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Study to Assess the Safety and Effects of Autologous Adipose-Derived SVF Cells in Patients With Parkinson's Disease

Primary Purpose

Parkinson's Disease

Status
Withdrawn
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Harvesting and Implantation of Adipose-Derived Stem Cells
Sponsored by
Ageless Regenerative Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson's Disease focused on measuring Liposuction, ADSC, ASC, stem cell, Parkinson's Disease, Parkinson's, therapy

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Males and Females between Age 18 and 80 years.
  • Patient with current diagnosis of PD with motor complications (as confirmed by neurologist) as per the standard criteria and guidelines.
  • Responsiveness to Levodopa or dopa agonist. This is defined as improvement between Off and On UPDRS by at least 33% of the Motor UPDRS.
  • PD of Stage 2.5, 3 & 4 of HOEHN & YAHR staging.
  • Stable Parkinsonian medications for the 60 days prior to the surgical therapy.
  • MRI not showing gross atrophy or any other pathology of brain.
  • Patients with score less than 19 for the Montgomery-Asberg Rating Scale (MADRS) for Depression.
  • NO Significant cognitive impairment.MMSE > 21.
  • Up to date on all age and gender appropriate cancer screening per American Cancer Society

Exclusion Criteria:

  • History of intracranial surgeries or implantation of a device for Parkinson's disease two years prior to treatment.
  • History of psychiatric disorders like schizophrenia or psychotic disorders.
  • History of other malignancy, with the exception of treated cutaneous squamous cell or basal cell carcinoma, within 5 years.
  • Contraindication for MRI
  • Females who are pregnant or nursing or females of childbearing potential who are unwilling to maintain contraceptive therapy for the duration of the study
  • Life expectancy < 6 months due to concomitant illnesses.
  • Exposure to any investigational drug or procedure within 1 month prior to study entry or enrolled in a concurrent study that may confound results of this study.
  • Active infectious disease. Patients known to have tested positive for HIV, HTLV, HBV, HCV, CMV (IgM > IgG) and/or syphilis will be evaluated by an expert as to patient eligibility based on the patient's infectious status
  • Any illness which, in the Investigator's judgement, will interfere with the patient's ability to comply with the protocol, compromise patient safety, or interfere with the interpretation of the study results
  • Patients on chronic immunosuppressive transplant therapy
  • Systolic blood pressure (supine) ≤90 mmHg;
  • Resting heart rate > 100 bpm;
  • Active clinical infection being treated by antibiotics within one week of enrollment.
  • Known drug or alcohol dependence or any other factors which will interfere with the study conduct or interpretation of the results or who in the opinion of the investigator are not suitable to participate.
  • History of cancer (other than non-melanoma skin cancer or in-situ cervical cancer) in the last two years.
  • Unwilling and/or not able to give written informed consent.

Sites / Locations

  • Ageless Regenerative Institute LLC

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Intravenous Injection and Intanasal infusion of AD-SVF

Arm Description

AD-SVF

Outcomes

Primary Outcome Measures

UPDRS (UNIFIED PARKINSON'S DISEASE RATING SCALE)-Behavior
Improvement in Mentation, Behavior and mood in on and off position
Number of participants with adverse events
UPDRS- Improvement in Activities of Daily Living
UPDRS- Improvement in motor Examination
Values compared to baseline
UPDRS- MODIFIED HOEHN AND YAHR STAGING
Compared to baseline
UPDRS- SCHWAB AND ENGLAND ACTIVITIES OF DAILY LIVING SCALE
UPDRS (UNIFIED PARKINSON'S DISEASE RATING SCALE)Behavior
Improvement in Mentation, Behavior and mood in on and off position
Number of participants with adverse events
Number of participants with adverse events
UPDRS- Improvement in Activities of Daily Living
UPDRS- Improvement in motor Examination
UPDRS- MODIFIED HOEHN AND YAHR STAGING
UPDRS- SCHWAB AND ENGLAND ACTIVITIES OF DAILY LIVING SCALE

Secondary Outcome Measures

Reduction of Parkinson's medications
Improvement in subjective symptoms: facial expression, gait, and freezing
Reduction of Parkinson's medications
Improvement in subjective symptoms: facial expression, gait, and freezing

Full Information

First Posted
October 3, 2011
Last Updated
November 21, 2017
Sponsor
Ageless Regenerative Institute
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1. Study Identification

Unique Protocol Identification Number
NCT01453803
Brief Title
Study to Assess the Safety and Effects of Autologous Adipose-Derived SVF Cells in Patients With Parkinson's Disease
Official Title
An Open-label, Non-Randomized, Multi-Center Study to Assess the Safety and Effects of Autologous Adipose-Derived Stromal Cells Delivered Intravenously and Intranasally in Patients With Parkinson's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
November 2017
Overall Recruitment Status
Withdrawn
Why Stopped
company dissolved
Study Start Date
May 2014 (undefined)
Primary Completion Date
November 2017 (Anticipated)
Study Completion Date
December 2017 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ageless Regenerative Institute

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The intent of this clinical study is to answer the questions: Is the proposed treatment safe Is treatment effective in improving the disease pathology of patients with Parkinson's Disease and clinical outcomes.
Detailed Description
This will be an open-label, non-randomized multi-center patient sponsored study of Adipose-Derived Stromal Cells (ASC) implantation using a catheter delivery system. ASCs will be derived from the patient's adipose-derived tissue. Liposuction using local anesthesia and syringe collection will be performed to collect the adipose tissue specimen for subsequent processing to isolate the stem cells. The cells will be delivered via catheter into the Vertebral Artery and intravenously.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Parkinson's Disease
Keywords
Liposuction, ADSC, ASC, stem cell, Parkinson's Disease, Parkinson's, therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Intravenous Injection and Intanasal infusion of AD-SVF
Arm Type
Experimental
Arm Description
AD-SVF
Intervention Type
Procedure
Intervention Name(s)
Harvesting and Implantation of Adipose-Derived Stem Cells
Intervention Description
The adipose tissue specimen will be collected from the patient's abdomen or applicable region using a liposuction cannula. The adipose tissue is transferred to the laboratory for separation of the adipose tissue-derived stem cells, which are then transferred for catheter injection.
Primary Outcome Measure Information:
Title
UPDRS (UNIFIED PARKINSON'S DISEASE RATING SCALE)-Behavior
Description
Improvement in Mentation, Behavior and mood in on and off position
Time Frame
3 months
Title
Number of participants with adverse events
Time Frame
1 week
Title
UPDRS- Improvement in Activities of Daily Living
Time Frame
3 months
Title
UPDRS- Improvement in motor Examination
Description
Values compared to baseline
Time Frame
3 months
Title
UPDRS- MODIFIED HOEHN AND YAHR STAGING
Description
Compared to baseline
Time Frame
3 months
Title
UPDRS- SCHWAB AND ENGLAND ACTIVITIES OF DAILY LIVING SCALE
Time Frame
3 months
Title
UPDRS (UNIFIED PARKINSON'S DISEASE RATING SCALE)Behavior
Description
Improvement in Mentation, Behavior and mood in on and off position
Time Frame
6 months
Title
Number of participants with adverse events
Time Frame
2 weeks
Title
Number of participants with adverse events
Time Frame
4 weeks
Title
UPDRS- Improvement in Activities of Daily Living
Time Frame
6 months
Title
UPDRS- Improvement in motor Examination
Time Frame
6 months
Title
UPDRS- MODIFIED HOEHN AND YAHR STAGING
Time Frame
6 months
Title
UPDRS- SCHWAB AND ENGLAND ACTIVITIES OF DAILY LIVING SCALE
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Reduction of Parkinson's medications
Time Frame
3 months
Title
Improvement in subjective symptoms: facial expression, gait, and freezing
Time Frame
3 months
Title
Reduction of Parkinson's medications
Time Frame
6 months
Title
Improvement in subjective symptoms: facial expression, gait, and freezing
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and Females between Age 18 and 80 years. Patient with current diagnosis of PD with motor complications (as confirmed by neurologist) as per the standard criteria and guidelines. Responsiveness to Levodopa or dopa agonist. This is defined as improvement between Off and On UPDRS by at least 33% of the Motor UPDRS. PD of Stage 2.5, 3 & 4 of HOEHN & YAHR staging. Stable Parkinsonian medications for the 60 days prior to the surgical therapy. MRI not showing gross atrophy or any other pathology of brain. Patients with score less than 19 for the Montgomery-Asberg Rating Scale (MADRS) for Depression. NO Significant cognitive impairment.MMSE > 21. Up to date on all age and gender appropriate cancer screening per American Cancer Society Exclusion Criteria: History of intracranial surgeries or implantation of a device for Parkinson's disease two years prior to treatment. History of psychiatric disorders like schizophrenia or psychotic disorders. History of other malignancy, with the exception of treated cutaneous squamous cell or basal cell carcinoma, within 5 years. Contraindication for MRI Females who are pregnant or nursing or females of childbearing potential who are unwilling to maintain contraceptive therapy for the duration of the study Life expectancy < 6 months due to concomitant illnesses. Exposure to any investigational drug or procedure within 1 month prior to study entry or enrolled in a concurrent study that may confound results of this study. Active infectious disease. Patients known to have tested positive for HIV, HTLV, HBV, HCV, CMV (IgM > IgG) and/or syphilis will be evaluated by an expert as to patient eligibility based on the patient's infectious status Any illness which, in the Investigator's judgement, will interfere with the patient's ability to comply with the protocol, compromise patient safety, or interfere with the interpretation of the study results Patients on chronic immunosuppressive transplant therapy Systolic blood pressure (supine) ≤90 mmHg; Resting heart rate > 100 bpm; Active clinical infection being treated by antibiotics within one week of enrollment. Known drug or alcohol dependence or any other factors which will interfere with the study conduct or interpretation of the results or who in the opinion of the investigator are not suitable to participate. History of cancer (other than non-melanoma skin cancer or in-situ cervical cancer) in the last two years. Unwilling and/or not able to give written informed consent.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sharon McQuillan, MD
Organizational Affiliation
Ageless Regenerative Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ageless Regenerative Institute LLC
City
Aventura
State/Province
Florida
ZIP/Postal Code
33180
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Study to Assess the Safety and Effects of Autologous Adipose-Derived SVF Cells in Patients With Parkinson's Disease

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