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| Name | Class |
|---|---|
| Seoul St. Mary's Hospital | OTHER |
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Systemic sclerosis (SSc) is a rare autoimmune disease, mainly characterized by cutaneous and visceral fibrosis. Digital ulcer and sclerosing skin are commonly affected on hands, but the treatment for these manifestations are often ineffective.
Adipose tissue contains stromal vascular fraction (SVF), which is abundant multipotent stem cells, capable of tissue repair. A prior study (NCT01813279) has shown the safety and tolerance at 6 months of the subcutaneous injection of SVF in the fingers in SSc.
There are only few ways to manage SSc patients with skin lesion who already have treated with several medications (including vasodilators, PDE5 inhibitor, endothelin receptor antagonist) but some times their skin lesions are critical physically and emotionally.
Autologous SVF injection could be one of the treatment options to treat skin lesion of SSc. Thus, the investigators study the efficacy and potential adverse event in Korean patients with SSc.
In this study, the investigators will inject autologous Stromal vascular fraction.
1) Acquiring autologous stromal vascular fraction by plastic surgeon
2) SVF injection
Inject SVF subcutaneously with 25G needle in finger
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Stromal vascular fraction injection | Experimental | Injection of autologous stromal vascular fraction on hand. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| injection of autologous stromal vascular fraction | Biological |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline modified Rodnan Skin score (mRSS) of hands at 12 weeks | Assess hands mRSS | baseline, 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline Raynaud's condition score at 12 weeks | The severity (frequency and intensity of crises) of Raynaud's phenomenon | baseline, 12 weeks |
| Change from baseline Visual Analog Score for pain the hands at 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jung Hee Koh, MD | Seoul St.Mary's hospital, The Catholic university of Korea | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul St. Mary's hospital | Seoul | 06591 | South Korea |
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| ID | Term |
|---|---|
| D012595 | Scleroderma, Systemic |
| C000721267 | digital ulcers |
| D005734 | Gangrene |
| ID | Term |
|---|---|
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012871 | Skin Diseases |
| D009336 | Necrosis |
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Patient report hand pain degree, comparing baseline and 12 weeks
| baseline, 12 weeks |
| Changes from baseline mRSS (total) at 12 weeks | Assess total mRSS (including hands) | baseline, 12 weeks |
| Change from baseline Kapandji score at 12weeks | assess the mobility of both hands | baseline, 12 weeks |
| Change from baseline Cochin hand function scale at 12 weeks | Assess hand function (patients reported outcome) | baseline, 12 weeks |
| Change from baseline Systemic sclerosis HAQ at 12 weeks | he quality of life- score adapted to systemic sclerosis | baseline, 12 weeks |
| Change from baseline peripheral vasculature at 12 weeks | Assess peripheral vascularity by Nailfold capillaroscopy | baseline, 12 weeks |
| Change from baseline finger circumference at 12 weeks | Measure second to fifth finger circumference | baseline, 12 weeks |
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |