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Status unknownNCT03458156Updated Mar 12, 2018

Umbilical Cord Mesenchymal Stem Cell Transplantation for Lupus Nephritis

An interventional study of SLE group and LN group in Lupus Nephritis, sponsored by The First Affiliated Hospital of Dalian Medical University. Status unknown. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2018-03-12.

Sponsored by The First Affiliated Hospital of Dalian Medical University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2018), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

To investigate the safety and efficacy of umbilical cord mesenchymal stem cell transplantation in patients with systemic lupus erythematosus (SLE) and lupus nephritis (LN).

Read the detailed description

Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease. Lupus nephritis (LN) is one of the most serious complications of SLE. The current clinical treatments of LN mainly include steroids and immunosuppressive drugs, but drug side effects are obvious.

02

Conditions studied

  • Lupus Nephritis
03

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Meeting the 1997 American College of Rheumatology (ACR) classification criteria of SLE.
  • age 18-60 years.
  • of either sex and of any ethnicity.
  • Lupus nephritis (LN) group: (1) Receiving more than 6 months of regular treatment, 24-hour urine protein ≥ 1.0 g, serum creatinine ≥1.5 mg/dL; (2) renal biopsy: class III, IV or V LN included, and class VI excluded.
  • After conventional treatment (glucocorticoid therapy and immunosuppressive drugs) prior to grouping, SLEDAI scores ≥ 10.
  • Receiving 12 months of treatment while using birth control.
  • Provision of informed consent.

Exclusion criteria

Exclusion Criteria:

  • Poor blood pressure control by drug treatment (≥ 160/100 mmHg)
  • Abnormal hepatic function (a 3-fold increase in alanine aminotransferase level relative to normal liver).
  • Renal failure (glomerular filtration rate \< 15 mL/min/1.73 m2).
  • Severe heart and lung failure, or injury to other important organs
  • Uncontrollable infection.
  • Having not taken biological agents for 6 months.
  • Pregnant or lactating women, or those women who are trying to get pregnant or those men who are trying to make their partners pregnant.
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    SLE group

    The patients will be assigned to systemic lupus erythematosus (SLE) group, receiving umbilical cord mesenchymal stem cell transplantation.

    Biological: SLE group

  • Experimental
    LN group

    The patients will be assigned to lupus nephritis (LN) group, receiving umbilical cord mesenchymal stem cell transplantation.

    Biological: LN group

  • Experimental
    the control group

    The patients will be assigned to the control group.

    Other: the control group

Interventions

  • BiologicalSLE group

    The patients will be assigned to systemic lupus erythematosus (SLE) group, receiving umbilical cord mesenchymal stem cell transplantation.

  • BiologicalLN group

    The patients will be assigned to lupus nephritis (LN) group, receiving umbilical cord mesenchymal stem cell transplantation.

  • Otherthe control group

    The patients will be assigned to the control group.

05

What researchers measure

Primary outcomes

  1. SLEDAI-2000 score

    The SLEDAI 2000 is a novel index that measures ≥ 50% in each of the 24 descriptors of SLEDAI-2K and generates a total score reflecting disease activity overall.

    Time frame: changes of month 3, month 6, month 9 and month 12 after treatment

Secondary outcomes

  1. BILAG-2004 score

    The BILAG-2004 is a comprehensive composite clinical index that has been recently validated for the assessment of systemic lupus erythematosus (SLE) disease activity. This index is based on the Classic BILAG index and has many similarities with its predecessor: it is based on the principle of the physician's intention to treat, has transitional property that captures changing severity of clinical manifestations and has a similar ordinal scale scoring system. However, it has nine systems and many of the changes (from the Classic BILAG index) are in the items, glossary and scoring scheme. As with the Classic BILAG index, the individual system scores were not intended to be summated into a global score.

    Time frame: changes of month 3, month 6, month 9 and month 12 after treatment

  2. Health Assessment Questionnaire (HAQ) score

    The Health Assessment Questionnaire (HAQ) has played an influential role in establishing health outcome assessment as a quantifiable set of reliable, valid and responsive hard data points. The HAQ is based on five patient-centered dimensions: disability, pain, medication effects, costs of care, and mortality. It has been validated by mail, in the office, by telephone, and by comparison with paraprofessional and physician judgments as a reliable instrument, and has been significantly correlated with other PRO instruments. Typically, one of two HAQ versions is used: the Full HAQ, which assesses all five dimensions, and the Short or 2-page HAQ, which contains only the HAQ disability index (HAQ-DI) and the HAQ's patient global and pain visual analog scales (VAS).

    Time frame: changes of month 3, month 6, month 9 and month 12 after treatment

06

Study locations

No study locations are listed for this record.

07

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03458156
Lead sponsor
The First Affiliated Hospital of Dalian Medical University
Responsible party
Liu Jing (Chief Physician, The First Affiliated Hospital of Dalian Medical University) — Principal investigator
First posted
Mar 8, 2018
Start date
Jan 2017
Primary completion
Sep 2019 (estimated)
Completion
Jan 2020 (estimated)
Last update
Mar 12, 2018

Study contacts

Liu Jing, Ph.D
principal investigator · The First Affiliated Hospital of Dalian Medical University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

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