Human Umbilical Cord Mesenchymal Stem Cells Transplantation for Patients With Decompensated Liver Cirrhosis
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Purpose
Although liver transplantation provide a option to cure patients suffering with decompensated liver cirrhosis this condition, lack of donors, postoperative complications, especially rejection, and high cost limit its application. Bone marrow derived mesenchymal stem cells (BM-MSCs) have been shown to replace hepatocytes in injured liver, effectively rescued experimental liver failure and contributed to liver regeneration, which suggest the novel and promising therapeutic strategy In this study, the safety and efficacy of human umbilical cord mesenchymal stem cells (hUC-MSCs) transplantation for patients with decompensated liver cirrhosis will be evaluated.
| Condition | Intervention | Phase |
|---|---|---|
|
Liver Cirrhosis |
Biological: conventional therapy plus low dose hUC-MSCs treatment Biological: conventional therapy plus medium dose hUC-MSCs treatment Biological: conventional therapy plus high dose hUC-MSCs treatment |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase Ι/Π Study of Human Umbilical Cord Mesenchymal Stem Cells Transplantation for Patients With Decompensated Liver Cirrhosis |
- Overall Survival (OS) [ Time Frame: 1 year after treatment ] [ Designated as safety issue: No ]
- Liver function improvement [ Time Frame: 1 year after treatment ] [ Designated as safety issue: No ]
- The size of liver and the width of portal venous [ Time Frame: 1 year after treatment ] [ Designated as safety issue: No ]
- Incidence of hepatocellular carcinoma within 1 year [ Time Frame: 1 year after treatment ] [ Designated as safety issue: Yes ]
- Child-Pugh score, MELD score,SF36-quality of life (SF36-QOL) [ Time Frame: 1 year after treatment ] [ Designated as safety issue: No ]
- The clinical symptom improvement(including appetite, debilitation, abdominal distension, edema of lower limbs, et al ) [ Time Frame: 1 year after treatment ] [ Designated as safety issue: No ]
| Enrollment: | 20 |
| Study Start Date: | October 2010 |
| Study Completion Date: | October 2011 |
| Primary Completion Date: | July 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Conventional plus hUC-MSCs treatment (low dose) |
Biological: conventional therapy plus low dose hUC-MSCs treatment
patients will receive the conventional therapy plus low dose hUC-MSCs treatment
|
| Experimental: conventional therapy plus hUC-MSCs treatment (medium dose) |
Biological: conventional therapy plus medium dose hUC-MSCs treatment
patients will receive conventional therapy plus medium dose hUC-MSCs treatment
|
| Experimental: conventional therapy plus hUC-MSCs treatment (high dose) |
Biological: conventional therapy plus high dose hUC-MSCs treatment
patients will receive conventional therapy plus high dose hUC-MSCs treatment
|
Detailed Description:
To investigate the safety and efficacy of human umbilical cord mesenchymal stem cells transplantation in patients of decompensated liver cirrhosis.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Written informed consent.
- Aged 18-70 years.
- Decompensated liver cirrhosis, Child-Pugh B/C (7-12 points); or Meld score≦21.
- Expecting lifetime is over 2 months.
- Hepatitis B decompensated liver cirrhosis patients need antiviral therapy.
Exclusion Criteria:
- Severe drug allergic history or anaphylaxis.
- Severe problems in other vital organs(e.g. the heart, renal or lungs)
- Severe problems in psychiatric disease,such as Schizophrenia,et al
- Severe bacteria infection.
- Malignancies.
- Alcoholism or drug abuse.
- Plan to have liver transplantation in 3 months.
- Pregnancy
- Candidates who are participating in other study.
Contacts and Locations| China, Shanghai | |
| Shanghai Liver Disease Research Center, the Nanjing Military Command (Shanghai 85 Hospital) | |
| Shanghai, Shanghai, China, 200235 | |
| Principal Investigator: | Chengwei Chen | Shanghai Liver Disease Research Center, the Nanjing Military Command (Shanghai 85 Hospital) |
More Information
No publications provided
| Responsible Party: | Shenzhen Beike Bio-Technology Co., Ltd. |
| ClinicalTrials.gov Identifier: | NCT01342250 History of Changes |
| Other Study ID Numbers: | BKCR-LD-1.0(2010) |
| Study First Received: | April 21, 2011 |
| Last Updated: | October 13, 2011 |
| Health Authority: | China: Ministry of Health |
Keywords provided by Shenzhen Beike Bio-Technology Co., Ltd.:
|
Decompensated Liver Cirrhosis Umbilical Cord Mesenchymal Stem Cells |
Additional relevant MeSH terms:
|
Liver Cirrhosis Fibrosis Liver Diseases Digestive System Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on June 17, 2013