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

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

Promethera Biosciences0 个研究点目标入组 21 人开始时间: 2018年4月12日最近更新:
适应症

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

  • 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) no
  • F.1.3.1 Number of subjects for this age range 3

排除标准

  • 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
  • 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
  • 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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