Safety and Efficacy of Autologous Human Schwann Cell (ahSC) Augmentation in Severe Peripheral Nerve Injury (PNI)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: George Jimsheleishvilli, MD
- Phone Number: (305) 2434781
- Email: gxj150@med.miami.edu
Study Locations
-
-
Florida
-
Miami, Florida, United States, 33136
- Recruiting
- University of Miami
-
Contact:
- George Jimsheleishvilli, MD
- Phone Number: (305) 2434781
- Email: gxj150@med.miami.edu
-
Principal Investigator:
- Allan Levi, MD
-
Sub-Investigator:
- S. Shelby Burks, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Persons with severe sciatic nerve injury, brachial plexus injury, and/or major nerve injury at the upper or lower extremity within previous year;
- Between the ages of 18 and 65 at last birthday
Exclusion Criteria:
- Persons unable to safely undergo an MRI;
- Persons with pre-existing conditions that would preclude satisfactory sural nerve harvest;
- Persons with severe peripheral nerve injury gap length > 10 cm;
- Persons with history of radiation or local cancer in area of nerve injury, including primary tumors of the nerve;
- Pregnant women or a positive pregnancy test in those women with reproductive potential prior to enrollment;
- Presence of disease that might interfere with participant safety, compliance, or evaluation of the condition under study;
- History of active substance abuse;
- Persons allergic to gentamicin;
- Persons who test positive for HIV or Hepatitis B or C virus.
- Persons unable to provide consent independently due to cognitive impairment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Autologous Human Schwann Cell (ahSC) Group
Participants in this group will undergo a sural nerve biopsy followed by ahSC transplant
|
A one-time dose of 1000 μl* or 80 to 100 million ahSC prepared from segments of the sural nerve from the leg recovered from the participant.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of Treatment-related Adverse Events (AEs)
Time Frame: Up to 2 years
|
Safety will be reported as the incidence of treatment-related AEs as assessed by treating physician
|
Up to 2 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Motor Recovery as assessed using the MRC Grading Scale
Time Frame: Up to 2 years
|
Motor recovery will be assessed using the Medical Research Council (MRC) Grading Scales.
MRC Grading Scale scores ranges from 0-5 with a higher score indicating better function
|
Up to 2 years
|
|
Sensory recovery as assessed by Pin-Prick Evaluation
Time Frame: Up to 2 years
|
Pin prick evaluation will be assessed using the Semmes Weinstein Monofilament Evaluation.
Semmes Weinstein Monofilament evaluation has a total score ranging from 0-5 with a higher score indicating better function
|
Up to 2 years
|
|
Sensory recovery as assessed by the 2-Point Discrimination Evaluation
Time Frame: Up to 2 years
|
2-Point Discrimination Evaluation scoring ranges from 2-20mm with a higher score indicating worse function
|
Up to 2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: W. Dalton Dietrich, MD, University of Miami
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 20220447
- OR210075 (Other Grant/Funding Number: United States Department of Defense)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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