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| ID | Type | Description | Link |
|---|---|---|---|
| HX-2021-007 | Other Grant/Funding Number | Shanghai Shanghai East Hospital |
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To evaluate the safety and initial effectiveness of human umbilical cord mesenchymal stem cells in HPV clearance.
Cervical cancer is one of the most common malignant tumors of the female reproductive system with the highest incidence. Nearly 99.7% of cervical cancer is caused by HPV infection. Studies have shown that the persistent infection of high-risk human papillomavirus (HR-HPV) is an independent risk factor for cervical cancer which can lead to a 250-fold increased risk of high-grade cervical intraepithelial neoplasia (CIN). In patients with persistent HR-HPV infection for more than 12 months, the risk of diagnosis of high-grade squamous intraepithelial lesions of the cervix by 30 months increased to 21%. In the process of progression from HPV infection to cervical cancer, cervical precancerous lesions, namely intraepithelial neoplasia (CIN), will be experienced. Therefore, effective control of HPV infection, especially the elimination of persistent HR-HPV infection, will greatly reduce the incidence of CIN and cervical cancer. It is an urgent clinical need to actively intervene in patients with persistent infections for more than one year with a clinical significance at present.
Mesenchymal Stem Cells (MSCs) are a class of pluripotent stem cells derived from the mesoderm and ectoderm of early development, which can be easily obtained from a variety of tissue organs, having a strong proliferation and multidirectional differentiation potential in vitro. hUC-MSCs have a great effect on immune regulation and anti-inflammatory properties with a fewer ethical, availability, safety issues and a broader prospect in clinical research and application. At present, many experimental data have proved that MSCs can enhance the clearance of virus by immune cells in vivo, and have a certain application prospect in fighting virus infection. The purpose of this study was to evaluate the safety and therapeutic efficacy of human umbilical cord mesenchymal stem cells (HUC-MSCs) in clearing HPV infection, and to provide clinical basis for HUC-MSCs to clear HPV infection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental group | Experimental | 1×10^6/Kg UC-MSCs (resuspended in 100 mL normal saline containing 5% albumin) are infused intravenously to the high-risk HPV persistant infected patients at a controlled rate of 60-80 drops/min |
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| Control group | Placebo Comparator | Normal saline containing 5% albumins are infused intravenously with an equal volume, similar suspension and appearance package as UC-MSCs to the high-risk HPV persistant infected patients at a controlled rate of 60-80 drops/min |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| hUC-MSCs | Biological | 1×10^6/Kg hUC-MSCs (suspended in 100 mL normal saline containing 5% albumin) are infused intravenously to patients at a controlled rate of 60-80 drops/min. |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events-The incidence rate of allergic reaction | The allergic reaction rate on the 1st day, 1st week, 4th week, 12th week, and 36th week after the infusion. | 1day,1st,4th,12th,and 36th week |
| The 24 type HPV viral load | HPV24 genotypes test is classified from female genitourinary secretions and exfoliating cells of cervix by fluorescent PCR before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 4th week, 12th week, and 36th week after the infusion. | -28th~0day,4th,12th,and 36th week |
| Measure | Description | Time Frame |
|---|---|---|
| The percentage of CD3+ | The peripheral blood serum of the patients will be collected to detect the percentage(%)of CD3+ before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week, 12th and 36th week after the infusion. | -28th~0day,1day,1st,4th,12th,and 36th week |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jingjing Liu, M.D,.PH.D. | Contact | 13795350828 | liu.doctor@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Fang Li, M.D,.PH.D. | Shanghai East Hospital, Shanghai Tongji University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Shanghai East Hospital, Tongji University School of Medicine | Recruiting | Shanghai | Shanghai Municipality | 200120 | China |
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| Saline+albumin | Biological | Normal saline containing 5% albumin had a similar suspension and appearance package to hUC-MSCs, but no MSCs |
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| The percentage of CD4+ |
The peripheral blood serum of the patients will be collected to detect the percentage(%)of CD4+ before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week, 12th and 36th week after the infusion. |
| -28th~0day,1day,1st,4th,12th,and 36th week |
| The percentage of CD8+ | The peripheral blood serum of the patients will be collected to detect the percentage(%) of CD8 before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week, 12th and 36th week after the infusion. | -28th~0day,1day,1st,4th,12th,and 36th week |
| The percentage of CD19+ | The peripheral blood serum of the patients will be collected to detect the percentage(%)of CD19+ before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week, 12th and 36th week after the infusion | -28th~0day,1day,1st,4th,12th,and 36th week |
| The percentage of CD16+/CD56+ | The peripheral blood serum of the patients will be collected to detect the percentage(%) of CD16+/CD56+ before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week, 12th and 36th week after the infusion. | -28th~0day,1day,1st,4th,12th,and 36th week |
| The serum level of IFN-γ | The peripheral blood serum of the patients will be collected to detect the level of IFN-γ (pg/mL) before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 12th week, and 36th week after the infusion. | -28th~0day,1day,1st,4th,12th,and 36th week |
| The serum level of IL-6 | The peripheral blood serum of the patients will be collected to detect the level of IL-6 (pg/mL) before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week,12th week, and 36th week after the infusion. | -28th~0day,1day,1st,4th,12th,and 36th week |
| The serum level of IL-8 | The peripheral blood serum of the patients will be collected to detect the level of IL-8 (pg/mL) before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week,12th week, and 36th week after the infusion. | -28th~0day,1day,1st,4th,12th,and 36th week |
| The serum level of IL-10 | The peripheral blood serum of the patients will be collected to detect the level of IL-10 (pg/mL) before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 4th week,12th week, and 36th week after the infusion. | -28th~0day,1day,1st,4th,12th,and 36th week |
| The serum level of TNF-α | The peripheral blood serum of the patients will be collected to detect the level of TNF-α (pg/mL) before the infusion of hUC-MSCs (Any day from 28th to 1st day) and on the 1st day, 1st week, 12th week, and 36th week after the infusion. | -28th~0day,1day,1st,4th,12th,and 36th week |