Effects of Adipose Derived Stem Cell Therapy in Women With Premature Ovarian Failure
试验速览
- 阶段
- 4 期
- 发起方
- 入组人数
- 4
- 试验地点
- 1
- 主要终点
- Antral follicle diameter
研究概览
简要总结
The purpose of this study is to determine whether Adipose Derived Stem Cells are effective in the treatment of Premature Ovarian Failure (POF). Stem cell transplantation has been reported to rescue ovarian function in a pre-clinical mouse model of chemotherapy-induced POF; however, maintaining the survival of transplanted cells in human ovarian tissues to enable the POF patients regain ovary function over the long-term and achieving a successful pregnancy remain a troublesome issue. In this study the investigators are aiming to determine whether the CD29+/CD44+ human Adipose Derived Stem Cells could later enable ovaries produce mature oocytes.
详细描述
The purpose of this study was to explore the therapeutic potency of the adipose derived stem cells (ADSC) transplantation for premature ovarian failure (POF) women underwent Autologous fat transplantation. The serum of each patient were kept and sent for laboratory test before the surgery. 100ml fat was harvested from the abdomen of POF patient using abdominal fat abortion. And ADSC were isolated and cultured in vitro using autologous serum. The biomarkers of ADSC, CD29 and CD44, were detected in the ADSC cultures using Flow cytometry detection. The ADSC were then transplanted directly into bilateral ovaries when cells reach a density of 5-10×106. The clinical conditions of patients were examined at 1, 2, 4 and 8 weeks after the transplantation. Ovarian functions were evaluated by follicle diameter and sexual hormone levels. The follicle number was counted and radiology data were kept for future analysis. To ensure high rate of pregnancy, intercourse under medical guidance may be suggested and hormone replacement treatment may be taken to help the patients conceive.
Main Outcome Measure(s): Serum FSH,LH,E2 levels, recurrence of Menstruation, Antral follicle diameter,and pregnancy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 39 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Clinical diagnosis of Premature Ovarian Failure
- •Patients show no response to drug treatment
- •Willing to receive follow up
- •Willing to conceive a baby
- •Age between 20 to 39
排除标准
- •Patients with few abdominal fat
- •Patients with chromosome abnormalities
- •Patients with congenital ovarian malformations
- •Patients with severe endometriosis
- •Patients with thyroid dysfunction
- •Patients with pregnancy contraindications
- •Patients with hormone replacement therapy contraindications
- •Patients with liposuction contraindications
- •Past history of ovarian tumors or after radiotherapy
- •Can not take the follow-up, or want to take other treatment during the follow-up period
- •Patients with immune system diseases
结局指标
主要结局
Antral follicle diameter
时间窗: within the first 30 weeks (plus or minus 10 weeks) after surgery
Antral follicle diameter were record using transvaginal ultrasound scan.
次要结局
未报告次要终点
研究者
Li-jun Ding
lecturer
Nanjing University