Liver Failure, Mesenchymal Stem Cells
Conditions
Keywords
Liver Failure, Mesenchymal Stem Cells, Model for End-Stage Liver Disease, Ascite, Serum Albumin
Brief summary
Liver failure (LF) is a dramatic clinical syndrome with massive necrosis of liver cells. and liver transplantation is the only available therapeutic option for patients suffering with this condition. However, lack of donors, surgical complications, rejection, and high cost are serious problems. Previous study showed that bone marrow derived mesenchymal stem cells (BM-MSCs) replace hepatocytes in injured liver, and effectively rescue experimental liver failure and contribute to liver regeneration. In this study, the patients with LF will undergo administration of human umbilical cord mesenchymal stem cells (UC-MSCs) via peripheral vein transfusion to evaluate the safty and efficacy of UC-MSCs treatment for these patients.
Detailed description
Liver failure (LF) is a severe life-threatening condition, and is a dramatic clinical syndrome with massive necrosis of liver cells, and liver transplantation is the only available therapeutic option for patients suffering with this condition. However, lack of donors, surgical complications, rejection, and high cost are serious problems. Since current therapeutic options for LF that is usually with extremely poor prognosis are still limited, recent studies indicate that mesenchymal stem cells (MSCs), due to their function in immune modulation and liver-damage repair, are of great therapeutic potential for this disease. Previous study showed that bone marrow derived mesenchymal stem cells (BM-MSCs) replace hepatocytes in injured liver, and effectively rescue experimental liver failure and contribute to liver regeneration.The purpose of this study is to investigate the safety and initial efficacy of human umbilical cord MSC (UC-MSCs) treatment for patients with LF. In this study, MSCs were isolated from umbilical cord and generated in appropriate growth medium. 50 LF patients with LF received i.v. transfusion of 0.5-1.0×106 cells/kg of MSCs as the treated group and other 20 LF patients with LF were transfused with placebo without MSCs as control group. All 70 of them received the routine management for liver failure. During the 2-year follow up, the evaluation of safty and efficacy will be undergone to help to establish innovative cell-based therapies for the treatment of diseases.
Interventions
Participants received conventional treatment and taken i.v., once per 4 week, at a dose of 0.5\*10E6 MSC/kg body for 12 weeks.
DRUGConventional plus pacebo treatment
Participants received conventional treatment and taken i.v., once per 4 week, at 50 ml saline for 12 weeks.
Sponsors
Beijing 302 Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
1. Aged 18-70 years 2. Liver failure 3. Negative pregnancy test (female patients in fertile age) 4. Written consent
Exclusion criteria
1. Hepatocellular carcinoma or other malignancies 2. Severe problems in other vital organs(e.g.the heart,renal or lungs) 3. Pregnant or lactating women 4. Severe bacteria infection 5. Anticipated with difficulty of follow-up observation 6. Other candidates who are judged to be not applicable to this study by doctors
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The levels of serum Total Protein and Albumin | 2 years after treatment |
Secondary
| Measure | Time frame |
|---|---|
| The levels of serum Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) and Cholinesterase (CHE) | 2 years after treatment |
| The level of alpha-fetoprotein (AFP) | 2 years after treatment |
| The content of ascites | 2 years after treatment |
| The levels of serum Total Bilirubin and Direct Bilirubin | 2 years after treatment |
| Body temperature, tetter and allergy | Between 0 to 24 hours after UC-MSCs transfusion |
| The levels of Prothrombin Activity (PA) and Prothrombin Time (PT) | 2 years after treatment |
| The score for Model for End-Stage Liver Disease | 2 years after treatment |
| Survival rate and time | 2 years after treatment |
Countries
China
Contacts
Primary ContactFu-Sheng Wang, Professor
Outcome results
None listed