Status:

UNKNOWN

Intracavitary Injection of hUMSCs in Acute Basal Ganglia Hematoma After Stereotactic Aspiration

Lead Sponsor:

Second Affiliated Hospital, School of Medicine, Zhejiang University

Collaborating Sponsors:

The First Affiliated Hospital, University of Science and Technology of China

Zhejiang University

Conditions:

Basal Ganglia Hematoma

Eligibility:

All Genders

30-75 years

Phase:

PHASE2

Brief Summary

A study to examine the safety and potential effectiveness of human umbilical cord mesenchymal stem cells (hUMSCs) in adults who have suffered spontaneous cerebral hemorrhage in basal ganglia. The hypo...

Eligibility Criteria

Inclusion

  • Male or female participants between 30 and 75 years of age, diagnosed of spontaneous basal ganglia hemorrhage by imaging (CT, CTA, etc.) with a volume from 10 ml to 60 ml calculated by ABC/2 formula.
  • Within 5 days from onset to operation, and no improvement.
  • Glasgow Coma Scale (GCS) score of 9 to 15.
  • With dysfunction such as hematoma-related motor aphasia, sensory aphasia, hemiplegic limb muscle strength≤grade 3.
  • Modified Rankin scale (mRS) score≤1 in past medical history.
  • Women of reproductive age have negative pregnancy tests.
  • The participants or the legal guardian/representative who are suitable and willing to participate in the clinical trial and can cooperate to complete the follow-ups.

Exclusion

  • Imaging-based diagnosis of cerebrovascular abnormalities such as ruptured aneurysm, arteriovenous malformation AVM and moyamoya disease as well as hemorrhagic transformation of ischemic infarct and recent recurrence (within 1 year) of cerebral hemorrhage.
  • In the sequela stage of cerebral trauma.
  • Hematoma involves other structures including but not limited to the thalamus and midbrain or complicated with intraventricular hemorrhage.
  • With neurologic impairment before cerebral hemorrhage onset.
  • Participants receiving anticoagulant or antiplatelet therapy.
  • The disease progresses quickly. Manifestation of cerebral herniation such as bilateral dilated pupil, disappearance of light reflex, and unstable vital signs.
  • Active stage of infectious diseases including but not limited to HIV, hepatitis B, and C.
  • History of poorly controlled seizures.
  • History of severe co-morbidity (including but not limited to hepatic, renal, gastrointestinal, respiratory, cardiovascular, endocrine, immune and/or hematological disorders) which may affect the outcome assessment. Coagulation dysfunction INR \>1.4, PTT\>37 seconds, thrombocytopenia (PLT\<8×10\^9/L), serum creatinine exceeded the upper limit of normal by 1.4 times, serum ALT \>150U/L, and/or serum total bilirubin \>1.6mg/dl.
  • Participants with a mechanical heart valve. Biological valves are acceptable.
  • Participants with a risk of embolism (including but not limited to a history of left heart thrombus, mitral stenosis with atrial fibrillation, acute pericarditis or subacute bacterial endocarditis). Atrial fibrillation without mitral stenosis is acceptable.
  • May be pregnant in the near future or already pregnant.
  • Enrolled in this clinical trial or participating in other interventional medical research or clinical trials at the same time.
  • Participants difficult to follow up or with poor compliance due to various reasons (including but not limited to geographical and social factors, drug or alcohol abuse).
  • Participants or the legal guardian/representative is unable or unwilling to give the written informed consent.
  • Vulnerable groups (including but not limited to mental retardation, abuse, inability to fully exercise informed consent).
  • Any subject that the researchers think is not suitable for enrollment.

Key Trial Info

Start Date :

May 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 1 2023

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT04074408

Start Date

May 1 2020

End Date

November 1 2023

Last Update

May 26 2020

Active Locations (1)

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Second Affiliated Hospital, School of Medicine, Zhejiang University

Hangzhou, Zhejiang, China, 310009