Burns
Conditions
Keywords
Extensive Burn, Human Cord Blood Mononuclear Cells, Human Umbilical Cord Mesenchymal Stem Cells
Brief summary
Burn trauma,especially extensive ones, remains a life-threatening local and general inflammatory condition destroying the skin and underlying tissues, and resulting in serious sequelae. Remarkable progress has been achieved during last 30 years,stem cell therapy plays an important role in this progress. Human umbilical cord mesenchymal stem cells (hUCMSCs) and human cord blood mononuclear cells (hCBMNCs) have been shown to have the ability to modulate the immune response and enhance angiogenesis, suggesting the novel and promising therapeutic strategy for burn. In this study, the safety and efficacy of hUCMSCs and hCBMNCs transplantation will be evaluated in patients with acute burn.
Detailed description
To investigate the safety and efficacy of human cord blood mononuclear cells and human umbilical cord mesenchymal stem cells transplantation in patients of Acute, Moderate-Severe, Full-thickness burn.
Interventions
Participants will be given conventional therapy plus hUCMSCs transplantation.
Participants will be given conventional therapy plus and hCBMNCs and hUCMSCs transplantation.
Participants will be given conventional therapy only.
Sponsors
Study design
Eligibility
Inclusion criteria
* Between age 18- 65 years, both gender. * Diagnosed with Acute, Moderate-Severe, full-thickness burn: Burn occurring within the 72 hours prior to administration. TBSA 20-55%, third degree wounds surface area \< 19 % ; * Willing to sign the Informed Consent Form.
Exclusion criteria
* All other burns except thermal origin. * Chronically malnourished, poor medical condition or shock * Systemic inflammatory response syndrome (SIRS) or septicopyemia * Moderate-severe inhalation injury airways to lung * HIV+ * Autoimmune disease, e.g. lupus erythematosus, multiple sclerosis. * Severe pulmonary and hematological disease, malignancy or hypo-immunity. * Currently undertaking other treatment that may affect the safety/efficacy of stem cells. * Pregnancy or lactation * Enrollment in other trials in the last 3 months. * Other criteria the investigator consider improper for inclusion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The ratio of wound contraction and re-epithelialisation | 6 months after treatment |
| Complete healing time for investigated burn area | 6 months after treatment |
| Vancouver Scar Scale | 6 months after treatment |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of infections and bleedings in burn wounds | 6 months after treatment] |
| Incidence of Adverse Events and Serious Adverse Events | 6 months after treatment |
| Engraftment assessment: Vitality of the graft | 6 months after treatment] |
| McGill pain Questionnaire | 6 months after treatment |
Countries
China