bewertung der Wirksamkeit und Sicherheit des Cellgram-LC bei Patienten mit alkoholischer Leberzirrhose

The goal of this clinical trial is to evaluate the efficacy and safety of Cellgram-LC in patients with alcoholic cirrhosis.

The main questions it aims to answer are:

  • Is Cellgram-LC superior to best supportive care (BSC) in patients with alcoholic cirrhosis?
  • What medical problems do participants have after receiving Cellgram-LC compared with BSC?

Participants will:

  • Receive a single dose of Cellgram-LC at Week 0 or receive best supportive care according to their assigned study group.
  • Attend clinic visits for scheduled assessments at Week 4 and Months 3, 6, 9, 12, 18, and 24.
  • Complete scheduled telephone follow-up at Months 2, 4, 5, 7, 8, 10, 11, 15, 21, 27, 30, 33, and 36.
  • Be followed for transplant-free survival and other study outcomes.

Studienübersicht

Status

Rekrutierung

Bedingungen

Intervention / Behandlung

Studientyp

Interventionell

Einschreibung (Geschätzt)

200

Phase

  • Phase 3

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienkontakt

Studienorte

      • Ansan, Südkorea
        • Rekrutierung
        • Korea University Ansan Hospital
        • Kontakt:
      • Bucheon-si, Südkorea
        • Rekrutierung
        • Soonchunhyang University Hospital
        • Kontakt:
      • Cheonan, Südkorea
        • Beendet
        • Soonchunhyang University Hospital
      • Chuncheon, Südkorea
        • Beendet
        • Gangwon National University Hospital
      • Chuncheon, Südkorea
      • Gangneung-si, Südkorea
        • Rekrutierung
        • Gangneung Asan Hospital
        • Kontakt:
      • Seoul, Südkorea
        • Rekrutierung
        • Seoul National University Hospital
        • Kontakt:
      • Seoul, Südkorea
        • Rekrutierung
        • Korea University Anam Hospital
        • Kontakt:
      • Seoul, Südkorea
        • Noch keine Rekrutierung
        • Severance Hospital
        • Kontakt:
      • Seoul, Südkorea
        • Rekrutierung
        • Gangnam Severance Hospital
        • Kontakt:
          • Hyun-Woong Lee
          • Telefonnummer: +82-2-2019-3315
          • E-Mail: LHWDOC@yuhs.ac
      • Seoul, Südkorea
        • Rekrutierung
        • Soonchunhyang University Hospital
        • Kontakt:
      • Seoul, Südkorea
      • Seoul, Südkorea
        • Rekrutierung
        • Seoul St. Mary's Hospital
        • Kontakt:
      • Wŏnju, Südkorea
        • Rekrutierung
        • Wonju Severance Christian Hospital
        • Kontakt:
        • Unterermittler:
          • Sun-gu Baek
      • Yŏngin, Südkorea
        • Rekrutierung
        • Yongin Severance Hospital
        • Kontakt:

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

20 Jahre bis 71 Jahre (Erwachsene, Älterer Erwachsener)

Akzeptiert gesunde Freiwillige

Nein

Studienberechtigte Geschlechter

Alle

Beschreibung

Inclusion Criteria:

  1. At the time of screening, 19 or 70 years
  2. Patients diagnosed with alcoholic cirrhosis by combining alcohol history, imaging and pathological examination results, and clinical symptoms at screening, and belonging to Child-Pugh grade B or C (Child-Pugh score of 7 or more)
  3. Those whose survival period is more than 1 year when judged by the tester
  4. Those who can perform hepatic artery catheterization by inserting a catheter into the hepatic artery at the judgment of the examiner
  5. In the case of women of childbearing potential, a person who was confirmed negative in the pregnancy test at screening and agreed to use contraception* by the method permitted for this clinical trial during the clinical trial
  6. Those who can conduct clinical trials according to the clinical trial protocol
  7. A person who has consented in writing to voluntarily participate in this clinical trial

Exclusion Criteria:

  1. Those with a history of solid cancer including Hepatocellular Carcinoma (HCC) (within 5 years before screening), those who have been diagnosed with solid cancer and are currently undergoing chemotherapy or those whose hepatocellular carcinoma has been confirmed by screening tests

  2. Patients who underwent portal systemic shunting in the jugular vein

  3. Patients with alcohol consumption or hepatotoxic drugs within 6 months prior to screening

  4. Persons taking high-dose steroids, immunosuppressants, or antimicrobials due to severe infections for at least 1 month of screening

  5. Those who have major surgical operations, long-term biopsy, or significant trauma as judged by the investigator within 3 months before screening

  6. Those whose history of gastrointestinal bleeding is confirmed within 10 days of screening

  7. Those whose medical history or accompanying diseases following the screening time is confirmed

    • If you have not been diagnosed with a malignant blood disease (acute myelogenous leukemia, acute lymphocytic leukemia, non-Hodgkins lymphoma, Hodgkins lymphoma, multiple myelopathy)
    • Severe aplastic anemia
    • Liver transplant history
    • Liver diseases of other causes besides alcoholic cirrhosis: hepatitis B and C, autoimmune liver disease (primary cholangitis, primary sclerosing cholangitis and autoimmune hepatitis, etc.), weak liver toxicity, non-alcoholic fatty liver disease , NAFLD), Wilson's disease, iron excess, alpha-1-antitrypsin deficiency, etc.)
    • Extrahepatic biliary stenosis
    • Active portal vein or hepatic vein thrombosis
    • Heart failure or respiratory failure
    • Severe renal impairment (when the result of serum creatinine test exceeds 1.5 times the upper limit of normal)
    • Acute or chronic infection requiring systemic treatment
    • Severe coagulation disorder (if the tester judges it as a severe coagulation disorder or one of the following 1 to 3; 1. bleeding predisposition, 2. coagulation, 3. platelet≤50,000/mm3 and INR≥1.5)
  8. serologic test result (HIV, HAV, HBV, HCV, Syphilis infection) positive factor

  9. Patients unable to collect bone marrow due to bone marrow disease

  10. Those with a history of gentamicin hypersensitivity reaction

  11. Pregnant or lactating women

  12. Those with substance abuse experience within 1 year before screening

  13. Those who participated in other clinical trials within one month before screening and administered (or applied) clinical trial drugs (or medical devices)

  14. Those who previously participated in clinical trials related to cell therapy

  15. Patients judged to be inappropriate to participate in this clinical trial due to complications, etc., when judged by the investigator before screening or registration

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Keine (Offenes Etikett)

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Aktiver Komparator: Control group

Best supportive care.

Participants receive best supportive care.

Experimental: Cellgram-LC

Participants receive a single dose of Cellgram-LC through the hepatic artery.

Participants receive a single injection of 7 × 10^7 autologous bone marrow-derived mesenchymal stem cells (Cellgram-LC) through the hepatic artery.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Transplant free survival (TFS)
Zeitfenster: For 3 years

Transplant free survival (TFS), the median survival time and 95% confidence interval for each group were presented using the Kaplan-Meier method, and the difference in the survival distribution between the two groups was used as a Cox proportional hazards model corrected for stratification Black.

For 3 years

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Survival rate
Zeitfenster: month 24 and 36

For the survival rate, the survival rate and 95% confidence interval at each time point are presented using the Kaplan-Meier method, and the difference in survival rate between the two groups is tested using the Z statistic.

month 24 and 36
Change amount of Child-Pugh score
Zeitfenster: week -6 and 0

In order to compare the difference between groups in the amount of change in each evaluation variable at the time of visit after cell administration/best supportive therapy compared to the baseline value, covariance analysis (ANCOVA) is performed by setting the baseline time point and stratification factor as a correction variable for each evaluation variable.

CP score was calculated using five factors: hepatic encephalopathy, prothrombin time, bilirubin, serum albumin, and ascites, and the score range was 5-15 points.

In the Child-Pugh grade, scores of the five factors are summed and evaluated as A if it is less than 7 points, B if it is 7-9, and C if it exceeds 9 points.

week -6 and 0
Change amount of MELD score
Zeitfenster: week -6 and 0

In order to compare the difference between groups in the amount of change in each evaluation variable at the time of visit after cell administration/best supportive therapy compared to the baseline value, covariance analysis (ANCOVA) is performed by setting the baseline time point and stratification factor as a correction variable for each evaluation variable.

The higher the score, the higher the mortality rate.

week -6 and 0
Change amount of Liver function test
Zeitfenster: month 0, 1, 3, 6, 9, 12, 18 and 24

In order to compare the difference between groups in the amount of change in each evaluation variable at the time of visit after cell administration/best supportive therapy compared to the baseline value, covariance analysis (ANCOVA) is performed by setting the baseline time point and stratification factor as a correction variable for each evaluation variable.

month 0, 1, 3, 6, 9, 12, 18 and 24
Change amount of Fibrosis-4
Zeitfenster: month 0, 6, 12, 18 and 24

In order to compare the difference between groups in the amount of change in each evaluation variable at the time of visit after cell administration/best supportive therapy compared to the baseline value, covariance analysis (ANCOVA) is performed by setting the baseline time point and stratification factor as a correction variable for each evaluation variable.

month 0, 6, 12, 18 and 24
Change amount of FibroScanⓇ
Zeitfenster: week -6 and 0

In order to compare the difference between groups in the amount of change in each evaluation variable at the time of visit after cell administration/best supportive therapy compared to the baseline value, covariance analysis (ANCOVA) is performed by setting the baseline time point and stratification factor as a correction variable for each evaluation variable.

week -6 and 0
Change amount of EQ-5D
Zeitfenster: month -1, 6, 12, 18 and 24

In order to compare the difference between groups in the amount of change in each evaluation variable at the time of visit after cell administration/best supportive therapy compared to the baseline value, covariance analysis (ANCOVA) is performed by setting the baseline time point and stratification factor as a correction variable for each evaluation variable.

The higher the score, the higher the quality of life.

month -1, 6, 12, 18 and 24
Change amount of EQ-VAS
Zeitfenster: month -1, 6, 12, 18 and 24

In order to compare the difference between groups in the amount of change in each evaluation variable at the time of visit after cell administration/best supportive therapy compared to the baseline value, covariance analysis (ANCOVA) is performed by setting the baseline time point and stratification factor as a correction variable for each evaluation variable.

The higher the score, the higher the quality of life.

month -1, 6, 12, 18 and 24

Andere Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
α-fetoprotein test
Zeitfenster: week -6, month 3, 6, 9, 12, 18, 24

Two sample t-test or Wilcoxon rank-sum test is performed to test the difference between the two groups for the results of tumor marker test (AFP) at each time point.

week -6, month 3, 6, 9, 12, 18, 24

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Ermittler

  • Hauptermittler: Moonyoung Kim, Wonju Severance Christian Hospital

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

19. April 2021

Primärer Abschluss (Geschätzt)

1. Dezember 2029

Studienabschluss (Geschätzt)

1. Dezember 2029

Studienanmeldedaten

Zuerst eingereicht

21. Dezember 2020

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

28. Dezember 2020

Zuerst gepostet (Tatsächlich)

30. Dezember 2020

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

21. September 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

16. September 2026

Zuletzt verifiziert

1. September 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Andere Studien-ID-Nummern

  • PMC-P-07

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

NEIN

Beschreibung des IPD-Plans

Individual participant data will not be made available to other researchers.

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .