Umbilical Cord Derived Mesenchymal Stem Cells Treatment in Ischemic Stroke

NCT ID: NCT02580019

Last Updated: 2015-12-02

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

PHASE2

Total Enrollment

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2017-12-31

Brief Summary

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The study aims at estimating the safety and efficacy of the intravenous injection of human umbilical cord mesenchymal stem cell(hUC-MSC) for patients suffering from ischemic stroke in recent 3 months.

Detailed Description

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Given the attention paid in recent times, in China and elsewhere, to stroke, which is the leading cause of acquired adult disability and has negative effects on patients' quality of life.Therefore,It's little wonder there's much focus there days on treatment of stroke. For the patients who have suffered from ischemic stroke in 3 months, indeed, they have the opportunity to get symptomatic improvement through receiving conventional stroke treatments that including rehabilitation. At the same time, these treatments are ineffective in some cases. Alternatively, the phenomenon of increasing brain plasticity after stroke provoke an essential therapy. Human umbilical cord mesenchymal stem cells treatment enhances a functional improvement after cerebral ischemia, likewise, treament in rodent models are proved effective. Human umbilical cord mesenchymal stem cells therapy performs a role as take the place destroyed cerebral tissue with a stem cells graft. The totality of evidence from trials running umbilical cord mesenchymal stem cells transplanted into patients suffering from ischemic stroke support the safety of this approach. In terms of efficacy, positive results are reported in the majority of the trials.

Our research project involves a development of cell therapy in a phase IIa clinical trial of safety and efficacy in patients (randomised, controlled, open, with 2 parallel groups).

Conditions

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Stroke

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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conventional stroke treatment

Control group without intervention, whereas they receive conventional stroke treatment that including rehabilitation

Group Type NO_INTERVENTION

No interventions assigned to this group

hUC-MSC treatment

Patients will receive human umbilical cord mesenchymal stem cells transplantation accompanied with conventional treatment including rehabilitation

Group Type EXPERIMENTAL

Human umbilical cord mesenchymal stem cells

Intervention Type BIOLOGICAL

A single dose of 2×107 hUC-MSC will treated to patients, IV, Repeat every weeks for four times.

Interventions

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Human umbilical cord mesenchymal stem cells

A single dose of 2×107 hUC-MSC will treated to patients, IV, Repeat every weeks for four times.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Confirmed diagnosis of intracerebral ischemic stroke in three months by Magnetic Resonance Imaging(MRI)
* Patients have received proper treatment within two weeks from the onset of stroke symptoms.
* Age between 18 to 70 years old for men or women
* Patients with persistent neurological deficit .
* Obtaining informed consent signed (after being informed of the purpose, procedure, and venture of this study, the patient or guardian or legal representative must signing the informed consent document for engagement of participation.
* Patients basic situation are allowable to be involved in the program.

Exclusion Criteria

* Patients with serious extensive stroke, who are unwilling to the risk.
* Patients with serious persistent neurological deficit (NIHSS \> 24).
* Medical history of neurological pathology with a deficit as consequence (Rankin \< 3 before stroke).
* Patients with serious psychological disease.
* Patients with myocardial infarction in recent 3 months.
* Patients with recurring thromboembolic disease in recentin recent 3 months.
* Patients with organ transplantation.
* Patients with infection history including Human Immunodeficiency Virus(HIV),Human T-cell Leukemia Virus(HTLV), Hepatitis B Virus(HBV), Hepatitis C Virus(HCV),ect.
* Patients receive current immunosuppressive/immunomodulating treatment.
* Patients basic situation are unallowable to be involved in the program.
* Patients who refuse to participate.
* Patients who are inability or unwillingness of individual or legal guardian/representative to give written informed consent.
* Patients who are pregnant or feeding women.
* Patients who are Participating in another therapeutic clinical trial or in period of exclusion of a therapeutic clinical study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Affiliated Hospital to Academy of Military Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Duan Lian, P.H.D

Role: PRINCIPAL_INVESTIGATOR

Director and Professor, Department of Neurosurgery, Affiliated Hospital(307 Hospital), Academy of Military Medical Science, Beijing, China

Locations

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Department of Neurosurgery,Affiliated Hospital of Academy of Military Medical Sciences(307 Hospital)

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Central Contacts

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Li De Sheng, P.H.D

Role: CONTACT

13811435365 ext. 011-86-126

Huang Min, B.S

Role: CONTACT

18310706110 ext. 011-86-126

References

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Cheng Q, Zhang Z, Zhang S, Yang H, Zhang X, Pan J, Weng L, Sha D, Zhu M, Hu X, Xu Y. Human umbilical cord mesenchymal stem cells protect against ischemic brain injury in mouse by regulating peripheral immunoinflammation. Brain Res. 2015 Jan 12;1594:293-304. doi: 10.1016/j.brainres.2014.10.065. Epub 2014 Nov 6.

Reference Type BACKGROUND
PMID: 25449888 (View on PubMed)

Tsuji M, Taguchi A, Ohshima M, Kasahara Y, Sato Y, Tsuda H, Otani K, Yamahara K, Ihara M, Harada-Shiba M, Ikeda T, Matsuyama T. Effects of intravenous administration of umbilical cord blood CD34(+) cells in a mouse model of neonatal stroke. Neuroscience. 2014 Mar 28;263:148-58. doi: 10.1016/j.neuroscience.2014.01.018. Epub 2014 Jan 18.

Reference Type BACKGROUND
PMID: 24444827 (View on PubMed)

Verina T, Fatemi A, Johnston MV, Comi AM. Pluripotent possibilities: human umbilical cord blood cell treatment after neonatal brain injury. Pediatr Neurol. 2013 May;48(5):346-54. doi: 10.1016/j.pediatrneurol.2012.10.010.

Reference Type BACKGROUND
PMID: 23583051 (View on PubMed)

Yalvac ME, Rizvanov AA, Kilic E, Sahin F, Mukhamedyarov MA, Islamov RR, Palotas A. Potential role of dental stem cells in the cellular therapy of cerebral ischemia. Curr Pharm Des. 2009;15(33):3908-16. doi: 10.2174/138161209789649439.

Reference Type RESULT
PMID: 19938343 (View on PubMed)

Related Links

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http://journal.hep.com.cn/fmd/EN/Y2015/V9/I1/20

This review article provides an update role of hUC-MSCs implantation in the treatment of ischemic stroke.

http://www.nature.com/pr/journal/v72/n3/full/pr201271a.html

Human umbilical cord blood-derived mesenchymal stem cell transplantation attenuates severe brain injury by permanent middle cerebral artery occlusion in newborn rats

Other Identifiers

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Hospital307

Identifier Type: -

Identifier Source: org_study_id