MSC Intratissular Injection in Crohn Disease Patients

NCT ID: NCT03901235

Last Updated: 2024-12-12

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/PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-15

Study Completion Date

2026-12-31

Brief Summary

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The main objective is to assess the efficacy of local injection of MSC on the healing of refractory intestinal and perianal lesions in crohn disease. The second co-primary endpoint is safety.

Detailed Description

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Conditions

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Efficacy and Safety

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Non-controlled, non-randomized, open label study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Mesenchymal Stromal Cells

Group Type EXPERIMENTAL

Mesenchymal Stromal Cells

Intervention Type BIOLOGICAL

Suspension of mesenchymal stromal cells for intratissular injection

Interventions

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Mesenchymal Stromal Cells

Suspension of mesenchymal stromal cells for intratissular injection

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Patients ≥ 18 years of age
* Signing the informed consent
* Diagnosis of Crohn Disease for more than 6 months
* Presence of at least one Crohn Disease lesion refractory to conventional therapies (azathioprine, 6-mercaptopurine or methotrexate) and to biologic treatments (anti-Tumor Necrosis Factor therapies, vedolizumab, or ustekinumab).
* Refractory lesion defined by (1) a stricture with a length of 2 to 5cm of the colon or the ileum accessible by ileocolonoscopy (i.e. a lesion identified during a colonoscopy with a lumen narrowing non passable by the colonoscope), (2) unhealed deep ulcer of the colon or the ileum accessible to ileocolonoscopy, or (3) actively draining perianal fistula(s).
* Twenty patients with stricture(s), 20 patients with unhealed deep ulcer(s), and 20 patients with an actively draining perianal fistula(s) will be included

Exclusion Criteria

* Indication for immediate luminal surgery
* Intestinal obstruction
* Intra-abdominal fistulas or abscess
* Intestinal/colonic stricture or deep unhealed ulcer not accessible to ileocolonoscopy
* Undrained peri-anal abscess
* Pregnant women or planning pregnancy within one year
* Positive stool culture/toxin for clostridium difficile pathogen or other pathogens
* Renal failure (anuria, serious fluid overload, Glomerular Filtration Rate \< 30 ml/min, dialysis) or hepatic failure (Fulminant liver failure, cirrhosis of the liver with evidence of portal hypertension, alcoholic hepatitis, esophageal varices, a history of bleeding esophageal varices, hepatic encephalopathy, uncorrectable hepatic synthetic dysfunction evinced by prolongation of the prothrombin time, ascites related to portal hypertension, bacterial or fungal liver abscess, biliary obstruction, chronic viral hepatitis with total serum bilirubin \>3 mg/dL)
* documented human immunodeficiency virus infection; active hepatitis B, C, or tuberculosis
* an opportunistic infection within 6 months before screening or a serious infection in the previous 3 months
* malignancy within the past 5 years; or a history of lymphoproliferative disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Liege

OTHER

Sponsor Role collaborator

University of Liege

OTHER

Sponsor Role lead

Responsible Party

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Edouard Louis

Prof

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Edouard Louis, Prof

Role: PRINCIPAL_INVESTIGATOR

Centre Hospitalier Universitaire de Liege

Locations

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CHU de Liège

Liège, Liège, Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Edouard Louis, Prof

Role: CONTACT

Phone: 043667256

Email: [email protected]

Chantal Lechanteur

Role: CONTACT

Phone: 043668390

Email: [email protected]

Facility Contacts

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Edouard Louis, Prof

Role: primary

Layla Boutaffala

Role: backup

Other Identifiers

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TJT1707P1

Identifier Type: -

Identifier Source: org_study_id