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Study of Purified Umbilical Cord Blood CD34+ Stem Cell on Chronic Ischemic Stroke

Primary Purpose

Ischemic Stroke, Ischaemic Cerebral Infarction, Infarction, Middle Cerebral Artery

Status
Unknown status
Phase
Phase 1
Locations
Taiwan
Study Type
Interventional
Intervention
Intercerebral implantation of allogenic CD34+ stem cell
Sponsored by
China Medical University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ischemic Stroke focused on measuring Stroke, Brain disease, Ischemia, Cerebral infraction, Cord Blood

Eligibility Criteria

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

Inclusion Criteria:

  1. Subjects can be of either gender and must be between 35 through 75 years of age.
  2. Subjects must have had ischemic stroke more than 6 and less than 60 months ago.
  3. Subjects must have stable hemiplegia or hemiparesis condition at least for 3 months.
  4. Subjects must have stroke-induced clinical deficits affecting motor, perceptual, or language functions, with a National Institutes of Health Stroke Scale (NIHSS) of 5-15.
  5. Subjects must have stroke in the middle cerebral artery territory.
  6. Subjects must have an available umbilical cord blood unit that has an HLA-match of at least 5:6 (HLA-A, -B, and -DR).
  7. Subjects must be able to read and understand the informed consent form that has been approved by the appropriate Institutional Review Board (IRB). The subject must sign and date the informed consent form before any study-specific procedures. (Note: If a subject consents to participation but is not in a position to sign and date the informed consent form personally because of his or her physical conditions, the consent form must be confirmed orally at the time of consent, marked or finger printed by the subject voluntarily). The informed consent procedure must be observed by an independent witness who is present throughout the whole informed consent process and sign the consent form.

Exclusion Criteria:

  1. Subject has evidence of a non-ischemic mechanism, subarachnoid hemorrhage, primary intracerebral or intraventricular hemorrhage or MRI has shown that the occlusion is not in the middle cerebral artery territory.
  2. Pregnant or lactating women.
  3. History of alcohol or drug abuse in the previous 3 months.
  4. Subjects must not have the following conditions in documents:

    • significant renal, cardiovascular, hepatic, or psychiatric disease
    • abnormal blood coagulation parameters,
    • immunodeficiency (e.g. AIDS)
    • tumors, leukemia, and other cancer that may interfere with the clinical trial protocol
    • infectious diseases, including hepatitis, or other conditions that may be a contraindication to the planned therapies and evaluation.
  5. Subject must not be currently participating in another investigational study or taking any investigational drug within the last four weeks before the screening of this study.
  6. Any other condition that, in the opinion of the investigator, suggests that the subject would not be compliant with the study protocol and would not be suitable to perform a surgery or to participate in the study.

Sites / Locations

  • China Medical University Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

HUCB, Medicine, Rehabilitation

Arm Description

Stroke patients are received intracerebral implantation of human cord blood stem cells (CD34+), Antiplatelet Medication, and Rehabilitation.

Outcomes

Primary Outcome Measures

Change from baseline in NIH Stroke Scale (NIHSS)
Evaluate change from Baseline in NIHSS at 1 week
Change from Baseline in NIH Stroke Scale(NIHSS)
Evaluate change from Baseline in NIHSS at 2 weeks
Change from baseline in NIH Stroke Scale
Evaluate change from baseline in NIHSS at 4 weeks
Change from baseline in NIH Stroke Scale ( NIHSS)
Evaluate change from baseline in NIHSS at 12 weeks

Secondary Outcome Measures

Change from baseline in Brain Image
Brain Image will be performed by MRI. The MRI evaluation includes DEI, T1W, T2W, MRS, and DTI, and change from baseline will be evaluated at 1 week
Change from baseline in Brain Image
Brain Image will be performed by MRI. The MRI evaluation includes DEI,T1W,T2W,MRS and DTI , and evaluate the change from baseline at 4 weeks
Change from baseline in Brain Image
Brain Image will be performed by MRI.MRI image includes DEI,T1W, T2W, and DTI, and change from baseline will be evaluated at 6 months.

Full Information

First Posted
September 7, 2011
Last Updated
July 31, 2012
Sponsor
China Medical University Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT01438593
Brief Title
Study of Purified Umbilical Cord Blood CD34+ Stem Cell on Chronic Ischemic Stroke
Official Title
An Exploratory Clinical Trial to Assess Treatment of Chronic Ischemic Stroke With Brain Transplants of Purified CD34+ Umbilical Cord Blood Stem Cells
Study Type
Interventional

2. Study Status

Record Verification Date
December 2011
Overall Recruitment Status
Unknown status
Study Start Date
January 2013 (undefined)
Primary Completion Date
December 2013 (Anticipated)
Study Completion Date
December 2013 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
China Medical University Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of the study is to determine the safety and possible effectiveness of brain transplants of CD34+ stem cells obtained from umbilical cord blood (UCB) to treat stroke.
Detailed Description
The study will use CD34+ cells (a special kind of cell that is believed to be a stem cell) isolated from UCB (blood obtained at birth from the umbilical cord blood of babies). StemCyte, a leading accredited UCB banking company with branches in the United States and Taiwan, will provide the units of UCB that match at least 5 out of 6 HLA (human leukocyte antigens) for transplantation. The HLA-matching is the same as that used to match cells and organs for transplantation so that the body does not reject the cells. We will isolate CD34 cells from these units, purified them, suspend the cells in solution (1 ml containing 2-8 million cells), and inject the cells into brain around the site damaged by the stroke

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ischemic Stroke, Ischaemic Cerebral Infarction, Infarction, Middle Cerebral Artery, Ischemia, Brain Ischemia
Keywords
Stroke, Brain disease, Ischemia, Cerebral infraction, Cord Blood

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
6 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
HUCB, Medicine, Rehabilitation
Arm Type
Experimental
Arm Description
Stroke patients are received intracerebral implantation of human cord blood stem cells (CD34+), Antiplatelet Medication, and Rehabilitation.
Intervention Type
Procedure
Intervention Name(s)
Intercerebral implantation of allogenic CD34+ stem cell
Other Intervention Name(s)
Hematopoietic stem cell, Cord Blood Stem Cell, UCB Stem Cell
Intervention Description
Each patient will receive brain implant of approximately 5 million allogenic Umbilical cord blood CD34+ Stem Cell
Primary Outcome Measure Information:
Title
Change from baseline in NIH Stroke Scale (NIHSS)
Description
Evaluate change from Baseline in NIHSS at 1 week
Time Frame
Change from baseline in NIHSS at 1 weeks
Title
Change from Baseline in NIH Stroke Scale(NIHSS)
Description
Evaluate change from Baseline in NIHSS at 2 weeks
Time Frame
Change from Baseline in NIHSS at 2 weeks
Title
Change from baseline in NIH Stroke Scale
Description
Evaluate change from baseline in NIHSS at 4 weeks
Time Frame
Change from baseline in NIHSS at 4 weeks
Title
Change from baseline in NIH Stroke Scale ( NIHSS)
Description
Evaluate change from baseline in NIHSS at 12 weeks
Time Frame
Change from baseline in NIHSS at 12 weeks
Secondary Outcome Measure Information:
Title
Change from baseline in Brain Image
Description
Brain Image will be performed by MRI. The MRI evaluation includes DEI, T1W, T2W, MRS, and DTI, and change from baseline will be evaluated at 1 week
Time Frame
Change from baseline in Brain Image at 1 week
Title
Change from baseline in Brain Image
Description
Brain Image will be performed by MRI. The MRI evaluation includes DEI,T1W,T2W,MRS and DTI , and evaluate the change from baseline at 4 weeks
Time Frame
Change from baseline in Brain Image at 4 weeks
Title
Change from baseline in Brain Image
Description
Brain Image will be performed by MRI.MRI image includes DEI,T1W, T2W, and DTI, and change from baseline will be evaluated at 6 months.
Time Frame
Change from baseline in Brain Image at 6 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: Subjects can be of either gender and must be between 35 through 75 years of age. Subjects must have had ischemic stroke more than 6 and less than 60 months ago. Subjects must have stable hemiplegia or hemiparesis condition at least for 3 months. Subjects must have stroke-induced clinical deficits affecting motor, perceptual, or language functions, with a National Institutes of Health Stroke Scale (NIHSS) of 5-15. Subjects must have stroke in the middle cerebral artery territory. Subjects must have an available umbilical cord blood unit that has an HLA-match of at least 5:6 (HLA-A, -B, and -DR). Subjects must be able to read and understand the informed consent form that has been approved by the appropriate Institutional Review Board (IRB). The subject must sign and date the informed consent form before any study-specific procedures. (Note: If a subject consents to participation but is not in a position to sign and date the informed consent form personally because of his or her physical conditions, the consent form must be confirmed orally at the time of consent, marked or finger printed by the subject voluntarily). The informed consent procedure must be observed by an independent witness who is present throughout the whole informed consent process and sign the consent form. Exclusion Criteria: Subject has evidence of a non-ischemic mechanism, subarachnoid hemorrhage, primary intracerebral or intraventricular hemorrhage or MRI has shown that the occlusion is not in the middle cerebral artery territory. Pregnant or lactating women. History of alcohol or drug abuse in the previous 3 months. Subjects must not have the following conditions in documents: significant renal, cardiovascular, hepatic, or psychiatric disease abnormal blood coagulation parameters, immunodeficiency (e.g. AIDS) tumors, leukemia, and other cancer that may interfere with the clinical trial protocol infectious diseases, including hepatitis, or other conditions that may be a contraindication to the planned therapies and evaluation. Subject must not be currently participating in another investigational study or taking any investigational drug within the last four weeks before the screening of this study. Any other condition that, in the opinion of the investigator, suggests that the subject would not be compliant with the study protocol and would not be suitable to perform a surgery or to participate in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Woei-Cherng Shyu, M.D.;PhD.
Phone
886-4-22052121
Ext
7813
Email
Shyu9423@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shinn-Zong Lin, M.D.;PhD.
Organizational Affiliation
China Medical University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
China Medical University Hospital
City
Taichung
ZIP/Postal Code
244
Country
Taiwan
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Woei-Cherng Shyu, M.D.;PhD.
Phone
886-4-22052121
Ext
7813
Email
shyu9423@gmail.com
First Name & Middle Initial & Last Name & Degree
Shinn-Zong Lin, M.D.;PhD.

12. IPD Sharing Statement

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Study of Purified Umbilical Cord Blood CD34+ Stem Cell on Chronic Ischemic Stroke

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