NeuroRegen Scaffold™ With Bone Marrow Mononuclear Cells Transplantation vs. Intradural Decompression and Adhesiolysis in SCI
Primary Purpose
Spinal Cord Injury
Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
NeuroRegen Scaffold with BMMCs transplantation
Surgical intradural decompression and adhesiolysis
Sponsored by
About this trial
This is an interventional treatment trial for Spinal Cord Injury
Eligibility Criteria
Inclusion Criteria:
- Completely spinal cord injury at the thoracic level as assessed by magnetic resonance imaging (MRI) and electrophysiology.
- ASIA Impairment Scale (AIS) grade A.
- Male or female, 18-60 years old.
- No significant further improvement after injury and rehabilitation.
- Patients with normal peripheral nerve function and without muscle atrophy.
- Cardiovascular, respiratory, liver, kidney functions and laboratory examinations are within normal ranges.
- No brain disease or mental disorder.
- Ability and willingness to regular visit to hospital and follow up during the protocol procedures.
- Patients signed informed consent.
Exclusion Criteria:
- A current diagnosis of any primary diseases affecting limb functions (e.g., traumatic brain injury, cerebral hemorrhage, cognitive disorders or other central nervous system diseases).
- Patients without any rehabilitation train after injury.
- Remarkable muscle atrophy or fibrosis.
- Degeneration of peripheral nerve function.
- Allergic constitution.
- Participation in any immunomodulator therapy or experimental drug treatment within 60 days prior to study.
- Suffering diabetes, autoimmune diseases, tumor or severe hypertension.
- Patients with severe heart, lung, liver or renal dysfunction are unable to meet the surgery standards.
- Severe bleeding tendency or abnormal coagulation function.
- Inflammation or skin ulcers at the surgical site.
- Lactating and pregnant woman.
- Poor compliance, difficult to complete the study.
- Any other conditions that might increase the risk of subjects or interfere with the clinical trial.
Sites / Locations
- First Affiliated Hospital of PLA General Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
NeuroRegen Scaffold with BMMCs transplantation
Surgical intradural decompression and adhesiolysis
Arm Description
Outcomes
Primary Outcome Measures
Improvements in ASIA (American Spinal Injury Association) Impairment Scale
Improvements in Somatosensory Evoked Potentials (SSEP)
Improvements in Motor Evoked Potentials (MEP)
Secondary Outcome Measures
Improvements in Independence Measures
Functional Independence Measure (FIM) will be assessed before and after surgery.
Magnetic Resonance Imaging (MRI)
The change of treated spinal cord injury will be assessed by Magnetic Resonance Imaging (MRI) before and after surgery.
Improvements in Urinary and Bowel Function
The ability to feel and control urination and bowel will be assessed based on bladder pressure monitory before and after surgery.
Safety and Tolerability assessed by Adverse Events
Proportion of patients with postoperative infections and serious adverse events (SAEs) will be assessed by long term follow-up.
Full Information
NCT ID
NCT02688062
First Posted
February 6, 2016
Last Updated
December 21, 2020
Sponsor
Chinese Academy of Sciences
Collaborators
First Hospitals affiliated to the China PLA General Hospital
1. Study Identification
Unique Protocol Identification Number
NCT02688062
Brief Title
NeuroRegen Scaffold™ With Bone Marrow Mononuclear Cells Transplantation vs. Intradural Decompression and Adhesiolysis in SCI
Official Title
NeuroRegen Scaffold™ With Bone Marrow Mononuclear Cells Transplantation vs. Intradural Decompression and Adhesiolysis in Patients With Chronic Spinal Cord Injury
Study Type
Interventional
2. Study Status
Record Verification Date
February 2016
Overall Recruitment Status
Unknown status
Study Start Date
January 2016 (undefined)
Primary Completion Date
December 2021 (Anticipated)
Study Completion Date
December 2021 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Chinese Academy of Sciences
Collaborators
First Hospitals affiliated to the China PLA General Hospital
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to investigate the efficacy and safety of NeuroRegen Scaffold with bone marrow mononuclear cells (BMMCs) on neurological recovery following chronic and complete spinal cord injury, compared to the treatment of surgical intradural decompression and adhesiolysis only.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Spinal Cord Injury
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
22 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
NeuroRegen Scaffold with BMMCs transplantation
Arm Type
Experimental
Arm Title
Surgical intradural decompression and adhesiolysis
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
NeuroRegen Scaffold with BMMCs transplantation
Intervention Description
Patients with chronic SCI (ASIA grade A) will receive NeuroRegen Scaffold with bone marrow mononuclear cells (BMMCs) transplantation after localized scars cleared and after surgery patients will undergo a comprehensive rehabilitation, psychological and nutritional measures.
Intervention Type
Procedure
Intervention Name(s)
Surgical intradural decompression and adhesiolysis
Intervention Description
Patients with chronic SCI (ASIA grade A) will receive intradural decompression and adhesiolysis surgery and after surgery patients will undergo a comprehensive rehabilitation, psychological and nutritional measures.
Primary Outcome Measure Information:
Title
Improvements in ASIA (American Spinal Injury Association) Impairment Scale
Time Frame
24 months
Title
Improvements in Somatosensory Evoked Potentials (SSEP)
Time Frame
24 months
Title
Improvements in Motor Evoked Potentials (MEP)
Time Frame
24 months
Secondary Outcome Measure Information:
Title
Improvements in Independence Measures
Description
Functional Independence Measure (FIM) will be assessed before and after surgery.
Time Frame
1, 3, 6, 12, 18 and 24 months
Title
Magnetic Resonance Imaging (MRI)
Description
The change of treated spinal cord injury will be assessed by Magnetic Resonance Imaging (MRI) before and after surgery.
Time Frame
1, 3, 6, 12, 18 and 24 months
Title
Improvements in Urinary and Bowel Function
Description
The ability to feel and control urination and bowel will be assessed based on bladder pressure monitory before and after surgery.
Time Frame
1, 3, 6, 12, 18 and 24 months
Title
Safety and Tolerability assessed by Adverse Events
Description
Proportion of patients with postoperative infections and serious adverse events (SAEs) will be assessed by long term follow-up.
Time Frame
Up to 6 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Completely spinal cord injury at the thoracic level as assessed by magnetic resonance imaging (MRI) and electrophysiology.
ASIA Impairment Scale (AIS) grade A.
Male or female, 18-60 years old.
No significant further improvement after injury and rehabilitation.
Patients with normal peripheral nerve function and without muscle atrophy.
Cardiovascular, respiratory, liver, kidney functions and laboratory examinations are within normal ranges.
No brain disease or mental disorder.
Ability and willingness to regular visit to hospital and follow up during the protocol procedures.
Patients signed informed consent.
Exclusion Criteria:
A current diagnosis of any primary diseases affecting limb functions (e.g., traumatic brain injury, cerebral hemorrhage, cognitive disorders or other central nervous system diseases).
Patients without any rehabilitation train after injury.
Remarkable muscle atrophy or fibrosis.
Degeneration of peripheral nerve function.
Allergic constitution.
Participation in any immunomodulator therapy or experimental drug treatment within 60 days prior to study.
Suffering diabetes, autoimmune diseases, tumor or severe hypertension.
Patients with severe heart, lung, liver or renal dysfunction are unable to meet the surgery standards.
Severe bleeding tendency or abnormal coagulation function.
Inflammation or skin ulcers at the surgical site.
Lactating and pregnant woman.
Poor compliance, difficult to complete the study.
Any other conditions that might increase the risk of subjects or interfere with the clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jianwu Dai, Ph.D.
Organizational Affiliation
Chinese Academy of Sciences
Official's Role
Principal Investigator
Facility Information:
Facility Name
First Affiliated Hospital of PLA General Hospital
City
Beijing
ZIP/Postal Code
100101
Country
China
12. IPD Sharing Statement
Learn more about this trial
NeuroRegen Scaffold™ With Bone Marrow Mononuclear Cells Transplantation vs. Intradural Decompression and Adhesiolysis in SCI
We'll reach out to this number within 24 hrs