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Mucosal regeneration therapy by autologous intestinal stem cell transplantation to inflammatory bowel disease patients.

Not Applicable
Conditions
lcerative colitis
Registration Number
JPRN-jRCTb032190207
Lead Sponsor
Okamoto Ryuichi
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
All
Target Recruitment
8
Inclusion Criteria

(1) Acquirement of patient-signed formal approvement at study entry.
(2) Age over 20 at study entry.
(3) Satisfy the diagnostic criteria for ulcerative colitis.
(4) Limited clinical efficacy, reduction of efficacy or intolerance to the following drugs: Corticosteroids, Immunomodulators (tacrolimus, azathioprine, 6-mercaptopurine), anti-TNF antibodies (infliximab, adalimumab, golimumab), tofacitinib, vedolizumab, and ustekinumab.
(5) Sustained colonic ulcer (over 5mm diameter) confirmed by colonoscopy performed within 4-weeks from study entry.

Exclusion Criteria

(1) Past history of colectomy.
(2) Planning or awaiting colectomy.
(3) Satisfies contraindication criteria for colonoscopy.
(4) Failure to confirm the presence of sustained colonic ulcer (over 5mm diameter) by colonoscopy performed within 4-weeks from study entry.
(5) Presence of gastrointestinal dysplasia.
(6) Complication of colitis other than ulcerative colitis.
(7) Failure to confirm the presence of un-inflamed region by colonoscopy performed within 4-weeks from study entry.
(8) Positive results for HHV6 and/or HHV7 infection acquired from colonic mucosal biopsies taken during the colonoscopy performed within 4-weeks from study entry.
(9) Presence of active infection.
(10) Poor general condition.
(11) Past history or suspected presence of malignancy within 5 years from study entry.
(12) Having difficulty in making self-decision due to diseases such as dementia.
(13) Pregnant or lactating women, including suspected pregnancy or those anticipating pregnancy.
(14) Allergy against Neoveil or Beriplast.
(15) Allergy against aprotinin, thrombin, fibrinogen, or polyglycolic acid.
(16) Allergy against penicillin, gentamycin or streptomycin.
(17) Under treatment with antithrombotic drugs.
(18) Under treatment either with hemocoagulase, epsilon aminocaproic acid, tranexamic acid, or aprotinin.
(19) Recommended to be excluded by the study director or other study members.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Safety: Evaluation of adverse events observed from study entry to 52 weeks after autologous intestinal stem cell transplantation.
Secondary Outcome Measures
NameTimeMethod
Efficacy: Endoscopic improvement and/or histological improvement
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