Umbilical Cord Mesenchymal Stem Cells Transplantation Combined With Plasma Exchange for Patients With Liver Failure

NCT ID: NCT01724398

Last Updated: 2013-02-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1/PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2015-03-31

Brief Summary

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Liver failure (LF) is a dramatic clinical syndrome with massive necrosis of liver cells. Although liver transplantation provides an option to cure patients suffering with LF, lack of donors, postoperative complications, especially rejection, and high cost limit its application. Previous study showed that bone marrow derived mesenchymal stem cells (BM-MSCs) the novel and promising therapeutic strategy, BM-MSCs can replace hepatocytes in injured liver, and effectively rescue experimental liver failure and contribute to liver regeneration. Plasma exchange (PE) can improve internal environment by removing endotoxin, it helps the liver regeneration and functional recovery and make UC-MSC differentiation into hepatocyte like cells, and exert immunomodulatory function. In this study, safety and efficacy of human umbilical cord mesenchymal stem cells (UC-MSCs) transplantation combined with plasma exchange (PE) for patients with liver failure caused by hepatitis B Virus will be evaluated.

Detailed Description

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To investigate safety and efficacy of human umbilical cord mesenchymal stem cells (UC-MSCs) transplantation combined with plasma exchange (PE) for patients with liver failure caused by hepatitis B virus.

Conditions

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Liver Failure

Keywords

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mesenchymal stem cells plasma exchange liver failure hepatitis B virus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Conventional treatment

Participants will receive conventional treatment and then be followed until the week 48 study visit.

Group Type EXPERIMENTAL

Conventional treatment

Intervention Type OTHER

Received conventional treatment including antiviral drugs, lowering aminotransferase and jaundice medicine.

Conventional plus UC-MSC treatment

Participants will receive conventional treatment plus a dose of UC-MSC and then be followed until the week 48 study visit.

Group Type EXPERIMENTAL

Conventional plus UC-MSC treatment

Intervention Type OTHER

Received conventional treatment and umbilical cord mesenchymal stem cells transplantation by peripheral vein slowly for 30minutes. (1×105/Kg, once a week, 4 times).

Conventional plus PE treatment

Participants will receive conventional treatment plus plasma exchange and then be followed until the week 48 study visit.

Group Type EXPERIMENTAL

Conventional plus PE treatment

Intervention Type OTHER

Received conventional treatment plus 2000 milliliter plasma exchange (every 3 days, 3 times).

Conventional plus UC-MSC and PE therapy

Participants will receive conventional treatment plus umbilical cord mesenchymal stem cells transplantation combined with plasma exchange. Participants will then be followed until the week 48 study visit.

Group Type EXPERIMENTAL

Conventional plus UC-MSC and PE therapy

Intervention Type OTHER

Received conventional treatment plus 2000 milliliter plasma exchange (every 3 days, 3 times). Meantime taken i.v umbilical cord mesenchymal stem cells transplantation slowly for 30minutes (1×105/Kg, once a week, 4 times), the first two times is taken after plasma exchange.

Interventions

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Conventional plus UC-MSC treatment

Received conventional treatment and umbilical cord mesenchymal stem cells transplantation by peripheral vein slowly for 30minutes. (1×105/Kg, once a week, 4 times).

Intervention Type OTHER

Conventional plus PE treatment

Received conventional treatment plus 2000 milliliter plasma exchange (every 3 days, 3 times).

Intervention Type OTHER

Conventional plus UC-MSC and PE therapy

Received conventional treatment plus 2000 milliliter plasma exchange (every 3 days, 3 times). Meantime taken i.v umbilical cord mesenchymal stem cells transplantation slowly for 30minutes (1×105/Kg, once a week, 4 times), the first two times is taken after plasma exchange.

Intervention Type OTHER

Conventional treatment

Received conventional treatment including antiviral drugs, lowering aminotransferase and jaundice medicine.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Written informed consent
* Acute-on-Chronic liver failure caused by hepatitis B virus
* Model for End-Stage Liver Disease (MELD) \<30

Exclusion Criteria

* Liver failure caused by other reasons, such as autoimmune diseases, alcohol, drug and so on
* History of severe hepatic encephalopathy or variceal bleeding during the last two months before enrollment
* Severe problems in other vital organs(e.g. the heart, renal or lungs)
* Severe bacteria infection
* Tumor on ultrasonography, CT or MRI examination
* Pregnant or lactating women
Minimum Eligible Age

16 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Third Affiliated Hospital, Sun Yat-Sen University

OTHER

Sponsor Role lead

Responsible Party

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Zhiliang Gao

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhi-Liang Gao, Doctor

Role: PRINCIPAL_INVESTIGATOR

The Third Affliated Hospital of Sun Yat-sen University

Locations

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Department of Infectious Diseases, The Third Affliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhi-Liang Gao, Professor

Role: CONTACT

Phone: 86-20-85252373

Email: [email protected]

Hong-Liang He, Master

Role: CONTACT

Phone: 86-20-85253372

Email: [email protected]

Facility Contacts

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Zhi-Liang Gao, Professor

Role: primary

Hong-Liang He, Master

Role: backup

References

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Xu WX, He HL, Pan SW, Chen YL, Zhang ML, Zhu S, Gao ZL, Peng L, Li JG. Combination Treatments of Plasma Exchange and Umbilical Cord-Derived Mesenchymal Stem Cell Transplantation for Patients with Hepatitis B Virus-Related Acute-on-Chronic Liver Failure: A Clinical Trial in China. Stem Cells Int. 2019 Feb 4;2019:4130757. doi: 10.1155/2019/4130757. eCollection 2019.

Reference Type DERIVED
PMID: 30863450 (View on PubMed)

Other Identifiers

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UCMSC-PE

Identifier Type: -

Identifier Source: org_study_id