NCT04689152

Brief Summary

This phase III clinical trial is designed to evaluate the efficacy and safety of autologous Mesenchymal Stem Cells (MSC) injected hepatic artery.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
200

participants targeted

Target at P25-P50 for phase_3

Timeline
20mo left

Started Mar 2021

Longer than P75 for phase_3

Geographic Reach
1 country

11 active sites

Status
recruiting

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

Study Progress76%
Mar 2021Jan 2028

First Submitted

Initial submission to the registry

December 21, 2020

Completed
9 days until next milestone

First Posted

Study publicly available on registry

December 30, 2020

Completed
2 months until next milestone

Study Start

First participant enrolled

March 2, 2021

Completed
6.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 2, 2027

Expected
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 2, 2028

Last Updated

March 21, 2024

Status Verified

March 1, 2024

Enrollment Period

6.4 years

First QC Date

December 21, 2020

Last Update Submit

March 20, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Transplant free survival (TFS)

    Transplant free survival (TFS), the median survival time and 95% confidence interval for each group were presented using the Kaplan-Meier method, and the difference in the survival distribution between the two groups was used as a Cox proportional hazards model corrected for stratification Black.

    For 3 years

Secondary Outcomes (8)

  • Survival rate

    month 24 and 36

  • Change amount of Child-Pugh score

    week -6 and 0

  • Change amount of MELD score

    week -6 and 0

  • Change amount of Liver function test

    month 0, 1, 3, 6, 9, 12, 18 and 24

  • Change amount of Fibrosis-4

    month 0, 6, 12, 18 and 24

  • +3 more secondary outcomes

Other Outcomes (1)

  • α-fetoprotein test

    week -6, month 3, 6, 9, 12, 18, 24

Study Arms (2)

Control group

NO INTERVENTION

Best Supportive care

Injection group: Cellgram-LC

EXPERIMENTAL

Within 1 month after extracting bone marrow, directly inject 7X10\^7 autologous bone marrow-derived mesenchymal stem cells within liver through the hepatic artery.

Biological: Cellgram-LC

Interventions

Cellgram-LCBIOLOGICAL

Patients will receive single injection of Cellgram-LC(mesenchymal stem cell) hepatic artery.

Also known as: Autologous bone marrow-derived mesenchymal stem cell
Injection group: Cellgram-LC

Eligibility Criteria

Age20 Years - 71 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • At the time of screening, 19 or 70 years
  • Patients diagnosed with alcoholic cirrhosis by combining alcohol history, imaging and pathological examination results, and clinical symptoms at screening, and belonging to Child-Pugh grade B or C (Child-Pugh score of 7 or more)
  • Those whose survival period is more than 1 year when judged by the tester
  • Those who can perform hepatic artery catheterization by inserting a catheter into the hepatic artery at the judgment of the examiner
  • In the case of women of childbearing potential, a person who was confirmed negative in the pregnancy test at screening and agreed to use contraception\* by the method permitted for this clinical trial during the clinical trial
  • Those who can conduct clinical trials according to the clinical trial protocol
  • A person who has consented in writing to voluntarily participate in this clinical trial

You may not qualify if:

  • Those with a history of solid cancer including Hepatocellular Carcinoma (HCC) (within 5 years before screening), those who have been diagnosed with solid cancer and are currently undergoing chemotherapy or those whose hepatocellular carcinoma has been confirmed by screening tests
  • Patients who underwent portal systemic shunting in the jugular vein
  • Patients with alcohol consumption or hepatotoxic drugs within 6 months prior to screening
  • Persons taking high-dose steroids, immunosuppressants, or antimicrobials due to severe infections for at least 1 month of screening
  • Those who have major surgical operations, long-term biopsy, or significant trauma as judged by the investigator within 3 months before screening
  • Those whose history of gastrointestinal bleeding is confirmed within 10 days of screening
  • Those whose medical history or accompanying diseases following the screening time is confirmed
  • If you have not been diagnosed with a malignant blood disease (acute myelogenous leukemia, acute lymphocytic leukemia, non-Hodgkins lymphoma, Hodgkins lymphoma, multiple myelopathy)
  • Severe aplastic anemia
  • Liver transplant history
  • Liver diseases of other causes besides alcoholic cirrhosis: hepatitis B and C, autoimmune liver disease (primary cholangitis, primary sclerosing cholangitis and autoimmune hepatitis, etc.), weak liver toxicity, non-alcoholic fatty liver disease , NAFLD), Wilson's disease, iron excess, alpha-1-antitrypsin deficiency, etc.)
  • Extrahepatic biliary stenosis
  • Active portal vein or hepatic vein thrombosis
  • Heart failure or respiratory failure
  • Severe renal impairment (when the result of serum creatinine test exceeds 1.5 times the upper limit of normal)
  • +10 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Soonchunhyang University Hospital

Bucheon-si, South Korea

RECRUITING

Soonchunhyang University Hospital

Cheonan, South Korea

RECRUITING

Gangwon National University Hospital

Chuncheon, South Korea

RECRUITING

Hallym Univ. Medical Center

Chuncheon, South Korea

RECRUITING

Gangneung Asan Hospital

Gangneung-si, South Korea

RECRUITING

Eunpyeong St. Mary's Hospital

Seoul, South Korea

RECRUITING

Korea University Anam Hospital

Seoul, South Korea

RECRUITING

Seoul National University Hospital

Seoul, South Korea

RECRUITING

Soonchunhyang University Hospital

Seoul, South Korea

RECRUITING

Wonju Severance Christian Hospital

Wŏnju, South Korea

RECRUITING

Yongin Severance Hospital

Yŏngin, South Korea

RECRUITING

MeSH Terms

Conditions

Liver Cirrhosis, Alcoholic

Condition Hierarchy (Ancestors)

Liver CirrhosisLiver DiseasesDigestive System DiseasesLiver Diseases, AlcoholicFibrosisPathologic ProcessesPathological Conditions, Signs and SymptomsAlcohol-Induced DisordersAlcohol-Related DisordersSubstance-Related DisordersChemically-Induced Disorders

Study Officials

  • Moonyoung Kim

    Wonju Severance Christian Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 21, 2020

First Posted

December 30, 2020

Study Start

March 2, 2021

Primary Completion (Estimated)

August 2, 2027

Study Completion (Estimated)

January 2, 2028

Last Updated

March 21, 2024

Record last verified: 2024-03

Locations