UMIN-CTR Clinical Trial

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

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Basic information

Public title

A safety and efficacy study of autologous bone marrow cell transplantation for HIV positive patients with cirrhosis

Acronym

ABMi liver regeneration project

Scientific Title

A safety and efficacy study of autologous bone marrow cell transplantation for HIV positive patients with cirrhosis

Scientific Title:Acronym

ABMi liver regeneration project

Region

Japan


Condition

Condition

HIV infection, AIDS, Cirrhosis

Classification by specialty

Hepato-biliary-pancreatic medicine Infectious disease Blood transfusion

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Analyze and evaluate if autologous bone marrow transplantation can safely restore liver functions for HIV infected patients who have cirrhosis.

Basic objectives2

Others

Basic objectives -Others

Investigate how long the efficacy of the treatment will last.

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

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.

Key secondary outcomes

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.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

Autologous bone marrow transplantation

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

70 years-old >=

Gender

Male and Female

Key inclusion criteria

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

Key exclusion criteria

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

Target sample size

10


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shinichi Oka

Organization

National Center for Global Health and Medicine

Division name

AIDS Clinical Center

Zip code


Address

1-21-1 Toyama, Shinjuku, Tokyo JAPAN

TEL

03-5273-5193

Email

oka@acc.ncgm.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kunihisa Tsukada

Organization

National Center for Global Health and Medicine

Division name

AIDS Clinical Center

Zip code


Address

1-21-1 Toyama, Shinjuku, Tokyo JAPAN

TEL

03-3202-7181(5369)

Homepage URL


Email

ktsukada@acc.ncgm.go.jp


Sponsor or person

Institute

National Center for Global Health and Medicine

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

NCT01309594

Org. issuing International ID_1

NIH

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

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)


Other administrative information

Date of disclosure of the study information

2011 Year 03 Month 02 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2011 Year 01 Month 04 Day

Date of IRB


Anticipated trial start date

2011 Year 03 Month 01 Day

Last follow-up date

2016 Year 03 Month 01 Day

Date of closure to data entry

2016 Year 03 Month 31 Day

Date trial data considered complete

2016 Year 03 Month 31 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 03 Month 02 Day

Last modified on

2017 Year 05 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006141


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name