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Efficacy Study of CD34 Stem Cell in Chronic Stroke Patients

Primary Purpose

Stroke, Middle Cerebral Artery Infarction

Status
Completed
Phase
Phase 2
Locations
Taiwan
Study Type
Interventional
Intervention
Intercerebral implantation of Autulogous Stem Cells
convention therapy
Sponsored by
China Medical University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Stroke focused on measuring Stroke, Stem Cell, Cell Therapy, CD34 Stem cell, Peripheral blood Stem cell

Eligibility Criteria

35 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • aged 35-70 chronic stroke adult patient,
  • with stroke history of more than 6 months, less than 60 months,
  • with stable hemiplegia condition, and
  • NIHSS (NIH Stroke Scale) score is between 9-20.

Exclusion Criteria:

  • patients aged less than 35 or more than 70,
  • hemorrhage stroke or MRI show the occlusion is not in the middle cerebral artery territory,NIHSS is not in the range of 9-20,
  • pregnant women,
  • impaired liver function, abnormal blood coagulation, AIDS, combine other tumor or special condition.

Sites / Locations

  • China Medical University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

PBSC Treatment

Control

Arm Description

Patients in PBSC treatment will receive brain implant of autologous peripheral blood stem cell(CD34+) plus convention stroke treatment that include rehabilitation and antiplatelet medication

Control group receive conventional stroke treatment that include rehabilitation and antiplatelet medication

Outcomes

Primary Outcome Measures

NIH-stroke scale (NIHSS)

Secondary Outcome Measures

European stroke scale (ESS)
European stroke motor subscale (EMS)
Barthel index and Mini-Mental State Examination (MMSE)
Magnetic resonance imaging (MRI) and computed tomography (CT) scans

Full Information

First Posted
July 30, 2009
Last Updated
April 20, 2011
Sponsor
China Medical University Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT00950521
Brief Title
Efficacy Study of CD34 Stem Cell in Chronic Stroke Patients
Official Title
Phase II Study of Autologous Peripheral Blood CD34 Stem Cell Implantation in Chronic Stroke Patients
Study Type
Interventional

2. Study Status

Record Verification Date
April 2011
Overall Recruitment Status
Completed
Study Start Date
June 2009 (undefined)
Primary Completion Date
December 2010 (Actual)
Study Completion Date
December 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
China Medical University Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The objective of the study is to determine the efficacy of brain transplants of CD34+ stem cells obtained from peripheral blood of patients in the treatment of chronic stroke patients.
Detailed Description
30 patients are divided into 2 groups, one treatment group and one control group.Treatment group will be implanted with peripheral blood stem cell and receive convention stroke therapy ,and control group only receive convention stroke therapy. We expect that transplantation of the peripheral blood CD34+ cells has the potential of significant benefit to neurological recovery. In a previous phase I clinical trial, we have shown that transplantation of CD34+ cells obtained from the peripheral blood of the chronic stroke patients was safe and beneficial for neurological recovery. We expect this trial can further prove the efficacy of this treatment method.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stroke, Middle Cerebral Artery Infarction
Keywords
Stroke, Stem Cell, Cell Therapy, CD34 Stem cell, Peripheral blood Stem cell

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PBSC Treatment
Arm Type
Active Comparator
Arm Description
Patients in PBSC treatment will receive brain implant of autologous peripheral blood stem cell(CD34+) plus convention stroke treatment that include rehabilitation and antiplatelet medication
Arm Title
Control
Arm Type
Active Comparator
Arm Description
Control group receive conventional stroke treatment that include rehabilitation and antiplatelet medication
Intervention Type
Procedure
Intervention Name(s)
Intercerebral implantation of Autulogous Stem Cells
Other Intervention Name(s)
PBSC, CD34 Stem Cell
Intervention Description
2-8 millions Stem cell per patients plus convention therapy
Intervention Type
Drug
Intervention Name(s)
convention therapy
Intervention Description
antiplatelet
Primary Outcome Measure Information:
Title
NIH-stroke scale (NIHSS)
Time Frame
1, 2, 4, 12 weeks, and confirmed at 6 and 12 months
Secondary Outcome Measure Information:
Title
European stroke scale (ESS)
Time Frame
1, 2, 4, 12 weeks, and confirmed at 6 and 12 months
Title
European stroke motor subscale (EMS)
Time Frame
1, 2, 4, 12 weeks, and confirmed at 6 and 12 months
Title
Barthel index and Mini-Mental State Examination (MMSE)
Time Frame
1, 2, 4, 12 weeks, and confirmed at 6 and 12 months
Title
Magnetic resonance imaging (MRI) and computed tomography (CT) scans
Time Frame
1, 2, 4, 12 weeks, and confirmed at 6 and 12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
35 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: aged 35-70 chronic stroke adult patient, with stroke history of more than 6 months, less than 60 months, with stable hemiplegia condition, and NIHSS (NIH Stroke Scale) score is between 9-20. Exclusion Criteria: patients aged less than 35 or more than 70, hemorrhage stroke or MRI show the occlusion is not in the middle cerebral artery territory,NIHSS is not in the range of 9-20, pregnant women, impaired liver function, abnormal blood coagulation, AIDS, combine other tumor or special condition.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shinn-Zong Lin, MD, DMSci
Organizational Affiliation
China Medical University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
China Medical University Hospital
City
Taichung
Country
Taiwan

12. IPD Sharing Statement

Citations:
PubMed Identifier
22163120
Citation
Mackie AR, Losordo DW. CD34-positive stem cells: in the treatment of heart and vascular disease in human beings. Tex Heart Inst J. 2011;38(5):474-85.
Results Reference
derived

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Efficacy Study of CD34 Stem Cell in Chronic Stroke Patients

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