알코올성 간경변증 환자에서 Cellgram-LC 투여의 유효성 및 안전성을 평가하기 위한 임상시험 (Cellgram-LC)
알코올성 간경변증 환자에서 Cellgram-LC의 효능 및 안전성을 평가하기 위한 다기관, 무작위, 공개 라벨 3상 임상 시험
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.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 3단계
연락처 및 위치
연구 연락처
연구 연락처
- 이름: YUJEONG KIM
- 전화번호: 82-2-3496-0137
- 이메일: yjkim@pharmicell.com
연구 장소
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Ansan, 대한민국
- 모병
- Korea University Ansan Hospital
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연락하다:
- Sung-hee Kang
- 전화번호: +82-31-412-4996
- 이메일: shkang0114@gmail.com
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Bucheon-si, 대한민국
- 모병
- Soonchunhyang University Hospital
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연락하다:
- Sang-gyun Kim
- 이메일: mcnulty@schmc.ac.kr
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Cheonan, 대한민국
- 종료됨
- Soonchunhyang University Hospital
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Chuncheon, 대한민국
- 종료됨
- Gangwon National University Hospital
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Chuncheon, 대한민국
- 모병
- Hallym Univ. Medical Center
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연락하다:
- Ki-tae Seok
- 이메일: diarrhea100@hanmail.net
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Gangneung-si, 대한민국
- 모병
- Gangneung Asan Hospital
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연락하다:
- Gapjin Cheon
- 이메일: 1000@gnah.co.kr
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Seoul, 대한민국
- 모병
- Seoul National University Hospital
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연락하다:
- Jeonghwan Yoon
- 이메일: yoonjh@snu.ac.kr
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Seoul, 대한민국
- 모병
- Korea University Anam Hospital
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연락하다:
- Yeonseok Seo
- 이메일: drseo@korea.ac.kr
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Seoul, 대한민국
- 아직 모집하지 않음
- Severance Hospital
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연락하다:
- Seung-Up Kim
- 전화번호: +82-2-2228-1982
- 이메일: ksukorea@yuhs.ac
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Seoul, 대한민국
- 모병
- Gangnam Severance Hospital
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연락하다:
- Hyun-Woong Lee
- 전화번호: +82-2-2019-3315
- 이메일: LHWDOC@yuhs.ac
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Seoul, 대한민국
- 모병
- Soonchunhyang University Hospital
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연락하다:
- Jaeyoung Jang
- 이메일: jyjang@schmc.ac.kr
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Seoul, 대한민국
- 모병
- Eunpyeong St. Mary's Hospital
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연락하다:
- Sihyeon Bae
- 이메일: baesh@catholic.ac.kr
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Seoul, 대한민국
- 모병
- Seoul St. Mary's Hospital
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연락하다:
- Jung-Won Jang
- 전화번호: +82-2-2258-6015
- 이메일: garden@catholic.ac.kr
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Wŏnju, 대한민국
- 모병
- Wonju Severance Christian Hospital
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연락하다:
- Moonyoung Kim
- 이메일: drkimmy@yonsei.ac.kr
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부수사관:
- Sun-gu Baek
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Yŏngin, 대한민국
- 모병
- Yongin Severance Hospital
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연락하다:
- Jakyung Kim
- 이메일: ceciliak@yuhs.ac
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- At the time of screening, 19 or 70 years
- 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)
- Those whose survival period is more than 1 year when judged by the tester
- Those who can perform hepatic artery catheterization by inserting a catheter into the hepatic artery at the judgment of the examiner
- 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
- Those who can conduct clinical trials according to the clinical trial protocol
- A person who has consented in writing to voluntarily participate in this clinical trial
Exclusion Criteria:
-
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
-
Patients who underwent portal systemic shunting in the jugular vein
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Patients with alcohol consumption or hepatotoxic drugs within 6 months prior to screening
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Persons taking high-dose steroids, immunosuppressants, or antimicrobials due to severe infections for at least 1 month of screening
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Those who have major surgical operations, long-term biopsy, or significant trauma as judged by the investigator within 3 months before screening
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Those whose history of gastrointestinal bleeding is confirmed within 10 days of screening
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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)
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serologic test result (HIV, HAV, HBV, HCV, Syphilis infection) positive factor
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Patients unable to collect bone marrow due to bone marrow disease
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Those with a history of gentamicin hypersensitivity reaction
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Pregnant or lactating women
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Those with substance abuse experience within 1 year before screening
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Those who participated in other clinical trials within one month before screening and administered (or applied) clinical trial drugs (or medical devices)
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Those who previously participated in clinical trials related to cell therapy
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Patients judged to be inappropriate to participate in this clinical trial due to complications, etc., when judged by the investigator before screening or registration
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
활성 비교기: Control group
Best supportive care. |
Participants receive best supportive care. |
|
실험적: 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. |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Transplant free survival (TFS)
기간: 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
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Survival rate
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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Ⓡ
기간: 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
기간: 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
기간: 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
|
기타 결과 측정
기타 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
α-fetoprotein test
기간: 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
|
공동 작업자 및 조사자
수사관
수사관
- 수석 연구원: Moonyoung Kim, Wonju Severance Christian Hospital
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
키워드
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- PMC-P-07
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
Individual participant data will not be made available to other researchers.
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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