Unique ID issued by UMIN | UMIN000005232 |
---|---|
Receipt number | R000006209 |
Scientific Title | Transplantation of autologous mononuclear cells in patients with critical limb ischemia (CLI) |
Date of disclosure of the study information | 2011/03/10 |
Last modified on | 2014/09/10 12:01:43 |
Transplantation of autologous mononuclear cells in patients with critical limb ischemia (CLI)
MNC therapy in CLI patients
Transplantation of autologous mononuclear cells in patients with critical limb ischemia (CLI)
MNC therapy in CLI patients
Japan |
CLI (atherosclerotic PAD/Buerger disease)
Cardiology |
Others
NO
To evaluate the safety and efficacy of PB-MNC therapy in no-option patients with CLI
Safety,Efficacy
Exploratory
Phase II
We will exploratorily evaluate the following concerns without configuring primary outcomes.
1) Fontaine's grade and Rutherford's category
2) All-cause mortality and cause of death
3) Major amputation and unplanned minor amputation
4) Size of ulcer
5) Severity of ischemic leg pain
6) Physiological findings of lower extremity ischemia
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Device,equipment | Maneuver |
Harves and implantation of PB-MNC
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1) Atherosclerotic PAD or Buerger's disease with >70% luminal stenosis in the leg arteries by digital subtraction angiography (DSA)
2) >3 months since the onset of lower limb ischemia
3) CLI within category 4-5 on the Rutherford's scale
4) Failure of or no indication for transluminal angioplasty/stenting and bypass surgery
5) 20-80 aged patients who can give informed consent themselves in writing
1) CLI within category 6 on the Rutherford's scale
2) Less than 3 months since success of bypass surgery, transluminal angioplasty and sympathectomy for the limb expected to be transplanted
3) Left ventricular ejection fraction< 25%
4) Patients with a history of severe side effects to apheresis
5) Patients with malignant tumor
6) Patients with diabetic proliferating retinopathy (new Fukuda classification Bii to BV)
7) Less than 3 months since last episode of unstable angina and myocardial/cerebral infarction
8) Patients with cirrhosis of the liver
9) Leukocytes exceeding 15,000/ micro L
10) Platelets less than 100,000/ micro L
11) Hemoglobin less than 8 g/dL
12) Patients with rest pain, ulcer or necrosis for reasons other than CLI (such as lumber spinal canal stenosis, arthropathy or vasculitis)
13) Patients who require major amputation regardless of whether revascularization is successful or not, because of exposure of the bone or tendon due to osteomyelitis, osteonecrosis, ulcer and soft tissue necrosis, or sepsis
14) Pregnant or nursing patients, those who may be pregnant, or those who plan on becoming pregnant before the end of the study period
15) Patients enrolled in any other clinical trial
16) Any other reason that the Clinical Supervisors or Clinical Researchers may have for considering a case unsuitable for the study.
5
1st name | |
Middle name | |
Last name | Atsuhiko Kawamoto |
Institute of Biomedical Research and Innovation (IBRI)
Regenerative Medicine Unit
2-2 Minatojima-Minamimachi, Chuo-Ku
078-304-5200
kawamoto@fbri.org
1st name | |
Middle name | |
Last name | Tomoko Ito |
Institute of Biomedical Research and Innovation (IBRI)
Department of Clinical Trial Support
2-2 Minatojima-Minamimachi, Chuo-Ku
078-304-5200
http://www.ibri-kobe.org/leg/index.html
t-ito@fbri.org
Regenerative Medicine Unit, Division of Vascular Regeneration Therapy, Institute of Biomedical Research and Innovation (IBRI)
Foundation for Biomedical Research and Innovation
Non profit foundation
Japan
NO
公益財団法人先端医療振興財団 先端医療センター病院
2011 | Year | 03 | Month | 10 | Day |
http://www.ibri-kobe.org/leg/treatment/index2.html
Unpublished
Completed
2011 | Year | 03 | Month | 01 | Day |
2011 | Year | 03 | Month | 01 | Day |
2013 | Year | 12 | Month | 19 | Day |
2014 | Year | 04 | Month | 01 | Day |
2014 | Year | 05 | Month | 01 | Day |
2014 | Year | 06 | Month | 01 | Day |
2011 | Year | 03 | Month | 10 | Day |
2014 | Year | 09 | Month | 10 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006209