Safety/Efficacy Study for the Treatment of Amyotrophic Lateral Sclerosis (ALS)

Phase I, Single Center, Prospective, Non-randomized, Open Label, Safety/Efficacy Study of the Infusion of Autologous Bone Marrow-derived Stem Cells, in Patients With Amyotrophic Lateral Sclerosis

A Phase I, single center, prospective, non-randomized, open label, safety/efficacy study of the infusion of autologous bone marrow-derived stem cells, in 6 patients with Amyotrophic Lateral Sclerosis according to established criteria (1), (2) with a moderate to severe diagnosis of ALS according to the World Federation of Neurology El Escorial criteria.

The primary purpose of this study is to evaluate safety of the infusion procedure, as assessed by absence of complications at the site of infusion or the appearance of new neurologic deficit not attributed to the natural progression of the disease.

Secondary outcomes will include a)neurological evidence of trends toward a slowing down of the decline of the forced vital capacity (FVC) (3) and of the functional rating scale (ALS-FRS) scores, as assessed at 3-month intervals, b)evidence of a decline of the maximum voluntary isometric contraction-arm (MVIC-arm) and MVIC-grip Z (4) scores and c)patient evaluation that the treatment was effective and consider the possibility of a new cell product stem cell infusion.

Subjects who fulfill inclusion/exclusion criteria and sign informed consent will undergo an aspiration of bone marrow from the iliac crest for preparation of the cellular product.

The day of infusion, the investigational product will be injected into the patient's intrathecal space.

After cell infusion patients will be followed at WK 2, MN 1, MN 2, MN 6 and a long-term followup at MN 12 in the clinic and/or office. Electromyographic (EMG) studies, Forced vital capacity (FVC), functional rating scale (FRS) and maximum voluntary isometric contraction-arm (MVIC-arm) and MVIC-grip Z scores will have been used to assess the status of the disease before (historical record acceptable if done within three months of Screening Visit) and during the 12-month study period after cell infusion.

Study Overview

• Status: Suspended
• Conditions: Amyotrophic Lateral Sclerosis
• Intervention / Treatment: Biological: autologous bone marrow-derived stem cells

• Study Type: Interventional
• Enrollment (Anticipated): 6
• Phase: Phase 1

Contacts and Locations

Study Locations

• United States
  • Louisiana
    • Covington, Louisiana, United States, 70433
      • TCA Cellular Therapy

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 80 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. Adult male and female subjects > 18 years of age.
2. Good understanding of the protocol and willingness to consent.
3. Moderate to severe Diagnosis of ALS according to the World Federation of Neurology El Escorial criteria.
4. Vital capacity at least 50% predicted value for gender, height and age.
5. More than 6 and less than 36 months of evolution of the disease.
6. Hematocrit greater than 30 % prior to bone marrow aspiration.
7. Platelet count greater than 100 Thousand/uL at screening.
8. INR less than or equal to 1.5.

Exclusion Criteria:

1. Any concurrent illness, which affects the bone marrow.
2. Any concomitant medication that affects the bone marrow.
3. Previous stem cell therapy.
4. Any lymphoproliferative disease.
5. Riluzole with 4 weeks of study entry and at any time during the study.
6. Hemophiliacs or subjects with bleeding disorders.
7. Known hypersensitivity to fetal bovine serum
8. HIV infection.
9. Serum creatinine > 3.0 in subjects not on hemodialysis.
10. Skin infection at the infusion site or systemic infection
11. Current smoker.
12. Active drug or alcohol addiction
13. Pregnant, planning to become pregnant or not on accepted birth control method if subject is of child bearing potential.
14. Subjects that are breast feeding.
15. Any condition that the Principal Investigator considers would render the subject unfit for the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Diagnostic
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Safety; infusion of autologous bone marrow-derived stem cells	Biological: autologous bone marrow-derived stem cells; All patients will receive a unique one-time intrathecal infusion of the cell product suspended in infusion medium.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Safety	Safety of the infusion procedure, as assessed by absence of complications at the site of infusion or the appearance of new neurologic deficit not attributed to the natural progression of the disease.	one year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Efficacy	Neurological evidence of trends toward a slowing down of the decline of the forced vital capacity and of the functional rating scale scores, as assessed at 3 month intervals. Evidence of a decline of the maximum voluntary isometric contraction-arm (MVIC-arm) and MVIC-grip Z scores. Patient evaluation that the treatment was effective.	one year

Collaborators and Investigators

• Sponsor: TCA Cellular Therapy

Study record dates

Study Major Dates

• Study Start: March 1, 2010
• Primary Completion (Anticipated): May 1, 2014
• Study Completion (Anticipated): May 1, 2014

Study Registration Dates

• First Submitted: March 1, 2010
• First Submitted That Met QC Criteria: March 5, 2010
• First Posted (Estimate): March 8, 2010

Study Record Updates

• Last Update Posted (Estimate): May 9, 2014
• Last Update Submitted That Met QC Criteria: May 7, 2014
• Last Verified: September 1, 2013

More Information

Terms related to this study

• Keywords: ALS; Lou Gehrig's Disease
• Additional Relevant MeSH Terms: Pathologic Processes; Metabolic Diseases; Central Nervous System Diseases; Nervous System Diseases; Neuromuscular Diseases; Neurodegenerative Diseases; Spinal Cord Diseases; TDP-43 Proteinopathies; Proteostasis Deficiencies; Sclerosis; Motor Neuron Disease; Amyotrophic Lateral Sclerosis
• Other Study ID Numbers: 2008-ALS-I