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Safety and Efficacy of Human Bone Marrow Stem Cells for Treatment of HBV-related Liver Cirrhosis

Phase 1
Conditions
Liver Cirrhosis
End Stage Liver Disease
Interventions
Other: conventional treatment & antivrial treatment
Other: BMSC transplantation
Registration Number
NCT01724697
Lead Sponsor
Air Force Military Medical University, China
Brief Summary

HBV related Liver disease is a common medical problem in China. An estimated 7.18% of the Chinese (about 93 million) is infected with hepatitis B, and most of the HBV- related hepatitis can developed into liver cirrhosis.

Liver transplantation is the only available life saving treatment for patients with end stage liver disease. However, lack of donors, surgical complications, rejection, and high cost are serious problems.

stem cells(SCs) possess plasticity and have the potential to differentiate into hepatocyte; Thus, SCs hold great hope for therapeutic applications. Adult bone marrow is the most common source of SCs for clinical applications.Previous study showed that bone marrow derived stem cells (BMSCs) replace hepatocytes in injured liver, and effectively rescue experimental liver failure and contribute to liver regeneration. In this study, the patients with HBV-related liver cirrhosis will undergo administration of human autologous BMSCs via hepatic artery to evaluate the safty and efficacy of human autologous BMSCs treatment for these patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
240
Inclusion Criteria
  1. Aged 18-65 years
  2. HBV-related liver cirrhosis
  3. Child-Pugh score 9-15
  4. Written consent
Exclusion Criteria
  1. Hepatocellular carcinoma or other malignancies
  2. Severe problems in other vital organs(e.g.theheart,renal or lungs)
  3. Pregnant or lactating women
  4. Severe bacteria infection
  5. Anticipated with difficulty of follow-up observation
  6. Other candidates who are judged to be not applicable to this study by doctors

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
conventional treatmentconventional treatment & antivrial treatmentconventional treatment \& antivrial treatment.
BMSC transplantationBMSC transplantationconventional treatment \& antiviral treatment \& autologous bone marrow stem cell transplantation via hepatic artery
Primary Outcome Measures
NameTimeMethod
one year survival rateone year after treatment
Secondary Outcome Measures
NameTimeMethod
AFP1week, 4weeks, 3months, 6months, 9 months and 1year after treatment
MELD score1week, 4weeks, 3months, 6months, 9 months and 1year after treatment
renal function1week, 4weeks, 3months, 6months, 9 months and 1year after treatment
child score1week, 4weeks, 3months, 6months, 9 months and 1year after treatment

Trial Locations

Locations (1)

Xijing Hospital of Digestive Disease

🇨🇳

Xi'an, Shaanxi, China

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