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Transhepatic arterial administration of G-CSF mobilized autologous peripheral blood CD34 positive cells in patients with hepatitis C virus-related liver cirrhosis

Phase 1
Conditions
Decompensated liver cirrhosis (Hepatitis C virus-related)
Registration Number
JPRN-UMIN000028965
Lead Sponsor
Kurume University School of Medicine
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up continuing
Sex
All
Target Recruitment
24
Inclusion Criteria

Not provided

Exclusion Criteria

1) Patients with HCV-related liver cirrhosis or cryptogenic liver cirrhosis 2) Patients who are positive for HBs-Ag, HIV-Ab, HTLV1-Ab, serological test for syphilis and HBc-Ab (CLIA method >10.00 S/CO) 3) Patients with alcoholic drinkers, Patients with a Child-Pugh Score less than or equal to 6 points in whom further improvement with abstinence for more than 6 months. 4) Patients complicated of malignant tumor or patients with a history of malignant tumor within 5 years (However, for patients with a history of intraepithelial carcinoma [e.g., colon mucosal cancer] and hepatocellular carcinoma, which are negative for AFP and PIVKA-II, is not excluded) 5) Total bilirubin> 5.0 mg/dL 6) Prothrombin time less than 30% 7) Serum creatinine> 2.0 mg/dL 8) Hemoglobin less than 8 g/dL 9) Platelet less than 20,000 / uL 10) Patients who have splenomegaly with longitudinal spleen diameter more than 15 cm by abdominal CT 11) Patients who have gastrointestinal bleeding or patients who may cause bleeding in the gastrointestinal tract 12) Patients with portal vein thrombosis 13) Patients currently suffering from or having a history of interstitial pneumonia 14) Patients with hematological disease (leukemia, myeloproliferative disease, myelodysplastic syndrome or sickle cell anemia) 15) Patients with autoimmune disease 16) Patients with less than 3 months since last episode of unstable angina, myocardial/cerebral infarction, Patients with less than 3 months since coronary artery/carotid artery/intracranial artery stenting 17) Patients with proliferative diabetic retinopathy 18) Patients with a history of severe allergic reactions or side effects to G-CSF, apheresis, or a contrast agents 19) Pregnant women, lactating women, patients who may be pregnant, female patients planning pregnancy during the study period 20) Any other reason that the Clinical Supervision or Clinical Researchers may have for considering a case unsuitable for the study

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
on-exacerbation rate of Child-Pugh score at 24 weeks after treatment
Secondary Outcome Measures
NameTimeMethod
1) Child-Pugh Score 2) MELD Score 3) Ascites by abdominal ultrasonography and abdominal CT 4) Serum albumin, total protein, total bilirubin value and PT-INR 5) Serum hyaluronic acid and type-IV collagen 6) QOL evaluation by SF-36v2 7) Portal blood flow and velocity by abdominal ultrasonography 8) Death due to liver cirrhosis and all deaths 9) Onset of hepatocellular carcinoma 10) Performance and bugs of magnetic cell separation device
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