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A Study of Human TH-SC01 Cell Injection for Treating Perianal Fistulas in Patients With Crohn's Disease

Primary Purpose

Perianal Fistula, Crohn's Disease

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Human TH-SC01 cell injection
Sponsored by
Jiangsu Topcel-KH Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Perianal Fistula

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Signed informed consent. Subjects with Crohn's disease diagnosed at least 6 months earlier according to the Chinese Consensus Opinion on the Diagnosis and Treatment of Inflammatory Bowel Diseases (Beijing, 2018). Subjects with active perianal fistula and non active luminal CD defined by a CDAI ≤ 200. Subjects with perianal fistula confirmed by clinical assessment and MRI. Subjects aged between 18 and 70, both male and female. All subjects and their partners were not planning to have a child from screening to the end of the trial and agreed to use effective non-drug contraception during the trial. Subjects failed to respond to adequate treatment with any of the conventional antibiotics, immunomodulatory drugs (including steroids), anti-tumor necrosis factor-α (TNF-α) monoclonal antibodies and other biological agents. Exclusion Criteria: Subjects with active infection evaluated by the investigator. Subjects with Crohn's disease requiring immediate therapy. Subjects with abscess or collections >2 cm. Subjects with rectal and/or anal stenosis and/or active proctitis. Subjects who treated with systemic steroids in the 4 weeks prior to stem cells administration. Subjects with abnormal laboratory results: liver function: total bilirubin >=1.5 × ULN, and aspartate aminotransferase (AST) and alanine aminotransferase (ALT) >=2 × ULN; renal function: creatinine clearance below 60 mL/minute calculated using Cockcroft-Gault formula or by serum creatinine >=1.5 × upper limit of normal (ULN). Subjects with malignant tumors or a history of malignant tumors. Subjects with severe, progressive, uncontrolled hepatic, hematological, gastrointestinal (except Crohn's disease), endocrine, pulmonary, cardiac, neurological, psychiatric, or cerebral diseases. Serum virology test (HBeAg, HCV antibody, HIV antibody, Treponema pallidum antibody) positive. Subjects allergic to gentamicin sulfate, anesthetics or contrast media. Subjects allergic to MRI contrast. Subjects who has received stem cells in a previous clinical study or as a therapeutic agent. Subjects who has major surgery or severe trauma within 6 months prior to the screening period. Subjects who has received any investigational drug within 3 months prior to the screening. Subjects deemed inappropriate by the investigator to participate in this clinical trial. The female participant who is pregnant, or is lactating.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Human TH-SC01 cell injection

    Arm Description

    Single injection of 0.6×10^7, 1.2×10^8, 1.8×10^8 cells/kg

    Outcomes

    Primary Outcome Measures

    Severity and incidence of adverse events
    Severity and incidence of adverse events within 28 days after adiministration
    Dose-limiting toxicity (DLT)
    Exploration of dose-limiting toxicity (DLT)
    Maximum tolerated dose (MTD)
    Exploration of maximum tolerated dose (MTD)

    Secondary Outcome Measures

    Perianal fistula healing
    Change from baseline in Van Assche Score by MRI test. The score range was from 0 to 25. Higher score means more severe disease.
    Crohn's Disease Activity Index (CDAI) score
    Change from baseline in the Crohn's Disease Activity Index (CDAI) score. Higher score means more severe disease and especially severe disease was defined as a value of greater than 450.
    Perianal Disease Activity Index (PDAI)
    Change from baseline in Perianal Disease Activity Index (PDAI). Total score ranges from 0 to 20. Higher score means more severe disease.
    Inflammatory Bowel Disease Questionnaire(IBDQ)score
    Change from baseline in IBDQ score. Total score ranges from 32 to 224. Higher score means better quality of life.
    VAS score
    Change from baseline in pain score (VAS score).Total score ranges from 0 to 10. Higher score means more pain.
    Anal sphincter function:Wexner incontinence score
    Change from baseline in anal sphincter function, Wexner incontinence score,Total score ranges from 0 to 20. Higher score means more severe disease.
    Anal sphincter function: rectal pressure
    Change from baseline in rectal pressure,In healthy people, the pressure ranges from 60 to 150mmHg, with the internal sphincter pressure accounts for about 80% and external sphincter pressure accounts for 20%.

    Full Information

    First Posted
    October 26, 2022
    Last Updated
    November 15, 2022
    Sponsor
    Jiangsu Topcel-KH Pharmaceutical Co., Ltd.
    Collaborators
    Changhai Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05626023
    Brief Title
    A Study of Human TH-SC01 Cell Injection for Treating Perianal Fistulas in Patients With Crohn's Disease
    Official Title
    A Phase I Study to Evaluate the Safety and Tolerability of Human TH-SC01 Cell Injection for the Treatment of Perianal Fistulas in Crohn's Disease
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    November 30, 2022 (Anticipated)
    Primary Completion Date
    July 30, 2023 (Anticipated)
    Study Completion Date
    December 30, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Jiangsu Topcel-KH Pharmaceutical Co., Ltd.
    Collaborators
    Changhai Hospital

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to evaluate the safety and tolerability of human TH-SC01 cell injection for the treatment of perianal fistulas in Crohn's Disease
    Detailed Description
    This study is a phase 1, single-arm, safety and tolerability study of human TH-SC01 cell injection for perianal fistulas in Crohn's Disease.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Perianal Fistula, Crohn's Disease

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Sequential Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    9 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Human TH-SC01 cell injection
    Arm Type
    Experimental
    Arm Description
    Single injection of 0.6×10^7, 1.2×10^8, 1.8×10^8 cells/kg
    Intervention Type
    Drug
    Intervention Name(s)
    Human TH-SC01 cell injection
    Intervention Description
    Single injection of human TH-SC01 cell injection
    Primary Outcome Measure Information:
    Title
    Severity and incidence of adverse events
    Description
    Severity and incidence of adverse events within 28 days after adiministration
    Time Frame
    28 days
    Title
    Dose-limiting toxicity (DLT)
    Description
    Exploration of dose-limiting toxicity (DLT)
    Time Frame
    84 days
    Title
    Maximum tolerated dose (MTD)
    Description
    Exploration of maximum tolerated dose (MTD)
    Time Frame
    84 days
    Secondary Outcome Measure Information:
    Title
    Perianal fistula healing
    Description
    Change from baseline in Van Assche Score by MRI test. The score range was from 0 to 25. Higher score means more severe disease.
    Time Frame
    84 days
    Title
    Crohn's Disease Activity Index (CDAI) score
    Description
    Change from baseline in the Crohn's Disease Activity Index (CDAI) score. Higher score means more severe disease and especially severe disease was defined as a value of greater than 450.
    Time Frame
    84 days
    Title
    Perianal Disease Activity Index (PDAI)
    Description
    Change from baseline in Perianal Disease Activity Index (PDAI). Total score ranges from 0 to 20. Higher score means more severe disease.
    Time Frame
    84 days
    Title
    Inflammatory Bowel Disease Questionnaire(IBDQ)score
    Description
    Change from baseline in IBDQ score. Total score ranges from 32 to 224. Higher score means better quality of life.
    Time Frame
    84 days
    Title
    VAS score
    Description
    Change from baseline in pain score (VAS score).Total score ranges from 0 to 10. Higher score means more pain.
    Time Frame
    84 days
    Title
    Anal sphincter function:Wexner incontinence score
    Description
    Change from baseline in anal sphincter function, Wexner incontinence score,Total score ranges from 0 to 20. Higher score means more severe disease.
    Time Frame
    84 days
    Title
    Anal sphincter function: rectal pressure
    Description
    Change from baseline in rectal pressure,In healthy people, the pressure ranges from 60 to 150mmHg, with the internal sphincter pressure accounts for about 80% and external sphincter pressure accounts for 20%.
    Time Frame
    84 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Signed informed consent. Subjects with Crohn's disease diagnosed at least 6 months earlier according to the Chinese Consensus Opinion on the Diagnosis and Treatment of Inflammatory Bowel Diseases (Beijing, 2018). Subjects with active perianal fistula and non active luminal CD defined by a CDAI ≤ 200. Subjects with perianal fistula confirmed by clinical assessment and MRI. Subjects aged between 18 and 70, both male and female. All subjects and their partners were not planning to have a child from screening to the end of the trial and agreed to use effective non-drug contraception during the trial. Subjects failed to respond to adequate treatment with any of the conventional antibiotics, immunomodulatory drugs (including steroids), anti-tumor necrosis factor-α (TNF-α) monoclonal antibodies and other biological agents. Exclusion Criteria: Subjects with active infection evaluated by the investigator. Subjects with Crohn's disease requiring immediate therapy. Subjects with abscess or collections >2 cm. Subjects with rectal and/or anal stenosis and/or active proctitis. Subjects who treated with systemic steroids in the 4 weeks prior to stem cells administration. Subjects with abnormal laboratory results: liver function: total bilirubin >=1.5 × ULN, and aspartate aminotransferase (AST) and alanine aminotransferase (ALT) >=2 × ULN; renal function: creatinine clearance below 60 mL/minute calculated using Cockcroft-Gault formula or by serum creatinine >=1.5 × upper limit of normal (ULN). Subjects with malignant tumors or a history of malignant tumors. Subjects with severe, progressive, uncontrolled hepatic, hematological, gastrointestinal (except Crohn's disease), endocrine, pulmonary, cardiac, neurological, psychiatric, or cerebral diseases. Serum virology test (HBeAg, HCV antibody, HIV antibody, Treponema pallidum antibody) positive. Subjects allergic to gentamicin sulfate, anesthetics or contrast media. Subjects allergic to MRI contrast. Subjects who has received stem cells in a previous clinical study or as a therapeutic agent. Subjects who has major surgery or severe trauma within 6 months prior to the screening period. Subjects who has received any investigational drug within 3 months prior to the screening. Subjects deemed inappropriate by the investigator to participate in this clinical trial. The female participant who is pregnant, or is lactating.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Zhaoshen Li, Dr.
    Phone
    021-81873241
    Email
    zhaoshen-li@hotmail.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Li Zhang, Dr.
    Phone
    021-31162333
    Email
    chyyzhl@163.com

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    A Study of Human TH-SC01 Cell Injection for Treating Perianal Fistulas in Patients With Crohn's Disease

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