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A pilot study on the safety and efficacy of human umbilical cord-derived mesenchymal stem cells in patients with decompensated cirrhosis

A pilot study on the tolerability, safety and efficacy of human umbilical cord-derived mesenchymal stem cells in patients with decompensated cirrhosis

Status
Recruiting
Phases
Early Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2200055241
Enrollment
Unknown
Registered
2022-01-04
Start date
2022-01-07
Completion date
Unknown
Last updated
2023-01-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Decompensated Liver Cirrhosis

Interventions

low dose group:standard of care (SOC) plus 5x10^7 MSC cells
medium dose group:standard of care (SOC) plus 1 x10^8 MSC cells
high dose group:standard of care (SOC) plus 1.5x10^8 MSC cells

Sponsors

The Fifth Medical Center of PLA General Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. Voluntarily sign the informed consent; 2. Aged 18 to 75 years (including 18 and 75 years old), gender is not limited; 3. Diagnosed as decompensated cirrhosis based on clinical manifestations, laboratory tests, imaging findings and/or representative pathological findings (Decompensated cirrhosis is defined as at least one serious complication, including esophagogastric varices bleeding, hepatic encephalopathy, ascites, spontaneous bacterial peritonitis and other serious complications); 4. Child-Pugh score is 7-12 points (including the boundary value).

Exclusion criteria

Exclusion criteria: 1. Serious complications such as esophagogastric variceal bleeding, grade 2 or above hepatic encephalopathy, refractory ascites, and hepatorenal syndrome occurred within 1 month; 2. 2 weeks of uncontrolled serious infection; 3. Hepatitis B virus (HBV) DNA >= detection limit; 4. Patients with hepatitis B cirrhosis may discontinue antiviral therapy during the study, or receive anti-HBV therapy for less than 12 months; 5. Patients with hepatitis C cirrhosis may discontinue antiviral therapy during the study, or receive antiviral therapy for less than 12 months; 6. Patients with autoimmune cirrhosis receiving glucocorticoid therapy for less than 6 months; 7. Received transjugular intrahepatic portosystemic shunt (TIPS) for less than 6 months; 8. Unwilling to stop drinking after being included in the study; 9. Severe jaundice (serum total bilirubin level >= 170 µmol/L); obvious renal insufficiency (serum creatinine >= 1.2 times the upper limit of normal); severe electrolyte abnormalities (serum sodium level < 125 mmol/l); severe leukopenia (leukocyte count < 1 x 10^9/L); 10. Patients with biliary obstruction, or with hepatic vein, portal vein, or splenic vein thrombosis, or cavernous degeneration of portal vein; 11. Those with a history of surgical operations such as splenectomy or portosystemic shunt; 12. Diagnosed or suspected combined malignant tumor; 13. Those with a history of major organ transplantation or those with serious heart, lung, kidney, blood, endocrine and other system diseases; 14. Patients who use drugs, receive methadone treatment, have drug dependence or mental illness; 15. Human immunodeficiency virus (HIV) antibody test results are positive; 16. Those who have received blood transfusion and other blood products within 1 month; 17. Pregnant, lactating patients or those who have a childbearing plan in the near future; 18. Those with allergic constitution or a history of severe allergies; 19. Those who have participated in other clinical trials within the past 3 months; 20. Other conditions in which the patient is considered unsuitable to participate in this study by the investigator.

Design outcomes

Primary

MeasureTime frame
28-day change from baseline in the Model for End-Stage Liver Disease (MELD) score;Incidence of adverse events;

Secondary

MeasureTime frame
Change from baseline in MELD score;Incidence of each complication associated with decompensated cirrhosis;Liver transplant-free survival;Incidence of liver failure;Laboratory examination;Child-Turcotte-Pugh (CTP) score;Quality of life assessment;Incidence of liver cancer;

Countries

China

Contacts

Public ContactWang Fusheng

The Fifth Medical Center of PLA General Hospital

fswang302@163.com+86 10 66933332

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026