A Molecule Basic Study of Early Warning for New Pathogenic Risk of Ankylosing Spondylitis
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Purpose
The investigators will recruit active ankylosing spondylitis patients for injection treatment of Human Mesenchymal Stem Cells (a prospective, open-label, masculine medicine controlled(NSAIDs), clinical trial), and collect their Peripheral Blood Lymphocyte (PBMCs) and sera before and after the treatment of 24 weeks to test the gene expression profiles and study related pathogenesis of AS
| Condition | Intervention |
|---|---|
|
Ankylosing Spondylitis |
Biological: MSC Drug: "celecoxib", "Celebrex®" |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Bio-availability Study Intervention Model: Parallel Assignment Masking: Open Label |
| Official Title: | A Molecule Basic Study of Early Warning for New Pathogenic Risk of Ankylosing Spondylitis |
- the proportion of patients which disease activity reaches ASAS(assessment in ankylosing Spondylitis)20 remission criteria [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- BASDAI score comparing to baseline [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- BASFI score comparing to baseline [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 120 |
| Study Start Date: | March 2012 |
| Estimated Study Completion Date: | May 2013 |
| Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: MSC plus NSAID
human mesenchymal stem cells:1*10^4-6 cells /Kg , IV (in the vein) on day 1 of each 14-60 day cycle,1-6 times treatment, plus non-steroid anti-inflammatory drugs (NSAID: "celecoxib", "Celebrex®" 0.2g Bid(twice a day),PO (Per Os). Duration of treatment:24 weeks for follow up. collect peripheral blood (PBMCs and serums)of those patients at baseline and every 4 weeks for basic study after they signed informed consent. |
Biological: MSC
human mesenchymal stem cells,1*10^4-6 cells /Kg , IV (in the vein) on day 1 of each 14-60 day cycle,1-6 times treatment. a total of 24 weeks for follow up. non-steroid anti-inflammatory drugs (NSAID):"celecoxib", "Celebrex®" 0.2g Bid(twice a day),PO (Per Os);a total of 24 weeks for follow up
|
|
Experimental: NSAID
non-steroid anti-inflammatory drugs (NSAID: "celecoxib", "Celebrex®" 0.2g Bid(twice a day),PO (Per Os);a total of 24 weeks for follow up;collect peripheral blood (PBMCs and serums)of those patients at baseline and every 4 weeks for basic study after they signed informed consent.
|
Drug: "celecoxib", "Celebrex®"
non-steroid anti-inflammatory drugs (NSAID):"celecoxib", "Celebrex®" 0.2g Bid(twice a day),PO (Per Os);a total of 24 weeks for follow up
|
Eligibility| Ages Eligible for Study: | 16 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Aged from 16-65 years, sign the Informed Consent
- Fulfill 1984 modified NewYork classification criteria for AS
- Have an active refractory disease defined by a score ≥40 on the Bath AS Disease Activity Index (BASDAI) (0-100) despite optimal non-steroidal anti-inflammatory drug (NSAID) treatment.
- Commitment to contraceptive for woman
Exclusion Criteria:
- Completely stiff spine
- Received spinal or joint surgery within 2 months
- Received anti-TNF therapy within 3 months
- History of the listed diseases: heart failure, Multiple sclerosis, severe chronic obstructive pulmonary disease, frequent infections, lymphoma or other cancers, tuberculosis
- Female of pregnancy or breast feeding
- Hb≤ 9g/dl for male or Hb ≤ 8.5 g/dl for male, ALT/AST≥2folds of upper level normal range, Creatine≥120mol/L(≤1.4mg/dl)
Contacts and Locations| Contact: Jieruo Gu, M.D. | +8620-85252055 | gujieruo@163.com |
| China, Guangdong | |
| Department of Rheumatology, the Third Affiliated Hospital of Sun Yat-sen University | Recruiting |
| Guangzhou, Guangdong, China | |
| Contact: Jieruo Gu, M.D. +8620-85252055 gujieruo@163.com | |
| Principal Investigator: Jieruo Gu, M.D. | |
| Principal Investigator: | Jieruo Gu, M.D. | Department of Rheumatology , Third Affiliated Hospital of Sun Yat-sen University |
More Information
No publications provided
| Responsible Party: | Gu Jieruo, Department of Rheumatology, Third Affiliated Hospital of Sun Yat-sen University, Sun Yat-sen University |
| ClinicalTrials.gov Identifier: | NCT01709656 History of Changes |
| Other Study ID Numbers: | [2012]2-31 |
| Study First Received: | October 10, 2012 |
| Last Updated: | October 16, 2012 |
| Health Authority: | China: Food and Drug Administration |
Additional relevant MeSH terms:
|
Spondylitis Spondylitis, Ankylosing Bone Diseases, Infectious Infection Bone Diseases Musculoskeletal Diseases Spinal Diseases Spondylarthropathies Spondylarthritis Ankylosis Joint Diseases Arthritis Celecoxib Anti-Inflammatory Agents |
Anti-Inflammatory Agents, Non-Steroidal Therapeutic Uses Pharmacologic Actions Analgesics, Non-Narcotic Analgesics Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Antirheumatic Agents Cyclooxygenase 2 Inhibitors Cyclooxygenase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Central Nervous System Agents |
ClinicalTrials.gov processed this record on May 19, 2013