Lithium, Cord Blood Cells and the Combination in the Treatment of Acute & Sub-acute Spinal Cord Injury

NCT ID: NCT01471613

Last Updated: 2014-01-28

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

PHASE1/PHASE2

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-09-30

Study Completion Date

2014-01-31

Brief Summary

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The trial is to investigate the safety and efficacy of oral lithium, intraspinal umbilical cord blood mononuclear cell transplant, and the combination in the treatment of acute and subacute spinal cord injury

Detailed Description

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Conditions

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Spinal Cord Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Group C - Cord blood cell

Conventional treatment, cord blood cell transplant and placebo

Group Type EXPERIMENTAL

Conventional Treatment

Intervention Type PROCEDURE

Conventional treatment includes surgeries such as laminectomy, spinal decompression etc. and the medicine generally adapted to treat spinal cord injury

Cord Blood Cell

Intervention Type BIOLOGICAL

Cord blood mononuclear cell, 6.4 million viable cells, are transplanted into spinal cord at upper and lower edges of the injured site

Placebo

Intervention Type OTHER

Placebo tablet, orally administration of placebo for 6 weeks

Group A - Control

Conventional treatment and placebo

Group Type PLACEBO_COMPARATOR

Conventional Treatment

Intervention Type PROCEDURE

Conventional treatment includes surgeries such as laminectomy, spinal decompression etc. and the medicine generally adapted to treat spinal cord injury

Placebo

Intervention Type OTHER

Placebo tablet, orally administration of placebo for 6 weeks

Group B - Lithium Carbonate

Conventional treatment and lithium carbonate

Group Type EXPERIMENTAL

Conventional Treatment

Intervention Type PROCEDURE

Conventional treatment includes surgeries such as laminectomy, spinal decompression etc. and the medicine generally adapted to treat spinal cord injury

Lithium Carbonate Tablet

Intervention Type DRUG

250mg/tablet, administrated orally for 6 weeks.

Group D - Combination Therapy

Conventional treatment, cell transplant and 6-weeks course of lithium carbonate

Group Type EXPERIMENTAL

Conventional Treatment

Intervention Type PROCEDURE

Conventional treatment includes surgeries such as laminectomy, spinal decompression etc. and the medicine generally adapted to treat spinal cord injury

Lithium Carbonate Tablet

Intervention Type DRUG

250mg/tablet, administrated orally for 6 weeks.

Cord Blood Cell

Intervention Type BIOLOGICAL

Cord blood mononuclear cell, 6.4 million viable cells, are transplanted into spinal cord at upper and lower edges of the injured site

Interventions

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Conventional Treatment

Conventional treatment includes surgeries such as laminectomy, spinal decompression etc. and the medicine generally adapted to treat spinal cord injury

Intervention Type PROCEDURE

Lithium Carbonate Tablet

250mg/tablet, administrated orally for 6 weeks.

Intervention Type DRUG

Cord Blood Cell

Cord blood mononuclear cell, 6.4 million viable cells, are transplanted into spinal cord at upper and lower edges of the injured site

Intervention Type BIOLOGICAL

Placebo

Placebo tablet, orally administration of placebo for 6 weeks

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* either gender and 18-65 years old;
* acute or subacute traumatic spinal cord injury (defined as SCI resulting from an exteneral non-penetrating cause that occurred within 4 weeks);
* neurological status of ASIA A;
* neurological level between C5-T11;
* MRI shows injury site is within 3 vertebral level and necrotic focus, if exist, is less than 1/3 of the spinal cord diameter;
* professional judgment determinate that subjects need a spinal decompression surgery;
* subjects able to complete neurological examination;
* subjects have voluntarily signed and dated an informed consent form.

Exclusion Criteria

* penetration SCI such as gun-shoot, knife-cutting or SCI caused by non-traumatic conditions;
* spinal cord lesion exceeds three segments or necrotic focus with diameter larger than 1/3 of the spinal cord;
* severe complications;
* significant medical diseases or infection;
* pregnant or lactating woman, or female of childbearing potential and who is unwilling to use an effective contraceptive method while enrolled in the study;
* unavailability of suitable umbilical cord blood cells;
* contraindication of lithium carbonate and/or spinal decompression surgery
* subject is currently participating in another study or has been taking any investigational drug within the last 4 weeks prior to screening;
* investigator suggests that the subject would not be suitable to participate this study
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chengdu PLA General Hospital

OTHER

Sponsor Role collaborator

StemCyte, Inc.

INDUSTRY

Sponsor Role collaborator

China Spinal Cord Injury Network

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hui Zhu, MD

Role: PRINCIPAL_INVESTIGATOR

Chengdu PLA General Hospital

Locations

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Treating Center of Spinal Cord Injury, Chinese PLA Chengdu Army Kunming General Hospital

Kunming, Yunnan, China

Site Status

Countries

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China

Other Identifiers

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CN102c

Identifier Type: -

Identifier Source: org_study_id

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