- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT02237547
Safety and Feasibility Study of Cell Therapy in Treatment of Spinal Cord Injury
Panoramica dello studio
Stato
Condizioni
Descrizione dettagliata
The proposed study will assess primary safety and secondary efficacy endpoints of autologous bone marrow mononuclear cells and allogeneic human umbilical cord-derived mesenchymal stem cells administered to 20 male and female subjects between ages of 18-50 with spinal cord injury. These cells will be administered intrathecally and intravenously multiple times over the course of one month.
The primary objective is freedom from treatment-associated adverse events at 3 and 12 months post-treatment. Secondary objective will be efficacy at baseline, 3 months and 12 months and will be quantified based on the following: American Spinal Cord Injury Association (ASIA) classification and the Frankel Scale.
Tipo di studio
Fase
- Fase 2
- Fase 1
Contatti e Sedi
Luoghi di studio
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Panama City, Panama
- Stem Cell Institute
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
- Men and women between age 18 and 50
- Paraplegics and quadriplegics with complete or incomplete spinal cord injuries.
- Willingness to undergo bone marrow derived autologous cell therapy.
- Ability and willingness to make regular visits to hospital and follow ups during the protocol procedure and comply with all medical instructions
- Traumatic Injury of spinal cord with complete or partial damage by Magnetic Resonance Imaging (MRI) and injury level below C4
- ASIA impairment scale from A - C
- Must have proof of health insurance in country of residence.
- Signed informed consent
Exclusion Criteria:
- Pre- existing or current systemic disease such as lung, liver (exception: history of uncomplicated hepatitis A), gastrointestinal, cardiac, Human Immunodeficiency Virus (HIV)
- History of life threatening allergic- or immune-mediated reaction
- Hemodynamic instability
- Peripheral muscular dystrophy
- Lactating or pregnant woman
- Women capable of childbearing unwilling to use multiple forms of contraception
- Alcohol drug abuse /dependence
- Positive test result for hepatitis A and Hepatitis B OR C
- Major-traumatic brain injury and psychiatric illness
- Open injuries
- Active infectious diseases
- Life expectancy of less than one year due to terminal condition
- Neurodegenerative diseases
- Primary hematologic diseases
Any of the following medications that cannot be discontinued one week prior to the first stem cell administration and throughout the course of treatment. (1 week before visit 2 through one week after visit 12)
- Antibiotics
- Antifungals
- Antivirals
- Blood thinners (to avoid bleeding risk during bone marrow aspiration and IT procedures)
- High doses of Vitamin D or fish oils (since these might prolong bleeding times)
- Bone reflecting increased risk for spinal puncture
- Hepatic dysfunction
- Other medical complications that contraindicate surgery, including major respiratory complications
- Participation in another clinical trial
- Coagulopathies
- Uncorrected coagulopathy during the baseline period defined as: International Normalized Ratio (INR) > 1.4; Partial Thromboplastin Time (PTT) > 35 sec; Platelet Count (PLT) < 100,000.
- Pre-injury history of seizure disorder and/or neurological impairment where participation in age-appropriate pain rating scales would not be practical or possible
- Subject does not sign informed consent form
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: N / A
- Modello interventistico: Assegnazione di gruppo singolo
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Sperimentale: IV and IT UC-MSC and BMMC
Intravenous and intrathecal human umbilical cord tissue-derived mesenchymal stem cells and bone marrow mononuclear cells
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Number of patients with adverse events
Lasso di tempo: 12 weeks, 52 weeks
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12 and 52 weeks after final treatment
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12 weeks, 52 weeks
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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Number of subjects with a change in American Spinal Injury Association (ASIA) score from baseline
Lasso di tempo: 12 weeks, 52 weeks
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12 and 52 weeks after final treatment
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12 weeks, 52 weeks
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Number of subjects with a change in Frankel Scale score from baseline
Lasso di tempo: 12 weeks, 52 weeks
|
12 and 52 weeks from final treatment
|
12 weeks, 52 weeks
|
Collaboratori e investigatori
Sponsor
Investigatori
- Investigatore principale: Nelson Novarro, MD
Studiare le date dei record
Studia le date principali
Inizio studio
Completamento primario (Anticipato)
Completamento dello studio (Anticipato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- CNEI-2014-TBS-UCMSC-SCI001
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .