ClinicalTrials.gg
CompletedNCT05777213Updated Apr 2, 2026

Potential Injection of Human Umbilical Cord Secretome in the Case of Trophic Ulcers (Pre-post Intervention)

A Phase 1 interventional study of Secretome in Trophic Ulcer, Leprosy and Morbus Hansen, sponsored by Yohanes Firmansyah, dr, MH, MM. Completed at 2 sites in Indonesia. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-04-02.

Sponsored by Yohanes Firmansyah, dr, MH, MM · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 4 years 1 month after the study started (first participant enrolled Jan 2019, registered Feb 2023).
Phase
Phase 1
Study type
Interventional
Enrollment
27
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Background: Trophic ulcer is one of the complications that arise due to leprosy infection of the skin and includes diseases that trigger permanent disability and reduce the quality of life of the person. The facts in the field that more than 50% of chronic ulcers, especially trophic ulcers due to leprosy fail to heal with usual treatment. Therefore it is important to do a new method in healing trophic ulcers. Stem cell therapy or one of them is conditioned medium mesenchymal stem cell is a promising therapy because of its biological and physiological processes resembling the mechanism of wound healing Method: This research is a clinical trial research "Open Trial". Phase 1 to see the side effects caused by the intervention. Minimum sample size of 20 respondents with trophic ulcers due to leprosy that is difficult to resolve with usual treatment. The main outcome is wound healing in terms of the length and extent of the wound. The secondary outcome is treatment toxicity 4 weeks after administration. Follow-up visits will be scheduled at 2, 4, and 12 weeks post-treatment. If the results confirm safety, feasibility and potential efficacy, large multicenter randomized controlled trials with longer follow-up will begin with a focus on the effectiveness of therapy

02

Conditions studied

  • Trophic Ulcer
  • Leprosy
  • Morbus Hansen

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Keywords

  • CM-MSC
  • Stemcell
  • trophic ulcer
  • leprosy
  • morbus hansen
  • secretom
03

In context

Leprosy

52 studies on the registry are indexed under Leprosy; 13 are open to participants now.

This study's enrollment of 27 is below the median of 70 across 41 interventional studies indexed under Leprosy.

Browse Leprosy studies →

Lead sponsor

Yohanes Firmansyah, dr, MH, MM is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
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

  • Chronic ulcers in Morbus Hansen's patients aged 18-80 years
  • Not recovering with routine therapy for at least 1 months
  • Trophic ulcers degrees 2 and 3
  • Willing to take part in the study
  • As well as with the respondent's good health to follow this study.

Exclusion criteria

Exclusion Criteria:

  • Patients who took anticoagulants,
  • Patients had hypertension
  • Patients had any staging kidney failure
  • Patients had a history of blood disorders and pregnancy.
05

Study design

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

Study arms

  • Experimental
    Conditioned Medium Wharton's Jelly-derived mesenchymal stem cells (CM-WJMSCs)

    Conditioned Medium Wharton's Jelly-derived mesenchymal stem cells (CM-WJMSCs) made as much as 0.1cc / 1cm intracutaneously with a flexpen device in the wound area every 2 weeks.

    Biological: Secretome

Interventions

  • BiologicalSecretome

    The interventions given in this study were Conditioned Medium Wharton's Jelly-derived mesenchymal stem cells (CM-WJMSCs) as much as 0.1cc / 1cm intracutaneously with a flexpen device in the wound area every 2 weeks. The variables in this study were divided into two, namely the independent variable was the use of Conditioned Medium Wharton's Jelly-derived mesenchymal stem cells (CM-WJMSCs) were administered intracutaneously, and the dependent variables were wound healing and side effects caused by the interventions given. Wound healing or repair in this study was assessed from several variables, namely the presence of granulation tissue growth, reduced edema, reduced erythema and improvement in wound size both in terms of length, width, and area measured by using a standard ruler and digital photo.

06

What researchers measure

Primary outcomes

  1. Changes in Wound Size - Length

    Digital measurements of Length carried out using a rule from time to time (1 time per week for 4 weeks) with units in cm

    Time frame: 4 weeks

  2. Changes in Wound Size - Width

    Digital measurements of Width carried out using a rule from time to time (1 time per week for 4 weeks) with units in cm

    Time frame: 4 weeks

  3. Changes in Wound Size - Area

    Digital measurements carried out by multiplying the length and width of the wound over time (1 time per week for 4 weeks) in units of cm squares

    Time frame: 4 weeks

Other outcomes

  1. Adverse event of Allergic

    Assessment of side effects in the form of allergies for 4 weeks the intervention is expressed in the form of incidence with consideration of diagnosis by a doctor and sought to know about the causal from these side effects

    Time frame: 4 weeks

  2. Adverse event of Erythema

    Assessment of side effects in the form of erythema for 4 weeks the intervention is expressed in the form of incidence with consideration of diagnosis by a doctor and searched for causal from these side effects

    Time frame: 4 weeks

  3. Adverse event of Angioedema and Urticaria

    Assessment of side effects in the form of Angioedema and Urticaria for 4 weeks the intervention is expressed in the form of incidence with consideration of diagnosis by a doctor and searched for causal from these side effects

    Time frame: 4 weeks

  4. Adverse event of Tumor

    Assessment of side effects in the form of Tumor for 4 weeks the intervention is expressed in the form of incidence with consideration of diagnosis by a doctor and searched for causal from these side effects

    Time frame: 4 weeks

07

Study locations

2 sites
  • Sukma Clinic
    Tangerang, Banten 15810, Indonesia
  • RS Alverno Singkawang
    Singkawang, West Borneo 79123, Indonesia
08

References and documents

Publications

  • Santos VS, Santos LC, Lobo LV, Lemos LM, Gurgel RQ, Cuevas LE. Leprosy and disability in children younger than 15 years in an endemic area of northeast Brazil. Pediatr Infect Dis J. 2015 Mar;34(3):e44-7. doi: 10.1097/INF.0000000000000592. PubMed 25389921 ↗
  • Santos VS, de Matos AM, de Oliveira LS, de Lemos LM, Gurgel RQ, Reis FP, Santos VT, Feitosa VL. Clinical variables associated with disability in leprosy cases in northeast Brazil. J Infect Dev Ctries. 2015 Mar 15;9(3):232-8. doi: 10.3855/jidc.5341. PubMed 25771459 ↗
  • de Paula HL, de Souza CDF, Silva SR, Martins-Filho PRS, Barreto JG, Gurgel RQ, Cuevas LE, Santos VS. Risk Factors for Physical Disability in Patients With Leprosy: A Systematic Review and Meta-analysis. JAMA Dermatol. 2019 Oct 1;155(10):1120-1128. doi: 10.1001/jamadermatol.2019.1768. PubMed 31389998 ↗
  • van Brakel WH, Sihombing B, Djarir H, Beise K, Kusumawardhani L, Yulihane R, Kurniasari I, Kasim M, Kesumaningsih KI, Wilder-Smith A. Disability in people affected by leprosy: the role of impairment, activity, social participation, stigma and discrimination. Glob Health Action. 2012;5. doi: 10.3402/gha.v5i0.18394. Epub 2012 Jul 20. PubMed 22826694 ↗
  • Gahalaut P, Pinto J, Pai GS, Kamath J, Joshua TV. A novel treatment for plantar ulcers in leprosy: local superficial flaps. Lepr Rev. 2005 Sep;76(3):220-31. PubMed 16248209 ↗
  • Pawitan JA. Prospect of stem cell conditioned medium in regenerative medicine. Biomed Res Int. 2014;2014:965849. doi: 10.1155/2014/965849. Epub 2014 Aug 28. PubMed 25530971 ↗
  • Li CY, Wu XY, Tong JB, Yang XX, Zhao JL, Zheng QF, Zhao GB, Ma ZJ. Comparative analysis of human mesenchymal stem cells from bone marrow and adipose tissue under xeno-free conditions for cell therapy. Stem Cell Res Ther. 2015 Apr 13;6(1):55. doi: 10.1186/s13287-015-0066-5. PubMed 25884704 ↗
  • Sarasua JG, Lopez SP, Viejo MA, Basterrechea MP, Rodriguez AF, Gutierrez AF, Gala JG, Menendez YM, Augusto DE, Arias AP, Hernandez JO. Treatment of pressure ulcers with autologous bone marrow nuclear cells in patients with spinal cord injury. J Spinal Cord Med. 2011;34(3):301-7. doi: 10.1179/2045772311Y.0000000010. PubMed 21756569 ↗
  • Vizoso FJ, Eiro N, Cid S, Schneider J, Perez-Fernandez R. Mesenchymal Stem Cell Secretome: Toward Cell-Free Therapeutic Strategies in Regenerative Medicine. Int J Mol Sci. 2017 Aug 25;18(9):1852. doi: 10.3390/ijms18091852. PubMed 28841158 ↗
  • Natallya FR, Herwanto N, Prakoeswa C, Indramaya DM, Rantam FA. Effective Healing of Leprosy Chronic Plantar Ulcers by Application of Human Amniotic Membrane Stem Cell Secretome Gel. Indian J Dermatol. 2019 May-Jun;64(3):250. doi: 10.4103/ijd.IJD_6_17. PubMed 31148869 ↗
  • Liew A, O'Brien T. Therapeutic potential for mesenchymal stem cell transplantation in critical limb ischemia. Stem Cell Res Ther. 2012 Jul 30;3(4):28. doi: 10.1186/scrt119. PubMed 22846185 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2019 to primary completion in Jan 2022, 36 months.

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

Registered
Feb 27, 2023
First posted
Mar 21, 2023
StartActual
Jan 1, 2019
Primary completionActual
Jan 1, 2022
CompletionActual
Jan 2, 2023
Last update
Apr 2, 2026
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 Apr 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05777213
Lead sponsor
Yohanes Firmansyah, dr, MH, MM
Collaborators
Tarumanagara University
Responsible party
Yohanes Firmansyah, dr, MH, MM (Principal Investigator, Tarumanagara University) — Sponsor-investigator
First posted
Mar 21, 2023
Start date
Jan 1, 2019
Primary completion
Jan 1, 2022
Completion
Jan 2, 2023
Last update
Apr 2, 2026

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 completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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