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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01090817
Registration number
NCT01090817
Ethics application status
Date submitted
22/03/2010
Date registered
23/03/2010
Date last updated
9/06/2015
Titles & IDs
Public title
An Australian Study of Mesenchymal Stromal Cells for Crohn's Disease
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Scientific title
A Multicentre Australian Phase 2 Study to Evaluate Safety and Efficacy of Mesenchymal Stromal Cells for Treating Biologic Refractory Crohn's Disease
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Secondary ID [1]
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CTN2010/0098
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Secondary ID [2]
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EC2009/123
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Crohn Disease
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Condition category
Condition code
Oral and Gastrointestinal
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Inflammatory bowel disease
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Oral and Gastrointestinal
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Crohn's disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Mesenchymal stromal cells (MSC) for infusion
Experimental: Mesenchymal stromal cells - Mesenchymal stromal cells administered weekly for 4 weeks
Treatment: Drugs: Mesenchymal stromal cells (MSC) for infusion
MSC 2X10E6/kg recipient weight are infused over 15 minutes intravenously weekly for 4 weeks
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Clinical response to MSC: Reduction of Crohn's disease Activity score by 100 points or more at six weeks post start of therapy
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Assessment method [1]
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Colonoscopy and biopsy as well as clinical parameters used for the Crohn's disease acivity (www.ibdaustralia.org/cdai/) will be undertaken at screening pre-therapy and at 6 weeks after start of therapy.
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Timepoint [1]
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Six weeks
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Secondary outcome [1]
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Incidence of infusional toxicity
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Assessment method [1]
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Subjects will receive mesenchymal stromal cell therapy, 2X10E6/kg weekly by IV infusion for 4 weeks and will be assessed for 4 hours post infusion
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Timepoint [1]
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Six weeks
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Secondary outcome [2]
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Induction of remission
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Assessment method [2]
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Crohn's disease activity index assessed as below 150
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Timepoint [2]
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Six weeks
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Secondary outcome [3]
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Improved quality of life
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Assessment method [3]
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Increase in IBDQ and SF-36 scores measured at six weeks
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Timepoint [3]
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Six weeks
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Secondary outcome [4]
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Endoscopic improvement.
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Assessment method [4]
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Crohn's disease endoscopic improvement score will be measured at repeat endoscopy six weeks after start of treatment
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Timepoint [4]
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Six weeks
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Eligibility
Key inclusion criteria
* Colonic or small bowel Crohn's disease based on endoscopic appearances and histology
* Refractory to induction with infliximab or adalimumab; or have lost response to these agents; or have had side effects precluding their further use
* Where there has been loss of response to one of these agents, the other must be tried before being eligible
* Crohn's disease activity score (CDAI) 250 or more.
* C-reactive protein >10mg/L
* Surgery must have been offered to the subject (if appropriate) and declined
* Signed informed consent
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Active sepsis, perforating disease. Coexistent perianal fistulous disease is permitted, providing no co-existent infection within previous 4 weeks
* Chronic stricturing disease in isolation
* Coexistent CMV disease
* Prior history of malignancy
* Pregnant or unwilling to practice contraceptive therapy or breast feeding females
* Last biologic therapy must be greater than 4 weeks prior, must be on stable corticosteroid dose for 14 days prior, during therapy and for 14 days after therapy, must be on stable immunomodulator dose (eg, azathioprine) for 14 days prior, during therapy and for 14 days after.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/01/2010
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/06/2015
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Sample size
Target
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Accrual to date
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Final
21
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Department of Gastroenterology and Hepatology, Royal Perth Hospital - Perth
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Recruitment postcode(s) [1]
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6000 - Perth
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Funding & Sponsors
Primary sponsor type
Other
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Name
R.P.Herrmann
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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The Queen Elizabeth Hospital
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Concord Hospital
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Sir Charles Gairdner Hospital
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Address [3]
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Country [3]
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Other collaborator category [4]
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Other
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Name [4]
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The Alfred
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Address [4]
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Country [4]
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Ethics approval
Ethics application status
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Summary
Brief summary
Despite the advent of newer biologic therapies such as infliximab for Crohn's disease, a form of autoimmune inflammatory bowel disease, a proportion of patients are refractory to such therapy and require surgery. The hypothesis is that mesenchymal stromal cell therapy using third party human cultured cells will be safe and effective
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Trial website
https://clinicaltrials.gov/study/NCT01090817
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Trial related presentations / publications
Forbes GM, Sturm MJ, Leong RW, Sparrow MP, Segarajasingam D, Cummins AG, Phillips M, Herrmann RP. A phase 2 study of allogeneic mesenchymal stromal cells for luminal Crohn's disease refractory to biologic therapy. Clin Gastroenterol Hepatol. 2014 Jan;12(1):64-71. doi: 10.1016/j.cgh.2013.06.021. Epub 2013 Jul 19.
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Public notes
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Contacts
Principal investigator
Name
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Geoff Forbes, MD
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Address
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Royal Perth Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01090817
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