UMIN-CTR Clinical Trial

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

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Basic information

Public title

A single-arm, open-label, phase 2 study of autologous CD34+ stem cells-selected transplantation for severe systemic sclerosis

Acronym

A clinical trial of autologous stem cell transplantation for severe systemic sclerosis

Scientific Title

A single-arm, open-label, phase 2 study of autologous CD34+ stem cells-selected transplantation for severe systemic sclerosis

Scientific Title:Acronym

A clinical trial of autologous stem cell transplantation for severe systemic sclerosis

Region

Japan


Condition

Condition

Severe systemic sclerosis

Classification by specialty

Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the efficacy of autologous CD34+ stem cells-selected transplantation for severe systemic sclerosis

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

The mean change in modified Rodnan skin score at 12 months after transplantation

Key secondary outcomes

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


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Device,equipment

Interventions/Control_1

Autologous CD34+ stem cells-selected 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

16 years-old <=

Age-upper limit

65 years-old >

Gender

Male and Female

Key inclusion criteria

(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

Key exclusion criteria

(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

Target sample size

12


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Koichi Akashi

Organization

Kyushu University Graduate school of Medicine

Division name

Department of Medicine and Biosystemic Science

Zip code


Address

3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan

TEL

092-642-5230

Email

akashi@med.kyushu-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hiroki Mitoma

Organization

Kyushu University hospital

Division name

Department of Clinical Immunology and Rheumatology/Infectious Disease

Zip code


Address

3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan

TEL

092-642-5228

Homepage URL


Email

mitoma@intmed1.med.kyushu-u.ac.jp


Sponsor or person

Institute

Department of Clinical Immunology and Rheumatology/Infectious Disease, Kyushu University Graduate school of Medicine

Institute

Department

Personal name



Funding Source

Organization

Department of Clinical Immunology and Rheumatology/Infectious Disease, Kyushu University Graduate school of Medicine

Organization

Division

Category of Funding Organization

Self funding

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

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

九州大学病院


Other administrative information

Date of disclosure of the study information

2017 Year 08 Month 01 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

Open public recruiting

Date of protocol fixation

2017 Year 05 Month 11 Day

Date of IRB


Anticipated trial start date

2017 Year 09 Month 19 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 07 Month 26 Day

Last modified on

2018 Year 01 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032488


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name