Clinical Study of Hepatocyte Transplantation for Liver Cirrhosis

Liver Cirrhosis Clinical Trial

Official title:

Clinical Study of Congener Allogeneic Hepatocyte Transplantation Treatment in Patients With Liver Cirrhosis

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT04806581
• Other study ID #: HI-IM-001
• Status: Not yet recruiting
• Phase: Phase 1
• Start date: April 20, 2021
• Est. completion date: March 31, 2025

Study information

• Verified date: March 2021
• Source: RenJi Hospital
• Contact: Qiang Xia, Doctor
• Phone: 0086-02168383134
• Email: xiaqiang[@]medmail.com.cn
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The Primary Objective: To observe and determine the safety and tolerance of allogeneic hepatocyte transplantation in patients with liver cirrhosis and to establish the maximum-tolerated dose (MTD) and evaluate the dose-limiting toxicities (DLTs). The Secondary Objective: To observe the therapeutic efficacy of allogeneic hepatocyte transplantation for liver cirrhosis.

Description:

- A traditional 3 + 3 dose escalation design will be implemented. - Successive cohorts of participants (3 or 3+3 participants /cohort) will start on a fixed cell numbers of allogeneic hepatocyte in three cohorts separately: L dose (low cell numbers); M dose (medium cell numbers); H dose (high cell numbers). - The 1st cohort will be given dose of L. - The 2nd cohort will be given dose of M. - The 3rd cohort will be given dose of H. - Dose escalation will continue until the maximum-tolerated dose (MTD). If no DLTs are observed for 28days after administration of the last dose, a new cohort will be enrolled at the next planned dose level. If DLTs are observed in 2 of the three participants, the MTD will be determined to be the dose administered to the previous cohort. If DLTs are observed in one participant in the cohort, another three participants will be treated with the same dose level. If the new three participants aren't observed DLTs, another cohort will be enrolled at the upper dose. If at least one of the new three ones are observed DLTs, the below dose will be the MTD. - MTD will stopped by testing increasing up to the H dose. - Toxicities will be graded using the Common Terminology Criteria for Adverse Events Version 5.0 (CTCAE 5.0).

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 20
• Est. completion date: March 31, 2025
• Est. primary completion date: December 31, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 70 Years

Eligibility

Key Inclusion Criteria:

• The age at the time of signing the informed consent from 18 to 70 years old (including the boundary value), both male and female;
• Clinical diagnosis of liver cirrhosis;
• Be able to understand and sign informed consent.

Key Exclusion Criteria:

• Combined with liver cancer or other malignant tumors;
• Patients who can't cooperate;
• Prothrombin time (PT) exceeded the upper limit of normal control for 3-5 seconds or more;
• International normalized ratio (INR) >1.5;
• PLT<60×109/L;
• Recently use of anticoagulant or antiplatelet drugs (last 7 days);
• Recently (last 4 weeks) had upper gastrointestinal bleeding or spontaneous celiac inflammation;
• Moderate or large amount of ascites;
• The investigator assesses that the patient is unable or unwilling to comply with the protocol.

Related Conditions & MeSH terms

• Fibrosis
• Liver Cirrhosis

Intervention

Drug:
• Allogeneic Hepatocyte
Allogeneic hepatocyte with cell numbers L,M,H respectively.

Locations

Country	Name	City	State
China	Deparment of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University	Shanghai

Sponsors (1)

Lead Sponsor	Collaborator
RenJi Hospital

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Maximum Tolerated Dose	Observe the safety and tolerance after single infusion of hepatocyte.	28days
Primary	Dose-Limiting Toxicities	Observe the safety and tolerance after single infusion of hepatocyte.	28days