Bone Marrow-Derived Stem Cell Transplantation for the Treatment of Cerebral Palsy
Primary Purpose
Cerebral Palsy
Status
Unknown status
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Stem Cell Therapy
Sponsored by
About this trial
This is an interventional treatment trial for Cerebral Palsy focused on measuring stem cells
Eligibility Criteria
Inclusion Criteria:
- Must be more than 2 year of age and less than 12 years of age at the time of screening for inclusion in the study.
- Clinical evidence of a non-progressive motor disability due to brain dysfunction.
- Willing to comply with all study procedures.
- Gross Motor Function Classification Score level II-V
Exclusion Criteria:
Known history of:
- Intractable seizures
- Traumatic brain injury
- Genetic disorder
- Current Infection
- Renal insufficiency
- Hepatic disease
- HIV+ (as demonstrated by positive blood test)
- Immunosuppression
- Infectious related neurological injury
- Other etiologies such as degenerative, mitochondrial, and metabolic disorders
- Normal brain MRI
- Evidence of acute illness such as fever (temperature > 37.5 C), vomiting, diarrhea, wheezing or crackles
- Progressing neurological disease (Batten Disease, Leukodystrophies, Neurotransmitter disorders)
- Microcephaly, macrocephaly, cortical malformations, or genetic disorders of dysgenesis
- Pulmonary disease requiring ventilator support
- Unwillingness to return for follow-up visits
- Contraindications to MRI
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Stem Cells
Arm Description
Intravenous and Intrathecal transplantation of specific populations of purified bone marrow-derived stem cells and mesenchymal stem cells.
Outcomes
Primary Outcome Measures
Changes in Motor Performance.
GMPM (Gross Motor Performance Measure) as a standard measurement tool for assessing quality of movement.
Secondary Outcome Measures
Motor function studies
Total volumes and specific tract lesions will be studied and correlated with functional outcomes.
Specific white matter tract analysis using MRI
Changes on brain Diffusion Tensor Image (DTI).
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03078621
Brief Title
Bone Marrow-Derived Stem Cell Transplantation for the Treatment of Cerebral Palsy
Official Title
Safety and Efficacy of Transplantation of Specific Populations of Stem Cells and Mesenchymal Stem Cells for the Treatment of Cerebral Palsy
Study Type
Interventional
2. Study Status
Record Verification Date
March 2020
Overall Recruitment Status
Unknown status
Study Start Date
September 2016 (undefined)
Primary Completion Date
October 2020 (Anticipated)
Study Completion Date
January 2021 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Stem Cells Arabia
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study is a single arm, single center trial to study the safety and efficacy of purified autologous bone marrow derived stem cells and mesenchymal stem cells for the treatment of children with cerebral palsy.
Detailed Description
Cerebral palsy (CP) is a chronic childhood disorder defined by a range of motor and cognitive impairments and results in a substantial suffering to the patient and a tremendous socio-economic burden to the individual, family, and healthcare system. With no effective treatments or interventions, therapies for CP are currently focused on supportive and management strategies. Stem cell transplantation has been suggested as a putative intervention for neural pathology, as mesenchymal and neural stem cells, as well as olfactory ensheathing glia and Schwann cells, which have shown some regenerative and functional efficacy in experimental central nervous system disorders.
In this trial, the investigators study the safety and efficacy of the intrathecal transplantation of specific populations of purified autologous bone marrow-derived stem cells and mesenchymal stem cells in patients with cerebral palsy.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cerebral Palsy
Keywords
stem cells
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Stem Cells
Arm Type
Experimental
Arm Description
Intravenous and Intrathecal transplantation of specific populations of purified bone marrow-derived stem cells and mesenchymal stem cells.
Intervention Type
Biological
Intervention Name(s)
Stem Cell Therapy
Intervention Description
Intravenous and Intrathecal transplantation of purified autologous bone marrow-derived stem cells and mesenchymal stem cells.
Primary Outcome Measure Information:
Title
Changes in Motor Performance.
Description
GMPM (Gross Motor Performance Measure) as a standard measurement tool for assessing quality of movement.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Motor function studies
Description
Total volumes and specific tract lesions will be studied and correlated with functional outcomes.
Time Frame
1 year
Title
Specific white matter tract analysis using MRI
Description
Changes on brain Diffusion Tensor Image (DTI).
Time Frame
6 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Must be more than 2 year of age and less than 12 years of age at the time of screening for inclusion in the study.
Clinical evidence of a non-progressive motor disability due to brain dysfunction.
Willing to comply with all study procedures.
Gross Motor Function Classification Score level II-V
Exclusion Criteria:
Known history of:
Intractable seizures
Traumatic brain injury
Genetic disorder
Current Infection
Renal insufficiency
Hepatic disease
HIV+ (as demonstrated by positive blood test)
Immunosuppression
Infectious related neurological injury
Other etiologies such as degenerative, mitochondrial, and metabolic disorders
Normal brain MRI
Evidence of acute illness such as fever (temperature > 37.5 C), vomiting, diarrhea, wheezing or crackles
Progressing neurological disease (Batten Disease, Leukodystrophies, Neurotransmitter disorders)
Microcephaly, macrocephaly, cortical malformations, or genetic disorders of dysgenesis
Pulmonary disease requiring ventilator support
Unwillingness to return for follow-up visits
Contraindications to MRI
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Bone Marrow-Derived Stem Cell Transplantation for the Treatment of Cerebral Palsy
We'll reach out to this number within 24 hrs