liver cirrhosis MedDRA version: 14.1 Level: HLT Classification code 10019669 Term: Hepatic fibrosis and cirrhosis System Organ Class: 10019805 - Hepatobiliary disorders MedDRA version: 14.1 Level: PT Classification code 10019641 Term: Hepatic cirrhosis System Organ Class: 10019805 - Hepatobiliary disorders MedDRA version: 14.1 Level: HLT Classification code 10019664 Term: Hepatic failure and associated disorders System Organ Class: 10019805 - Hepatobiliary disorders MedDRA version: 14.1 Leve
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: a) Clinical diagnosis (evidence of chronic liver disease, presence of ascites and/or esophageal varices upon upper digestive endoscopy and/or ultrasound evidence of portal hypertension) or histological diagnosis of liver cirrhosis of any etiology. b) Liver failure documented by a score = B8 based on the Child-Pugh classification, and MELD score = 15. c) Informed consent to the study signed by the patient. Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 30 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: • MELD score > 28 • Hepatocellular carcinoma (HCC) • Portal vein thrombosis • Serious cardiovascular or respiratory disease, or other medical condition which may threaten patient’s life in the subsequent three months • Admission to the intensive care unit (ICU) • Hemodynamic instability (MAP 2 mg/dl and/or creatinine clearance 35 mmHg) • History of neoplasia • Pregnancy • Non-Sicilian residency • HBV DNA positive • HIV infection • Drug addiction • Age < 18 years • Partecipation in concomitant studies • Transjugular intrahepatic portosystemic shunt (TIPS) placed in the previous three months • Contraindications to the procedure (i.e., related to the splenic artery: aneurysm, kinking, thrombosis, thrombosis; related to the spleen: large angioma).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Verify the efficacy of human fetal liver progenitor cell transplantation by monitoring specific and standard parameters of liver function.;Secondary Objective: To evaluate the effects of fetal liver progenitor cell transplantation on portosystemic encephalopathy (also minimal) in patients with liver cirrhosis.;Primary end point(s): - Stabilization or reduction of the MELD score of 25% compared with pretreatment. Evaluation of the response will be made at intervals after the first infusion of hepatocytes, and at the end of the study.;Timepoint(s) of evaluation of this end point: 1 year | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Disappearance of systemic encephalopathy (also minimal).;Timepoint(s) of evaluation of this end point: 1 year | — |
Countries
Italy
Contacts
ISMETT