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Safety and Efficacy of Autologous Bone Marrow Stem Cells in Treating Spinal Cord Injury (ABMST-SCI)

2010年8月20日 更新者:International Stemcell Services Limited

Surgical Transplantation of Autologous Bone Marrow Stem Cells With Glial Scar Resection for Patients of Chronic Spinal Cord Injury and Intra-thecal Injection for Acute and Subacute Injury - A Preliminary Study

The projected data related to the burden of spinal cord injuries induced limb paralysis in India is quite alarming. This is attributed to the rapid industrialization and economical development in the country. Increase in vehicular traffic has caused numerous road traffic accidents. Rapid increase in populations, development in the computer technology and real estate business lead to construction of huge buildings which indirectly adds to the injuries due to fall. Spinal cord injuries could not be treated adequately with the prevailing treatment modalities. In view of this, there is definitely an urgent need for finding different methods of treatment for these patients who cannot undergo established modalities of treatment or these have been tried unsuccessfully. Since a large number of these patients will loose their productive life and at the prime of their lives, one such alternate therapy, which seems to offer some promise, is "stem cell" therapy, which has been well studied and published in prestigious journals.

In our present study, we want to evaluate the safety and efficacy of autologous bone marrow derived stem cells surgically transplanted directly into the lesion site with glial scar resection for 8 indian patients of chronic spinal cord injury and intra-thecal injection for 4 indian patients of acute and subacute injury.

研究概览

地位

完全的

条件

研究类型

介入性

注册 (实际的)

12

阶段

  • 阶段2
  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Karnataka
      • Bangalore、Karnataka、印度、560025
        • Sita Bhateja Speciality Hospital

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

20年 至 55年 (成人)

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria:

  1. Must be able to give voluntary (patients may not be able to write) consent.
  2. Must be able to understand study information provided to him.
  3. Patients with complete spinal cord trans-section: at least post 6 months after spinal cord Injury (in chronic patients), < 2 weeks in acute category and 2-8 weeks in subacute patients.
  4. The level of spinal cord injury must be between C4 and T12(neurological level)
  5. Spinal cord injury categorized in terms of ASIA Impairment scale.
  6. Age should be between 20-55 years

Exclusion Criteria:

  • Mechanical ventilation due to neurological impairment
  • Multiple level trauma
  • Undetermined size and location of Spinal Cord injury
  • Gunshot or other penetrating trauma to the spinal cord
  • Longitudinal dimension of injury by MRI is greater than 3spinal segments
  • Associated severe head injury
  • More than 9cms long bone fracture
  • Women who are pregnant or lactating
  • Serious pre-existing medical conditions
  • Disease or impairment that precludes adequate neurological examination.
  • Should not have co-morbidities like Diabetes, Systemic Hypertension etc.
  • Severe co-morbidities/bed sores Tests positive for infectious diseases Deranged Coagulation profile and Hb < 8mg/dl

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:非随机化
  • 介入模型:并行分配
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:Intralesional
  1. Surgical transplantation into the lesion site in chronic patients
  2. Direct intrathecal implantation in acute and subacute patients
surgical laminectomy with glial scar resection
实验性的:intrathecal
direct into the CSF through lumbar puncture
direct into the CSF through lumbar puncture

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Number of Participants with adverse events as a measure of safety and tolerability. Significant clinical improvement in ASIA impairment scale and general condition
大体时间:18 months
American Spinal Injury Assessment scale of A,B,C,D or E
18 months

次要结果测量

结果测量
措施说明
大体时间
Changes in the MRI, Neurological improvement (cranial/spinal reflexes) and evoked potentials study
大体时间:18 months
MRI findings of the lesion, Nerve conduction studies of the region and somatosensory evoked potentials of the same region
18 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Dr.Arvind Bhateja, MCh.Neurosurgery、Sita Bhateja Speciality Hospital

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2008年1月1日

初级完成 (实际的)

2010年2月1日

研究完成 (实际的)

2010年8月1日

研究注册日期

首次提交

2010年8月20日

首先提交符合 QC 标准的

2010年8月20日

首次发布 (估计)

2010年8月23日

研究记录更新

最后更新发布 (估计)

2010年8月23日

上次提交的符合 QC 标准的更新

2010年8月20日

最后验证

2010年8月1日

更多信息

与本研究相关的术语

其他研究编号

  • ISSL-AuBM-SCI

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

在美国制造并从美国出口的产品

不

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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