A Study of TH-SC01 in the Treatment of Radiation-induced Rectal Injury
A Study on the Efficacy and Safety of Endoscopic Local Injection of Umbilical Cord Mesenchymal Stem Cells(TH-SC01) for the Treatment of Radiation-induced Rectal Injury.
1 other identifier
interventional
27
1 country
1
Brief Summary
The purpose of this study is to evaluate the efficacy and safety of allogeneic umbilical cord mesenchymal stem cells in the treatment of radiation-induced rectal injury.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started Sep 2022
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
September 21, 2022
CompletedFirst Submitted
Initial submission to the registry
July 2, 2023
CompletedFirst Posted
Study publicly available on registry
July 11, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 21, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
January 21, 2026
CompletedJuly 11, 2023
September 1, 2022
1.3 years
July 2, 2023
July 10, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
lentsoma score scale improved > 0.6 points
lentsoma scale can comprehensively reflect the severity of radiation-induced rectal injury from three aspects: subjective feeling, objective situation and intervention measures. There are 14 items in total, each item has a maximum of 4 points, and the final total is divided by 14.
16 weeks
Secondary Outcomes (7)
The decreasing level of the Rectal Telangiectasia Density Scale(RTD)
16 weeks
The declining level of the Vienna Rectoscopy Score
16 weeks
The decreased level ofSemi-quantitative Score of Rectal Radiological Pathological Injury
16 weeks
The decreased levels of SF-36 Scale
16 weeks
The decreased levels of Hospital Anxiety and Depression Scales
16 weeks
- +2 more secondary outcomes
Study Arms (1)
TH-SC01 local injection treatment group
EXPERIMENTALThe trial was conducted in a non-randomized, single-center, single-arm, dose-escalation design. Three dose groups were preset, which were as follows: Low dose group: 3×10\^7 live cells/person (6mL); Medium dose group: 6×10\^7 live cells/person (12mL) ; High dose group: 1.2×10\^8 live cells/person (24mL); Each subject should receive only one corresponding dose. Three subjects were enrolled in the low-dose group,If the safety of the subjects was good, the researchers evaluated the safety and efficacy data and entered the next dose group for treatment. The medium and high-dose groups were enrolled according to the "5+7" principle. For the first 3 dose groups, after safety evaluation by the investigators, the maximum dose could reach 2.4×10\^8 live cells/person (48mL). If the MTD group is not identified by the highest dose group, it is up to the investigator to decide whether to continue with dose escalation.
Interventions
"5+7" principle: 1\. In medium and high dose groups, 5 subjects were included in each dose group in the first step, and the first 3 subjects had good safety The investigator evaluated safety and efficacy data and could enroll a fourth and fifth subject. 1. If the number of successful participants in these 5 subjects is less than 2, the study in this dose group will be ended due to drug ineffectiveness, and the researcher will evaluate the safety and enter the next dose group. 2. If the number of successful participants in these 5 cases is greater than or equal to 2, then proceed to the second step. 2\. 7 subjects were included in the second step.
Eligibility Criteria
You may qualify if:
- Fully understand and sign the informed consent form;
- Age ≥18 years and \<80 years;
- Patients diagnosed with chronic radiation rectal injury after radiation therapy;
- Patients with LENT-SOMA scale score ≥1;
- Good physical condition (WHO functional status score 0-1).
You may not qualify if:
- The patient had severe liver and kidney disease;
- Severe congestive heart failure or coronary heart disease;
- Patients have allergic constitutions or severe systemic immune diseases;
- The patient had active gastrointestinal hemorrhage or acute intestinal obstruction;
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Jinling Hospital, China
Nanjing, Jiangsu, 210000, China
Study Officials
- STUDY CHAIR
Fangyu Wang
Director of gastroenterology Department, Jinling Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 2, 2023
First Posted
July 11, 2023
Study Start
September 21, 2022
Primary Completion
January 21, 2024
Study Completion
January 21, 2026
Last Updated
July 11, 2023
Record last verified: 2022-09
Data Sharing
- IPD Sharing
- Will not share