Autologous Stem Cells in Newborns With Oxygen Deprivation

NCT ID: NCT01506258

Last Updated: 2012-01-19

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-01-31

Study Completion Date

2013-04-30

Brief Summary

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The purpose of this study is to determine whether the plasticity of autologous intravenous application of cord blood stem cells would improve the clinical course of asphyxiated newborns.

Detailed Description

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When there is oxygen deprivation, more frequently in premature newborns, the brain and other organs suffer severe consequences. There is evidence that hematopoietic stem cells can help in this scenario by promoting the release of growth-enhancing factors that can help control the damage due to their "homing" capacity, which attracts them to injured sites.

Cord and placental blood have a high concentration of these stem cells, and because its obtention is relatively easy, it seems like a feasible treatment in perinatal hypoxia.

There are current clinical trials that use cryopreserved cord blood for these patients but, to do that, the stem cells have to be frozen and then thawed to be infused, losing a considerable amount of stem cells (almost half of them). We want to evaluate the same condition but infusing non-cryopreserved autologous cord and placental blood because we believe it can be more beneficial due to the greater amount of cells infused, the avoidance of the cryoprotection agent´s toxicity and the lower costs.

Conditions

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Apgar; 0-3 at 1 Minute Metabolic Acidosis Hypoxia, Brain Multiple Organ Failure

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Patients not infused with stem cells

Historic Controls

Group Type NO_INTERVENTION

Observation

Intervention Type PROCEDURE

Control group of patients that meet the inclusion criteria but that do not wish to have the intervention.

Patients infused with stem cells

Group Type EXPERIMENTAL

Application of Stem Cells

Intervention Type PROCEDURE

IV infusion of autologous stem cells within the first 48 hours after birth.

Interventions

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Application of Stem Cells

IV infusion of autologous stem cells within the first 48 hours after birth.

Intervention Type PROCEDURE

Observation

Control group of patients that meet the inclusion criteria but that do not wish to have the intervention.

Intervention Type PROCEDURE

Other Intervention Names

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IV infusion of autologous cord and placental cord blood Comparison group

Eligibility Criteria

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Inclusion Criteria

* Apgar \< 5 at 5 minutes
* Mixed or metabolic acidosis with a pH \<7.0 from umbilical cord blood sample
* Neurological manifestations compatible with Hypoxic-Ischemic Encephalopathy
* Any degree of organic/systemic affectation (cardiovascular, gastrointestinal, hematologic and/or respiratory)

Exclusion Criteria

* Neurodegenerative, autoimmune or genetic disease
* Active infection at birth
* Informed Consent not signed
Minimum Eligible Age

37 Weeks

Maximum Eligible Age

42 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Universitario Dr. Jose E. Gonzalez

OTHER

Sponsor Role lead

Responsible Party

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Consuelo Mancias Guerra

Pediatric Hematology Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Consuelo Mancias-Guerra, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitario Dr. Jose E. Gonzalez

Alma R Marroquin-Escamilla, MD

Role: STUDY_DIRECTOR

Hospital Universitario Dr. Jose E. Gonzalez

David Gómez-Almaguer, MD

Role: STUDY_CHAIR

Hospital Universitario Dr. Jose E. Gonzalez

Locations

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Neonatology Department of the Pediatrics Service, Hospital Universitario Dr. Jose E. Gonzalez

Monterrey, Nuevo León, Mexico

Site Status RECRUITING

Countries

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Mexico

Central Contacts

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Consuelo Mancias-Guerra, MD

Role: CONTACT

+52 81 83 48 61 36 ext. 413

Alma R Marroquin-Escamilla, MD

Role: CONTACT

+52 81 83 48 61 36

Facility Contacts

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Consuelo Mancias-Guerra, MD

Role: primary

+52 01 86 75 67 18

Other Identifiers

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HE-11-011

Identifier Type: -

Identifier Source: org_study_id

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