MIG-HD: Multicentric Intracerebral Grafting in Huntington's Disease

NCT ID: NCT00190450

Last Updated: 2017-10-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-01-31

Study Completion Date

2013-12-31

Brief Summary

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The aim of this study is to assess the clinical benefit of intrastriatal grafting of human cells from the foetal ganglionic eminence in patients with Huntington's disease. The duration of the study will be 52 months. A first group of patients will be grafted at M13-14 (early G group) and a second group of patients will be grafted at M33-34 (late G group). The principal criterion is the comparison of the progression between M12 and M32 of the motor score (TMS) of the UHDRS between grafted patients (early G group) and not yet grafted patients (late G group). An additional evaluation will be performed to compare the progression in individual patients over the 52-month study period. We will thus be able to compare the pre and post-graft TMS progression for all patients.

Detailed Description

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The aim of this study is to show the existence of a clinical benefit rising from a substitution of the striatal neurons degenerated among a large cohort of Huntington's patient at early stage by homologous neurons coming from human foetuses, This effect will be estimated, compared with a group of patients not treated at first, on the results of the motor scale of the Unified Huntington Disease Rating Scale (UHDRS, Huntington study group, on 1996).

Transplants will be realized in two surgical times to avoid the risk of hurts per-operating, BI-CAUDES, if transplants were realized at single time. The minimal interval between both transplants will be of 2 weeks, so as to let the patient recover of the first general anaesthesia It's a multicentric study of phase II randomised and controlled, with direct individual benefit.

Conditions

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Huntington Disease

Keywords

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Huntington graft cellular therapy striatum

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Early Graft (Early G)

Group Type EXPERIMENTAL

graft intracerebral of foetal neurons

Intervention Type BIOLOGICAL

graft intracerebral of foetal neurons

2

Late Graft (Late G)

Group Type EXPERIMENTAL

graft intracerebral of foetal neurons

Intervention Type BIOLOGICAL

graft intracerebral of foetal neurons

Interventions

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graft intracerebral of foetal neurons

graft intracerebral of foetal neurons

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Disease clinically declared since at least 1 year ,UHDRS motor \> or =5
* TFC \> or = 10.
* CAG \> or = 36
* Age between 18 and 65
* Family and socially integrated subject
* Informed consent.

Exclusion Criteria

* Severe intellectual deterioration or neuropsychiatric disorders making the follow-up longitudinal too complicated (score MATTIS \< 120).
* Not-observance of the appointments and the symptomatic treatments in pre-surgical period.
* Intercurrent disease making a surgical operation impossible.
* Associated disease having a neurological repercussion, intercurrent cerebral lesion with the IRM.
* Visceral affection engraves, evolutionary, which brings into play the vital forecast or makes risks for general anaesthesia.
* Mental Affection likely to disturb adhesion with the protocol, and in particular antecedents of hallucinations spontaneous and/or induced by the drugs; antecedents of serious depression having required repeated hospitalizations; antecedents of repeated suicide attempts.
* Cerebral morphological anomalies, others that those characteristic of the disease, noted with the IRM or the tomodensitometry.
* TFC \< 8
* Not-observance of the appointments and the symptomatic treatments in pre-surgical period.
* Intercurrent disease returning the surgery or impossible immunosuppression. v Subject completely isolated with his family and socially..
* UHDRS motor \< 5.
* Positives serologies for HIV1, HIV2, AgP24, HTLV1 et 2, HEPATITE B, HEPATITE C, syphilis
* Psychiatric disorders being able to compromise the follow-up.
* Signs other than Huntington with the IRM.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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A-C. BACHOUD-LEVI, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique - Hôpitaux de Paris

Locations

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Hopital Henri Mondor

Paris, Île-de-France Region, France

Site Status

Countries

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France

References

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Bachoud-Levi AC, Remy P, Nguyen JP, Brugieres P, Lefaucheur JP, Bourdet C, Baudic S, Gaura V, Maison P, Haddad B, Boisse MF, Grandmougin T, Jeny R, Bartolomeo P, Dalla Barba G, Degos JD, Lisovoski F, Ergis AM, Pailhous E, Cesaro P, Hantraye P, Peschanski M. Motor and cognitive improvements in patients with Huntington's disease after neural transplantation. Lancet. 2000 Dec 9;356(9246):1975-9. doi: 10.1016/s0140-6736(00)03310-9.

Reference Type RESULT
PMID: 11130527 (View on PubMed)

Kinfe T, Del Vecchio A, Nussel M, Zhao Y, Stadlbauer A, Buchfelder M. Deep brain stimulation and stereotactic-assisted brain graft injection targeting fronto-striatal circuits for Huntington's disease: an update. Expert Rev Neurother. 2022 Sep;22(9):781-788. doi: 10.1080/14737175.2022.2091988. Epub 2022 Jun 29.

Reference Type DERIVED
PMID: 35766355 (View on PubMed)

Riad R, Lunven M, Titeux H, Cao XN, Hamet Bagnou J, Lemoine L, Montillot J, Sliwinski A, Youssov K, Cleret de Langavant L, Dupoux E, Bachoud-Levi AC. Predicting clinical scores in Huntington's disease: a lightweight speech test. J Neurol. 2022 Sep;269(9):5008-5021. doi: 10.1007/s00415-022-11148-1. Epub 2022 May 14.

Reference Type DERIVED
PMID: 35567614 (View on PubMed)

Bachoud-Levi AC; on behalf the Multicentric Intracerebral Grafting in Huntington's Disease Group. Human Fetal Cell Therapy in Huntington's Disease: A Randomized, Multicenter, Phase II Trial. Mov Disord. 2020 Aug;35(8):1323-1335. doi: 10.1002/mds.28201. Epub 2020 Jul 15.

Reference Type DERIVED
PMID: 32666599 (View on PubMed)

Schramm C, Katsahian S, Youssov K, Demonet JF, Krystkowiak P, Supiot F, Verny C, Cleret de Langavant L, Bachoud-Levi AC; European Huntington's Disease Initiative Study Group and the Multicentre Intracerebral Grafting in Huntington's Disease Group. How to Capitalize on the Retest Effect in Future Trials on Huntington's Disease. PLoS One. 2015 Dec 29;10(12):e0145842. doi: 10.1371/journal.pone.0145842. eCollection 2015.

Reference Type DERIVED
PMID: 26714284 (View on PubMed)

Teichmann M, Gaura V, Demonet JF, Supiot F, Delliaux M, Verny C, Renou P, Remy P, Bachoud-Levi AC. Language processing within the striatum: evidence from a PET correlation study in Huntington's disease. Brain. 2008 Apr;131(Pt 4):1046-56. doi: 10.1093/brain/awn036. Epub 2008 Mar 11.

Reference Type DERIVED
PMID: 18334537 (View on PubMed)

Related Links

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http://www.hdnetwork.org/

Huntington french speaking network website

Other Identifiers

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P 001106

Identifier Type: -

Identifier Source: org_study_id