MSC Therapy in Liver Transplantation

NCT ID: NCT02260375

Last Updated: 2018-04-06

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2025-10-31

Brief Summary

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The general aim of the present study is to test a cell therapy with third-party allogeneic ex-vivo expanded MSCs as a strategy to induce tolerance in liver transplant recipients. MSCs will be prepared accordingly to established protocols , starting from diagnostic samples of bone marrow aspirates (2-5 mL) or using the remnants in the bag and filter at the end of the bone marrow infusions. From these samples, MSCs will be expanded in GMP approved facilities and used for the present study in patients undergoing liver transplantation.

Detailed Description

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Conditions

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Liver Transplant Rejection

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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Mesenchymal Stromal Cells (MSC)

A single intravenous infusion (1-2 millions of MSCs per kilogram body weight) of ex-vivo expanded third-party MSC (from healthy donors) will be performed in patients assigned to the MSC procedure in addition to the liver transplantation.

Group Type EXPERIMENTAL

Mesenchymal Stromal Cells

Intervention Type BIOLOGICAL

No treatment.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Mesenchymal Stromal Cells

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* First liver transplant
* Capable of understanding the purpose and risk of the study
* Written informed consent

Exclusion Criteria

* Specific contraindication to MSC infusion
* Any clinical relevant condition that might affect study participation and/or study results
* Pregnant women and nursing mothers
* Unwillingness or inability to follow the study protocol in the investigator's opinion.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mario Negri Institute for Pharmacological Research

OTHER

Sponsor Role collaborator

Monia Lorini

OTHER

Sponsor Role lead

Responsible Party

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Monia Lorini

EC Secretary

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Giuseppe Remuzzi, MD

Role: STUDY_CHAIR

A.O. Ospedale Papa Giovanni XXIII

Norberto Perico, MD

Role: STUDY_DIRECTOR

IRCCS-Istituto di Ricerche Farmacologiche M. Negri

Michele Colledan, MD

Role: PRINCIPAL_INVESTIGATOR

A.O. Ospedale Papa Giovanni XXIII

Stefano Fagiuoli, MD

Role: PRINCIPAL_INVESTIGATOR

A.O. Ospedale Papa Giovanni XXIII

Martino Introna, MD

Role: PRINCIPAL_INVESTIGATOR

Laboratorio G.Lanzani, Bergamo, Italy

Alessandro Rambaldi, MD

Role: PRINCIPAL_INVESTIGATOR

A.O. Ospedale Papa Giovanni XXIII

Antonio Pinna, MD

Role: PRINCIPAL_INVESTIGATOR

Policlinico S. Orsola Bologna, Italy

Claudio Velati, MD

Role: PRINCIPAL_INVESTIGATOR

Policlinico S. Orsola Bologna, Italy

Locations

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U.S.C Nefrologia e Dialisi

Bergamo, , Italy

Site Status RECRUITING

USC Chirurgia Generale III

Bergamo, , Italy

Site Status RECRUITING

USC Ematologia

Bergamo, , Italy

Site Status RECRUITING

USC Gastroenterologia

Bergamo, , Italy

Site Status RECRUITING

Servizio di Immunoematologia e Medicina Trasfusionale

Bologna, , Italy

Site Status RECRUITING

Unità Chirurgia Generale e Trapianti

Bologna, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Giuseppe Remuzzi, MD

Role: CONTACT

0039 0352674037

Facility Contacts

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Giuseppe Remuzzi, MD

Role: primary

0039 0352674037

Michele Colledan, Md

Role: primary

00390352674347

Alessandro Rambaldi, MD

Role: primary

00390352673684

Stefano Fagiuoli, MD

Role: primary

00390352674259

Claudio Velati, MD

Role: primary

Marina Buzzi, MD

Role: backup

Antonio Pinna, MD

Role: primary

References

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Casiraghi F, Perico N, Podesta MA, Todeschini M, Zambelli M, Colledan M, Camagni S, Fagiuoli S, Pinna AD, Cescon M, Bertuzzo V, Maroni L, Introna M, Capelli C, Golay JT, Buzzi M, Mister M, Ordonez PYR, Breno M, Mele C, Villa A, Remuzzi G; MSC-LIVER Study Group. Third-party bone marrow-derived mesenchymal stromal cell infusion before liver transplantation: A randomized controlled trial. Am J Transplant. 2021 Aug;21(8):2795-2809. doi: 10.1111/ajt.16468. Epub 2021 Feb 22.

Reference Type DERIVED
PMID: 33370477 (View on PubMed)

Other Identifiers

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2014-001531-37

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MSC liver transplant tolerance

Identifier Type: -

Identifier Source: org_study_id

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