Unique ID issued by UMIN | UMIN000028381 |
---|---|
Receipt number | R000032488 |
Scientific Title | A single-arm, open-label, phase 2 study of autologous CD34+ stem cells-selected transplantation for severe systemic sclerosis |
Date of disclosure of the study information | 2017/08/01 |
Last modified on | 2018/01/10 13:54:28 |
A single-arm, open-label, phase 2 study of autologous CD34+ stem cells-selected transplantation for severe systemic sclerosis
A clinical trial of autologous stem cell transplantation for severe systemic sclerosis
A single-arm, open-label, phase 2 study of autologous CD34+ stem cells-selected transplantation for severe systemic sclerosis
A clinical trial of autologous stem cell transplantation for severe systemic sclerosis
Japan |
Severe systemic sclerosis
Clinical immunology |
Others
NO
To investigate the efficacy of autologous CD34+ stem cells-selected transplantation for severe systemic sclerosis
Efficacy
Confirmatory
Pragmatic
Phase II
The mean change in modified Rodnan skin score at 12 months after transplantation
The proportion of 25% improvement in skin score at 12 months
The mean change in forced vital capacity at 12 months
The mean change in serum KL-6 levels at 12 months
Event-free survival
Overall survival
Incidence of adverse events
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
NO
NO
Institution is not considered as adjustment factor.
NO
1
Treatment
Medicine | Device,equipment |
Autologous CD34+ stem cells-selected transplantation
16 | years-old | <= |
65 | years-old | > |
Male and Female
(1) definite diagnosis of Systemic Sclerosis using 2013 ACR/EULAR SSc criteria
(2) between the age of 16 and 65
(3) ECOG Performance Status of 0 to 2
(4) refractory to corticosteroids or immunosuppressive therapy
(5) fall under any of the following
a) with maximum disease duration of 4 years, minimum modified Rodnan skin score of 15 and organ involvement as follows:
1.interstitial pneumonia diagnosed by Chest Xp or CT and less than 80% in %FVC or %DLCO
2.past history of renal crisis
3.reversible heart failure, arrhythmia or pericardial effusion
b) with maximum disease duration of 2 years, minimum modified Rodnan skin score of 20 and erythrocyte sedimentation rate greater than 25 mm in the first hour and/or hemoglobin less than 11 g/dl
(6) able to understand and willing to sign the Informed Consent Form
(1) severe organ dysfunction as following
a) severe arrhythmia leading to permanent implantation of a pacemaker or implantable cardioverter defibrillator, refractory chronic heart failure, reduced left ventricular ejection fraction lower than 50% at echocardiogram or severe pulmonary hypertension (mPAP >=30 mmHg)
b) severe lung dysfunction (PaO2 <60 mmHg under room air conditions, %FVC <50% or %DLOC <20%)
c) severe renal dysfunction (eGFR <40 ml/min or serum Cr >=2 mg/dl)
d)
d) liver abnormality (baseline AST, ALT or total bilirubin levels are >3 times higher than upper limit of normal)
(2) presence of malignancy except for complete remission
(3) presence of active infection
(4) positive for HBs-Ag, HCV-Ab, HIV-Ab or HTLV1-Ab test
(5) cumulative dose of more than 10 g of cyclophosphamide
(6) history of anaphylaxis or hypersensitivity to murine IgG or iron-dextran complex
(7) pregnancy or lactation
(8) judged by the investigator to be inappropriate for study participation
12
1st name | |
Middle name | |
Last name | Koichi Akashi |
Kyushu University Graduate school of Medicine
Department of Medicine and Biosystemic Science
3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan
092-642-5230
akashi@med.kyushu-u.ac.jp
1st name | |
Middle name | |
Last name | Hiroki Mitoma |
Kyushu University hospital
Department of Clinical Immunology and Rheumatology/Infectious Disease
3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan
092-642-5228
mitoma@intmed1.med.kyushu-u.ac.jp
Department of Clinical Immunology and Rheumatology/Infectious Disease, Kyushu University Graduate school of Medicine
Department of Clinical Immunology and Rheumatology/Infectious Disease, Kyushu University Graduate school of Medicine
Self funding
Japan
NO
九州大学病院
2017 | Year | 08 | Month | 01 | Day |
Unpublished
Open public recruiting
2017 | Year | 05 | Month | 11 | Day |
2017 | Year | 09 | Month | 19 | Day |
2017 | Year | 07 | Month | 26 | Day |
2018 | Year | 01 | Month | 10 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032488