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Safety and Efficacy Study of Umbilical Mesenchymal Stem Cells for Liver Cirrhosis

Phase 1
Conditions
Liver Cirrhosis
Interventions
Biological: mesenchymal stem cells
Biological: Conventional therapy
Registration Number
NCT01573923
Lead Sponsor
Alliancells Bioscience Corporation Limited
Brief Summary

Liver cirrhosis and subsequent liver failure are leading causes of morbidity and mortality worldwide. Alcohol abuse and viral hepatitis are the most common causes of cirrhosis. Novel therapies are necessary to prevent or block the process of the disease. In this current prospective cohort, the investigators plan to organize four hospitals to determine the safety and efficacy of intravenous administration of umbilical mesenchymal stem cells in the treatment of patients with liver cirrhosis in next three years.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
320
Inclusion Criteria
  • written informed consent
  • aged 30-60 years
  • clinical diagnosis of compensated or decompensated liver
  • child-Pugh B/C (7-12 points)
  • expecting lifetime is over three years
Exclusion Criteria
  • pregnant woman
  • patient with severe vascular diseases
  • patient with any organ failure
  • patient with any tumors
  • patient with HIV
  • patient who has been transplanted
  • patient treated with immunosuppressors
  • patient for whom the follow-up is considered impossible
  • patients with any disease or condition which the investigator or treating physician feels would interfere with the trial or the safety of the subject

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
mesenchymal stem cellsmesenchymal stem cellscombination of conventional therapy with umbilical mesenchymal stem cells intravenous injection, (4x107/40ml, once per three months, four times in one year)
Conventional therapyConventional therapyonly apply for conventional medical therapy without any cell therapy
Primary Outcome Measures
NameTimeMethod
survival time3-year follow up
Secondary Outcome Measures
NameTimeMethod
Serum markers regarding lipid and sugar profile0, 3, 6, 9 and 12 months

Total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), triglycerides (TG), very low density lipoprotein cholesterol (VLDL-C), and Non-HDL-C; blood sugar;

Serum markers regarding cytokine profile0, 3, 6, 9 and 12 months

IL-1β, IL-4, IL-6, IL-8, IL-10, IL-12(p40), IL-15, IL-17A, TNFα, TNFβ, IFN-γ, RANTES, TGFβ, lymphotactin, and C-reactive protein level (CRP)

Serum markers regarding liver and kidney function0, 3, 6, 9 and 12 months

liver functions:Albumin (ALB), Alanine aminotransferase (ALT), Aspartate Aminotransferase (AST), Prealbumin(PA), total bilirubin (TB), and direct bilirubin (DB) kidney function:Blood urea nitrogen (BUN), Urea (UA), and Crea (Cr)

Serum levels of Hepatitis B and C0, 3, 6, 9 and 12 months

Serum levels of Hepatitis B and C

tolerance and the adverse events3-year follow up

The classification for uncomfortable reaction is: 0, no discomfort; 1, slightly unwell, does not affect daily life; 2, moderate discomfort, affects daily life and work; 3, moderately unwell, significantly affects life, and bed rest; 4, severely unwell, life-threatening.

A serious adverse event is defined as fatal, life threatening, permanently disabling, and tumors, particularly hepatocellular carcinoma.

Changes of any clinical symptoms3-year follow up

abdominal distension, appetite, debilitation, and edema of lower limbs.

Trial Locations

Locations (6)

the First Affiliated Hospital of Lanzhou University

🇨🇳

Lanzhou, Gansu, China

Hainan BOAO Life infinity international anti-aging medical center

🇨🇳

Qionghai, Hainan, China

The 302 Hospital of Chinese People's Liberation Army

🇨🇳

Beijing, Beijing, China

The first people's hospital of Lianyungang

🇨🇳

Lianyungang, Jiangsu, China

Tongji Hospital of Tongji University

🇨🇳

Shanghai, Shanghai, China

The 323 Hospital of Chinese People's Liberation Army

🇨🇳

Xi'an, Shanxi, China

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