Clinical Study of Hepatocyte Transplantation for Liver Cirrhosis
Primary Purpose
Liver Cirrhosis
Status
Not yet recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Allogeneic Hepatocyte
Sponsored by
About this trial
This is an interventional treatment trial for Liver Cirrhosis focused on measuring Liver cirrhosis; allogeneic hepatocyte; transplantation
Eligibility Criteria
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.
Sites / Locations
- Deparment of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Experimental
Arm Label
Allogeneic Hepatocyte Cohort 1
Allogeneic Hepatocyte Cohort 2
Allogeneic Hepatocyte Cohort 3
Arm Description
Participants will each be administered L dose for one time. With 28days follow-up after the cells infusion. Allogeneic hepatocyte cell numbers: L
Participants will each be administered M dose for one time. With 28days follow-up after the cells infusion. Allogeneic hepatocyte cell numbers: M
Participants will each be administered H dose for one time. With 28days follow-up after the cells infusion. Allogeneic hepatocyte cell numbers: H
Outcomes
Primary Outcome Measures
Maximum Tolerated Dose
Observe the safety and tolerance after single infusion of hepatocyte.
Dose-Limiting Toxicities
Observe the safety and tolerance after single infusion of hepatocyte.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04806581
Brief Title
Clinical Study of Hepatocyte Transplantation for Liver Cirrhosis
Official Title
Clinical Study of Congener Allogeneic Hepatocyte Transplantation Treatment in Patients With Liver Cirrhosis
Study Type
Interventional
2. Study Status
Record Verification Date
March 2021
Overall Recruitment Status
Not yet recruiting
Study Start Date
April 20, 2021 (Anticipated)
Primary Completion Date
December 31, 2024 (Anticipated)
Study Completion Date
March 31, 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
RenJi Hospital
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief 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.
Detailed 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).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Liver Cirrhosis
Keywords
Liver cirrhosis; allogeneic hepatocyte; transplantation
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Model Description
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
20 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Allogeneic Hepatocyte Cohort 1
Arm Type
Experimental
Arm Description
Participants will each be administered L dose for one time. With 28days follow-up after the cells infusion.
Allogeneic hepatocyte cell numbers: L
Arm Title
Allogeneic Hepatocyte Cohort 2
Arm Type
Experimental
Arm Description
Participants will each be administered M dose for one time. With 28days follow-up after the cells infusion.
Allogeneic hepatocyte cell numbers: M
Arm Title
Allogeneic Hepatocyte Cohort 3
Arm Type
Experimental
Arm Description
Participants will each be administered H dose for one time. With 28days follow-up after the cells infusion.
Allogeneic hepatocyte cell numbers: H
Intervention Type
Drug
Intervention Name(s)
Allogeneic Hepatocyte
Intervention Description
Allogeneic hepatocyte with cell numbers L,M,H respectively.
Primary Outcome Measure Information:
Title
Maximum Tolerated Dose
Description
Observe the safety and tolerance after single infusion of hepatocyte.
Time Frame
28days
Title
Dose-Limiting Toxicities
Description
Observe the safety and tolerance after single infusion of hepatocyte.
Time Frame
28days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Qiang Xia, Doctor
Phone
0086-02168383134
Email
xiaqiang@medmail.com.cn
First Name & Middle Initial & Last Name or Official Title & Degree
Yaoping Shi
Phone
0086-02168383134
Email
shi_yaoping@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Qiang Xia, Doctor
Organizational Affiliation
Department of Liver Surgery, Renji Hospital affiliated to Shanghai Jiao Tong University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Deparment of Liver Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University
City
Shanghai
ZIP/Postal Code
200127
Country
China
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Clinical Study of Hepatocyte Transplantation for Liver Cirrhosis
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