Badanie kliniczne oceniające skuteczność i bezpieczeństwo podawania Cellgram-LC pacjentom z alkoholową marskością wątroby (Cellgram-LC)
Wieloośrodkowe, randomizowane, otwarte badanie kliniczne III fazy w celu oceny skuteczności i bezpieczeństwa Cellgram-LC u pacjentów z alkoholową marskością wątroby
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.
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Faza 3
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: YUJEONG KIM
- Numer telefonu: 82-2-3496-0137
- E-mail: yjkim@pharmicell.com
Lokalizacje studiów
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Ansan, Korea Południowa
- Rekrutacyjny
- Korea University Ansan Hospital
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Kontakt:
- Sung-hee Kang
- Numer telefonu: +82-31-412-4996
- E-mail: shkang0114@gmail.com
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Bucheon-si, Korea Południowa
- Rekrutacyjny
- Soonchunhyang University Hospital
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Kontakt:
- Sang-gyun Kim
- E-mail: mcnulty@schmc.ac.kr
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Cheonan, Korea Południowa
- Zakończony
- Soonchunhyang University Hospital
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Chuncheon, Korea Południowa
- Zakończony
- Gangwon National University Hospital
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Chuncheon, Korea Południowa
- Rekrutacyjny
- Hallym Univ. Medical Center
-
Kontakt:
- Ki-tae Seok
- E-mail: diarrhea100@hanmail.net
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Gangneung-si, Korea Południowa
- Rekrutacyjny
- Gangneung Asan Hospital
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Kontakt:
- Gapjin Cheon
- E-mail: 1000@gnah.co.kr
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Seoul, Korea Południowa
- Rekrutacyjny
- Seoul National University Hospital
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Kontakt:
- Jeonghwan Yoon
- E-mail: yoonjh@snu.ac.kr
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Seoul, Korea Południowa
- Rekrutacyjny
- Korea University Anam Hospital
-
Kontakt:
- Yeonseok Seo
- E-mail: drseo@korea.ac.kr
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Seoul, Korea Południowa
- Jeszcze nie rekrutacja
- Severance Hospital
-
Kontakt:
- Seung-Up Kim
- Numer telefonu: +82-2-2228-1982
- E-mail: ksukorea@yuhs.ac
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Seoul, Korea Południowa
- Rekrutacyjny
- Gangnam Severance Hospital
-
Kontakt:
- Hyun-Woong Lee
- Numer telefonu: +82-2-2019-3315
- E-mail: LHWDOC@yuhs.ac
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Seoul, Korea Południowa
- Rekrutacyjny
- Soonchunhyang University Hospital
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Kontakt:
- Jaeyoung Jang
- E-mail: jyjang@schmc.ac.kr
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Seoul, Korea Południowa
- Rekrutacyjny
- Eunpyeong St. Mary's Hospital
-
Kontakt:
- Sihyeon Bae
- E-mail: baesh@catholic.ac.kr
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Seoul, Korea Południowa
- Rekrutacyjny
- Seoul St. Mary's Hospital
-
Kontakt:
- Jung-Won Jang
- Numer telefonu: +82-2-2258-6015
- E-mail: garden@catholic.ac.kr
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Wŏnju, Korea Południowa
- Rekrutacyjny
- Wonju Severance Christian Hospital
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Kontakt:
- Moonyoung Kim
- E-mail: drkimmy@yonsei.ac.kr
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Pod-śledczy:
- Sun-gu Baek
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Yŏngin, Korea Południowa
- Rekrutacyjny
- Yongin Severance Hospital
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Kontakt:
- Jakyung Kim
- E-mail: ceciliak@yuhs.ac
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
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
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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
-
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)
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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
-
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
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
|
Aktywny komparator: Control group
Best supportive care. |
Participants receive best supportive care. |
|
Eksperymentalny: 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. |
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Transplant free survival (TFS)
Ramy czasowe: 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
|
Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Survival rate
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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Ⓡ
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
|
Inne miary wyników
Inne miary wyników
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
α-fetoprotein test
Ramy czasowe: 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
|
Współpracownicy i badacze
Sponsor
Sponsor
Śledczy
Śledczy
- Główny śledczy: Moonyoung Kim, Wonju Severance Christian Hospital
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Procesy patologiczne
- Choroby Układu Pokarmowego
- Choroby wątroby
- Zaburzenia związane z substancjami
- Zaburzenia wywołane chemicznie
- Zaburzenia związane z alkoholem
- Zwłóknienie
- Choroby wątroby, alkoholizm
- Zaburzenia wywołane alkoholem
- Stany patologiczne, oznaki i objawy
- Marskość wątroby
- Marskość wątroby, alkoholizm
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- PMC-P-07
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Individual participant data will not be made available to other researchers.
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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