AzTrials
AzTrials

Systemic SclerosisEarly Phase 1NCT03060551

Injection of Autologous Adipose-derived Stromal Vascular Fraction in the Finger of Systemic Sclerosis Patients

A Early Phase 1 study testing SVF injection in people with Systemic Sclerosis, run by Suk-Ho Moon at 1 site in South Korea.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study outlines the safety of the autologous SVF cells injection in the hands of patients with SSc. Preliminary assessments at 6 months will suggest potential efficacy needing confirmation in a randomised placebo-controlled trial on a larger population Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Systemic Sclerosis
What is being tested?
SVF injection
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteSouth Korea
Study dates
1 Jul 2018to 30 Dec 2019
Phase
Early Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • age over 18 year old
  • Cochin Hand Function Scale (CHFS) > 20/90

Who cannot join

  • new vasodilators or immunosuppressive therapy for SSc in the 3 months prior to enrolment
  • new vasodilators or immunosuppressive therapy for SSc during the 6-month follow-up
  • clinical or radiological signs of digital infection
  • positive status for HIV
  • positive status for hepatitis B or C
  • positive status for human T-cell leukemia virus 1-2
Show all 9Show fewer
  • positive status for syphilis
  • pregnancy
  • BMI less than 17kg/m2

Trial locations and contacts

1 site in 1 country.

South Korea1 site
  • Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea

    Seoul

Other trials in South Korea

About this study

Official title: Safety, Tolerability and Potential Efficacy of Injection of Autologous Adipose-derived Stromal Vascular Fraction in the Finger of Systemic Sclerosis Patients

This study outlines the safety of the autologous SVF cells injection in the hands of patients with SSc. Preliminary assessments at 6 months will suggest potential efficacy needing confirmation in a randomised placebo-controlled trial on a larger population

Read the detailed description

In patients with systemic sclerosis(scleroderma, SSc), impaired hand function greatly contributes to disability and reduced quality of life, and is insufficiently relived by currently available therapies. Adipose tissue-derived stromal vascular fraction (SVF) is increasingly recognized as an easily accessible source of regenerative cells with therapeutic potential in ischaemic or autoimmune disease. The investigators aimed to measure for the first time the safety, tolerability, and potential efficacy of autologous SVF cells local injections in patients with SSc with hand disability.

Being tested
SVF injection
Keywords
stromal vascular fraction, hand disability, mesenchymal stem cells, phase I trial
Medical subject headings
Scleroderma, Systemic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SVF injectionProcedure or surgery

    SVF is increasingly recognised as an easily accessible source of regenerative cells with therapeutic potential in ischaemic or autoimmune disease. We aimed to measure for the first time the safety, tolerability and potential efficacy of autologous SVF cells local injections in patients with systemic sclerosis

Study groups in NCT03060551
Study groupRoleWhat they receive
SVF injectionExperimentalSVF was obtained from lipoaspirates, using an automated processing system, and subsequently injected into the subcutaneous tissue of each finger in contact with neurovascular pedicles
Receives: Procedure: SVF injection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Raynaud's Condition Scale

    The severity of Raynaud's phenomenon was assessed using the Raynaud's condition scale (ranging 0 to 10, with higher scores representing more severe Raynaud's phenomenon)

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  2. Hand Visual Analogue Scale

    Hand pain was assessed using the Hand visual analogue scale (ranging 0 to 10, with higher scores representing more severe pain)

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  3. Colchin Hand Function Scale

    The Colchin hand function scale (CHFS, ranging 0 to 90, with higher scores representing more deteriorated hand function) scores

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  4. Kapandji Score (Ranging 0 to 10) - Dominant Hand

    Kapandji score (ranging 0 to 10) is validated measures in past studies as outcomes for hand disability. The Kapandji score is a tool useful for assessing the opposition of the thumb, based on where on their hand the patient is able to touch with the tip of their thumb. A score of 0 indicates no opposition, a score of 10 indicates maximal opposition.

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  5. Kapandji Score (Non-dominant Hand)

    Kapandji score (ranging 0 to 10) is validated measures in past studies as outcomes for hand disability. The Kapandji score is a tool useful for assessing the opposition of the thumb, based on where on their hand the patient is able to touch with the tip of their thumb. A score of 0 indicates no opposition, a score of 10 indicates maximal opposition.

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  6. Disease-related QOL (Quality of Life) : EuroQol-5 Dimensions Time Trade-off (EQ-5D TTO)

    Disease-related QOL (quality of life) was measured by EuroQol-5 dimensions time trade-off (EQ-5D TTO, ranging 0 to 1, with higher values representing better QOL) values

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  7. Disease-related QOL (Quality of Life) : EuroQol Visual Analog Scale (EQ VAS)

    Disease-related QOL (quality of life) : EuroQol visual analog scale (EQ VAS, ranging 0 to 100, with higher scores representing better QOL)

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  8. Disease-related QOL (Quality of Life) : Health Assessment Questionnaire (HAQ)

    Disease-related QOL (quality of life) : health assessment questionnaire (HAQ, ranging 0 to 3, with higher scores meaning lower QOL)

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  9. The Degree of Hand Edema (Right)

    The finger circumferences of the second to the fifth fingers measured in the middle portion of each proximal phalanx were used to assess the degree of hand edema

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  10. The Degree of Hand Edema (Left)

    The finger circumferences of the second to the fifth fingers measured in the middle portion of each proximal phalanx were used to assess the degree of hand edema

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

Secondary outcomes (6)
  1. Changes of Nailfold Capillary Microscopic Findings (Irregularly Enlarged Capillaries)

    In order to assess the severity of microangiopathies in both fingers, a semiquantitative scoring system for nailfold capillary microscopic findings was adopted. A total of six parameters (irregularly enlarged capillaries, giant capillaries, hemorrhages, loss of capillaries, disorganization of the vascular array and capillary ramifications) were measured using the semiquantitative manner on the scale ranging 0 to 3, indicating more severe as scores were higher. Each parameter was scored for four fingers of both hands, except thumbs, and the median score value of each parameter in both hands was finally presented.

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  2. Changes of Nailfold Capillary Microscopic Findings (Giant Capillaries)

    In order to assess the severity of microangiopathies in both fingers, a semiquantitative scoring system for nailfold capillary microscopic findings was adopted. A total of six parameters (irregularly enlarged capillaries, giant capillaries, hemorrhages, loss of capillaries, disorganization of the vascular array and capillary ramifications) were measured using the semiquantitative manner on the scale ranging 0 to 3, indicating more severe as scores were higher. Each parameter was scored for four fingers of both hands, except thumbs, and the median score value of each parameter in both hands was finally presented.

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  3. Changes of Nailfold Capillary Microscopic Findings (Hemorrhages)

    In order to assess the severity of microangiopathies in both fingers, a semiquantitative scoring system for nailfold capillary microscopic findings was adopted. A total of six parameters (irregularly enlarged capillaries, giant capillaries, hemorrhages, loss of capillaries, disorganization of the vascular array and capillary ramifications) were measured using the semiquantitative manner on the scale ranging 0 to 3, indicating more severe as scores were higher. Each parameter was scored for four fingers of both hands, except thumbs, and the median score value of each parameter in both hands was finally presented.

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  4. Changes of Nailfold Capillary Microscopic Findings (Loss of Capillaries)

    In order to assess the severity of microangiopathies in both fingers, a semiquantitative scoring system for nailfold capillary microscopic findings was adopted. A total of six parameters (irregularly enlarged capillaries, giant capillaries, hemorrhages, loss of capillaries, disorganization of the vascular array and capillary ramifications) were measured using the semiquantitative manner on the scale ranging 0 to 3, indicating more severe as scores were higher. Each parameter was scored for four fingers of both hands, except thumbs, and the median score value of each parameter in both hands was finally presented.

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  5. Changes of Nailfold Capillary Microscopic Findings (Disorganization of the Vascular Array)

    In order to assess the severity of microangiopathies in both fingers, a semiquantitative scoring system for nailfold capillary microscopic findings was adopted. A total of six parameters (irregularly enlarged capillaries, giant capillaries, hemorrhages, loss of capillaries, disorganization of the vascular array and capillary ramifications) were measured using the semiquantitative manner on the scale ranging 0 to 3, indicating more severe as scores were higher. Each parameter was scored for four fingers of both hands, except thumbs, and the median score value of each parameter in both hands was finally presented.

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

  6. Changes of Nailfold Capillary Microscopic Findings (Capillary Ramifications)

    In order to assess the severity of microangiopathies in both fingers, a semiquantitative scoring system for nailfold capillary microscopic findings was adopted. A total of six parameters (irregularly enlarged capillaries, giant capillaries, hemorrhages, loss of capillaries, disorganization of the vascular array and capillary ramifications) were measured using the semiquantitative manner on the scale ranging 0 to 3, indicating more severe as scores were higher. Each parameter was scored for four fingers of both hands, except thumbs, and the median score value of each parameter in both hands was finally presented.

    Measured: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Feb 2017
  2. Study start1 Jul 2018
  3. Primary completion30 Dec 2019
  4. Study completion30 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Systemic sclerosis patients with hand disability, planning 24 weeks of follow-up period Autologous adipose tissue-derived stromal vascular fraction(SVF) injected into the subcutaneous tissue of each finger in contact with neurovascular pedicles.
Masking
None (open label)
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03060551
Sponsor's protocol ID
SVF treatment in SSc
Status last verified
Oct 2020
First submitted
9 Nov 2016
Last updated
8 Oct 2020
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Park Y, Lee YJ, Koh JH, Lee J, Min HK, Kim MY, Kim KJ, Lee SJ, Rhie JW, Kim WU, Park SH, Moon SH, Kwok SK. Clinical Efficacy and Safety of Injection of Stromal Vascular Fraction Derived from Autologous Adipose Tissues in Systemic Sclerosis Patients with Hand Disability: A Proof-Of-Concept Trial. J Clin Med. 2020 Sep 19;9(9):3023. doi: 10.3390/jcm9093023.

    PubMed 32961802

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing SVF injection in people with Systemic Sclerosis, run by Suk-Ho Moon at 1 site in South Korea.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Oct 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Raynaud's Condition Scale (time frame: Baseline, 2 weeks, 6 weeks, 12 weeks, 24 weeks). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03060551, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Oct 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in