search
Back to results

Study to Assess the Safety and Efficacy of an IT Administration of SCM-010 in SPMS

Primary Purpose

Secondary Progressive Multiple Sclerosis (SPMS)

Status
Not yet recruiting
Phase
Phase 1
Locations
Israel
Study Type
Interventional
Intervention
SCM-010
Sponsored by
Stem Cell Medicine Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Secondary Progressive Multiple Sclerosis (SPMS) focused on measuring Secondary Progressive Multiple Sclerosis (SPMS), safety

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female subjects (18-60 years of age) diagnosed with SPMS.
  2. SPMS defined as relapsing-remitting disease followed by progression of disability independent of or not explained by multiple sclerosis (MS) relapses for at least 2 years.
  3. Subjects should be ambulatory with an EDSS score of 3-6.5 (inclusive) at screening and baseline visits.
  4. Subjects should be able to go through a lipoaspiration procedure, evaluated by the study's plastic surgeon.
  5. Women capable of child bearing must have a negative urine pregnancy test at screening and baseline visits.
  6. Subjects must use an adequate contraceptive method throughout the study.
  7. Coagulation tests including INR, PTT and prothrombin time (PT) within normal range.
  8. Subjects must be willing and able to comply with the protocol requirements for the duration of the study.
  9. Ability to provide written informed consent.

Exclusion Criteria:

  1. Relapsing remitting multiple sclerosis (RRMS) or primary progressive multiple sclerosis (PPMS) as defined by the revised McDonald criteria.
  2. Any chronic central nervous system (CNS) disease other than SPMS.
  3. Clinical relapse within 3 months prior to study entry.
  4. Subjects diagnosed with any systemic autoimmune disease.
  5. Contraindications or inability to undergo lumbar puncture (LP) procedure and or intrathecal administration.
  6. Severe anemia (hemoglobin < 10 g/dL).
  7. Abnormal renal function (serum creatinine more than 1.5xULN or creatinine clearance <30 ml/min).
  8. Tested positive for HIV, hepatitis (HBV and HCV).
  9. Known as positive for VDRL and/or tuberculosis.
  10. Active malignant disease of any kind. However, a patient, who has had a malignant disease in the past, was treated and is currently disease - free for at least 7 years, may be considered eligible. In this case the sponsor medical expert approval is required.
  11. Previous cell therapy treatment.
  12. Previous total body irradiation or total lymphoid irradiation.
  13. Previous use of natalizumab or any anti-B cell agent within 6 months prior to screening.
  14. Previous use of immunosuppressant including Mitoxantrone, Alemtuzumab, Cladribine or any other cytotoxic agent.
  15. Previous use of Fingolimod or Dimethyl Fumarate within 2 months prior to screening. Subjects who were treated with any of these medications will be excluded if they do not have a lymphocyte count within normal range at screening.
  16. Previous use of Teriflunomide within 12 months if no accelerated elimination procedure was used.
  17. Previous treatment with immunomodulators (including IFNβ 1a and 1b, and IV Immunoglobulin (IVIG) or Glatiramer Acetate (GA) within 2 months prior to screening.
  18. A known history of hypersensitivity to one of following: Vancomycin, Cephalosporin, Cephamycin or beta-lactam antibacterial agent (penicillins, monobactams, carbapenems).
  19. A known history of sensitivity to Gadolinium.
  20. Inability to successfully undergo MRI scanning.
  21. Treatment with any kind of steroids or ACTH during the last 30 days prior to screening.
  22. Subjects with clotting disorders or receiving treatment with anticoagulants.
  23. Any relevant medical, surgical, or psychiatric condition, laboratory value, or concomitant medication which, in the opinion of the Principle Investigator, makes the subject unsuitable for study entry or potentially unable to complete all aspects of the study.
  24. Subjects with BMI < 20.
  25. Pregnant or breast-feeding women.
  26. Known or suspected drug or alcohol abuse.
  27. Participation in any investigational drug study within 6 months prior to screening.

Sites / Locations

  • Tel Aviv Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

group 1: low dose

group 2: high dose

Arm Description

One intrathecal (IT) administration of SCM-010 at baseline visit

One intrathecal (IT) administration of SCM-010 at baseline visit

Outcomes

Primary Outcome Measures

Adverse Events (AEs) reported during the trial
Safety data will be collected following the one IT administration of SCM-010 at baseline visit

Secondary Outcome Measures

Change in MRI scans from baseline
Changes in lesions from baseline MRI scan.
Change from baseline in EDSS score
The Expanded Disability Status Scale (EDSS) will be measured during the study. range of the scale 0-10
Time to Confirmed Disease Progression (CDP)
CDP for an individual subject is defined as at least 3-months confirmed EDSS increase from baseline. The Expanded Disability Status Scale (EDSS) will be measured during the study. range of the scale 0-10

Full Information

First Posted
September 30, 2018
Last Updated
October 26, 2022
Sponsor
Stem Cell Medicine Ltd.
search

1. Study Identification

Unique Protocol Identification Number
NCT03696485
Brief Title
Study to Assess the Safety and Efficacy of an IT Administration of SCM-010 in SPMS
Official Title
A Prospective, Single Center, Open Label, Dose Escalation Phase I/IIa Study to Assess the Safety and Efficacy of an Intrathecal Administration of SCM-010 in Subjects With Secondary Progressive Multiple Sclerosis (SPMS)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
February 1, 2023 (Anticipated)
Primary Completion Date
February 1, 2024 (Anticipated)
Study Completion Date
February 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Stem Cell Medicine Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Prospective, single center, open label, phase I/IIa escalating dose study. To evaluate the safety and efficacy of escalating doses of SCM-010 in subjects with SPMS.
Detailed Description
Twelve (12) SPMS subjects will be enrolled in this study in two dose cohorts. Each subject will receive SCM- 010 by intrathecal (IT) administration at baseline and will be followed up for 24 weeks for efficacy and 48 weeks for safety.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Secondary Progressive Multiple Sclerosis (SPMS)
Keywords
Secondary Progressive Multiple Sclerosis (SPMS), safety

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
group 1: low dose
Arm Type
Experimental
Arm Description
One intrathecal (IT) administration of SCM-010 at baseline visit
Arm Title
group 2: high dose
Arm Type
Experimental
Arm Description
One intrathecal (IT) administration of SCM-010 at baseline visit
Intervention Type
Biological
Intervention Name(s)
SCM-010
Intervention Description
SCM-010 is comprised of adipose derived expanded mesenchymal cells (ADSC), suspended in Plasma-Lyte and intended for intrathecal (IT) administration.
Primary Outcome Measure Information:
Title
Adverse Events (AEs) reported during the trial
Description
Safety data will be collected following the one IT administration of SCM-010 at baseline visit
Time Frame
48 weeks
Secondary Outcome Measure Information:
Title
Change in MRI scans from baseline
Description
Changes in lesions from baseline MRI scan.
Time Frame
24 weeks
Title
Change from baseline in EDSS score
Description
The Expanded Disability Status Scale (EDSS) will be measured during the study. range of the scale 0-10
Time Frame
24 weeks
Title
Time to Confirmed Disease Progression (CDP)
Description
CDP for an individual subject is defined as at least 3-months confirmed EDSS increase from baseline. The Expanded Disability Status Scale (EDSS) will be measured during the study. range of the scale 0-10
Time Frame
24 weeks

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: Male or female subjects (18-60 years of age) diagnosed with SPMS. SPMS defined as relapsing-remitting disease followed by progression of disability independent of or not explained by multiple sclerosis (MS) relapses for at least 2 years. Subjects should be ambulatory with an EDSS score of 3-6.5 (inclusive) at screening and baseline visits. Subjects should be able to go through a lipoaspiration procedure, evaluated by the study's plastic surgeon. Women capable of child bearing must have a negative urine pregnancy test at screening and baseline visits. Subjects must use an adequate contraceptive method throughout the study. Coagulation tests including INR, PTT and prothrombin time (PT) within normal range. Subjects must be willing and able to comply with the protocol requirements for the duration of the study. Ability to provide written informed consent. Exclusion Criteria: Relapsing remitting multiple sclerosis (RRMS) or primary progressive multiple sclerosis (PPMS) as defined by the revised McDonald criteria. Any chronic central nervous system (CNS) disease other than SPMS. Clinical relapse within 3 months prior to study entry. Subjects diagnosed with any systemic autoimmune disease. Contraindications or inability to undergo lumbar puncture (LP) procedure and or intrathecal administration. Severe anemia (hemoglobin < 10 g/dL). Abnormal renal function (serum creatinine more than 1.5xULN or creatinine clearance <30 ml/min). Tested positive for HIV, hepatitis (HBV and HCV). Known as positive for VDRL and/or tuberculosis. Active malignant disease of any kind. However, a patient, who has had a malignant disease in the past, was treated and is currently disease - free for at least 7 years, may be considered eligible. In this case the sponsor medical expert approval is required. Previous cell therapy treatment. Previous total body irradiation or total lymphoid irradiation. Previous use of natalizumab or any anti-B cell agent within 6 months prior to screening. Previous use of immunosuppressant including Mitoxantrone, Alemtuzumab, Cladribine or any other cytotoxic agent. Previous use of Fingolimod or Dimethyl Fumarate within 2 months prior to screening. Subjects who were treated with any of these medications will be excluded if they do not have a lymphocyte count within normal range at screening. Previous use of Teriflunomide within 12 months if no accelerated elimination procedure was used. Previous treatment with immunomodulators (including IFNβ 1a and 1b, and IV Immunoglobulin (IVIG) or Glatiramer Acetate (GA) within 2 months prior to screening. A known history of hypersensitivity to one of following: Vancomycin, Cephalosporin, Cephamycin or beta-lactam antibacterial agent (penicillins, monobactams, carbapenems). A known history of sensitivity to Gadolinium. Inability to successfully undergo MRI scanning. Treatment with any kind of steroids or ACTH during the last 30 days prior to screening. Subjects with clotting disorders or receiving treatment with anticoagulants. Any relevant medical, surgical, or psychiatric condition, laboratory value, or concomitant medication which, in the opinion of the Principle Investigator, makes the subject unsuitable for study entry or potentially unable to complete all aspects of the study. Subjects with BMI < 20. Pregnant or breast-feeding women. Known or suspected drug or alcohol abuse. Participation in any investigational drug study within 6 months prior to screening.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Arnon Karni, Dr.
Phone
+972-36974380
Email
arnonk@tlvmc.gov.il
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Arnon Karni, Dr.
Organizational Affiliation
Tel Aviv Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Tel Aviv Medical Center
City
Tel Aviv
Country
Israel

12. IPD Sharing Statement

Learn more about this trial

Study to Assess the Safety and Efficacy of an IT Administration of SCM-010 in SPMS

We'll reach out to this number within 24 hrs