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Completed

NCT Number: NCT01591200

Dose Finding Study to Assess Safety and Efficacy of Stem Cells in Liver Cirrhosis

This study will evaluate the safety and efficacy of mesenchymal stem cells in patients with cirrhosis of liver. Stem cells will be injected into the hepatic artery. Improvement in various parameters will be observed over 2 years.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Centre for Liver Research & Diagnostics, Hyderabad, Andhra Pradesh, India

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Alcoholic cirrhotics between 18-65 years of age (diagnosed by clinical, biochemical, sonographic, radiological [CT scan] or histological evidence of cirrhosis and portal hypertension).
  • Evidence of decompensated liver disease at screening (e.g. Child class B or C, Child-Pugh scores of ≥7 and <14).
  • MELD scores of at least 10 (UNOS Meld calculator).
  • Normal AFP Level
  • Hb>10gm/dl.
  • Female patients of childbearing age must be willing to use accepted methods of contraception during the course of the study
  • Signed informed consent.

Exclusion criteria

  • Patients likely to undergo liver transplantation during the duration of the study.
  • Presence of advanced hepatic encephalopathy Grades 3 & 4 (West Haven criteria for grading of hepatic encephalopathy) at the time of screening
  • Active variceal bleed.
  • Refractory ascites.
  • Evidences of autoimmune liver disease- ANA or Anti-LKM positivity.
  • Platelet count < 30,000/mm3.
  • Serum Sodium <129mEq/L.
  • Serum Creatinine > 2 mg/dl.
  • Hepatocellular carcinoma or other malignancies
  • Active infectious disease.
  • Presence of severe underlying cardiac, pulmonary or renal disease.
  • Excessive alcohol (>30 gm of alcohol/day) use in the last 3 months before screening.
  • Positive HbSAg or antibodies to HIV or HCV.
  • Pregnancy or lactation.
  • Participation in other clinical trials.
  • Unwilling/unable to sign the informed consent.

Treatment and study plan

Allogeneic Mesenchymal Stem Cells

Biological

High dose of Bone Marrow Derived Allogeneic Mesenchymal Stem Cells will be administered through the hepatic artery

Primary outcomes

  1. Safety

    Time frame: 2 years

    The type of adverse events, number of adverse events and proportion of patients with adverse events

Secondary outcomes

  1. Liver function tests.

    Time frame: 2 years

    To assess the improvement in liver function

  2. CT scan of abdomen.

    Time frame: 2 years

    To assess the improvement in liver structure

  3. Change in MELD score

    Time frame: 2 years

    To assess the clinical improvement

  4. Improvement in quality of life as assessed by SF 36 questionnaire

    Time frame: 2 years

    To assess the improvement in quality of life

  5. Histological evaluation of liver biopsy by immunohistochemical staining for AFP, PCNA, SMA

    Time frame: 6 Months

    To assess the improvement in histopathology

  6. Change in Child-Pugh score

    Time frame: 2 years

    To assess clinical improvement

Sponsors and collaborators

Lead sponsor

Stempeutics Research Pvt Ltd

Industry

Registry information

Official study title

A Parallel Group Randomized Open Blinded End Point Evaluation, Multicentric, Dose Escalation, Phase -II Study Assessing the Safety and Efficacy of Intraarterial (Hepatic) Ex-vivo Cultured Adult Allogenic Mesenchymal Stem Cells in Patients With Alcoholic Liver Cirrhosis

Important dates

Study start
2012
Primary completion
2016
Study completion
2016
First posted
May 3, 2012
Registry last updated
Sep 15, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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