ClinicalTrials.gg
TerminatedNCT04229901DHELIVERUpdated May 22, 2024

Study to Evaluate the Efficacy and Safety of HepaStem in Patients With Acute on Chronic Liver Failure (ACLF)

A Phase 2 interventional study of HepaStem and Placebo in Acute on Chronic Liver Failure, sponsored by Cellaion SA. Terminated at 47 sites in 14 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-05-22.

Sponsored by Cellaion SA · Phase 2, Interventional, and Treatment

Why this study was terminated
Sponsor decision
Phase
Phase 2
Study type
Interventional
Enrollment
133
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This is an interventional, double blind, randomized (2:1), and placebo-controlled study of 2 infusions of a 1 dose regimen of HepaStem in patients recently diagnosed (≤1 week) with ACLF grade 1 or 2 on top of Standard of Care (SoC), and for whom the diagnosis is not resolved on the day of infusion.

02

Conditions studied

  • Acute on Chronic Liver Failure

Keywords

  • ACLF
  • Hepastem
  • HALPC
03

In context

Acute-On-Chronic Liver Failure

165 studies on the registry are indexed under Acute-On-Chronic Liver Failure; 60 are open to participants now.

This study's enrollment of 133 is above the median of 72 across 95 interventional studies indexed under Acute-On-Chronic Liver Failure.

Browse Acute-On-Chronic Liver Failure studies →

Lead sponsor

Cellaion SA is the lead sponsor of 7 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  1. Are adults aged between 18 and 75 years old.
  2. Have an initial diagnosis of ACLF at the site.
  3. Have ACLF grade 1 or 2 according to the EASL-CLIF Consortium definition.
  4. Have a total ≥ 5 mg/dL.
  5. Are able to read, understand and give written .

Main Exclusion Criteria:

  1. Have a MELD-Na score > 35.
  2. Have underlying cirrhosis due to biliary disease.
  3. Have underlying cirrhosis due to hepatitis.
  4. Have active bleeding at a non-compressible site or at a compressible site that, in the opinion of the investigator, poses an unacceptable risk for the patient's participation in the study.
  5. Have received treatment for bleeding complications during the current hospitalization and has a persistent high risk for re-bleeding that, in the opinion of the investigator, poses an unacceptable risk for the patient's participation in the study.
  6. Have a complete portal vein thrombosis.
  7. Have coagulation disturbances defined as:

    • fibrinogen \< 80 mg/dL
    • \< 50 x 10³/mm³
  8. Are requiring chronic dialysis therapy.
  9. Have had a cerebrovascular, myocardial, limb arterial thrombotic event, or history for both thrombotic and hemorrhagic cerebrovascular events within 12 months prior to the Screening and not considered stabilized by the investigator.
  10. Have a previous history of myocardial infarction and/or cardiac failure, with an rate (EFR) ≤ 40%.
Terms in these criteria, in plain language(6)

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
133 participants (actual)

Study arms

  • Experimental
    HepaStem

    Patients in the HepaStem arm will receive 2 infusions of HepaStem (i.v) at 1.0 million of cells/kg of total body weight (7 day interval)

    Drug: HepaStem

  • Placebo comparator
    Placebo

    Patients in the placebo arm will receive 2 infusions of placebo (i.v) (7 day interval)

    Drug: Placebo

Interventions

  • DrugHepaStem

    HepaStem will be administered as an intravenous (IV) infusion

  • DrugPlacebo

    Placebo will be administered as an intravenous (IV) infusion

06

What researchers measure

Primary outcomes

  1. Survival

    Whether the patients are still alive will be recorded up to Day 90. Time and reason of death will be recorded.

    Time frame: Day 90

Secondary outcomes

  1. Liver transplant-free survival

    Time frame: Day 90

  2. Transplant-free survival while free of ACLF

    Time frame: Day 90

  3. Transplant-free survival with MELD-Na score < 15

    Time frame: Day 90

  4. Duration of overall hospitalization and hospitalization in ICU and non-ICU during the index hospitalization

    Time frame: up to Day 90

07

Study locations

47 sites
  • Medical University Of Vienna
    Vienna, 1090, Austria
  • UZ Antwerpen
    Antwerp, Belgium
  • CHU Brugmann
    Brussels, Belgium
  • CHU Erasme
    Brussels, Belgium
  • Universitair Ziekenhuis Gent
    Gent, 9000, Belgium
  • UZ Leuven
    Leuven, Belgium
  • CHC MontLégia
    Liège, Belgium
  • Cliniques Universitaires Saint-Luc
    Woluwe-Saint-Lambert, Belgium
  • University Multiprofile Hospital for Active Treatment "Dr. Georgi Stranski"
    Pleven, Bulgaria
  • UMHAT Medica
    Ruse, Bulgaria
  • Military Medical Academy
    Sofia, Bulgaria
  • UMHAT Sveta Anna
    Sofia, Bulgaria
  • UMHAT Tzarita Joanna
    Sofia, Bulgaria
  • Aarhus University Hospital
    Aarhus, 8200, Denmark
  • North Estonia Regional Hospital
    Tallinn, 13419, Estonia
  • Lääne-Tallinna Keskhaigla AS
    Tallinn, Estonia
  • CHU Angers
    Angers, France
  • Hopital Beaujon
    Clichy, France
  • Assistance Publique Hopitaux De Paris
    Créteil, 94000, France
  • Centre Hospitalier Universitaire Grenoble Alpes
    Grenoble, 38043, France
  • Hospices Civils De Lyon
    Lyon, France
  • Assistance Publique Hopitaux De Marseille
    Marseille, France
  • CHU Montpellier
    Montpellier, France
  • Assistance Publique-Hopitaux de Paris - Hopitaux Universitaires Pitie-Salpetriere
    Paris, France
  • Les Hopitaux Universitaires De Strasbourg
    Strasbourg, France
  • CHU De Toulouse
    Toulouse, 31059, France
  • Hospital Paul Brousse
    Villejuif, 94804, France
  • Medizinische Hochschule Hannover
    Hanover, 30625, Germany
  • University Hospital Of Leipzig
    Leipzig, 04103, Germany
  • University Hospital Of Ulm AöR
    Ulm, 89081, Germany
  • Azienda Ospedaliera Ospedale Niguarda CA' Granda
    Milan, 20162, Italy
  • Azienda Ospedaliera Universitaria Policlinico
    Palermo, 90127, Italy
  • Azienda Sanitaria Universitaria Friuli Centrale
    Udine, 33100, Italy
  • Pauls Stradins Clinical University Hospital
    Riga, 1002, Latvia
  • Lietuvos Sveikatos Mokslų Universiteto Ligoninė Kauno Klinikos
    Kaunas, 50161, Lithuania
  • PHI General City Hospital "8mi Septemvri"
    Skopje, 1000, North Macedonia
  • PHI University Clinic of Gastroenterohepatology
    Skopje, 1000, North Macedonia
  • Id Clinic
    Mysłowice, 41-400, Poland
  • Kliniczny Szpital Wojewódzki Nr 2 Im. Św. Jadwigi Królowej W Rzeszowie
    Rzeszów, 35-301, Poland
  • F.D. Roosevelt University General Hospital Of Banská Bystrica
    Banská Bystrica, 974 01, Slovakia
  • Hospital Universitari Vall D'Hebron
    Barcelona, 08035, Spain
  • Hospital Universitario Reina Sofia
    Córdoba, 14004, Spain
  • University Hospital Ramón Y Cajal
    Madrid, 28049, Spain
  • Hospital Universitario Puerta De Hierro De Majadahonda
    Majadahonda, 28222, Spain
  • Sabadell Hospital
    Sabadell, 08208, Spain
  • Hospital Clinico Universitario Lozano Blesa
    Zaragoza, 50009, Spain
  • Hospital Unviersitario Miguel Servet
    Zaragoza, 50009, Spain
08

References and documents

Related links

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04229901
Lead sponsor
Cellaion SA
Responsible party
Sponsor
First posted
Jan 18, 2020
Start date
Jan 21, 2020
Primary completion
May 10, 2024
Completion
May 10, 2024
Last update
May 22, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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