Efficacy of Stem Cell Transplantation Compared to Rehabilitation Treatment of Patients With Cerebral Paralysis

NCT ID: NCT01929434

Last Updated: 2017-12-27

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

PHASE3

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2016-12-31

Brief Summary

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Cerebral palsy (CP) is described as a group of permanent disorders affecting motor development and posture, resulting in activity limitation attributed to nonprogressive disturbances of the fetal or infant brain. The prevalence of cerebral palsy has increased among the children with low birth-weight, jaundice, respiratory distress and intrauterine infection and so on. The incidence of cerebral palsy is increasing gradually with increased neonatal survival rate. Although there are many kinds of functional therapy programs especially the rehabilitation treatment for cerebral palsy, their effects are limited. Increasing cerebral palsy patients become a heavy burden to the family and society. Stem cell based therapy, a new prospective therapy for central nervous system disorders, has the potential to repair the damaged brain tissue in patients with cerebral palsy.

In this study, 300 patients with cerebral palsy will be divided into three groups and the investigators will use mesenchymal stem cells derived from umbilical cord to treat 100 CP patients of them randomly. We will also follow up the other 100 patients who only receive rehabilitation treatment and another 100 patients who accept neither stem cell therapy nor rehabilitation treatment. On this basis, as the investigators we can compare the efficacy of cell therapy and rehabilitation treatments for cerebral palsy patients.

Multiple sources of assessment were used to ascertain and classify all cases of cerebral palsy. Particularly the Gross Motor Function Measure (GMFM) as an important valid and reliable outcome measure, has made it possible to evaluate the severity of movement disability,change over time and the effects of clinical interventions. It also will be the primary outcome measure in follow-up analysis of this study.

Detailed Description

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Patients enrolled in this study need to finish our whole follow-up survey for 12 months, which is carried out by clinical doctors, rehabilitators and epidemiologist.

Conditions

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Cerebral Palsy

Keywords

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cerebral palsy cell transplantation rehabilitation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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rehabilitation

Patients in the group accept rehabilitation for three weeks in hospital and other eleven months in their home under the guidance of physical therapist.

Group Type ACTIVE_COMPARATOR

rehabilitation

Intervention Type OTHER

Patients only receive rehabilitation of physical therapy and occupational therapy.

control

Patients receive no professional treatment in hospital or rehabilitation centre.

Group Type NO_INTERVENTION

No interventions assigned to this group

stem cell injection

Patients in the group accept cell therapy including four times stem cells transplant via intrathecal injection.

Group Type EXPERIMENTAL

stem cell injection

Intervention Type BIOLOGICAL

Mesenchymal stem cells derived from umbilical cord are transplanted directly into subarachnoid by Lumbar puncture.

Interventions

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rehabilitation

Patients only receive rehabilitation of physical therapy and occupational therapy.

Intervention Type OTHER

stem cell injection

Mesenchymal stem cells derived from umbilical cord are transplanted directly into subarachnoid by Lumbar puncture.

Intervention Type BIOLOGICAL

Other Intervention Names

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phsical exercise rehabilitation

Eligibility Criteria

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Inclusion Criteria

* Patients with diagnosis of cerebral palsy.
* Patients' curator must be able to give voluntary consent.

Exclusion Criteria

* Intracranial infection.
* Severe respiratory and circulatory system diseases.
* Hematologic malignancies.
* Positive serological tests such as AIDS, hepatitis B virus, hepatitis C virus and syphilis (antigen or antibody).
* Tumors.
* Genetic and metabolic diseases.
Minimum Eligible Age

1 Year

Maximum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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General Hospital of Chinese Armed Police Forces

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yihua An, Doctor

Role: STUDY_DIRECTOR

the General Hospital of Chinese People's Armed Police Forces

Locations

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General Hospital of Chinese People's Armed Police Forces

Beijing, Beijing Municipality, China

Site Status

Countries

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China

References

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Pharoah PO, Platt MJ, Cooke T. The changing epidemiology of cerebral palsy. Arch Dis Child Fetal Neonatal Ed. 1996 Nov;75(3):F169-73. doi: 10.1136/fn.75.3.f169.

Reference Type BACKGROUND
PMID: 8976681 (View on PubMed)

Richards CL, Malouin F. Cerebral palsy: definition, assessment and rehabilitation. Handb Clin Neurol. 2013;111:183-95. doi: 10.1016/B978-0-444-52891-9.00018-X.

Reference Type BACKGROUND
PMID: 23622163 (View on PubMed)

Himmelmann K. Epidemiology of cerebral palsy. Handb Clin Neurol. 2013;111:163-7. doi: 10.1016/B978-0-444-52891-9.00015-4. No abstract available.

Reference Type BACKGROUND
PMID: 23622160 (View on PubMed)

Reddihough DS, Collins KJ. The epidemiology and causes of cerebral palsy. Aust J Physiother. 2003;49(1):7-12. doi: 10.1016/s0004-9514(14)60183-5.

Reference Type BACKGROUND
PMID: 12600249 (View on PubMed)

Rethlefsen SA, Ryan DD, Kay RM. Classification systems in cerebral palsy. Orthop Clin North Am. 2010 Oct;41(4):457-67. doi: 10.1016/j.ocl.2010.06.005.

Reference Type BACKGROUND
PMID: 20868878 (View on PubMed)

Lubis MU, Tjipta GD, Marbun MD, Saing B. Cerebral palsy. Paediatr Indones. 1990 Mar-Apr;30(3-4):65-70.

Reference Type BACKGROUND
PMID: 2075008 (View on PubMed)

Other Identifiers

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2013-05-13 CP III

Identifier Type: -

Identifier Source: org_study_id