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临床试验/EUCTR2016-001177-32-BE
EUCTR2016-001177-32-BE进行中(未招募)1 期

Multicenter Phase II Safety and Preliminary Efficacy Study of 2 dose regimens of HepaStem in Patients with Acute on Chronic Liver Failure - HEP101

Promethera Biosciences0 个研究点目标入组 21 人开始时间: 2016年3月30日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
21

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • A patient must fulfill all of the following criteria to be eligible to participate in the study:
  • 1. Adult aged between 18 and 70 years old.
  • 2. Informed Consent.
  • N.B: In case of hepatic encephalopathy, if the patient is not able to understand the study based on the investigator’s judgment, the Informed Consent must be signed by patient’s legal representative according to local regulation, and by the patient, if possible, after encephalopathy improvement.
  • 3. Cirrhosis as diagnosed by (1) liver histology or (2) by clinical and imaging examination (may include fibroscan).
  • 4. Patient with Acute Decompensation of cirrhosis
  • 5. Serum total Bilirubin = 6 mg/dL (=100 umol/L)
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 18
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 3

排除标准

  • Any of the following criteria will exclude a patient from the study:
  • 1. Thrombosis of the portal vein.
  • 2. Recurrent or ongoing thrombotic events or patients considered with high risk of thrombosis at the time of infusion.
  • Any thrombosis history should be discussed with the medical monitor before exclusion / inclusion in the study, in a case by case discussion.
  • 3. Ongoing uncontrolled bleeding.
  • 4. Septic shock or non-controlled bacterial infection defined as persistent clinical signs of infection despite adequate antibiotic therapy for more than 48h.
  • 5. Clinical evidence of Aspergillus infection.
  • 6. Circulatory failure defined by inability to maintain a mean blood pressure =70 despite use of vasopressors.
  • 7. Mechanical ventilation due to respiratory failure.
  • 8. Coagulation disorders defined as:
  • Fibrinogen < 80 mg/dL
  • Platelets < 40.000/mm3
  • 9. Major invasive procedure within 4 weeks before the infusion (within 1week for minor invasive procedure such as e.g. transjugular liver biopsy). The proper healing of the puncture site should be verified by the investigator.
  • 10. Treatment with corticosteroids for acute liver disease less than 1 day before the start of the screening period.
  • 11. MELD score > 35.
  • 12. Previous organ transplantation and/or ongoing immunosuppressive treatments.
  • 13. Postoperative-decompensation following hepatectomy.
  • 14. Renal failure due to chronic kidney disease.
  • 15. Clinically significant left-right cardiac shunt.
  • 16. Known or suspected hypersensitivity or allergy to any of the components of the HepaStem Diluent (human albumin, heparin sodium and sodium bicarbonate) or a history of multiple and/or severe allergies to drugs or foods or a history of severe anaphylactic reactions.
  • 17. Malignancies, other than curatively treated skin cancer, unless a complete remission over 5 years. In case of suspicion of HCC, all exam should be done to confirm or not the diagnosis prior enrolment.
  • 18. Refusal of abstinence from alcohol for at least 5 weeks from the study enrolment.
  • 19. Pregnancy (negative ß-HCG test required) or women with childbearing potential who decline to use reliable contraceptive methods during the study.
  • 20. Participation to any other interventional study within the last 4 weeks.
  • 21. Any significant medical or social condition or disability that, in the Investigator’s opinion, may warrant a specific treatment, or may interfere with the patient’s optimal participation or compliance with the study procedures.

研究者

发起方
Promethera Biosciences

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