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临床试验/NCT02448121
NCT02448121Unknown1 期

Treatment for Hip, Knee, Ankle and Shoulder Osteonecrosis With Autologous Mononuclear Cells Transplantation in People With Sickle Cell Disease

Federal University of Bahia0 个研究点目标入组 100 人开始时间: 2006年8月1日最近更新:
适应症
干预措施

试验速览

阶段
1 期
发起方
入组人数
100
主要终点
Change in Functional / Clinical Score of 10 points or more

研究概览

简要总结

The purpose of this study is to evaluate the safety and efficacy of autologous bone marrow stem cells in sickle cell disease patients with osteonecrosis

详细描述

The aim of this study is to evaluate autologous bone marrow stem cells transplantation as a safe and potentially beneficial treatment for sickle cell disease patients with osteonecrosis.

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
18 Years 至 55 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Stable sickle cell disease patients
  • FICAT classification of osteonecrosis, inclusive of Stage II.
  • Diagnosis will be based on X-Ray and magnetic resonance imaging (MRI).
  • No infection in affected bones at the time of surgery.
  • Patient competent to give informed consent.
  • Scoring at least 20 points on the pain and daily life activities questionnaire.

排除标准

  • FICAT stage III or more
  • Patients with a history of corticosteroids or on active therapy
  • Bone infection at the limb affected by necrosis
  • Recurrent painful crises,
  • Immunosuppressive drug therapy,
  • Pregnancy,
  • Presence of neoplastic disease or any other clinical concurrent condition other than sickle cell disease that predisposed them to the development of osteonecrosis of the femoral head

研究组 & 干预措施

Autologous bone marrow stem cell graft

Experimental

Autologous bone marrow stem cell implantation

干预措施: Autologous bone marrow stem cell graft (Procedure)

结局指标

主要结局

Change in Functional / Clinical Score of 10 points or more

时间窗: 60 months

Standardized and objective scoring system to rate patient's functional abilities

次要结局

  • Numeric pain intensity scale (0-10)(60 months)
  • Disease progression defined as progression to a fractural stage of osteonecrosis(60 months)
  • Reoperation rate(60 months)
  • Radiological progression(60 months)

研究者

发起方
Federal University of Bahia
申办方类型
Other
责任方
Principal Investigator
主要研究者

Vitor Fortuna

PhD

Federal University of Bahia

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