Liver Diseases, Liver Transplant; Complications
Conditions
Brief summary
The purpose of this study is to assess the safety of autologous Adipose-Derived Mesenchymal Stem Cell for use in End-Stage Liver Disease patients undergoing the creation of a duct-to-duct anastomosis during Living Donor Liver Transplantation.
Interventions
Adipose derived autologous mesenchymal stromal cells; \[\~500,000 cells/cm2\] will be applied once to the biliary anastomosis using approximately 3-5 million cells in 5ml Lactated Ringer solution.
Sponsors
Study design
Eligibility
Inclusion criteria
* Listed for liver transplantation * Non-pediatric patients with a planned LDLT * Ability to communicate with investigative staff * Competence to give written informed consent * Ability to comply with the entire study procedure * All sexes and genders will be eligible for the study
Exclusion criteria
* Planned deceased donor liver transplantation * Uncontrolled / unresolved local or systemic infection * Body mass index \> 40 * Planned pancreaticoduodenectomy or sleeve gastrectomy * Anticipation of 3 biliary anastomoses (we will include those anticipated to have 1 or 2 biliary anastomoses as detailed below) * Pregnancy or breastfeeding * Non-liver cancers (we will include certain patients with primary liver cancer as detailed below) * Treatment with any investigational drug / device within 60 days prior to study entry * Any other condition which in the judgment of the investigator would preclude adequate evaluation of the safety and efficacy of AMSCs * Patients who are employees or relatives of the investigator
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Side effects | 24 months | Number of subjects to experience systemic symptoms, irritation, inflammation, infections or biliary obstructions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Biliary complications | 24 months | Number of subjects to develop biliary complications of strictures or leaks |
Countries
United States
Contacts
Mayo Clinic