自体脂肪源性干细胞/基质细胞移植治疗2型糖尿病的有效性与安全性临床研究

注册号:

Registration number:

ChiCTR1900025872 

最近更新日期:

Date of Last Refreshed on:

2019-09-12 10:47:31 

注册时间:

Date of Registration:

2019-09-12 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

自体脂肪源性干细胞/基质细胞移植治疗2型糖尿病的有效性与安全性临床研究

Public title:

The clinical research for efficacy and safety of transplantation treatment using autologous adipose-derived stem/stromal cells (ADSCs) in patients with T2DM

注册题目简写:

English Acronym:

研究课题的正式科学名称:

自体脂肪源性干细胞/基质细胞移植治疗2型糖尿病的有效性与安全性临床研究

Scientific title:

The clinical research for efficacy and safety of transplantation treatment using autologous adipose-derived stem/stromal cells (ADSCs) in patients with T2DM

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

李爱林 

研究负责人:

周滨 

Applicant:

Ailin Li 

Study leader:

Bin Zhou 

申请注册联系人电话:

Applicant telephone:

+86 13986291516

研究负责人电话:

Study leader's
telephone:

+86 7198637636

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

superlin123@126.com

研究负责人电子邮件:

Study leader's E-mail:

binz007@hotmail.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

湖北武汉武昌区张之洞路(原紫阳路)99号解放路238号

研究负责人通讯地址:

湖北省十堰市茅箭区朝阳中路39号

Applicant address:

238 Jiefang Road, Wuchang District, Wuhan, Hubei

Study leader's address:

39 Middle Chaoyang Road, Maojian District, Shiyan, Hubei

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

武汉大学人民医院 / 湖北省人民医院

Applicant's institution:

Renmin Hospital of Wuhan University, Hubei Provincial Renmin Hospital

研究负责人所在单位:

湖北省人民医院

Affiliation of the Leader:

Hubei Provincial Renmin Hospital

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2019-004

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

湖北医药学院附属人民医院干细胞临床研究伦理专家委员会

Name of the ethic committee:

Medical Ethical Committees of the Renmin Hospital of Hubei University of Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2019-03-22 00:00:00

伦理委员会联系人:

赵利军

Contact Name of the ethic committee:

Lijun Zhao

伦理委员会联系地址:

湖北省十堰市茅箭区朝阳中路39号湖北医药学院附属人民医院

Contact Address of the ethic committee:

39 Middle Chaoyang Road, Maojian District, Shiyan, Hubei, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 13997811766

伦理委员会联系人邮箱:

Contact email of the ethic committee:

791511650@qq.com

研究实施负责(组长)单位:

湖北医药学院附属人民医院

Primary sponsor:

Renmin Hospital, Hubei University of Medicine

研究实施负责(组长)单位地址:

湖北省十堰市茅箭区朝阳中路39号

Primary sponsor's address:

39 Middle Chaoyang Road, Maojian District, Shiyan, Hubei, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

湖北省

市(区县):

十堰市

Country:

China

Province:

Hubei

City:

Shiyan

单位(医院):

湖北医药学院附属人民医院

具体地址:

茅箭区朝阳中路39号

Institution
hospital:

Renmin Hospital, Hubei University of Medicine

Address:

39 Middle Chaoyang Road, Maojian District

国家:

中国

省(直辖市):

湖北省

市(区县):

武汉市

Country:

China

Province:

Hubei

City:

Wuhan

单位(医院):

武汉大学人民医院湖北省人民医院

具体地址:

武昌区张之洞路(原紫阳路)99号解放路238号

Institution
hospital:

Renmin Hospital of Wuhan University, Hubei Provincial Renmin Hospital

Address:

238 Jiefang Road, Wuchang District

经费或物资来源:

自筹

Source(s) of funding:

Self-financing

研究疾病:

2型糖尿病  

Target disease:

type 2 diabetes mellitus

研究疾病代码:

E11

Target disease code:

E11

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

探索性研究/预试验 

Study phase:

0

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

通过一项前瞻、随机、并有常规标准治疗作为对照的队列研究,评估自体脂肪源性干细胞/基质细胞治疗2型糖尿病的有效性与安全性,为临床治疗2型糖尿病探索新的治疗方案。  

Objectives of Study:

This prospective, randomized parallel controlled trial will explore the safety and clinical efficacy of autologous adipose-derived stem/stromal Cells (ADSCs) versus conventional standard therapy in the treatment of type 2 diabetes mellitus and to explore new strategy for type 2 diabetes mellitus.

药物成份或治疗方案详述:

经纳入标准与排除标准筛选后,将收集的受试者按随机、平行对照试验设计的原则按照1:1的比例分为试验组与对照组,干细胞试验组50例,对照组50例。对照组给予常规标准治疗;试验组给予常规标准治疗 +自体脂肪干细胞静脉注射。 ADSC细胞治疗方案:干细胞试验组病人,将2×10^6/kg体重的ADSC细胞悬浮于生理盐水中静脉注射。 

Description for medicine or protocol of treatment in detail:

After screening with inclusion criteria and exclusion criteria, the subjects were divided into the experimental group and the control group according to the principle of randomized and parallel controlled trial design with 50 patients in the experimental group and 50 in the control group. The control group patients were given conventional standard therapy; the experimental group was given conventional standard therapy and i.v. injection of autologous adipose-derived stem/stromal cells. ADSC cell therapy protocol: ADSC (2×10^6 per kilogram of body weight) suspended in normal saline. The control group patients only received conventional standard therapy.  

纳入标准:

Inclusion criteria

排除标准:

1. 妊娠、哺乳期或近半年内有孕育打算的女性;
2. HIV、肝炎病毒、梅毒阳性;
3. 有未控制或难以控制的心脑血管、肝、肾、肺、内分泌等系统疾病,预期寿命不足1岁;
4. 有恶性肿瘤病史;
5. 有急慢性感染;
6. 1型糖尿病、妊娠糖尿病或其他特殊类型糖尿病患者;
7. 合并自身免疫性疾病;
8. 受试者在研究开始前3年内,有酗酒、药物滥用或患有精神疾病;
9. 患者在研究前3个月内参与另一项临床研究;
10. 出血倾向严重,凝血功能差(PTA<35%), 有出凝血功能障碍;
11. 研究者认为不适合纳入研究的患者。

Exclusion criteria:

1. Pregnant or considering pregnancy in the next 6-month, lactating.
2. Positive tests for HIV, HCV, HBV and syphilis.
3. Uncontrollable or difficult to control cardiovascular and cerebrovascular, liver, kidney, lung, endocrine and other systematic diseases with a life expectancy of less than 1 year.
4. History of malignancy.
5. Acute or chronic infections;
6. Gestational diabetes.
7. Known autoimmune disease.
8. Subjects had alcoholism, drug abuse or mental illness within 3 years prior to this study.
9. Patient participating in another clinical study within 3 months of this study.
10. Serious bleeding tendency, poor coagulation function (PTA <35%).
11. The investigator realizes the patient is unsuitable for the study.

研究实施时间:

Study execute time:

From 2020-01-01 00:00:00 To 2022-01-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2020-01-01 00:00:00 To 2022-01-01 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

50

Group:

treatment group

Sample size:

干预措施:

常规标准治疗 +自体脂肪干细胞静脉注射

干预措施代码:

Intervention:

conventional standard therapy and i.v. injection of autologous adipose-derived stem/stromal cells

Intervention code:

组别:

对照组

样本量:

50

Group:

control group

Sample size:

干预措施:

常规标准治疗

干预措施代码:

Intervention:

conventional standard therapy

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

湖北 

市(区县):

十堰 

Country:

China

Province:

Hubei

City:

Shiyan

单位(医院):

湖北医药学院附属人民医院 

单位级别:

三级甲等 

Institution
hospital:

Renmin Hospital, Hubei University of Medicine

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

湖北省 

市(区县):

武汉市 

Country:

China

Province:

Hubei

City:

Wuhan

单位(医院):

武汉大学人民医院湖北省人民医院 

单位级别:

三级甲等 

Institution
hospital:

Renmin Hospital of Wuhan University, Hubei Provincial Renmin Hospital

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

不良事件

指标类型:

主要指标

Outcome:

adverse effects

Type:

Primary indicator

测量时间点:

术后第45,90,180,360天

测量方法:

研究者评估

Measure time point of outcome:

Day 45, Day 90, Day 180, Day 360

Measure method:

Evaluated by researchers

指标中文名:

糖化血红蛋白、C肽

指标类型:

主要指标

Outcome:

Glycated hemoglobin, C-peptide

Type:

Primary indicator

测量时间点:

术前,和术后第45,90,180,360天

测量方法:

X线、磁共振、关节镜检查

Measure time point of outcome:

Day 0, and Day 45, Day 90, Day 180, Day 360

Measure method:

x ary, MRI, arthroscopy

指标中文名:

血糖

指标类型:

次要指标

Outcome:

Glycemia

Type:

Secondary indicator

测量时间点:

术前,和术后第45,90,180,360天

测量方法:

WOMAC

Measure time point of outcome:

Day 0, and Day 45, Day 90, Day 180, Day 360

Measure method:

WOMAC

指标中文名:

胰岛素和抗糖尿病药物用量

指标类型:

次要指标

Outcome:

Insulin requirement and oral hypoglycemic drugs

Type:

Secondary indicator

测量时间点:

术前,和术后第45,90,180,360天

测量方法:

VAS

Measure time point of outcome:

Day 0, and Day 45, Day 90, Day 180, Day 360

Measure method:

VAS

指标中文名:

生活质量评估

指标类型:

次要指标

Outcome:

SF-36

Type:

Secondary indicator

测量时间点:

术前,和术后第45,90,180,360天

测量方法:

SF-36

Measure time point of outcome:

Day 0, and Day 45, Day 90, Day 180, Day 360

Measure method:

SF-36

指标中文名:

beta细胞功能

指标类型:

次要指标

Outcome:

Beta-cell function

Type:

Secondary indicator

测量时间点:

术前,和术后第45,90,180,360天

测量方法:

步态周期时间、双支撑时间、单支撑时间比率(患肢/健肢)、步速、跨步长比率(患肢/健肢)

Measure time point of outcome:

Day 0, and Day 45, Day 90, Day 180, Day 360

Measure method:

Using Magnetic Resonance Imaging (MRI) examination, and based on the images of bilateral knee joint, grade by Kellgren-Lawrence Grading Scale.

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

脂肪组织

组织:

脂肪组织

Sample Name:

adipose tissue

Tissue:

adipose tissue

人体标本去向

使用后销毁  

说明

分离脂肪干细胞

Fate of sample:

Destruction after use  

Note:

For the separation of ADSCs

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 65 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

将受试者编号后,输入至SPSS软件,利用软件生成随机数字,然后随机分为两组。

Randomization Procedure (please state who generates the random number sequence and by what method):

After numbering the subjects, they were input to the SPSS software, and random numbers were generated using the software, and then randomly divided into two groups.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

对参试者施行盲法。

Blinding:

Blind method for participants.

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

ResMan数据共享平台,http://www.medresman.org

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

ResMan, http://www.medresman.org

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

采用病例记录表(Case Record Form, CRF)及二为电子采集和管理系统(Electronic Data Capture, EDC)

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Case Record Form, CRF及Electronic Data Capture, EDC

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2019-09-12 10:47:31