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Neural Stem Cell Transplantation in Traumatic Spinal Cord Injury

Primary Purpose

Spinal Cord Injury

Status
Unknown status
Phase
Phase 1
Locations
Russian Federation
Study Type
Interventional
Intervention
Autologous Stem Cell Transplantation
Sponsored by
Federal Research Clinical Center of Federal Medical & Biological Agency, Russia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Spinal Cord Injury focused on measuring spinal cord injury, neural stem cells, paraplegia, transplantation

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age between 18 and 50 years old
  • Traumatic spinal cord injury at the neck, thoracic or lumbar level
  • Classification ASIA A and B with no significant further improvement with physical therapy/rehabilitation
  • A score of less than 200 in the 324-point ASIA scale
  • Injury duration 1 month to 5 years

Exclusion Criteria:

  • An advanced, severe, or unstable disease of any type that may interfere with primary and secondary variable evaluations, including any medical condition that could be expected to progress, recur, or change to such an extent that it may bias the assessment of the clinical or mental status of the patient to a significant degree or put the patient at special risk (e.g., severe liver or kidney disease, malignancies/cancer)
  • Immune system disorder or dysfunction
  • Any major/serious infections up to 2 months prior to inclusion
  • A disability that may prevent the patient from completing all study requirements (e.g., blindness, deafness, severe language difficulty)
  • A current diagnosis of active, uncontrolled peptic ulceration within the last three months
  • A current diagnosis of acute, severe, or unstable asthmatic conditions [e.g., severe chronic obstructive pulmonary disease (COPD)]
  • Participated in any other investigational trial within 4 weeks of initial screening and within 7 weeks of study entry
  • History of regular alcohol intake or drug abuse in the previous 3 months and not able to sustain from alcohol intake during the trial Cardiovascular
  • A current diagnosis of severe or unstable cardiovascular disease
  • A current diagnosis of sick-sinus syndrome or conduction deficits (e.g., sino-atrial block, second or third degree atrio-ventricular block)
  • A current diagnosis of uncontrolled atrial fibrillation (>100 bpm)
  • A current diagnosis of moderate to severe heart failure [New York Heart Association (NYHA), Class III or more]
  • A myocardial infarction (MI) known to have occurred within the last 3 months
  • A current diagnosis of severe or unstable angina
  • Vital signs (supine) outside the following ranges
  • Systolic blood pressure below 90 or above 160 mmHg
  • Diastolic blood pressure below 55 or above 95 mmHg
  • Radial pulse below 50 or above 100 bpm CNS related
  • A recent history of up to one year or currently diagnosed with cerebrovascular disease (e.g., stroke transient ischemic attacks, aneurysms)
  • A current diagnosis of any primary neuro-degenerative disorder [e.g., Huntington's disease, Parkinson's disease etc.]
  • A current diagnosis of an active, uncontrolled seizure disorder Psychiatric
  • A current DSM-IV diagnosis of major depression
  • Any other DSM-IV Axis 1 diagnosis that may interfere with the response of the patient to study medication, including other primary degenerative dementia, schizophrenia, or bipolar disorder Laboratory abnormalities
  • Clinically significant abnormalities in routine laboratory examinations (hematology, electrolytes, biochemistry, liver and kidney function tests, urinanalysis) Concomitant therapy
  • Previous stem cell treatment
  • Ingested any of the following substances
  • An investigational drug during the past 6 months
  • A drug or treatment known to cause effect on the central nervous system [CNS] during the past four weeks
  • A drug or treatment known to cause major organ system toxicity during the past four weeks
  • Anticholinergic drugs at baseline
  • Medication for Parkinson's disease at baseline (e.g., selegiline, levodopa, amantadine, dopamine agonists, COMT inhibitors)

Sites / Locations

  • Federal Research Clinical Center FMBA of Russia

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Paraplegics Acute

Paraplegics Sub-chronic

Paraplegics Chronic

Tetraplegics Acute

Tetraplegics Sub-chronic

Tetraplegics Chronic

Arm Description

Acute [1-6 mo.] patients (paraplegics) with major complete traumatic spinal cord injury that will undergo autologous neural stem cell transplantation including RMx Biomatrix as scaffold for the stem cells as needed Intervention: Autologous Stem Cell Transplantation with a 3D biomatrix.

Sub-chronic [6-12 mo.] patients (paraplegics) with major complete traumatic spinal cord injury that will undergo autologous neural stem cell transplantation including RMx Biomatrix as scaffold for the stem cells as needed Intervention: Autologous Stem Cell Transplantation with a 3D biomatrix.

Chronic [1- 5 years]) patients (paraplegics) with major complete traumatic spinal cord injury that will undergo autologous neural stem cell transplantation including RMx Biomatrix as scaffold for the stem cells as needed. Intervention: Autologous Stem Cell Transplantation with a 3D biomatrix.

Acute [1-6 mo.] patients (tetraplegics) with major complete traumatic spinal cord injury that will undergo autologous neural stem cell transplantation including RMx Biomatrix as scaffold for the stem cells as needed Intervention: Autologous Stem Cell Transplantation with a 3D biomatrix.

sub-chronic [6-12 mo.] patients (tetraplegics) with complete traumatic spinal cord injury that will undergo autologous neural stem cell transplantation including RMx Biomatrix as scaffold for the stem cells as needed. Intervention: Autologous Stem Cell Transplantation with a 3D biomatrix.

Chronic [1- 5 years]) patients (tetraplegics) with major complete traumatic spinal cord injury that will undergo autologous neural stem cell transplantation including RMx Biomatrix as scaffold for the stem cells Intervention: Autologous Stem Cell Transplantation & Biomatrix

Outcomes

Primary Outcome Measures

Feasibility and safety of autologous Neural Stem Cell transplantation in patients with complete traumatic spinal cord injury as measured by reported side effects and surgery procedure
Side effects is recorded by the hospital staff, in the CRF and by the patient. Surgery procedure is documented by video and standard recording

Secondary Outcome Measures

324-point ASIA and other scoring incl. muscle control and voluntary movement and improvement of sphincters control
Change from Baseline in ASIA Score. All patients are stable ASIA A.
MRI Scan of Spinal Cord
Change from Baseline of Injury Area. All patients has spinal cord injuries visible on MRI

Full Information

First Posted
November 30, 2014
Last Updated
October 26, 2015
Sponsor
Federal Research Clinical Center of Federal Medical & Biological Agency, Russia
Collaborators
Novagenesis Foundation, Ophiuchus Technologies AG
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1. Study Identification

Unique Protocol Identification Number
NCT02326662
Brief Title
Neural Stem Cell Transplantation in Traumatic Spinal Cord Injury
Official Title
Safety and Efficacy of Autologous Neural Stem Cell Transplantation in Patients With Traumatic Spinal Cord Injury
Study Type
Interventional

2. Study Status

Record Verification Date
October 2015
Overall Recruitment Status
Unknown status
Study Start Date
July 2014 (undefined)
Primary Completion Date
October 2018 (Anticipated)
Study Completion Date
December 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Federal Research Clinical Center of Federal Medical & Biological Agency, Russia
Collaborators
Novagenesis Foundation, Ophiuchus Technologies AG

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This research investigates the use of autologous neural stem cells in patients with complete traumatic spinal cord injury.
Detailed Description
The aim of this study is to evaluate Mesenchymal Stem Cells [MSC]-derived autologous neural stem cells transplantation as a safe and potentially beneficial treatment for patients with traumatic spinal cord injury.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Spinal Cord Injury
Keywords
spinal cord injury, neural stem cells, paraplegia, transplantation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Factorial Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Paraplegics Acute
Arm Type
Experimental
Arm Description
Acute [1-6 mo.] patients (paraplegics) with major complete traumatic spinal cord injury that will undergo autologous neural stem cell transplantation including RMx Biomatrix as scaffold for the stem cells as needed Intervention: Autologous Stem Cell Transplantation with a 3D biomatrix.
Arm Title
Paraplegics Sub-chronic
Arm Type
Experimental
Arm Description
Sub-chronic [6-12 mo.] patients (paraplegics) with major complete traumatic spinal cord injury that will undergo autologous neural stem cell transplantation including RMx Biomatrix as scaffold for the stem cells as needed Intervention: Autologous Stem Cell Transplantation with a 3D biomatrix.
Arm Title
Paraplegics Chronic
Arm Type
Experimental
Arm Description
Chronic [1- 5 years]) patients (paraplegics) with major complete traumatic spinal cord injury that will undergo autologous neural stem cell transplantation including RMx Biomatrix as scaffold for the stem cells as needed. Intervention: Autologous Stem Cell Transplantation with a 3D biomatrix.
Arm Title
Tetraplegics Acute
Arm Type
Experimental
Arm Description
Acute [1-6 mo.] patients (tetraplegics) with major complete traumatic spinal cord injury that will undergo autologous neural stem cell transplantation including RMx Biomatrix as scaffold for the stem cells as needed Intervention: Autologous Stem Cell Transplantation with a 3D biomatrix.
Arm Title
Tetraplegics Sub-chronic
Arm Type
Experimental
Arm Description
sub-chronic [6-12 mo.] patients (tetraplegics) with complete traumatic spinal cord injury that will undergo autologous neural stem cell transplantation including RMx Biomatrix as scaffold for the stem cells as needed. Intervention: Autologous Stem Cell Transplantation with a 3D biomatrix.
Arm Title
Tetraplegics Chronic
Arm Type
Experimental
Arm Description
Chronic [1- 5 years]) patients (tetraplegics) with major complete traumatic spinal cord injury that will undergo autologous neural stem cell transplantation including RMx Biomatrix as scaffold for the stem cells Intervention: Autologous Stem Cell Transplantation & Biomatrix
Intervention Type
Biological
Intervention Name(s)
Autologous Stem Cell Transplantation
Intervention Description
Autologous neural stem cell transplantation Stem Cell Transplantation by intraspinal and intrathecal injection with 3D matrix as needed
Primary Outcome Measure Information:
Title
Feasibility and safety of autologous Neural Stem Cell transplantation in patients with complete traumatic spinal cord injury as measured by reported side effects and surgery procedure
Description
Side effects is recorded by the hospital staff, in the CRF and by the patient. Surgery procedure is documented by video and standard recording
Time Frame
24 months
Secondary Outcome Measure Information:
Title
324-point ASIA and other scoring incl. muscle control and voluntary movement and improvement of sphincters control
Description
Change from Baseline in ASIA Score. All patients are stable ASIA A.
Time Frame
3, 6,12, 24 months and 3 year follow-up
Title
MRI Scan of Spinal Cord
Description
Change from Baseline of Injury Area. All patients has spinal cord injuries visible on MRI
Time Frame
3, 6,12, 24 months and 3 year follow-up

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age between 18 and 50 years old Traumatic spinal cord injury at the neck, thoracic or lumbar level Classification ASIA A and B with no significant further improvement with physical therapy/rehabilitation A score of less than 200 in the 324-point ASIA scale Injury duration 1 month to 5 years Exclusion Criteria: An advanced, severe, or unstable disease of any type that may interfere with primary and secondary variable evaluations, including any medical condition that could be expected to progress, recur, or change to such an extent that it may bias the assessment of the clinical or mental status of the patient to a significant degree or put the patient at special risk (e.g., severe liver or kidney disease, malignancies/cancer) Immune system disorder or dysfunction Any major/serious infections up to 2 months prior to inclusion A disability that may prevent the patient from completing all study requirements (e.g., blindness, deafness, severe language difficulty) A current diagnosis of active, uncontrolled peptic ulceration within the last three months A current diagnosis of acute, severe, or unstable asthmatic conditions [e.g., severe chronic obstructive pulmonary disease (COPD)] Participated in any other investigational trial within 4 weeks of initial screening and within 7 weeks of study entry History of regular alcohol intake or drug abuse in the previous 3 months and not able to sustain from alcohol intake during the trial Cardiovascular A current diagnosis of severe or unstable cardiovascular disease A current diagnosis of sick-sinus syndrome or conduction deficits (e.g., sino-atrial block, second or third degree atrio-ventricular block) A current diagnosis of uncontrolled atrial fibrillation (>100 bpm) A current diagnosis of moderate to severe heart failure [New York Heart Association (NYHA), Class III or more] A myocardial infarction (MI) known to have occurred within the last 3 months A current diagnosis of severe or unstable angina Vital signs (supine) outside the following ranges Systolic blood pressure below 90 or above 160 mmHg Diastolic blood pressure below 55 or above 95 mmHg Radial pulse below 50 or above 100 bpm CNS related A recent history of up to one year or currently diagnosed with cerebrovascular disease (e.g., stroke transient ischemic attacks, aneurysms) A current diagnosis of any primary neuro-degenerative disorder [e.g., Huntington's disease, Parkinson's disease etc.] A current diagnosis of an active, uncontrolled seizure disorder Psychiatric A current DSM-IV diagnosis of major depression Any other DSM-IV Axis 1 diagnosis that may interfere with the response of the patient to study medication, including other primary degenerative dementia, schizophrenia, or bipolar disorder Laboratory abnormalities Clinically significant abnormalities in routine laboratory examinations (hematology, electrolytes, biochemistry, liver and kidney function tests, urinanalysis) Concomitant therapy Previous stem cell treatment Ingested any of the following substances An investigational drug during the past 6 months A drug or treatment known to cause effect on the central nervous system [CNS] during the past four weeks A drug or treatment known to cause major organ system toxicity during the past four weeks Anticholinergic drugs at baseline Medication for Parkinson's disease at baseline (e.g., selegiline, levodopa, amantadine, dopamine agonists, COMT inhibitors)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alexander Averyanov, MD
Organizational Affiliation
Federal Research Clinical Center FMBA of Russia
Official's Role
Principal Investigator
Facility Information:
Facility Name
Federal Research Clinical Center FMBA of Russia
City
Moscow
ZIP/Postal Code
115682
Country
Russian Federation

12. IPD Sharing Statement

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Neural Stem Cell Transplantation in Traumatic Spinal Cord Injury

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