评估 Cellgram-LC 在酒精性肝硬化患者中的疗效和安全性的临床试验 (Cellgram-LC)
评估 Cellgram-LC 在酒精性肝硬化患者中的疗效和安全性的多中心、随机、开放标签 III 期临床试验
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.
研究概览
研究类型
注册 (估计的)
阶段
- 第三阶段
联系人和位置
学习联系方式
- 姓名:YUJEONG KIM
- 电话号码:82-2-3496-0137
- 邮箱:yjkim@pharmicell.com
学习地点
-
-
-
Ansan、韩国
- 招聘中
- Korea University Ansan Hospital
-
接触:
- Sung-hee Kang
- 电话号码:+82-31-412-4996
- 邮箱:shkang0114@gmail.com
-
Bucheon-si、韩国
- 招聘中
- Soonchunhyang University Hospital
-
接触:
- Sang-gyun Kim
- 邮箱:mcnulty@schmc.ac.kr
-
Cheonan、韩国
- 终止
- Soonchunhyang University Hospital
-
Chuncheon、韩国
- 终止
- Gangwon National University Hospital
-
Chuncheon、韩国
- 招聘中
- Hallym Univ. Medical Center
-
接触:
- Ki-tae Seok
- 邮箱:diarrhea100@hanmail.net
-
Gangneung-si、韩国
- 招聘中
- Gangneung Asan Hospital
-
接触:
- Gapjin Cheon
- 邮箱:1000@gnah.co.kr
-
Seoul、韩国
- 招聘中
- Seoul National University Hospital
-
接触:
- Jeonghwan Yoon
- 邮箱:yoonjh@snu.ac.kr
-
Seoul、韩国
- 招聘中
- Korea University Anam Hospital
-
接触:
- Yeonseok Seo
- 邮箱:drseo@korea.ac.kr
-
Seoul、韩国
- 尚未招聘
- Severance Hospital
-
接触:
- Seung-Up Kim
- 电话号码:+82-2-2228-1982
- 邮箱:ksukorea@yuhs.ac
-
Seoul、韩国
- 招聘中
- Gangnam Severance Hospital
-
接触:
- Hyun-Woong Lee
- 电话号码:+82-2-2019-3315
- 邮箱:LHWDOC@yuhs.ac
-
Seoul、韩国
- 招聘中
- Soonchunhyang University Hospital
-
接触:
- Jaeyoung Jang
- 邮箱:jyjang@schmc.ac.kr
-
Seoul、韩国
- 招聘中
- Eunpyeong St. Mary's Hospital
-
接触:
- Sihyeon Bae
- 邮箱:baesh@catholic.ac.kr
-
Seoul、韩国
- 招聘中
- Seoul St. Mary's Hospital
-
接触:
- Jung-Won Jang
- 电话号码:+82-2-2258-6015
- 邮箱:garden@catholic.ac.kr
-
Wŏnju、韩国
- 招聘中
- Wonju Severance Christian Hospital
-
接触:
- Moonyoung Kim
- 邮箱:drkimmy@yonsei.ac.kr
-
副研究员:
- Sun-gu Baek
-
Yŏngin、韩国
- 招聘中
- Yongin Severance Hospital
-
接触:
- Jakyung Kim
- 邮箱:ceciliak@yuhs.ac
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
-
Patients unable to collect bone marrow due to bone marrow disease
-
Those with a history of gentamicin hypersensitivity reaction
-
Pregnant or lactating women
-
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)
-
Those who previously participated in clinical trials related to cell therapy
-
Patients judged to be inappropriate to participate in this clinical trial due to complications, etc., when judged by the investigator before screening or registration
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
有源比较器:Control group
Best supportive care. |
Participants receive best supportive care. |
|
实验性的: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. |
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Transplant free survival (TFS)
大体时间: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
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Survival rate
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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Ⓡ
大体时间: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
大体时间: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
大体时间: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
|
其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
α-fetoprotein test
大体时间: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
|
合作者和调查者
调查人员
- 首席研究员:Moonyoung Kim、Wonju Severance Christian Hospital
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- PMC-P-07
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
IPD 计划说明
Individual participant data will not be made available to other researchers.
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.