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| Name | Class |
|---|---|
| Jiangsu Topcel-KH Pharmaceutical Co., Ltd. | INDUSTRY |
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The purpose of this study is to asses the efficacy and Safety of Allogeneic Umbilical Cord-derived Mesenchymal Stem Cells in the Treatment of Complex Perianal Fistula in Perianal Crohn's Disease.
Crohn´s disease (CD) can affect any part of the digestive system and symptoms of this chronic illness include abdominal pain, bloating, nausea, vomiting and diarrhea. CD also causes bowel wall ulcers, strictures and fistulas (abnormal passages from the intestines to another organ or the skin).
There is an unmet need for effective medical therapy in CD patients with perianal fistulas, not responding to the conventional strategies, including biological therapies. The current study is designed to assess the safety and efficacy of Allogeneic Umbilical Cord-derived Mesenchymal Stem cells from healthy donors for the treatment of perianal fistulas in patients presenting CD.
Primary objective: To assess the safety (incidence of treatment emergent adverse-events) of TH-SC01
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TH-SC01 | Experimental | TH-SC01 24 mL suspension of 120 million cells as a perilesional injection, once on Day 0. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TH-SC01 | Drug | Allogeneic Umbilical Cord-derived Mesenchymal Stem cells perilesional injection. Human TH-SC01 cell injection (human umbilical cord mesenchymal stem cells for injection, 5 million cells / ml, 6.0-10.0ml / bottle) |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants who Achieve Combined Remission | Combined remission is defined as the closure of all treated external openings that were draining at baseline despite gentle finger compression, and absence of abscess(es) >2 cm (in at least 2 dimensions) of the treated perianal fistula(s) confirmed by central magnetic resonance imaging (MRI) assessment or transrectal ultrasonography(TRUS) | 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants who Achieve Clinical Remission | Clinical remission is defined as the closure of all treated external openings that were draining at baseline despite gentle finger compression. | Up to Week 24 |
| Percentage of Participants who Achieve Clinical Response |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Wei Juan, doctor | Jinling Hospital, China | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jinling hospital | Nanjing | Jiangsu | 210002 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17560413 | Result | Thoreson R, Cullen JJ. Pathophysiology of inflammatory bowel disease: an overview. Surg Clin North Am. 2007 Jun;87(3):575-85. doi: 10.1016/j.suc.2007.03.001. | |
| 37904247 | Derived | Wei J, Zhang Y, Chen C, Feng X, Yang Z, Feng J, Jiang Q, Fu J, Xuan J, Gao H, Liao L, Wang F. Efficacy and safety of allogeneic umbilical cord-derived mesenchymal stem cells for the treatment of complex perianal fistula in Crohn's disease: a pilot study. Stem Cell Res Ther. 2023 Oct 31;14(1):311. doi: 10.1186/s13287-023-03531-0. |
| Label | URL |
|---|---|
| Thoreson R, Cullen JJ. Pathophysiology of inflammatory bowel disease: an overview. Surg Clin North Am. 2007 Jun;87(3):575-85. Review. | View source |
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| ID | Term |
|---|---|
| D003424 | Crohn Disease |
| ID | Term |
|---|---|
| D015212 | Inflammatory Bowel Diseases |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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Clinical response is defined as closure of at least 50% of all treated external openings that were draining at baseline despite gentle finger compression. |
| Up to Week 24 |
| Percentage of Participants who decrease in PDAI | PDAI is a scoring system for assessing the severity of perianal lesions associated with Crohn's disease.It consists of the following five items :(a) perianal secretions;(b) Pain and movement;(c) Sexual life;(d) Perianal manifestations;(e) Sclerosing.Each item is rated on a five-point scale from asymptomatic (0) to severe (4), with an overall score of 0 to 20.The higher the score, the more severe the disease. | 0、4、8、16、24 weeks |
| Percentage of Participants who decrease in IBDQ | IBDQ questionnaire score is used to investigate the quality of life of patients. There are 32 questions in total, and each question has 1 to 7 answers of different degrees, with 1 representing the most severe degree and 7 representing the least severe degree | 0、4、8、16、24 weeks |
| Percentage of Participants who decrease in VAS scale | VAS scale was used to evaluate the pain. 0 points indicated no pain, less than 3 points indicated mild pain, 4-6 points indicated pain affecting sleep but tolerable, 7-10 points indicated pain and discomfort, affecting appetite and sleep. The higher number, the pain was more obvious. | 0、4、8、16、24 weeks |
| Percentage of Participants who decrease in Wexner incontinence score | Wexner incontinence score | 0、4weeks |
| D007410 | Intestinal Diseases |