Liver Cirrhosis
Conditions
Keywords
Decompensated Liver Cirrhosis, Umbilical Cord Mesenchymal Stem Cells
Brief summary
Although liver transplantation provide a option to cure patients suffering with decompensated liver cirrhosis this condition, lack of donors, postoperative complications, especially rejection, and high cost limit its application. Bone marrow derived mesenchymal stem cells (BM-MSCs) have been shown to replace hepatocytes in injured liver, effectively rescued experimental liver failure and contributed to liver regeneration, which suggest the novel and promising therapeutic strategy In this study, the safety and efficacy of human umbilical cord mesenchymal stem cells (hUC-MSCs) transplantation for patients with decompensated liver cirrhosis will be evaluated.
Detailed description
To investigate the safety and efficacy of human umbilical cord mesenchymal stem cells transplantation in patients of decompensated liver cirrhosis.
Interventions
patients will receive the conventional therapy plus low dose hUC-MSCs treatment
patients will receive conventional therapy plus medium dose hUC-MSCs treatment
patients will receive conventional therapy plus high dose hUC-MSCs treatment
Sponsors
Study design
Eligibility
Inclusion criteria
* Written informed consent. * Aged 18-70 years. * Decompensated liver cirrhosis, Child-Pugh B/C (7-12 points); or Meld score≦21. * Expecting lifetime is over 2 months. * Hepatitis B decompensated liver cirrhosis patients need antiviral therapy.
Exclusion criteria
* Severe drug allergic history or anaphylaxis. * Severe problems in other vital organs(e.g. the heart, renal or lungs) * Severe problems in psychiatric disease,such as Schizophrenia,et al * Severe bacteria infection. * Malignancies. * Alcoholism or drug abuse. * Plan to have liver transplantation in 3 months. * Pregnancy * Candidates who are participating in other study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall Survival (OS) | 1 year after treatment |
Secondary
| Measure | Time frame |
|---|---|
| Liver function improvement | 1 year after treatment |
| The size of liver and the width of portal venous | 1 year after treatment |
| Incidence of hepatocellular carcinoma within 1 year | 1 year after treatment |
| Child-Pugh score, MELD score,SF36-quality of life (SF36-QOL) | 1 year after treatment |
| The clinical symptom improvement(including appetite, debilitation, abdominal distension, edema of lower limbs, et al ) | 1 year after treatment |
Countries
China