ClinicalTrials.gg
CompletedNCT03254758Updated Jul 6, 2023

A Study of ADR-001 in Patients With Liver Cirrhosis

A Phase 1/2 interventional study of Mesenchymal stem cell in Decompensated Liver Cirrhosis, sponsored by Rohto Pharmaceutical Co., Ltd.. Completed at 2 sites in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2023-07-06.

Sponsored by Rohto Pharmaceutical Co., Ltd. · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
21
Allocation
Not applicable
Ages
20 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 26 studies in Liver Cirrhosis with a site in Japan — 3 open to participants now, 3 under way, 1 of them phase 3. Liver Cirrhosis · Japan.

Enrollment
14th of 19
21 · median 56
Started
2017
the only one that year
Phase 1/2
2 of 26
none open now
Registered
9th of 26
by date
Lead sponsor
2 of 26
Rohto Pharmaceutical Co., Ltd.

Among the 26 studies in Liver Cirrhosis with a site in Japan, this one is the 14th largest by enrollment of the 19 interventional ones that give a count, is the only one that started in 2017, is one of 2 in phase 1/2, and was the 9th registered.

Liver Cirrhosis

1,300 studies on the registry are indexed under Liver Cirrhosis; 341 are open to participants now.

Browse Liver Cirrhosis studies →

Open to participants now

3 of the 26 studies in Liver Cirrhosis with a site in Japan are open now. Recruiting first, the newest first:

All 3 open studies →

A study can be open while its sites in Japan have not opened yet or have stopped. Only those recruiting at a site in Japan →

Who these studies take

Of the 209 Liver Cirrhosis studies recruiting now, 101 (48%) set no upper age limit and 67 (32%) stop at 75 or younger; 12 take children under 18; 25 take healthy volunteers.

This study: 20 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This is a first-in-human Phase1/2 study of ADR-001, adipose-derived mesenchymal stem cells (AD-MSCs). The safety and preliminary efficacy are evaluated in Phase 1 in patients with liver cirrhosis caused by Hepatitis C or Nonalcoholic Steatohepatitis and a recommended Phase 2 dose is determined by the evaluation. The exploratory efficacy and safety are investigated against the same target population in Phase 2.

Read the detailed description

Patients with decompensated liver cirrhosis (Child-Pugh score; Grade B) caused by Hepatitis C or Nonalcoholic Steatohepatitis are enrolled to the study. In Phase 1, one of 3 doses of AD-MSCs is administered by 1 hour single intravenous infusion. Patients are hospitalized for 1 week and a recommended dose for Phase 2 is determined by the evaluation of the safety and efficacy. In Phase 2, patients with the same disease criteria are enrolled and dosed to investigate the exploratory efficacy and safety.

The safety and efficacy are evaluated until 24 weeks after dosing both in Phase 1 and Phase 2.

03

Conditions studied

  • Decompensated Liver Cirrhosis

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04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Men and women ≥ 20 years of age
  • Chronic or nonalcoholic steatohepatitis(NASH)
  • grade B liver cirrhosis
  • Performance Status ≤ 2

Exclusion criteria

Exclusion Criteria:

  • Liver cirrhosis patients other than or NASH
  • Malignant neoplasm (except hepatocellular carcinoma patients without recurrence more than 2 years)
  • History of venous thrombosis or pulmonary embolism
  • Serum creatinine ≥ 2 mg/dL or T-Bil ≥ 5.0 mg/dL
  • Infection with , , ATLV-1 or parvovirus B19
  • Patients experienced transplantation or cell therapy
  • Pregnancy or positive on pregnancy test
  • Complications of significant heart disease, kidney disorder, or respiratory disease
  • Drug or alcohol abuse
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
21 participants (actual)

Study arms

  • Experimental
    Mesenchymal stem cell

    Phase 1 Dose escalation : low Mid High Single administalation of ADR-001 Phase 2 The recommended dose of ADR-001

    Biological: Mesenchymal stem cell

Interventions

  • Phase1 The dose of AD-MSCs are escalated from low to mid and high step by step. Each administration is one time via intravenous infusion for one hour. Phase2 The recommended dose of ADR-001 is administrated once a week 4 times. The administration route and time is same method with Phase 1.

06

What researchers measure

Primary outcomes

  1. Safety profile of ADR-001 including the incidence of adverse events (Phase 1)

    Safety will be evaluated based on the medical review of adverse event reports and the results of clinical laboratory tests, vital sign, and physical examinations.

    Time frame: 24 weeks

  2. Improvement rate of Child-Pugh score (Phase 2)

    Improvement rate of Child-Pugh score from the baseline will be evaluated.

    Time frame: 24 weeks

Secondary outcomes

  1. Change of liver function evaluated by Child-Pugh score (Phase 1)

    Change of liver function from the baseline will be evaluated by Child-Pugh score.

    Time frame: 24 weeks

  2. Improvement rate of Child-Pugh score (Phase 1)

    Improvement rate of Child-Pugh score from the baseline will be evaluated.

    Time frame: 24 weeks

  3. Improvement rate of Child-Pugh grade (Phase 1)

    Improvement rate of Child-Pugh grade from the baseline will be evaluated.

    Time frame: 24 weeks

  4. Change of liver function evaluated by Child-Pugh score (Phase 2)

    Change of liver function from the baseline will be evaluated by Child-Pugh score.

    Time frame: 24 weeks

  5. Improvement rate of Child-Pugh grade (Phase 2)

    Improvement rate of Child-Pugh grade from the baseline will be evaluated.

    Time frame: 24 weeks

  6. Safety profile of ADR-001 including the incidence of adverse events (Phase 2)

    Safety will be evaluated based on the medical review of adverse event reports and the results of clinical laboratory tests, vital sign, and physical examinations.

    Time frame: 24 weeks

07

Study locations

2 sites
  • Niigata University Medical & Dental Hospital
    Niigata, 951-8510, Japan
  • Nihon University Itabashi Hospital
    Tokyo, 173-8610, Japan
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2017 to primary completion in Apr 2023, 68 months.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 3, 2017
First posted
Aug 18, 2017
StartActual
Jul 20, 2017
Primary completionActual
Apr 13, 2023
CompletionActual
Apr 13, 2023
Last update
Jul 6, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03254758
Lead sponsor
Rohto Pharmaceutical Co., Ltd.
Responsible party
Sponsor
First posted
Aug 18, 2017
Start date
Jul 20, 2017
Primary completion
Apr 13, 2023
Completion
Apr 13, 2023
Last update
Jul 6, 2023

Study contacts

Shuji Terai, MD
principal investigator · Niigata University Medical & Dental Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Mesenchymal Stem Cell

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