Unique ID issued by UMIN | UMIN000005174 |
---|---|
Receipt number | R000006141 |
Scientific Title | A safety and efficacy study of autologous bone marrow cell transplantation for HIV positive patients with cirrhosis |
Date of disclosure of the study information | 2011/03/02 |
Last modified on | 2017/05/02 20:49:27 |
A safety and efficacy study of autologous bone marrow cell transplantation for HIV positive patients with cirrhosis
ABMi liver regeneration project
A safety and efficacy study of autologous bone marrow cell transplantation for HIV positive patients with cirrhosis
ABMi liver regeneration project
Japan |
HIV infection, AIDS, Cirrhosis
Hepato-biliary-pancreatic medicine | Infectious disease | Blood transfusion |
Others
NO
Analyze and evaluate if autologous bone marrow transplantation can safely restore liver functions for HIV infected patients who have cirrhosis.
Others
Investigate how long the efficacy of the treatment will last.
Exploratory
The primary outcomes are treatment safety and efficacy at the point of 24 weeks after the transplantation:
For Child-Pugh Score, -2 reduction or more as "improvement", change range within 1 as "no change", +2 increase or more as "worsening", respectively from the score before the transplantation. Also evaluate statistical significance between pre-transplantation and 24 weeks after.
For serum albumin and fibrosis markers, 10% changes before and after as "improvement" or "worsening". Evaluate statistical significance of albumin and Transient Elastography between the pre-transplantation and the 24 weeks after.
For image evaluation, three degrees of ascites [none, mild, severe] as in Child-Pugh Score with "improvement" as one or more degree improvement.
For self-reporting subjective symptoms, compare bottom-line scores of each sub-categorical scale in SF health score card.
Because cirrhosis is a progressive condition, treatment efficacy is defined by "improvement" and "no change" from the above.
The key secondary outcomes is the duration of the treatment effectiveness.
Using the same evaluation modules as of the primary outcomes, investigate and assess the chronological effectivity after the primal 24 weeks up to 48 weeks to evaluate the duration of the treatment efficacy.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Other |
Autologous bone marrow transplantation
20 | years-old | <= |
70 | years-old | >= |
Male and Female
Outpatients or inpatients that are treated for HIV infection at AIDS Clinical Center of National Center for Global Health and Medicine and:
1) between 20 and 70 of age
2) have cirrhosis with 7 or higher Child-Pugh Score in Child-Pugh Score B
3) able to consent and willing to participate in the study
4) under good control for HIV
Cases applicable to ANY condition of the following:
1) Hepatocellular carcinoma (HCC), except for cases having been treated completely without history of recurrence
2) Malignant tumor other than HCC
3) Alcoholic liver disease (ALD)
4) Hemoglobin under 8g/dL or Platelets under 20/ml at the registration
5) Esophageal or gastric varices with a risk of bursting, except for cases only with cured history of such conditions
6) Cases that cannot obtain the informed consent to autologous blood transfusion
7) Pregnancy
8) Renal dysfunction with 2mg/dL or higher serum creatinine
9) Performance Status 3 or 4 (assessment excludes hemophilic arthritis related daily life limitations)
10) not fit for general anesthesia
11) other conditions that doctor considered not suitable for the study
10
1st name | |
Middle name | |
Last name | Shinichi Oka |
National Center for Global Health and Medicine
AIDS Clinical Center
1-21-1 Toyama, Shinjuku, Tokyo JAPAN
03-5273-5193
oka@acc.ncgm.go.jp
1st name | |
Middle name | |
Last name | Kunihisa Tsukada |
National Center for Global Health and Medicine
AIDS Clinical Center
1-21-1 Toyama, Shinjuku, Tokyo JAPAN
03-3202-7181(5369)
ktsukada@acc.ncgm.go.jp
National Center for Global Health and Medicine
Ministry of Health, Labour and Welfare
Japanese Governmental office
Japan
YES
NCT01309594
NIH
国立国際医療研究センター病院(東京都)、山口大学医学部附属病院(山口県)、奈良県立医科大学附属病院(奈良県)、国立病院機構岡山医療センター病院(岡山県)、東北大学病院(宮城県)
2011 | Year | 03 | Month | 02 | Day |
Unpublished
Completed
2011 | Year | 01 | Month | 04 | Day |
2011 | Year | 03 | Month | 01 | Day |
2016 | Year | 03 | Month | 01 | Day |
2016 | Year | 03 | Month | 31 | Day |
2016 | Year | 03 | Month | 31 | Day |
2011 | Year | 03 | Month | 02 | Day |
2017 | Year | 05 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006141