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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

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.

02

Conditions studied

  • Decompensated Liver Cirrhosis
03

Who can participate

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

Inclusion criteria

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

Exclusion criteria

Exclusion Criteria:

  • Liver cirrhosis patients other than hepatitis C 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 hepatitis B, HIV, 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
04

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

  • BiologicalMesenchymal stem cell

    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.

05

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

06

Study locations

2 sites
  • Niigata University Medical & Dental Hospital
    Niigata, 951-8510, Japan
  • Nihon University Itabashi Hospital
    Tokyo, 173-8610, Japan
07

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 ↗

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