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| Name | Class |
|---|---|
| First Affiliated Hospital Xi'an Jiaotong University | OTHER |
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The purpose of this study is to determine if allogeneic Endothelial Progenitor Cells (EPCs) intravenous infusion to a subject with leg ulcer and/or gangrene due to poor blood flow will be safe and if it will relieve leg pain, increase blood flow, and/or cure the leg wound.
Critical limb ischemia (CLI) is a progressive disease, which arises as a result of atherosclerosis or vasculitis in leg arteries. Prognosis of CLI is poor, and no effective treatments have been established in patients who are not eligible for the traditional revascularization therapies such as angioplasty and bypass procedures due to the inappropriate anatomy of the leg arteries or frequent reocclusion following revascularization. Therefore, it is necessary to establish novel revascularization treatment to improve prognosis of the no-option patients. The investigators will study the safety and clinical efficiency of vascular regeneration by means of transplantation of allogeneic Endothelial Progenitor Cells in patients with CLI who are not eligible for traditional revascularization treatments. The primary endpoint is the safety and tolerance identified by adverse events related with investigated drugï¼›while the secondary endpoints are evaluation of the preliminary efficacy of EPCs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment (clinical standard treatment, EPCs) | Experimental | Patients receive clinical standard treatment and EPCs IV with a single dose |
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| clinical standard treatment | Other | Patients receive clinical standard treatment |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EPCs | Drug | IV |
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| Measure | Description | Time Frame |
|---|---|---|
| adverse events | Incidence and severity of adverse events assessed by CTCAE V5.0 | baseline to 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Painless walking and intermittent claudication distance | Changes from the baseline of painless walking and intermittent claudication distance by visit | month 6 |
| Blood flow of the affected limb |
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Inclusion Criteria:
CLI patients fulfilling all the following criteria are considered suitable for inclusion in the study.
Exclusion Criteria:
Any one of the following exclusion criteria is sufficient to disqualify a patient from the study.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Shaoying Lu, Dr | Contact | 029-85323473 | 029-85323473 | xjyfyllh@163.com |
| Fanggang Li | Contact | 86-18911352611 | lifanggang@allifetech.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hui Shi | Recruiting | Beijing | Beijing Municipality | China |
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| ID | Term |
|---|---|
| D000089802 | Chronic Limb-Threatening Ischemia |
| D014456 | Ulcer |
| D016491 | Peripheral Vascular Diseases |
| ID | Term |
|---|---|
| D058729 | Peripheral Arterial Disease |
| D050197 | Atherosclerosis |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
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| Clinical standard treatment (CST) | Behavioral | Clinical standard treatment |
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Changes from the baseline of Blood flow of the affected limb by visit
| month 6 |
| Rutherford grade | Changes from the baseline of Rutherford grade by visit. The range of Rutherford grade is from 0 (normal) to 6 (worse). | month 6 |
| The area of skin ulcer | Changes from the baseline of the area of skin ulcer by visit | month 6 |
| Vascular Quality of Life Questionnaire-6 score | Changes from the baseline of Vascular Quality of Life Questionnaire-6 score by visit. The range of scores is from 6 (normal) to 24. | month 6 |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007511 | Ischemia |