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A Study of TH-SC01 for Treating Complex Perianal Fistula in Perianal Crohn's Disease.

Primary Purpose

Crohn's Disease

Status
Enrolling by invitation
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
TH-SC01
Sponsored by
Jinling Hospital, China
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Crohn's Disease focused on measuring Complex Perianal Fistulas

Eligibility Criteria

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

Inclusion Criteria:

  • 1. Signed Informed Consent;
  • 2. According to the Diagnostic Criterion for Crohn's Disease in China's 《Consensus on the Diagnosis and Treatment of Inflammatory Bowel Disease》 (2018, Beijing), Crohn's disease was diagnosed at least 6 months before the screening period;
  • 3. Crohn's disease activity index (CDAI) score of 220 or less is defined as inactive or mildly active luminal Crohn's disease;
  • 4. Through clinical evaluation, MRI evaluation for anal fistula patients;
  • 5. Age 18 ~ 70, male or female;
  • 6. The serum or urine pregnancy test of a woman of reproductive age must be negative. Both men and women must agree to use a contraceptive method;
  • 7. According to the history and related examination, the general health condition is good;
  • 8. The eligible patients must at least meet one of the following conditions: patients who have failed to respond to any conventional treatment, such as conventional antibiotic therapy, immunomodulatory drug therapy, anti-tumor necrosis factor (TNF) α monoclonal antibody therapy, and 5-aminosalicylic acid

Exclusion Criteria:

  • 1. CDAI > 220, or due to Crohn's disease activity, treatment needs to be upgraded immediately;
  • 2. Patients with abdominal and pelvic abscess or fistula diameter more than 2 cm;
  • 3. Patients with rectal and/or anal stenosis and/or active proctitis (due to limited surgical procedures);
  • 4. The number of internal and / or external openings of anal fistula was more than 2 and 3 respectively;
  • 5. Patients who received steroid therapy within the first 4 weeks were screened;
  • 6. Abnormal laboratory test results: Liver function: total bilirubin ≥1.5 times the upper limit of normal value, aspartate aminotransferase (AST) or alanine aminotransferase (ALT)≥2.5 times the upper limit of normal value; Renal function: Creatinine clearance below 60mL/min or 1.5 times the upper normal limit of serum creatinine (measured value or calculated by the Cockcroft-Gault formula);
  • 7.Patients with malignancy or a history of malignancy, including fistula cancer of any type;
  • 8. Patients with severe, progressive, uncontrollable diseases of the liver, blood, gastrointestinal (except Crohn's disease), endocrine, lung, heart, neurological, psychiatric, or brain;
  • 9. HIV, syphilis antibody positive, HCV / HBV positive, tuberculosis in the infectious period, etc;
  • 10. Patients who are allergic to human serum albumin, human platelet lysates, anesthetic agents or contrast agents;
  • 11. Patients with contraindications to MRI scanning;
  • 12. Pregnant or lactating women and subjects who cannot commit to using effective contraceptives during the trial and for 6 months after the end of the trial;
  • 13. Patients who have undergone major surgery or severe trauma in the past six months;
  • 14. Patients who had received any study drug within a certain period of time prior to screening;
  • 15.Patients deemed ineligible to participate in this clinical trial by the investigator

Sites / Locations

  • Jinling hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

TH-SC01

Arm Description

TH-SC01 24 mL suspension of 120 million cells as a perilesional injection, once on Day 0.

Outcomes

Primary Outcome Measures

Percentage of Participants who Achieve Combined Remission
Combined remission is defined as the closure of all treated external openings that were draining at baseline despite gentle finger compression, and absence of abscess(es) >2 cm (in at least 2 dimensions) of the treated perianal fistula(s) confirmed by central magnetic resonance imaging (MRI) assessment or transrectal ultrasonography(TRUS)

Secondary Outcome Measures

Percentage of Participants who Achieve Clinical Remission
Clinical remission is defined as the closure of all treated external openings that were draining at baseline despite gentle finger compression.
Percentage of Participants who Achieve Clinical Response
Clinical response is defined as closure of at least 50% of all treated external openings that were draining at baseline despite gentle finger compression.
Percentage of Participants who decrease in PDAI
PDAI is a scoring system for assessing the severity of perianal lesions associated with Crohn's disease.It consists of the following five items :(a) perianal secretions;(b) Pain and movement;(c) Sexual life;(d) Perianal manifestations;(e) Sclerosing.Each item is rated on a five-point scale from asymptomatic (0) to severe (4), with an overall score of 0 to 20.The higher the score, the more severe the disease.
Percentage of Participants who decrease in IBDQ
IBDQ questionnaire score is used to investigate the quality of life of patients. There are 32 questions in total, and each question has 1 to 7 answers of different degrees, with 1 representing the most severe degree and 7 representing the least severe degree
Percentage of Participants who decrease in VAS scale
VAS scale was used to evaluate the pain. 0 points indicated no pain, less than 3 points indicated mild pain, 4-6 points indicated pain affecting sleep but tolerable, 7-10 points indicated pain and discomfort, affecting appetite and sleep. The higher number, the pain was more obvious.
Percentage of Participants who decrease in Wexner incontinence score
Wexner incontinence score

Full Information

First Posted
June 10, 2021
Last Updated
June 24, 2021
Sponsor
Jinling Hospital, China
Collaborators
Jiangsu Topcel-KH Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04939337
Brief Title
A Study of TH-SC01 for Treating Complex Perianal Fistula in Perianal Crohn's Disease.
Official Title
Study to Assess the Safety and Efficacy of Allogeneic Umbilical Cord-derived Mesenchymal Stem Cells(TH-SC01), for Treatment of Complex Perianal Fistulas in Perianal Crohn's Disease.
Study Type
Interventional

2. Study Status

Record Verification Date
June 2021
Overall Recruitment Status
Enrolling by invitation
Study Start Date
November 12, 2020 (Actual)
Primary Completion Date
January 2024 (Anticipated)
Study Completion Date
August 2024 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to asses the efficacy and Safety of Allogeneic Umbilical Cord-derived Mesenchymal Stem Cells in the Treatment of Complex Perianal Fistula in Perianal Crohn's Disease.
Detailed Description
Crohn´s disease (CD) can affect any part of the digestive system and symptoms of this chronic illness include abdominal pain, bloating, nausea, vomiting and diarrhea. CD also causes bowel wall ulcers, strictures and fistulas (abnormal passages from the intestines to another organ or the skin). There is an unmet need for effective medical therapy in CD patients with perianal fistulas, not responding to the conventional strategies, including biological therapies. The current study is designed to assess the safety and efficacy of Allogeneic Umbilical Cord-derived Mesenchymal Stem cells from healthy donors for the treatment of perianal fistulas in patients presenting CD. Primary objective: To assess the safety (incidence of treatment emergent adverse-events) of TH-SC01

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
TH-SC01
Arm Type
Experimental
Arm Description
TH-SC01 24 mL suspension of 120 million cells as a perilesional injection, once on Day 0.
Intervention Type
Drug
Intervention Name(s)
TH-SC01
Intervention Description
Allogeneic Umbilical Cord-derived Mesenchymal Stem cells perilesional injection. Human TH-SC01 cell injection (human umbilical cord mesenchymal stem cells for injection, 5 million cells / ml, 6.0-10.0ml / bottle)
Primary Outcome Measure Information:
Title
Percentage of Participants who Achieve Combined Remission
Description
Combined remission is defined as the closure of all treated external openings that were draining at baseline despite gentle finger compression, and absence of abscess(es) >2 cm (in at least 2 dimensions) of the treated perianal fistula(s) confirmed by central magnetic resonance imaging (MRI) assessment or transrectal ultrasonography(TRUS)
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
Percentage of Participants who Achieve Clinical Remission
Description
Clinical remission is defined as the closure of all treated external openings that were draining at baseline despite gentle finger compression.
Time Frame
Up to Week 24
Title
Percentage of Participants who Achieve Clinical Response
Description
Clinical response is defined as closure of at least 50% of all treated external openings that were draining at baseline despite gentle finger compression.
Time Frame
Up to Week 24
Title
Percentage of Participants who decrease in PDAI
Description
PDAI is a scoring system for assessing the severity of perianal lesions associated with Crohn's disease.It consists of the following five items :(a) perianal secretions;(b) Pain and movement;(c) Sexual life;(d) Perianal manifestations;(e) Sclerosing.Each item is rated on a five-point scale from asymptomatic (0) to severe (4), with an overall score of 0 to 20.The higher the score, the more severe the disease.
Time Frame
0、4、8、16、24 weeks
Title
Percentage of Participants who decrease in IBDQ
Description
IBDQ questionnaire score is used to investigate the quality of life of patients. There are 32 questions in total, and each question has 1 to 7 answers of different degrees, with 1 representing the most severe degree and 7 representing the least severe degree
Time Frame
0、4、8、16、24 weeks
Title
Percentage of Participants who decrease in VAS scale
Description
VAS scale was used to evaluate the pain. 0 points indicated no pain, less than 3 points indicated mild pain, 4-6 points indicated pain affecting sleep but tolerable, 7-10 points indicated pain and discomfort, affecting appetite and sleep. The higher number, the pain was more obvious.
Time Frame
0、4、8、16、24 weeks
Title
Percentage of Participants who decrease in Wexner incontinence score
Description
Wexner incontinence score
Time Frame
0、4weeks

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: 1. Signed Informed Consent; 2. According to the Diagnostic Criterion for Crohn's Disease in China's 《Consensus on the Diagnosis and Treatment of Inflammatory Bowel Disease》 (2018, Beijing), Crohn's disease was diagnosed at least 6 months before the screening period; 3. Crohn's disease activity index (CDAI) score of 220 or less is defined as inactive or mildly active luminal Crohn's disease; 4. Through clinical evaluation, MRI evaluation for anal fistula patients; 5. Age 18 ~ 70, male or female; 6. The serum or urine pregnancy test of a woman of reproductive age must be negative. Both men and women must agree to use a contraceptive method; 7. According to the history and related examination, the general health condition is good; 8. The eligible patients must at least meet one of the following conditions: patients who have failed to respond to any conventional treatment, such as conventional antibiotic therapy, immunomodulatory drug therapy, anti-tumor necrosis factor (TNF) α monoclonal antibody therapy, and 5-aminosalicylic acid Exclusion Criteria: 1. CDAI > 220, or due to Crohn's disease activity, treatment needs to be upgraded immediately; 2. Patients with abdominal and pelvic abscess or fistula diameter more than 2 cm; 3. Patients with rectal and/or anal stenosis and/or active proctitis (due to limited surgical procedures); 4. The number of internal and / or external openings of anal fistula was more than 2 and 3 respectively; 5. Patients who received steroid therapy within the first 4 weeks were screened; 6. Abnormal laboratory test results: Liver function: total bilirubin ≥1.5 times the upper limit of normal value, aspartate aminotransferase (AST) or alanine aminotransferase (ALT)≥2.5 times the upper limit of normal value; Renal function: Creatinine clearance below 60mL/min or 1.5 times the upper normal limit of serum creatinine (measured value or calculated by the Cockcroft-Gault formula); 7.Patients with malignancy or a history of malignancy, including fistula cancer of any type; 8. Patients with severe, progressive, uncontrollable diseases of the liver, blood, gastrointestinal (except Crohn's disease), endocrine, lung, heart, neurological, psychiatric, or brain; 9. HIV, syphilis antibody positive, HCV / HBV positive, tuberculosis in the infectious period, etc; 10. Patients who are allergic to human serum albumin, human platelet lysates, anesthetic agents or contrast agents; 11. Patients with contraindications to MRI scanning; 12. Pregnant or lactating women and subjects who cannot commit to using effective contraceptives during the trial and for 6 months after the end of the trial; 13. Patients who have undergone major surgery or severe trauma in the past six months; 14. Patients who had received any study drug within a certain period of time prior to screening; 15.Patients deemed ineligible to participate in this clinical trial by the investigator
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wei Juan, doctor
Organizational Affiliation
Jinling Hospital, China
Official's Role
Principal Investigator
Facility Information:
Facility Name
Jinling hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210002
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
17560413
Citation
Thoreson R, Cullen JJ. Pathophysiology of inflammatory bowel disease: an overview. Surg Clin North Am. 2007 Jun;87(3):575-85. doi: 10.1016/j.suc.2007.03.001.
Results Reference
result
Links:
URL
https://pubmed.ncbi.nlm.nih.gov/17560413/
Description
Thoreson R, Cullen JJ. Pathophysiology of inflammatory bowel disease: an overview. Surg Clin North Am. 2007 Jun;87(3):575-85. Review.

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A Study of TH-SC01 for Treating Complex Perianal Fistula in Perianal Crohn's Disease.

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