End Stage Liver Disease, Liver Cirrhosis
Conditions
Keywords
liver cirrhosis, end stage liver disease, HBV, autologous, stem cell, bone morrow
Brief summary
HBV related Liver disease is a common medical problem in China. An estimated 7.18% of the Chinese (about 93 million) is infected with hepatitis B, and most of the HBV- related hepatitis can developed into liver cirrhosis. Liver transplantation is the only available life saving treatment for patients with end stage liver disease. However, lack of donors, surgical complications, rejection, and high cost are serious problems. stem cells(SCs) possess plasticity and have the potential to differentiate into hepatocyte; Thus, SCs hold great hope for therapeutic applications. Adult bone marrow is the most common source of SCs for clinical applications.Previous study showed that bone marrow derived stem cells (BMSCs) replace hepatocytes in injured liver, and effectively rescue experimental liver failure and contribute to liver regeneration. In this study, the patients with HBV-related liver cirrhosis will undergo administration of human autologous BMSCs via hepatic artery to evaluate the safty and efficacy of human autologous BMSCs treatment for these patients.
Interventions
Patients randomized to the intervention arm will be collected for bone marrow stem cells and then infused with these cells via hepatic artery.
Participants will recieve conventional treatment and antivrial treatment.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Aged 18-65 years 2. HBV-related liver cirrhosis 3. Child-Pugh score 9-15 4. Written consent
Exclusion criteria
1. Hepatocellular carcinoma or other malignancies 2. Severe problems in other vital organs(e.g.theheart,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 |
|---|---|
| one year survival rate | one year after treatment |
Secondary
| Measure | Time frame |
|---|---|
| MELD score | 1week, 4weeks, 3months, 6months, 9 months and 1year after treatment |
| AFP | 1week, 4weeks, 3months, 6months, 9 months and 1year after treatment |
| renal function | 1week, 4weeks, 3months, 6months, 9 months and 1year after treatment |
| child score | 1week, 4weeks, 3months, 6months, 9 months and 1year after treatment |
Countries
China