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L'essai clinique NCT07409259 pour Acute-on-Chronic Liver Failure (ACLF) est actif, ne recrute pas. Consultez la vue en carte du Radar des Essais Cliniques et les outils de découverte par IA pour tous les détails, ou posez vos questions ici. | ||
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PT-MSCs Exosome Injection in the Treatment of Chronic-to-acute Liver Failure Phase I précoce 20 Randomisé
Les détails de l'essai clinique sont principalement disponibles en anglais. Cependant, l'IA Trial Radar peut vous aider ! Cliquez simplement sur 'Expliquer l'étude' pour voir et discuter des informations sur l'étude dans la langue sélectionnée.
L'essai clinique NCT07409259 est conçu pour étudier le traitement de Acute-on-Chronic Liver Failure (ACLF). Il s'agit d'une étude interventionnel en Phase I précoce. Son statut actuel est : actif, ne recrute pas. L'étude a débuté le 1 janvier 2026 et vise à recruter 20 participants. Dirigée par Third Affiliated Hospital, Sun Yat-Sen University, l'étude devrait être terminée d'ici le 31 août 2027. Les données du site ClinicalTrials.gov ont été mises à jour pour la dernière fois le 13 février 2026.
Résumé succinct
The goal of this single-center, prospective, randomized controlled study is to evaluate the safety and efficacy of PT-MSCs Exosome Injection (code: PT-MSCs-EVS-2023-1) in treating patients with acute-on-chronic liver failure (ACLF). As an exploratory study with a small sample size, the primary focus is to observe safety outcomes and preliminary efficacy. The study will enroll patients aged 18 to 65 years who meet the...Afficher plus
Titre officiel
Single-center, Prospective, Randomized Controlled Study of PT-MSCs Exosome Injection (Code: PT-MSCs-EVS-2023-1) in the Treatment of Chronic-to-acute Liver Failure
Pathologies
Acute-on-Chronic Liver Failure (ACLF)Autres identifiants de l'étude
- PL21
Numéro NCT
Date de début (réel)
2026-01-01
Dernière mise à jour publiée
2026-02-13
Date de fin (estimée)
2027-08-31
Inscription (estimée)
20
Type d'étude
Interventionnel
PHASE
Phase I précoce
Statut
Actif, ne recrute pas
Mots clés
Acute -On-Chronic Liver Failure
Bio-artificial liver
Exosome
Mesenchymal stem cells
Bio-artificial liver
Exosome
Mesenchymal stem cells
Objectif principal
Traitement
Méthode d'allocation
Randomisé
Modèle d'intervention
Parallèle
Masquage
Aucun (ouvert)
Bras / Interventions
| Groupe de participants/Bras | Intervention/Traitement |
|---|---|
Comparateur actifControl Group Participants will receive standard comprehensive internal medical treatment, including antiviral therapy, hepatoprotective drugs, and symptomatic support. Artificial liver support or liver transplantation may be performed based on the investigator's clinical judgment. | standard comprehensive internal medical treatment, Participants will receive standard comprehensive internal medical treatment, including antiviral therapy, hepatoprotective drugs, and symptomatic support. |
ExpérimentalStudy Group In addition to the standard treatment received by the control group, participants will receive PT-MSCs Exosomes (2×10\^11 particles per dose). | exosome injection For the Study Group, the exosome injection is diluted in 100 mL of normal saline and administered via intravenous infusion over a period of not less than 2 hours. Treatment is administered once every 3 days (on Day 1, Day 4, Day 7, and Day 10) for a total of 4 doses. standard comprehensive internal medical treatment, Participants will receive standard comprehensive internal medical treatment, including antiviral therapy, hepatoprotective drugs, and symptomatic support. |
Critère principal d'évaluation
Critère secondaire d'évaluation
| Critères d'évaluation | Description de la mesure | Période |
|---|---|---|
12-Week Survival Rate | The percentage of participants who are alive at 12 weeks after enrollment. | 12 weeks |
| Critères d'évaluation | Description de la mesure | Période |
|---|---|---|
Changes from the baseline in COSSH-ACLF II score | The Chinese Severe Hepatitis B Study Group (COSSH), based on a multicenter, open-label large cohort study, has established a novel prognostic scoring system for hepatitis B virus (HBV)-ACLF: COSSH-ACLF II s. The COSSH-ACLF II score is calculated as: 1.649×ln(INR) + 0.457×HE grade + 0.425×ln(neutrophils) + 0.396×ln(TBil) + 0.576×ln(urea) + 0.033×age. Theoretically, the score ranges from \~1.0 to \~15.0, though clinically observed values typically fall between 4.5 and 10.0. A score of less than 7.4 indicates a low-risk group, a score between 7.4 and 8.4 indicates a moderate-risk group, and a score greater than 8.4 indicates a high risk of 28- and 90-day mortality.Higher scores indicate greater severity of liver failure and a worse outcome. | 12 weeks |
Changes from the baseline in Child-Pugh score | The Child-Pugh Score assesses the prognosis of chronic liver disease based on five indicators: hepatic encephalopathy, ascites, total bilirubin, albumin, and PT/INR. The total score ranges from 5 to 15. Higher scores indicate worse liver function. (Classification: Grade A = 5-6 points; Grade B = 7-9 points; Grade C = 10-15 points.) | 12-weeks |
Change from Baseline in Clinical Symptom Score | Assessment of clinical symptoms including fatigue, anorexia, nausea, jaundice, and level of consciousness. Each symptom is graded on a scale from 0 (absent) to 3(severe). The individual scores are summed to calculate a total symptom score ranging from 0 to 15. Higher scores indicate more severe symptoms. | 12 weeks |
4-Week Survival Rate | The percentage of participants who are alive at 4 weeks after enrollment | 4 weeks |
The rate of participants with adverse outcomes at Week 4 and Week 12 | The rate of adverse outcomes, defined as death, treatment abandonment, or liver transplantation. | 4-week , 12-week |
Assistant à la participation
Critères d'éligibilité
Âges éligibles
Adulte, Adulte âgé
Âge minimum
18 Years
Sexes éligibles
Tous
- Aged 18 to 65 years, regardless of gender.
- Diagnosed with Acute-on-Chronic Liver Failure (ACLF) according to the diagnostic criteria in the "Guidelines for Diagnosis and Treatment of Liver Failure (2024 Edition)."
- COSSH-ACLF II score < 7.4.
- Participants must be fully informed about the study and voluntarily sign a written informed consent form prior to participation.
- Patients with chronic liver failure.
- Patients with active bleeding or Disseminated Intravascular Coagulation (DIC) that has not been effectively controlled.
- Known allergy to blood products or any medications/drugs used in the treatment protocol.
- Patients with circulatory failure.
- History of myocardial infarction, cerebral infarction, or cerebral hemorrhage within the past 6 months.
- History of malignancy within the past 5 years (excluding cured basal cell carcinoma of the skin or carcinoma in situ of the cervix).
- Pregnant or lactating women.
- Any other conditions that, in the opinion of the investigator, make the patient unsuitable for participation in the trial.
Partie responsable de l'étude
Liang Peng, Investigateur principal, Professor, Third Affiliated Hospital, Sun Yat-Sen University
Aucune donnée de contact disponible
1 Centres de l'étude dans 1 pays
Guangdong
Third Affiliated Hospital, Sun Yat-sen University Guangzhou, Guangdong, China 510630, Guangzhou, Guangdong, 510630, China