A phase II, national, multicenter, uncontrolled and open trial to evaluate the feasibility and safety of laparoscopic administration of adipose derived allogenic mesenchymals stem cells (adMSC), for the treatment of patients with a single inflammatory stenosis in the context of Crohn's disease.
The hypothesis of the study is that the drug study administration will result in a anti-inflammatory effect, preventing the progression of the stenotic lesion and thus reducing the need to perform surgical resections. A multicentre, national, uncontrolled and open-label pilot study will be performed. 20 adult patients fulfilling eligibility criteria will be included. The trial is organized in screening period, treatment period and 6 follow-up visits. The treatment visit will be done in operating theatre, as the study drug is administrated by laparoscopy with a total dose of 120 million cells prepared in a saline solution with a cell concentration of 10 million cells per millilitre. Follow-up visits are divided into 4 visits that will take place every 6 weeks (+-7 days) until week 24; 1 additional follow-up visit will take place at week 36 and the last one at week 52. Analytical controls (blood count, biochemistry and coagulation) will be carried out throughout the trial and biological samples will be taken in three visits (Screening, visit 3 and visit 6). Abdominal MRI will be performed at baseline and in the end of study visit, to assess stenosis evolution. The overall duration of the trial is 36 months from the start of recruitment to the last follow-up visit. The period planned for this trial is from september 2022 to september 2025.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
2
adAMSC will be administered in the perilesional adipose tissue, through a laparoscopic procedure
Hospital Universitario Valle de Hebrón
Barcelona, Spain
Hospital Universitario Fundación Jiménez Diaz
Madrid, Spain
Hospital Universitario y Politécnico La Fe
Valencia, Spain
Percentage of complications
Number of complication associated with presurgery, surgery, IMP administration and postsurgery period
Time frame: Through study completion, an average of 2 years
Change from baseline length and diameter of the stenosis
according to RMI
Time frame: From screening visit to week 52
Crohn's disease activity index (CDAI) questionnaire score
Change from baseline in Crohn's disease activity index (CDAI) score (0-1100 points). Higher scores mean a worse outcome.
Time frame: Through study completion, an average of 2 years
inflammatory bowel disease questionnaire (IBDQ32 )
Change from baseline in inflammatory bowel disease questionnaire (IBDQ32 ). 140-200 points, higher scores mean a better outcome.
Time frame: Through study completion, an average of 2 years
patients with an obstructive episode who required resection surgery
number of patients with an obstructive episode who required resection surgery
Time frame: Through study completion, an average of 2 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.