- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04514952
Individual Patient Expanded Access IND of Autologous HBadMSCs for the Treatment of Amyotrophic Lateral Sclerosis
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Once the eligibility is confirmed, approximately 1-2 weeks after the screening visit, the subject will return for the baseline/first infusion visit. Subsequent treatments will occur 2 weeks apart for 18 weeks, for a total of 10 infusions. Follow-up visits will occur at 22 weeks, 26 weeks and 39 weeks. End of study visit will occur at 52 weeks.
Baseline/Infusion 1 Visit
- A verification of patient consent will be verbally performed and included in the progress note.
- Review of medical history, and concomitant medications.
- Physical exam + ALS Functional Rating Scale-Revised (ALSFRS-R)
- Vital signs (Heart Rate, Blood Pressure, Respirations, Temp., SpO2)
- Weight measurement
Blood samples will be collected for safety and efficacy assessments:
- Hematology
- Chemistry
- Coagulation Panel
- Proinflammatory Cytokines (IL-2, IL-6, TNF-a)
- C- Reactive Protein (CRP)
The HB-adMSCs will be administered and the patient closely observed:
• One intravenous infusion of HB-adMSCs (2x108 cells) to last 1 hour:
- Saline Solution.
The subject will then be monitored for a minimum of 2hr after infusion as follows:
- Measure Vital signs at minute 0 of infusion.
- Measure Vital signs at minute 15 after IV infusion.
- Measure Vital Signs at minute 30 after IV infusion.
- Measure Vital signs at minute 60 after IV infusion.
- Measure Vital signs at minute 120 after IV infusion. (Vital signs will be recorded more frequently if clinically indicated).
- Adverse event monitoring
- 24 hrs. Telephone encounter. The subject will be contacted by telephone the following day after the infusion visit to determine if any adverse events have occurred.
- ALS-specific Quality of Life Survey-revised (ALSSQOL-R)
- A video recording will be made with the purpose to capture patient's overall status (gait, range of motion assessments, etc.).
One week following infusion, PI will perform an assessment to determine patient status and discuss any changes since previous infusion.
Infusion Visits Week 2,6,10,14 and 18
- Review and update medical history
- Update concomitant medications list
- Weight measurement
- Vital signs (Heart Rate, Blood Pressure, Respirations, Temp., SpO2)
- Physical examination + ALS Functional Rating Scale-Revised (ALSFRS-R)
The HB-adMSCs will be administered and the patient closely observed:
• One intravenous infusion of HB-adMSCs (2x108 cells) to last 1 hour:
- Saline Solution.
- Adverse event monitoring
- 24 hrs. Telephone encounter. The subject will be contacted by telephone the following day after the infusion visit to determine if any adverse events have occurred.
Infusion Visits Week 4, 8, 12, and 16
- Review and update medical history
- Update concomitant medications list
- Weight measurement
- Vital signs (Heart Rate, Blood Pressure, Respirations, Temp., SpO2)
- Physical examination and ALS Functional Rating Scale-Revised (ALSFRS-R)
Blood samples will be collected for safety and efficacy assessments:
- Hematology
- Chemistry
- Coagulation Panel
- Proinflammatory Cytokines (IL-2, IL-6, TNF-a)
- C - Reactive Protein
The HB-adMSCs will be administered and the patient closely observed:
• One intravenous infusion of HB-adMSCs (2x108 cells) to last 1 hour:
- Saline Solution.
- ALS-specific Quality of Life Survey-revised (ALSSQOL-R)
- Adverse event monitoring
- 24 hrs. Telephone encounter. The subject will be contacted by telephone the following day after the infusion visit to determine if any adverse events have occurred.
Follow-Up Visit Week 22
- You will be asked about your current health and medical history (if any changes since last study visit or telephone call).
- You will be asked if there was any change in the medication list you have previously provided (Concomitant medication list).
- Your blood pressure, heart rate, respiration rate, temperature, oxygen saturation and weight will be measured.
- The doctor will perform a physical examination driven by the signs and/or symptoms you experience, if any.
- The doctor will perform tests including the Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) to measure the symptoms of ALS Disease on how you are able to perform.
- You will be asked to complete the Amyotrophic Lateral Sclerosis-Specific Quality of Life-Revised (ALSSQOL-R) questionnaire to assess the impact of Amyotrophic Lateral Sclerosis on your quality of life.
- You will be reminded to stay on your stable regimen of treatment throughout the study
Follow-Up Visit Week 26
- You will be asked about your current health and medical history.
- You will be asked about the medicines that you have taken and are currently taking for Amyotrophic Lateral Sclerosis and for other health issues.
- Your blood pressure, heart rate, respiration rate, oxygen saturation, temperature, and weight will be measured.
- The doctor will perform a complete physical examination.
- The doctor will perform tests including the Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) to measure the symptoms of ALS Disease on how you are able to perform.
- You will be asked to complete the Amyotrophic Lateral Sclerosis-Specific Quality of Life-Revised (ALSSQOL-R) questionnaire to assess the impact of Amyotrophic Lateral Sclerosis on your quality of life.
- Laboratory test will be done. Your blood will be tested to measure your overall health and efficacy markers (TNF-a, IL-6, IL-2 and C - Reactive Protein).
- You will be given an order for a Chest X ray (PA single view) and Magnetic Resonance Imaging to be performed. If within 7 days of the End of study visit you have undergone any or both, such reports would suffice this requirement.
- An Electrocardiogram (ECG) will be performed to evaluate cardiac function.
- An Electromyogram (EMG) will be performed to evaluate neuromuscular function.
- A video documenting of yourself walking and sitting will be performed.
Follow-Up Visit Week 39
- You will be asked about your current health and medical history (if any changes since last study visit or telephone call).
- You will be asked if there was any change in the medication list you have previously provided (Concomitant medication list).
- Your blood pressure, heart rate, respiration rate, temperature, oxygen saturation and weight will be measured.
- The doctor will perform a physical examination driven by the signs and/or symptoms you experience, if any.
- Laboratory test will be done. Your blood will be tested to measure your overall health and efficacy markers (TNF-a, IL-6, IL-2 and C - Reactive Protein).
- The doctor will perform tests including the Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) to measure the symptoms of ALS Disease on how you are able to perform.
- You will be asked to complete the Amyotrophic Lateral Sclerosis-Specific Quality of Life-Revised (ALSSQOL-R) questionnaire to assess the impact of Amyotrophic Lateral Sclerosis on your quality of life.
- You will be reminded to stay on your stable regimen of treatment throughout the study
End of Study Visit Week 52
- Review and update medical history
- Review and update concomitant medications list
- Weight measurement
- Vital signs (Heart Rate, Blood Pressure, Respirations, Temp., SpO2)
- Physical examination + ALS Functional Rating Scale-Revised (ALSFRS-R)
Blood samples will be collected for safety and efficacy assessments:
- Hematology
- Coagulation Panel
- Proinflammatory Cytokines (IL-2, IL-6, TNF-a)
- C - Reactive Protein
- ALS-specific Quality of Life Survey-revised (ALSSQOL-R)
- Chest X-Ray (PA single view)
- Electromyogram (EMG)
- Magnetic Resonance Imaging (MRI)
- Adverse event monitoring
- A video recording will be made with the purpose to capture patient's overall status (gait, range of motion assessments, etc.).
Study Type
Expanded Access Type
- Individual Patients
Contacts and Locations
Study Locations
-
-
Texas
-
Houston, Texas, United States, 77027
- River Oaks Hospital and Clinics
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Documented diagnosis of Amyotrophic Lateral Sclerosis.
- Capable of giving informed consent (signed, verbal or assent as applicable and as listed in the protocol)
Exclusion Criteria:
- Other acute or chronic medical conditions that, in the opinion of the investigator, may increase the risks associated with study participation or HB-adMSCs administration.
- Any abnormal, inexplicable laboratory result that, in the opinion of the investigator, may increase the risks associated with study participation or HB-adMSCs administration.
- Participation in other interventional research studies within the past 30 days.
- Unwillingness to return for follow-up visits.
Study Plan
How is the study designed?
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Rajiv Thakur, MD, River Oaks Hospital and Clinics
Study record dates
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- HBALS01
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Amyotrophic Lateral Sclerosis
-
Washington University School of MedicineMassachusetts General HospitalSuspendedAmyotrophic Lateral Sclerosis, Familial | Amyotrophic Lateral Sclerosis, SporadicUnited States
-
University of Sao Paulo General HospitalPontifícia Universidade Católica do ParanáUnknownAMYOTROPHIC LATERAL SCLEROSISBrazil
-
Neuromed IRCCSRecruitingAmyotrophic Lateral Sclerosis (ALS)Italy
-
Humanitas Mirasole SpAKU Leuven; UMC Utrecht; University of Sheffield; Istituto Superiore di Sanità; University... and other collaboratorsActive, not recruitingAmyotrophic Lateral Sclerosis (ALS)United Kingdom, Germany, France, Netherlands, Belgium, Ireland, Italy
-
The Methodist Hospital Research InstituteMassachusetts General Hospital; The Center for Clinical and Translational Sciences... and other collaboratorsActive, not recruiting
-
CytokineticsCompletedAmyotrophic Lateral Sclerosis (ALS)United States, Netherlands, Canada, Belgium, United Kingdom, France, Germany, Ireland, Italy, Portugal, Spain
-
Columbia UniversityALS AssociationTerminatedAmyotrophic Lateral Sclerosis (ALS)United States
-
El Instituto Nacional de Neurologia y Neurocirugia...CompletedAmyotrophic Lateral Sclerosis | Amyotrophic Lateral Sclerosis, SporadicMexico
-
University Hospital, GenevaCompletedAmyotrophic Lateral Sclerosis 11Switzerland
-
Fondazione Don Carlo Gnocchi OnlusFondazione Salvatore MaugeriCompleted
Clinical Trials on HB-adMSCs
-
Hope BiosciencesThe University of Texas Health Science Center, HoustonActive, not recruiting
-
Hope Biosciences Stem Cell Research FoundationHope BiosciencesNo longer availableParkinson DiseaseUnited States
-
Hope Biosciences Stem Cell Research FoundationHope BiosciencesNo longer availablePost COVID-19 SyndromeUnited States
-
Hope Biosciences Stem Cell Research FoundationNo longer available
-
Hope BiosciencesThe University of Texas Health Science Center, HoustonNo longer availableSpinal Cord Injury at C5-C7 LevelUnited States
-
Hope Biosciences Stem Cell Research FoundationHope BiosciencesNo longer availableCongenital Muscular Dystrophy Due to Lamin A/C MutationUnited States
-
Hope Biosciences Stem Cell Research FoundationHope BiosciencesCompleted
-
Hope BiosciencesCompletedRheumatoid ArthritisUnited States
-
Hope Biosciences Stem Cell Research FoundationHope BiosciencesWithdrawn
-
Hope Biosciences Stem Cell Research FoundationHope BiosciencesNo longer available