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临床试验/NL-OMON48876
NL-OMON48876招募中2 期

Allogeneic bone marrow derived mesenchymal stromal cells for the treatment of refractory proctitis in Ulcerative Colitis - BMMSC proctitis

eids Universitair Medisch Centrum0 个研究点目标入组 14 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
招募中
入组人数
14

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • a) Men and women >= 18 years of age;
  • b) Patient must have ulcerative colitis confirmed by endoscopic and histologic evidence;
  • c) Inflammation must be limited to the rectum (up to 15 cm beyond the anal verge), confirmed by endoscopy maximum 3 months before baseline (slight inflammation in other parts of the colon is accepted with a maximum Mayo Score of 1);
  • d) Moderate to severe proctitis indicated by a Mayo Score of 2 or 3;
  • e) Proctitis must be refractory to conventional medical therapy. Which means that at some time during the course of the disease, patient must have received rectal 5-ASA therapy and rectal corticosteroid therapy for at least 4 weeks which did not result in an adequate response to treatment;
  • f) If treated with rectal therapy, therapy must be stopped two weeks before endoscopic implantation of MSCs and only restarted after 6 weeks;
  • g) If treated with oral 5-ASA therapy, dose must be stable for 4 weeks prior to study entry and remain on same dose during the first 6 weeks after MSC treatment;
  • h) If treated with oral corticosteroids, dose must be stable for 2 weeks prior to study entry and remain on same dose during the first 6 weeks after MSC treatment;
  • i) If treated with 6-mercaptopurine, methotrexate, azathioprine, vedolizumab or anti-TNF therapy patients must have been on medication for 3 months and a stable dose for 2 months prior to study entry and remain on same dose during the first 6 weeks after MSC treatment;
  • j) If female and of child-bearing age, patient must be non-pregnant, non-breastfeeding, and use adequate contraception;
  • k) Patient is willing to participate in the study and has signed the informed consent.
  • Consent must be obtained prior to any study procedure.

排除标准

  • a) Patients suffering from renal- or hepatic failure;
  • b) Use of any investigational drug within 1 month prior to screening or within 5 half-lives of the investigational agent, whichever is longer;
  • c) Positive stool culture for enteric pathogens (salmonella, shigella, and campylobacter), positive C. difficile toxin, or positive stool ova and parasite exam;
  • d) All active infections requiring treatment;
  • e) Patients who had tuberculosis or an opportunistic infection (e.g., herpes zoster [shingles], cytomegalovirus, Pneumocystis carinii, aspergillosis, histoplasmosis) within 6 months prior to screening;
  • f) Malignancy within the past 5 years (except for squamous or basal cell carcinoma of the skin that has been treated with no evidence of recurrence);
  • g) Any dysplasia in the colon in the past 5 years, except for a successfully removed sporadic adenoma;
  • h) Very severe proctitis; expected to result in hospitalization/ surgery within 3 months;
  • i) Previous treatment with allogeneic MSCs;
  • j) Any other condition which in the opinion of the investigator would make the patient unsuitable for enrollment, or could interfere with the patient participating in and completing the study;
  • k) Patient is unwilling or unable to comply with the study procedures.

研究者

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