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Clinical Study of Umbilical Cord Blood Mononuclear Cell Therapy for the Treatment of Chronic Atrophic Gastritis

Not Applicable
Active, not recruiting
Conditions
Chronic Atrophic Gastritis
Interventions
Biological: Mononuclear cells
Drug: Weifuchun+Hydrotalcite/L-Glutamine and Sodium Gualenate Granules
Registration Number
NCT05808010
Lead Sponsor
Shandong Provincial Hospital
Brief Summary

To evaluate the efficacy and safety of umbilical cord blood mononuclear cells in the treatment of chronic atrophic gastritis.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  1. Subjects voluntarily participated in the study and signed an informed consent.
  2. The age is 18-65 years old, regardless of gender.
  3. Patients with chronic atrophic gastritis by gastroscopy and pathological examination.
  4. Patients with a negative C13 breath test or have eradicated Helicobacter pylori infection.
  5. Patients without contraindications to submucosal injection of umbilical cord blood derived mononuclear cells.
Exclusion Criteria
  1. Patients with gastric ulcer, erosive gastritis, active upper gastrointestinal bleeding, gastric varices, or other gastric tumors.
  2. Patients who are taking or have taken proton pump inhibitors, antibiotics, glucocorticoids, nonsteroidal anti-inflammatory drugs and immunosuppressants in the last six months.
  3. People who have had gastric surgery or required gastric surgery during the study.
  4. Patients with severe systemic diseases (diseases of cardiovascular, liver, blood, kidneys, lungs or liver).
  5. Pregnant or nursing females.
  6. Patients who are reluctant to accept endoscopy and treatment.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Mononuclear cells+Weifuchun+Hydrotalcite/L-Glutamine and Sodium Gualenate GranulesMononuclear cells-
Mononuclear cells+Weifuchun+Hydrotalcite/L-Glutamine and Sodium Gualenate GranulesWeifuchun+Hydrotalcite/L-Glutamine and Sodium Gualenate Granules-
Mononuclear cellsMononuclear cellsMononuclear cells are obtained from umbilical cord blood by density gradient centrifugation
Weifuchun+Hydrotalcite/L-Glutamine and Sodium Gualenate GranulesWeifuchun+Hydrotalcite/L-Glutamine and Sodium Gualenate GranulesWeifuchun is a kind of edible Chinese herbal prescription
Primary Outcome Measures
NameTimeMethod
Change from baseline OLGA/OLGIM stages of gastric mucosaAt the first, seventh and thirteenth month of treatment

Assessment of OLGA/OLGIM stages by GI pathologists. The obtained biopsy specimens will be scored using visual analogue scale (0, 1, 2, 3 points for none, mild, moderate and severe, respectively) to evaluate gastroatrophy and gastrointestinal metaplasia

Change from baseline gastric mucosal status under gastroscopeAt the first, seventh and thirteenth month of treatment

Assessment of Kimura-Takemoto classification by endoscopy. The variation of atrophy can reflect the extent and degree of atrophy. The severity of atrophy increases gradually with C1-C2-C3-O1-O2-O3. Cases of closed-type gastric mucosa atrophy have an atrophic boundary between the fundic mucosa and the pyloric mucosa in the antrum or less curvature of the gastric body. Cases of open-type gastric mucosa atrophy have an atrophic boundary in the lateral wall or greater curvature of the gastric body. C, closed; O, open

Secondary Outcome Measures
NameTimeMethod
Change from baseline blood test resultAt the first, seventh and thirteenth month of treatment

Assessment of Gastrin-17 and Pepsinogen I/II

Incidence of adverse reactionsThrough follow-up period completion, an average of 1 year

Assessment of incidence of adverse reactions

Trial Locations

Locations (1)

Shandong Provincial Hospital

🇨🇳

Jinan, Shandong, China

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