End Stage Liver Disease, Liver Cirrhosis
Conditions
Keywords
liver cirrhosis, end stage liver disease, umbilical cord, mesenchymal stem cells, HBV
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. Mesenchymal stem cells (MSCs) possess plasticity and have the potential to differentiate into hepatocyte; Thus, MSCs hold great hope for therapeutic applications. Human umbilical cord-derived MSCs (hUC-MSCs) exhibit a more beneficial immunogenic profile and greater overall immunosuppressive potential than aged bone marrow-derived MSCs. Like MSCs derived from bone marrow, hUC-MSCs can also be used to treat rat liver fibrosis and improve glucose homeostasis in rats with liver cirrhosis. In this study, the patients with HBV-related liver cirrhosis will undergo administration of hUC-MSCs via hepatic artery to evaluate the safety and efficacy of hUC-MSC treatment for these patients.
Interventions
After enrolled, Participant will receive umbilical cord MSC transplantation of 1\*10E6 cells/kg via hepatic artery. Participant will then be followed until 1 years study visit
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