Safety and Efficacy of Human Autologous Peripheral Blood Stem Cells for Treatment of HBV-related Liver Cirrhosis

NCT ID: NCT01728688

Last Updated: 2012-11-20

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

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2015-09-30

Brief Summary

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HBV related Liver disease is a common medical problem in China. An estimated 7.18% of the Chinese (about 93 million) is infected with hepatitis B, and most of the HBV- related hepatitis can developed into liver cirrhosis.

Liver transplantation is the only available life saving treatment for patients with end stage liver disease. However, lack of donors, surgical complications, rejection, and high cost are serious problems.

In preclinical studies the investigators have demonstrated that G-CSF mobilized PBSC from patients with HBV related liver cirrhosis could differentiate into functional hepatocyte and autologous PBSC transplantation can significantly improve liver synthetic function. But further studied was needed to confirm the safety and efficacy of PBSC transplantation. In this study, a prospective, randomized, parallel clinical study was designed. The patients with HBV-related liver cirrhosis will undergo administration of human autologous PBSCs via hepatic artery to evaluate the safety and efficacy of human autologous PBSCs treatment for these patients.

Detailed Description

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Conditions

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Liver Cirrhosis End Stage Liver Disease

Keywords

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liver cirrhosis stem cell peripheral blood autologous HBV end stage liver disease

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

conventional treatment \& antiviral treatment

Group Type ACTIVE_COMPARATOR

conventional treatment

Intervention Type OTHER

Participants will receive conventional treatment and antiviral treatment.

conventional & PBSC transplantation

After three days G-CSF mobilization, Patients randomized to the intervention arm will receive autologous PBSCs transplantation at day1, and receive conventional treatment and antiviral treatment through the one year study visit and followed until one years study visit.

Group Type EXPERIMENTAL

PBSC transplantation

Intervention Type OTHER

PBSCs were mobilized with recombinant human G-CSF at 5-10ug/kg/d for three days. then PBSCs were collected by means of apheresis. The collected PBSCs were infused into participant via hepatic artery

Interventions

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PBSC transplantation

PBSCs were mobilized with recombinant human G-CSF at 5-10ug/kg/d for three days. then PBSCs were collected by means of apheresis. The collected PBSCs were infused into participant via hepatic artery

Intervention Type OTHER

conventional treatment

Participants will receive conventional treatment and antiviral treatment.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Aged 18-65 years
2. HBV-related liver cirrhosis
3. Child-Pugh score 9-15
4. Written consent

Exclusion Criteria

1. Hepatocellular carcinoma or other malignancies
2. Severe problems in other vital organs(e.g.the heart,renal or lungs)
3. Pregnant or lactating women
4. Severe bacteria infection
5. Anticipated with difficulty of follow-up observation
6. Other candidates who are judged to be not applicable to this study by doctors -
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Second Affiliated Hospital of Chongqing Medical University

OTHER

Sponsor Role collaborator

Eastern Hepatobiliary Surgery Hospital

OTHER

Sponsor Role collaborator

Chinese Academy of Medical Sciences

OTHER

Sponsor Role collaborator

Fudan University

OTHER

Sponsor Role collaborator

Air Force Military Medical University, China

OTHER

Sponsor Role lead

Responsible Party

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Han Ying

professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Daiming Fan

Role: STUDY_CHAIR

Air Force Military Medical University, China

Locations

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Xijing Hospital of Digestive Disease

Xi'an, Shaanxi, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Ying Han

Role: CONTACT

Phone: 86-29-84771539

Email: [email protected]

Yongquan Shi

Role: CONTACT

Phone: 86-29-84771515

Email: [email protected]

Facility Contacts

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Ying Han

Role: primary

Yongquan Shi

Role: backup

Other Identifiers

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20120912-2

Identifier Type: -

Identifier Source: org_study_id