This is a prospective, single-arm, open-ended study to evaluate the efficacy and safety of human umbilical cord MSCs in the treatment of refractory moderate-to-severe Crohn's disease. The study protocol is either MSC injection into the patient's diseased intestinal mucosa or intravenous MSC injection + MSC injection into the patient's diseased intestinal mucosa. Follow-up time points were pre-treatment (week 0), week 4, week 8, week 12, and week 24 post-treatment, and the primary evaluation at follow-up was the number of subjects with clinical and endoscopic response or remission.
This is a prospective, single-arm, open study to evaluate the efficacy and safety of human umbilical cord MSCs in the treatment of refractory moderate-to-severe Crohn's disease. The study will be conducted as follows: a total of 40 patients will be recruited and will receive either MSC injection into the diseased intestinal mucosa or intravenous MSC injection + MSC injection into the diseased intestinal mucosa. The proportion of patients with clinical and endoscopic response or remission will be used as the primary evaluation for follow-up. The Crohn's disease activity index (CDAI) was used to assess the severity of CD disease, with CDAI \<150 considered to be in clinical remission; a decrease in CDAI ≥70 was considered to be clinically effective, also referred to as clinical response. Endoscopic response was defined as at least 50% improvement in the simplified endoscopic score for Crohn's disease (SES-CD) from baseline, and endoscopic remission was defined as a SES-CD score ≤2.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
40
MSCs treatment by intestinal submucosal injection/MSCs treatment by intravenous drip + MSCs treatment by intestinal submucosal injection
Shanghai East Hospital
Shanghai, Pudong New Area, China
RECRUITINGCrohn's disease activity index score
The Crohn's Disease Activity Index (CDAI) was used to assess the severity of CD disease, and a CDAI \<150 was considered clinically remitting; a decrease in CDAI ≥70 was considered clinically effective, also known as clinical response.
Time frame: Changes from baseline to week 4, week 8, week 12 and week 24 after stem cell treatment.
simplified endoscopic score for Crohn's disease
Endoscopic response was defined as at least 50% improvement in the simplified endoscopic score for Crohn's disease (SES-CD) from baseline, and endoscopic remission was defined as a SES-CD score ≤2.
Time frame: Changes from baseline to week 4, week 8, week 12 and week 24 after stem cell treatment.
Inflammatory Bowel Disease Questionnaire
The Inflammatory Bowel Disease Questionnaire (IBDQ) is a widely used questionnaire for Health-related quality of life assessment in patients with inflammatory bowel diseases (IBDs).
Time frame: Changes from baseline to week 4, week 8, week 12 and week 24 after stem cell treatment.
Albumin
Albumin is an important component of the blood, and patients with severe Crohn's disease can present with clinical signs of hypoproteinemia.
Time frame: Changes from baseline to week 4, week 8, week 12 and week 24 after stem cell treatment.
Hemoglobin
Hemoglobin is an important component of the blood, and patients with severe Crohn's disease can present with clinical signs of anemia.
Time frame: Changes from baseline to week 4, week 8, week 12 and week 24 after stem cell treatment.
Fecal calprotectin
Fecal calprotectin (FC) is a non-invasive marker of gastrointestinal inflammation with advocated diagnostic precision in distinguishing inflammatory bowel disease (IBD) from non-IBD diagnoses.
Time frame: Changes from baseline to week 4, week 8, week 12 and week 24 after stem cell treatment.
body mass index (BMI)
Weight and height will be combined to report BMI in kg/m\^2
Time frame: Changes from baseline to week 4, week 8, week 12 and week 24 after stem cell treatment.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.