The purpose of this study is to evaluate the efficacy of human TH-SC01 cell injection for the treatment of perianal fistulas in Crohn's Disease over 24 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
228
Human TH-SC01 cell injection is a cell suspension in aseptic buffered solution containing human expanded umbilical cord-derived stem cells of allogeneic origin in disposable vials with no preservative agents. The cells will be given at a dose of 120 million cells (5 million cells / mL) for intralesional injection.
Placebo (saline solution) will be given also for intralesional injection at the same quantity (volume, 24 mL) and following the same schedule.
Jiangsu Topcel-KH Pharmaceutical Co., Ltd.
Nanjing, Jiangsu, China
RECRUITINGThe proportion of subjects achieved combined remission
Combined Remission of perianal fistulising Crohn's disease defined as the all treated external openings achieved clinical remission at week 24, and absence of collections \> 2 cm of the treated perianal fistulas confirmed by centrally blinded MRI assessment by week 24.
Time frame: 24 weeks
The proportion of subjects achieved clinical remission
Clinical Remission defined as closure of all treated external openings that were draining at baseline despite gentle finger compression, and no obvious fistulas can be felt by digital examination,as clinically assessed.
Time frame: 24 weeks ,52 weeks and104 weeks
The proportion of subjects achieved a clinical response
Clinical response defined as closure of at least 50% of all treated external openings that were draining at baseline, as clinically assessed
Time frame: 24 weeks,52 weeks and104 weeks
The proportion of subjects recurrence
Recurrence defined as the reopening of the closed external openings that had achieved clinical remission after treatment, the appearance of spontaneous fluid drainage, or the presence of fistulas with fluid collections \> 2 cm as assessed by enhanced pelvic MRI
Time frame: 24 weeks,52 weeks and104 weeks
Time to achieve clinical remission, clinical response and recurrence
Time to achieve clinical remission, clinical response and recurrence within 24 weeks after drug administration.
Time frame: 24 weeks,52 weeks and104 weeks
The proportion of subjects achieved combined remission
Combined Remission of perianal fistulising Crohn's disease at week 52 and 104 (as defined for week 24)
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Time frame: 52 weeks and104 weeks
VAS score
Change from baseline in pain score (VAS score).Total score ranges from 0 to 10. Higher score means more pain
Time frame: 24 weeks,52 weeks and104 weeks
Perianal Disease Activity Index (PDAI)
Change from baseline in Perianal Disease Activity Index (PDAI). Total score ranges from 0 to 20. Higher score means more severe disease
Time frame: 24 weeks,52 weeks and104 weeks
Crohn's Disease Activity Index (CDAI) score
Change from baseline in the Crohn's Disease Activity Index (CDAI) score. Higher score means more severe disease and especially severe disease was defined as a value of greater than 450
Time frame: 24 weeks,52 weeks and104 weeks
Inflammatory Bowel Disease Questionnaire(IBDQ)score
Change from baseline in IBDQ score. Total score ranges from 32 to 224. Higher score means better quality of life
Time frame: 24 weeks,52 weeks and104 weeks
Anal sphincter function:Wexner incontinence score
Change from baseline in anal sphincter function, Wexner incontinence score,Total score ranges from 0 to 20. Higher score means more severe disease
Time frame: 24 weeks,52 weeks and104 weeks
peripheral blood cytokines
Changes in the levels of peripheral blood cytokines compared to the baseline.
Time frame: 2 weeks,4 weeks ,8 weeks ,12weeks and 24 weeks