Allogenic Mesenchymal Stem Cells And Physical Therapy for MS Treatment

NCT ID: NCT03326505

Last Updated: 2020-03-04

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-25

Study Completion Date

2020-02-20

Brief Summary

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This study aims at expanding Umbilical Cord derived Mesenchymal Stem Cells (MSCs) to a clinical scale according to Good Laboratory Practice and study its efficacy when compared to a Supervised Physical Therapy Program alone.

Detailed Description

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Umbilical cord derived MSCs bank will be generated and all patients given the same cells from the same biological sample.

Thorough clinical, cognitive and motor analysis will be performed at baseline and compared to outcomes at 3 different time points of all enrolled patients.

The study will consist of three arms: 1- Stem cells treatment 2- Stem cells and supervised physical therapy 3- Supervised physical therapy

Conditions

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Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Injection of Umbilical cord derived UC- MSCs

Allogenic Umbilical Cord derived stem cells injected intrathecally to enrolled MS patients

Group Type ACTIVE_COMPARATOR

Umbilical cord derived Mesenchymal Stem Cells

Intervention Type BIOLOGICAL

Allogenic umbilical cord derived stem cells which are to be injected intrathecally as a treatment option for consenting MS patients

injection of UC- MSCs and SPT

Allogenic Umbilical Cord derived stem cells injected intrathecally to enrolled MS patients along with a supervised physical therapy program

Group Type ACTIVE_COMPARATOR

Umbilical cord derived Mesenchymal Stem Cells

Intervention Type BIOLOGICAL

Allogenic umbilical cord derived stem cells which are to be injected intrathecally as a treatment option for consenting MS patients

Supervised physical therapy

Intervention Type OTHER

A combined physical therapy program of Balance, strengthening and endurance exercises

Supervised Physical Therapy (SPT)

Supervised physical therapy program without stem cells

Group Type ACTIVE_COMPARATOR

Supervised physical therapy

Intervention Type OTHER

A combined physical therapy program of Balance, strengthening and endurance exercises

Interventions

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Umbilical cord derived Mesenchymal Stem Cells

Allogenic umbilical cord derived stem cells which are to be injected intrathecally as a treatment option for consenting MS patients

Intervention Type BIOLOGICAL

Supervised physical therapy

A combined physical therapy program of Balance, strengthening and endurance exercises

Intervention Type OTHER

Other Intervention Names

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UC-MSCs SPT

Eligibility Criteria

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Inclusion Criteria

* A clinical diagnosis of definite MS according to the revised McDonald Criteria.
* Expanded Disability Status Scale (EDSS) ≤ 7
* Failure of standard medical therapy
* Disease duration of at least three years prior to enrollment.

Exclusion Criteria

* Pregnant and lactating women
* Previous treatment with immunosuppressive agents in the last 12 months prior to enrollment
* Recent MS relapse in the month prior to enrollment
* Treatment with oral or parenteral steroids for any cause in the month prior to enrollment
* Significant systemic medical disorders including cardiac, renal, hepatic, hematologic, immunologic or endocrine disorders
* Previous treatment with interferons or glatiramer acetate in the 3 months prior to enrollment
* Any contra-indication for magnetic resonance imaging (MRI) or gadolinium contrast.
* Positive serology for HIV, Hepatitis B or Hepatitis C
* Any history of malignancy or exposure to radiation at any time prior to enrollment
* Any contra-indication to lumbar puncture
* Severe cognitive impairment that would interfere with the patient's ability to understand and sign the informed consent.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Jordan

OTHER

Sponsor Role lead

Responsible Party

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Fatima Jamali

Head of Neuroscience Research

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Abdallah Awidi, MD

Role: STUDY_DIRECTOR

Cell Therapy Center

Locations

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Cell Therapy Center, University of Jordan

Amman, , Jordan

Site Status

Cell Therapy Center

Amman, , Jordan

Site Status

Countries

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Jordan

References

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Alghwiri AA, Jamali F, Aldughmi M, Khalil H, Al-Sharman A, Alhattab D, Al-Radaideh A, Awidi A. The effect of stem cell therapy and comprehensive physical therapy in motor and non-motor symptoms in patients with multiple sclerosis: A comparative study. Medicine (Baltimore). 2020 Aug 21;99(34):e21646. doi: 10.1097/MD.0000000000021646.

Reference Type DERIVED
PMID: 32846775 (View on PubMed)

Other Identifiers

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ALLOMSUJCTC

Identifier Type: -

Identifier Source: org_study_id

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