NCT01547091

Brief Summary

Rheumatoid arthritis is a chronic systemic disease, which is characterized by chronic inflammation in the synovial tissue. Rheumatoid arthritis will eventually result in the destruction of cartilage, bone and ligaments and joint deformity. The underlying hypothesis is that umbilical cord-derived mesenchymal stem cell (UC-MSCs) has anti-inflammatory effects and thus potentially alleviates the progression of rheumatoid arthritis. The study is to explore the safety and efficacy of UC-MSCs transplantation in treatment of rheumatoid arthritis.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
200

participants targeted

Target at P75+ for phase_1 rheumatoid-arthritis

Timeline
Completed

Started Apr 2013

Typical duration for phase_1 rheumatoid-arthritis

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 22, 2012

Completed
14 days until next milestone

First Posted

Study publicly available on registry

March 7, 2012

Completed
1.1 years until next milestone

Study Start

First participant enrolled

April 1, 2013

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2014

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2014

Completed
Last Updated

June 27, 2013

Status Verified

March 1, 2013

Enrollment Period

1.5 years

First QC Date

February 22, 2012

Last Update Submit

June 26, 2013

Conditions

Keywords

Mesenchymal Stem CellsRheumatoid Arthritis

Outcome Measures

Primary Outcomes (1)

  • Safety of MSC treatment.

    Adverse Events will be recorded in a patient or clinical investigation subject who administers MSC and will be evaluated a causal relationship with the treatment.

    six months

Secondary Outcomes (3)

  • RA Serology

    1, 3 and 6 months

  • Disease Activity Score (DAS 28) Index Mean Change From Baseline

    1, 3 and 6 months

  • Patient's assessment of pain.

    1, 3 and 6 months

Study Arms (3)

UC-MSCs Treatment

EXPERIMENTAL

Patients in UC-MSCs treatment will be infused umbilical cord-derived mesenchymal stem cells intravenously only.

Biological: Umbilical Cord-Derived Mesenchymal Stem Cells (UC-MSCs)

DMARDS

ACTIVE COMPARATOR

Patients will be treated by Rheumatoid Arthritis With Disease-Modifying Drugs (DMARDs).

Drug: Rheumatoid Arthritis With Disease-Modifying Drugs (DMARDs)

UC-MSC+DMARDS

ACTIVE COMPARATOR

Patients will be treated in combination with UC-MSC and DMARDS.

Biological: UC-MSC+DMARDS

Interventions

-The UC-MSCs will be infused intravenously(single dose, 4x10\^7 cells).The interval time is 3 months, and the study lasts for 12 months with 4 times infusion.

UC-MSCs Treatment

-Patients will be treated by conventional drugs (DMARDS) for alleviating disease.

DMARDS
UC-MSC+DMARDSBIOLOGICAL

The UC-MSCs will be infused intravenously(single dose, 4x10\^7 cells).The interval time is 3 months, and the study lasts for 12 months with 4 times infusion.Meanwhile,patients will be treated by conventionally drugs if the disease is still not alleviated.

UC-MSC+DMARDS

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • All patients fulfilled the classification criteria (2010) for rheumatoid arthritis, man or woman aged from 18 to 70 years old.
  • Patients must be informed of the investigational nature of this study and give written informed consent in accordance with the institutional and hospital guidelines.
  • Women of reproductive potential may not participate unless they have agreed to use an effective contraceptive method while on this trial. Women of child-bearing potential must have a pregnancy test performed within 72 hours prior to initiation of treatment.

You may not qualify if:

  • Any history of ongoing, significant or recurring infections.
  • Any active inflammatory diseases other than RA.
  • Significant cardiac or pulmonary disease.
  • End-stage renal failure.
  • Pregnant or nursing women may not participate due to the possibility of fetal harm or harm to nursing infants from this treatment regimen.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The 323 Hospital of Chinese People's Liberation Army

Xi'an, Shaanxi, 710054, China

RECRUITING

Related Publications (2)

  • Wang H, Wu M, Liu Y. Are mesenchymal stem cells major sources of safe signals in immune system? Cell Immunol. 2012;272(2):112-6. doi: 10.1016/j.cellimm.2011.10.010. Epub 2011 Oct 29.

    PMID: 22138499BACKGROUND
  • Wang L, Ji H, Zhou J, Xie J, Zhong Z, Li M, Bai W, Li N, Zhang Z, Wang X, Zhu D, Liu Y, Wu M. Therapeutic potential of umbilical cord mesenchymal stromal cells transplantation for cerebral palsy: a case report. Case Rep Transplant. 2013;2013:146347. doi: 10.1155/2013/146347. Epub 2013 Mar 3.

    PMID: 23533920BACKGROUND

MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

Antirheumatic Agents

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

Therapeutic UsesPharmacologic ActionsChemical Actions and Uses

Study Officials

  • Mingyuan Wu, MD,PhD

    Eastern Union Stem Cell & Gene Engineering Co.,Ltd,Alliancells Biosciences Co., Ltd

    PRINCIPAL INVESTIGATOR
  • Yongjun Liu, MD,PhD

    Alliancells Biosciences Co., Ltd

    PRINCIPAL INVESTIGATOR
  • Liming Wang, MD

    The 323 Hospital of Chinese People's Liberation Army

    STUDY DIRECTOR
  • Haijie Ji, MD

    Alliancells Biosciences Co., Ltd.

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Mingyuan Wu, MD,PhD

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 22, 2012

First Posted

March 7, 2012

Study Start

April 1, 2013

Primary Completion

October 1, 2014

Study Completion

December 1, 2014

Last Updated

June 27, 2013

Record last verified: 2013-03

Locations