Ankylosing Spondylitis
Conditions
Brief summary
The investigators will recruit active ankylosing spondylitis patients for injection treatment of Human Mesenchymal Stem Cells (a prospective, open-label, masculine medicine controlled(NSAIDs), clinical trial), and collect their Peripheral Blood Lymphocyte (PBMCs) and sera before and after the treatment of 24 weeks to test the gene expression profiles and study related pathogenesis of AS
Interventions
human mesenchymal stem cells,1\*10\^4-6 cells /Kg , IV (in the vein) on day 1 of each 14-60 day cycle,1-6 times treatment. a total of 24 weeks for follow up.
non-steroid anti-inflammatory drugs (NSAID):celecoxib, Celebrex® 0.2g Bid(twice a day),PO (Per Os);a total of 24 weeks for follow up
Sponsors
Study design
Eligibility
Inclusion criteria
1. Aged from 16-65 years, sign the Informed Consent 2. Fulfill 1984 modified NewYork classification criteria for AS 3. Have an active refractory disease defined by a score ≥40 on the Bath AS Disease Activity Index (BASDAI) (0-100) despite optimal non-steroidal anti-inflammatory drug (NSAID) treatment. 4. Commitment to contraceptive for woman
Exclusion criteria
1. Completely stiff spine 2. Received spinal or joint surgery within 2 months 3. Received anti-TNF therapy within 3 months 4. History of the listed diseases: heart failure, Multiple sclerosis, severe chronic obstructive pulmonary disease, frequent infections, lymphoma or other cancers, tuberculosis 5. Female of pregnancy or breast feeding 6. Hb≤ 9g/dl for male or Hb ≤ 8.5 g/dl for male, ALT/AST≥2folds of upper level normal range, Creatine≥120mol/L(≤1.4mg/dl)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the proportion of patients which disease activity reaches ASAS(assessment in ankylosing Spondylitis)20 remission criteria | 24 weeks |
Secondary
| Measure | Time frame |
|---|---|
| BASDAI score comparing to baseline | 24 weeks |
| BASFI score comparing to baseline | 24 weeks |
Countries
China