Klinisk studie for å evaluere effektiviteten og sikkerheten til Cellgram-LC-administrasjon hos pasienter med alkoholisk cirrhose (Cellgram-LC)
En multisenter, randomisert, åpen fase III klinisk studie for å evaluere effektiviteten og sikkerheten til Cellgram-LC hos pasienter med alkoholisk levercirrhose
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.
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Studietype
Studietype
Registrering (Antatt)
Registrering
Fase
Fase
- Fase 3
Kontakter og plasseringer
Studiekontakt
Studiekontakt
- Navn: YUJEONG KIM
- Telefonnummer: 82-2-3496-0137
- E-post: yjkim@pharmicell.com
Studiesteder
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Ansan, Sør -Korea
- Rekruttering
- Korea University Ansan Hospital
-
Ta kontakt med:
- Sung-hee Kang
- Telefonnummer: +82-31-412-4996
- E-post: shkang0114@gmail.com
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Bucheon-si, Sør -Korea
- Rekruttering
- Soonchunhyang University Hospital
-
Ta kontakt med:
- Sang-gyun Kim
- E-post: mcnulty@schmc.ac.kr
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Cheonan, Sør -Korea
- Avsluttet
- Soonchunhyang University Hospital
-
Chuncheon, Sør -Korea
- Avsluttet
- Gangwon National University Hospital
-
Chuncheon, Sør -Korea
- Rekruttering
- Hallym Univ. Medical Center
-
Ta kontakt med:
- Ki-tae Seok
- E-post: diarrhea100@hanmail.net
-
Gangneung-si, Sør -Korea
- Rekruttering
- Gangneung Asan Hospital
-
Ta kontakt med:
- Gapjin Cheon
- E-post: 1000@gnah.co.kr
-
Seoul, Sør -Korea
- Rekruttering
- Seoul National University Hospital
-
Ta kontakt med:
- Jeonghwan Yoon
- E-post: yoonjh@snu.ac.kr
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Seoul, Sør -Korea
- Rekruttering
- Korea University Anam Hospital
-
Ta kontakt med:
- Yeonseok Seo
- E-post: drseo@korea.ac.kr
-
Seoul, Sør -Korea
- Har ikke rekruttert ennå
- Severance Hospital
-
Ta kontakt med:
- Seung-Up Kim
- Telefonnummer: +82-2-2228-1982
- E-post: ksukorea@yuhs.ac
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Seoul, Sør -Korea
- Rekruttering
- Gangnam Severance Hospital
-
Ta kontakt med:
- Hyun-Woong Lee
- Telefonnummer: +82-2-2019-3315
- E-post: LHWDOC@yuhs.ac
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Seoul, Sør -Korea
- Rekruttering
- Soonchunhyang University Hospital
-
Ta kontakt med:
- Jaeyoung Jang
- E-post: jyjang@schmc.ac.kr
-
Seoul, Sør -Korea
- Rekruttering
- Eunpyeong St. Mary's Hospital
-
Ta kontakt med:
- Sihyeon Bae
- E-post: baesh@catholic.ac.kr
-
Seoul, Sør -Korea
- Rekruttering
- Seoul St. Mary's Hospital
-
Ta kontakt med:
- Jung-Won Jang
- Telefonnummer: +82-2-2258-6015
- E-post: garden@catholic.ac.kr
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Wŏnju, Sør -Korea
- Rekruttering
- Wonju Severance Christian Hospital
-
Ta kontakt med:
- Moonyoung Kim
- E-post: drkimmy@yonsei.ac.kr
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Underetterforsker:
- Sun-gu Baek
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Yŏngin, Sør -Korea
- Rekruttering
- Yongin Severance Hospital
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Ta kontakt med:
- Jakyung Kim
- E-post: ceciliak@yuhs.ac
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Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
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
-
Patients with alcohol consumption or hepatotoxic drugs within 6 months prior to screening
-
Persons taking high-dose steroids, immunosuppressants, or antimicrobials due to severe infections for at least 1 month of screening
-
Those who have major surgical operations, long-term biopsy, or significant trauma as judged by the investigator within 3 months before screening
-
Those whose history of gastrointestinal bleeding is confirmed within 10 days of screening
-
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)
-
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)
-
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
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
|
Aktiv komparator: Control group
Best supportive care. |
Participants receive best supportive care. |
|
Eksperimentell: 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. |
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Transplant free survival (TFS)
Tidsramme: 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
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Survival rate
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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Ⓡ
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
α-fetoprotein test
Tidsramme: 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
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Etterforskere
Etterforskere
- Hovedetterforsker: Moonyoung Kim, Wonju Severance Christian Hospital
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Studiestart
Primær fullføring (Antatt)
Primær fullføring
Studiet fullført (Antatt)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
Andre studie-ID-numre
- PMC-P-07
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
IPD-planbeskrivelse
Individual participant data will not be made available to other researchers.
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