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Umbilical Cord Artery-derived Perivascular Stem Cells for the Critical Limb Ischemia Therapy | Clinical Trials | Clareo Health

RECRUITINGEARLY_PHASE1

Umbilical Cord Artery-derived Perivascular Stem Cells for the Critical Limb Ischemia Therapy

Efficacy and Safety of Umbilical Cord Artery-derived Perivascular Stem Cells in Patients With Critical Limb Ischemia

NCT06174597•Nanjing University

View on ClinicalTrials.gov

Summary

This clinical trial included 2 periods. During the first period, it was a single arm study to explore the safety of umbilical cord artery-derived stem cells (UCA-PSCs) in the treatment of patients with critical limb ischemia (CLI). During the second perid, it was a single-center, randomized, controlled prospective study to determine the efficacy of the UCA-PSCs treatment. Those who had CLI were enrolled in the study.

Detailed Description

According to the enrollment and exclusion criteria, the patients were enrolled.During the first period, 10 patients were injected with UCA-PSCs/bFGF, a second injection was given 8 weeks later. During the second period, the patients were randomly divided into two groups by computer randomization.Group A was the UCA-PSCs/bFGF group (test group). Group B was the bFGF group (control group).

Eligibility

Age

18 - 80 years

Sex

ALL

Healthy Volunteers

Inclusion Criteria

•1. Aged between 18 and 80, of any gender;
•2. Diagnosed with lower extremities ischemia, classified as Rutherford Stage IV-V, affecting at least one limb. If both lower limbs have ischemic disease, the researcher will determine which affected limb will be studied. The resting ankle systolic pressure (dorsalis pedis artery or posterior tibial artery) of the affected limb is less than 60mmHg, or the toe systolic pressure is less than 40 mmHg, or the Ankle-Brachial Index (ABI) is less than 0.50;
•3. Within the last month, Digital Subtraction Angiography (DSA), Computed Tomography Arteriography (CTA), Magnetic Resonance Angiography (MRA)，or vascular ultrasound has confirmed that one or more of the arteries (superficial femoral artery, i.e., the femoral artery below the deep femoral artery branch, the popliteal artery, and its following arteries) have a stenosis of ≥75% or occlusion;
•4. Patient experiences rest pain in the limb due to ischemia for at least two weeks;
•5. Inoperable or not suitable for endovascular treatment，or no obvious improvement after surgical treatment;
•6. Expected lifespan \>2 years;
•7. Good compliance, accepting dietary control and medication treatment, with an informed consent form signed by the patient themselves or their legal representatives.

Exclusion Criteria

•1. Acute ischemic disease of the lower limb(s) occurred within the past 2 weeks, or patients with acute progression of lower extremity arterial ischemic disease, or those with local/diffuse gangrene;
•2. Unsatisfactory evaluation of condition stability after vascular reconstruction surgery or sympathetic nerve removal surgery performed within 4 weeks，or possibility of undergoing amputation in the next 4 weeks;
•3. Stenosis of ≥75% in the main-iliac artery;
•4. Diabetic patients with HbA1c \> 10%;
•5. Abnormal laboratory test results that meet any of the following criteria:i. Abnormal blood routine examination: Hemoglobin (HGB)\<80 g/L, or white blood cell count (WBC)\<3.0×10\^9/L, or platelet count (PLT)\<50×10\^9/L; ii. Abnormal liver function: Aspartate aminotransferase (AST)\>2 times the upper limit of normal (ULN), or alanine aminotransferase (ALT)\>2×ULN, total bilirubin (TBIL)\>2×ULN; iii. Severe renal dysfunction requiring dialysis treatment;iv. Other abnormal laboratory testing indicators that researchers believe may affect the evaluation of trial results;
•6. Diseases unsuitable for clinical trials, or contraindications to surgery: i. Difficult-to-control hypertension (\>180/110mmHg), severe heart failure (NYHA IV), or EF\<30%;ii. Patients who have had a stroke, brain hemorrhage, myocardial infarction, or unstable angina in the past one month; iii. Patients with malignant tumors;iv. Receiving immunosuppressants, hemodialysis, chemotherapy, and radiotherapy; v. Active infection, HIV antibody positive, Hepatitis C antibody positive, Hepatitis B (HBsAg positive and Hepatitis B virus DNA quantitative detection value greater than 1×10\^3 IU/mL); vi. Serious infections (like cellulitis, osteomyelitis etc.) in the observational limb, exposure of distal fascia or skeleton, unable to maintain wound care for ulcers in the surgical area etc.; vii. History of major surgery or serious injury within the last one months;
•7. During the trial, taking the following drugs at doses greater than stated below, except those who stop medication or adjust the dose to the prescribed dose for 7 days according to the washout period: i. COX-2 inhibitor drugs (such as nimesulide); ii. Aspirin (more than 100 mg/day);iii. High-dose steroid medications, excluding inhaled steroids; iv. Opioid analgesics (like morphine) for 2 weeks or longer;
•8. Congenital or acquired immunodeficiency;
•9. Pregnant women or those planning pregnancy;
•10. Diseases like pulmonary heart disease and mental illness that researchers believe are unstable and cannot complete the trial, or comorbidities that could interfere with safety checks and effectiveness assessments;
+1 more criteria

Locations (1)

The affiliated Drum Towel Hospital of Nanjing University Medical School

Nanjing, Jiangsu, China

Key Dates

Start Date

June 30, 2023

Primary Completion Date

June 30, 2024

Completion Date

June 30, 2026

Last Updated

December 18, 2023

Enrollment

ESTIMATED participants

Conditions

Critical Limb Ischemia

Interventions

UCA-PSCs/bFGF or bFGF Intramuscular injection

PROCEDURE

Contacts

Min Zhou, Dr.

CONTACT

13951937586 zhouminnju@126.com

Lijun Ding

CONTACT

86-25-8310-7170 xmljding@163.com

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Data Source & Attribution

This clinical trial information is sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

ClinicalTrials.gov last update: December 18, 2023Data synced to Clareo: March 29, 2026

Modifications: This data has been reformatted for display purposes. Eligibility criteria have been parsed into inclusion/exclusion sections. Location data has been geocoded to enable distance-based search. For the authoritative and most current information, please visit ClinicalTrials.gov.

Neither the United States Government nor Clareo Health make any warranties regarding the data. Check ClinicalTrials.gov frequently for updates.

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Umbilical Cord Artery-derived Perivascular Stem Cells for the Critical Limb Ischemia Therapy

Inclusion Criteria

Exclusion Criteria

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