End Stage Liver Disease, Liver Cirrhosis
Conditions
Keywords
liver cirrhosis, stem cell, peripheral blood, autologous, HBV, end stage liver disease
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. In preclinical studies the investigators have demonstrated that G-CSF mobilized PBSC from patients with HBV related liver cirrhosis could differentiate into functional hepatocyte and autologous PBSC transplantation can significantly improve liver synthetic function. But further studied was needed to confirm the safety and efficacy of PBSC transplantation. In this study, a prospective, randomized, parallel clinical study was designed. The patients with HBV-related liver cirrhosis will undergo administration of human autologous PBSCs via hepatic artery to evaluate the safety and efficacy of human autologous PBSCs treatment for these patients.
Interventions
PBSCs were mobilized with recombinant human G-CSF at 5-10ug/kg/d for three days. then PBSCs were collected by means of apheresis. The collected PBSCs were infused into participant via hepatic artery
Participants will receive conventional treatment and antiviral 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.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 |
|---|---|
| one-year survival rate | one year after treatment |
Secondary
| Measure | Time frame |
|---|---|
| MELD score | 1week, 4weeks,3months, 6months, 9months and 1year after treatment |
| Child Pugh Score | 1week, 4weeks,3months, 6months, 9months and 1year after treatment |
| alpha fetoprotein | 1week, 4weeks,3months, 6months, 9months and 1year after treatment |
| renal function | 1week, 4weeks,3months, 6months, 9months and 1year after treatment |
Countries
China