SCLife®-LDD hUC-MSCs Injection Therapy for Patients With Lumbar Intervertebral Disc Degeneration
A Clinical Research on SCLife®-LDD hUC-MSCs Injection Therapy for Patients With Lumbar Intervertebral Disc Degeneration
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
In order to initially observe the safety and effectiveness of human umbilical cord mesenchymal stem cells (hUC-MSCs) transplantation in the treatment of lumbar disc degeneration, this project planned to include a single group of 20 patients with lumbar disc herniation, and adopt an open study design of non-random, self-controlled, single-dose group, and locally inject 2mL hUcMSCs into the lumbar disc of enrolled patients.
The patients were followed up 3, 6 and 12 months after injection to evaluate the safety of hUC-MSCs. Meanwhile, the improvement of patients' low back pain and quality of life were evaluated. Lumbar MRI is used to evaluate the improvement of patients' lumbar disc signal, proving that hUC-MSCs transplantation can delay lumbar disc degeneration and treat lumbar degenerative diseases.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Qiang Fu
- Phone Number: +86-02136123526
- Email: michaelliang@sclnow.com
Study Locations
-
-
-
Shanghai, China, 200080
- Shanghai General Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age: 18-60 years old;
- The symptoms are lumbago combined with radiating pain of one lower limb;
- Failed conservative treatment for 3 months, including physical therapy, manual therapy and non-morphine drug therapy;
- CT/MRI clearly highlighted the nucleus pulposus pressing the nerve root and the location was consistent;
- Symptoms and imaging showed unilateral lumbar disc herniation;
- Imaging showed single-level lumbar disc herniation;
- MRI (T2WI) of Pfirrmann disc degeneration: Grade I-IV;
- Lumbar disc herniation segments: L3-4, L4-5, L5-S1;
- Unilateral full endoscopic extraction of nucleus pulposus;
- Sign the informed consent;
- No previous history of spinal surgery.
Exclusion Criteria:
- Previous history of tumor and spinal infection;
- Patients with severe coagulation disorders, a history of drug abuse or taking oral anticoagulants;
- Coma or incapacitation;
- MRI contraindications (history of cardiovascular and cerebrovascular stent implantation, pacemaker, biostimulator, etc.);
- Pregnant women;
- Pregnancy or breastfeeding;
- Have participated in other clinical trials related to this project within the past 30 days;
- Those who have received stem cell therapy;
- Poor compliance, or can not correctly understand the cooperation so that it can not complete the interview;
- Received intervertebral disc interventional therapy within the past 3 months, such as radiofrequency, laser ablation, protease injection, Ozone injection;
- Highly allergic or have a history of severe allergies;
- Patients with severe autoimmune disease or who are receiving immunosuppressive therapy;
- Serious uncontrolled infection or high fever;
- Patients with shock, failure of vital organs and unstable vital signs;
- X-ray showed that the degree of stenosis of the diseased segment was more than 30% compared with the adjacent normal segment;
- Imaging showed lumbar disc herniation complicated with calcification;
- Imaging showed lumbar disc herniation with Modic Change;
- Imaging showed lumbar disc herniation complicated with severe spinal stenosis;
- Imaging showed lumbar disc herniation complicated with lumbar spondylolisthesis;
- Imaging showed lumbar disc herniation combined with spinal deformity;
- Mental disorders, cognitive disorders, or other physical diseases affecting the research results;
- Doctors believe that there are other reasons for not being included in the treatment.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: hUC-MSCs transplantation group
Human Umbilical Cord Mesenchymal Stem Cells
|
2 * 10^7 cells (2ml)
|
|
Active Comparator: control group
suspension transplantation
|
hUC-MSCs are injected into the opposite side of the minimally invasive surgical site immediately after surgery, and the puncture needle remains for 1 minute after injection and then pull out to prevent cell suspension leakage
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change of lumbar disc MRI (T2WI) signal values
Time Frame: 12 months
|
Lumbar MRI images are taken on day 0-1 (measured before stem cell transplantation), 3 months, 6 months and 12 months to record the signal value of the intervertebral disc (4 times in total) from level IV-V to level III and below.
|
12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Lower back pain and lower extremity radiating pain relief
Time Frame: 12 months
|
VAS scores of low back pain and lower extremity radiative pain are recorded on day 0-1 (measured before stem cell transplantation), 3 months, 6 months, and 12 months (4 times in total) from score 4-10 to score 3 and below.
|
12 months
|
|
X-ray Disc Height Index (DHI)
Time Frame: 12 months
|
On day 0-1 (measured before stem cell transplantation), 3 months, 6 months, and 12 months, the patients take anterior and lateral lumbar X-rays and record the DHI value (4 times in total) to reach the outcome of DHI≤0.188.
|
12 months
|
|
MRI highlights changes in the size of the nucleus pulposus
Time Frame: 12 months
|
On day 0-1 (measured before stem cell transplantation), 3 months, 6 months and 12 months, lumbar MRI is taken to measure the size of the protruded nucleus pulposus and record (4 times in total) to reach the outcome of size between 0.7cm×0.5cm×0.5cm
and 2.4cm×2.0cm×1.5cm.
|
12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
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
- SCLnow-SH-01
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
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