Safety and Efficacy Study of Umbilical Cord/Placenta-Derived Mesenchymal Stem Cells to Treat Ankylosing Spondylitis (AS)
Phase II Study of Umbilical Cord/Placenta-Derived Mesenchymal Stem Cells to Treat AS
1 other identifier
interventional
10
1 country
1
Brief Summary
The purpose of this study is to evaluate the safety and efficacy of mesenchymal stem cells (MSCs) derived from human umbilical cord/placenta at a dose of 1.0E+6 MSC/kg in subject for the therapy of Ankylosing spondylitis (AS)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Jan 2011
Typical duration for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2011
CompletedFirst Submitted
Initial submission to the registry
August 11, 2011
CompletedFirst Posted
Study publicly available on registry
August 19, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedAugust 19, 2011
April 1, 2011
2.9 years
August 11, 2011
August 18, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
The Assessment of Spondyloarthritis International Society (ASAS)20 response
ASAS measures symptomatic improvement in AS patients.ASAS=4 domains:patient global assessment of disease activity,pain,function,inflammation.ASAS 20=20% improvement(vs.baseline)and an abosolute change≥1 units on a 0-10 scale(0=no disease activity;10=high disease activity)for ≥3 domains,and no worsening in remaining domain. Patient global Pain Function (as measured by the Bath Ankylosing Spondylitis Functional Index - BASFI) Inflammation (mean of the Bath Ankylosing Spondylitis Disease Activity Index - BASDAI question 5 and 6)
1 year
erythrocyte sedimentation rate (ESR)
erythrocyte sedimentation rate (ESR) level will be mainly observed after transplanting 3, 6,12-month.
1 year
imageology
imageology will be mainly observed after transplanting 3, 6,12-month.
1 year
C-reactive protein (CRP)
C-reactive protein (CRP) level will be mainly observed after transplanting 3, 6,12-month.
1 year
Secondary Outcomes (2)
Percentage of systemic T regulatory cell population
1 year
Side effects
1 year
Study Arms (2)
Human umbilical cord-derived MSCs and DMARDs
EXPERIMENTALHuman umbilical cord-derived MSCs at a dose of 1.0E+6 MSC/kg, repeated after three months and DMARDs such as sulfasalazine,methotrexate,thalidomide po for 12 months
DMARDs
NO INTERVENTIONDMARDs such as sulfasalazine,methotrexate,thalidomide po for 12 months
Interventions
1.0E+6 MSC/kg, IV drop and repeat repeated after three months
Eligibility Criteria
You may qualify if:
- Patient age 18\~60 years old with plan to infuse MSCs.
- Diagnosis of "Definite AS" (arthritis of the spine) as defined by the modified New York criteria
- Stable doses of sulfasalazine,methotrexate,thalidomide,hydroxychloroquine, low-dose corticosteroids, and NSAIDs are permitted
- Patients must have an ECOG 0\~2.
- No moderate or sever organ dysfunction: Ejection fraction\>45%; Creatinine \<176 umol/L.
- No severe infection.
- Each patient must sign written informed consent.
You may not qualify if:
- Other serious concomitant diseases (uncontrolled/severe kidney, liver, haematological, gastrointestinal, endocrine, cardiovascular, pulmonary, neurological or cerebral disease)
- Psychiatric condition that would limit informed consent.
- HIV, hepatitis B or C, tuberculosis, other infections
- Positive Pregnancy Test or lactation
- Patient has enrolled another clinical trial study within last 4 weeks.
- Contraindications to MSC
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Hematology of the 2nd Hospital of Shandong University
Jinan, Shandong, 250033, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
chengyun zheng, Ph. D
Department of Hematology of The 2nd Hospital of Shandong University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
August 11, 2011
First Posted
August 19, 2011
Study Start
January 1, 2011
Primary Completion
December 1, 2013
Study Completion
December 1, 2013
Last Updated
August 19, 2011
Record last verified: 2011-04