Diabetic Foot, Ischemia, Peripheral Vascular Disease
Conditions
Keywords
Adipose-derived Stem Cells
Brief summary
Stem cell therapy has been a new and effective therapy in recent years for diabetic foot.This study intends to establish an optimal clinical research program, and attempts to break the technical bottleneck in the stem cell therapy for treating diabetes related vascular complications.
Detailed description
Diabetic foot is one of the most serious chronic complications of diabetic patients, and still lacking effective treatments. Stem cell therapy has been a new and effective therapy in recent years for diabetic foot. Combined with the previous studies of our research group, this study intends to transform part of the results of this research, establish an optimal clinical research program, and attempts to break the technical bottleneck in the stem cell therapy for treating diabetes related vascular complications.
Interventions
stem cell acquisition, processing and reinfection, to evaluate the efficacy of adipose-derived stem cell.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diabetes mellitus Type 2 or Type 1 * Age between 18-80 years * Chronic foot ulcer more than 6 weeks * No sufficient response to best standard care delivered for six weeks. * PAD up to Fontaine stage III or IV period * CLI with the ankle brachial index (index ankle-brachial, ABI) \<0.7 and (or) the -percutaneous oxygen partial pressure (oxygen tension transcutaneous, TcPO2) \<30mmHg
Exclusion criteria
* HbA1c \>12% * Hemoglobin \<10 mg/dl * Creatinine clearance rate \<30ml/min * Systemic bacterial, viral infections (Mei Du, hepatitis, cytomegalovirus infection, - HIV, B19 infection, herpes virus infection) and sepsis * Have accepted the treatment of stem cells or growth factors * Have a history of malignant disease * Pregnancy * Mental illness history * Abnormal coagulation function * Allergic reaction * Severe cardiac insufficiency (III-IV NYHA) * Using vasoactive substances
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Area of diabetic foot ulcers | 3 months | To determine the ability of MSC to facilitate and accelerate diabetic foot ulcers healing. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improvement of transcutaneous oxygen partial pressure (TcPO2) | 3 months | Improvement of local perfusion. |
| Improvement of microvascular cutaneous reactivity by laser Doppler perfusion monitoring (LDPM) | 3 months | — |
| Pain (Visual-Analog Scale) | 3 months | Measure of the subjective symptom of pain. |
| Walking distance (treadmill) if possible | 3 months | — |
Countries
China