Autologous Bone Marrow-derived Mononuclear Cells for Acute Spinal Cord Injury

NCT ID: NCT04528550

Last Updated: 2021-07-07

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

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-01

Study Completion Date

2023-12-01

Brief Summary

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The purpose of this study is to evaluate the safety and effectiveness of intrathecal transplantation of autologous bone marrow-derived mononuclear cells for the treatment of traumatic acute spinal cord injury. Spinal cord injury can be divided into three phases, which are acute (within 2 weeks), sub-acute (2 weeks to 6 months), and chronic (over 6 months). Early treatment is the key to improve the prognosis, however, the majority of clinic trails nowadays are focusing on sub-acute or chronic phase because it takes 4-6 weeks to expand the autologous stem cells. In this study, the investigators will treat patients with acute spinal cord injury with autologous bone marrow-derived mononuclear cells and compare with the control group.

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

A 2:1 ratio of randomization (intervention group: control group) was used.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Autologous bone marrow-derived mononuclear cells

Intrathecal transplantation of autologous bone marrow-derived mononuclear cells through lumbar injection in acute phase. Each included patient will receive a single dose of 100 million autologous bone marrow-derived mononuclear cells.

Group Type EXPERIMENTAL

Autologous bone marrow-derived mononuclear cells

Intervention Type BIOLOGICAL

Intrathecal transplantation of autologous bone marrow-derived mononuclear cells through lumbar injection.

Control

Included patients will receive the same amount of saline through lumbar injection.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Included patients will receive the same amount of saline through lumbar injection.

Interventions

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Autologous bone marrow-derived mononuclear cells

Intrathecal transplantation of autologous bone marrow-derived mononuclear cells through lumbar injection.

Intervention Type BIOLOGICAL

Placebo

Included patients will receive the same amount of saline through lumbar injection.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients aged between 18 and 60 years
* Traumatic spinal cord injury
* ASIA Impairment Scale A-D
* The injury must be within two weeks
* Patients submitted written informed consent

Exclusion Criteria

* Traumatic spinal cord injury with brain injury or peripheral nerve injury
* Patients with severe multiple injuries and unstable vital signs
* Non-traumatic spinal cord injury caused by spinal tumors, hematoma, myelitis, etc.
* Patients with central spinal cord injury
* Patients with a completely transected spinal cord
* Patients with fever or acute infection
* Ongoing infectious disease, such as tuberculosis, HIV, hepatitis, syphilis, etc.
* Patients with anemia, coagulopathy, and other known blood system diseases
* Patients with malignant tumour
* Patients with neurodegenerative diseases, or any neuropathies
* Patients with ankylosing spondylitis
* Patients with a previous history of spinal surgery
* Patients who are pregnant or possibly pregnant
* Patients with psychiatric, addictive or any other mental disorders that can not give a truly informed consent
* Patients who are participating in other clinical trials
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Changzheng Hospital

OTHER

Sponsor Role lead

Responsible Party

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Xuhua Lu

Director of Traumatic Orthopaedic Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xuhua Lu

Role: PRINCIPAL_INVESTIGATOR

Shanghai Changzheng Hospotal

Locations

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Shanghai Changzheng Hospital

Shanghai, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xuhua Lu, M.D.

Role: CONTACT

86-21-81885793

Bangke Zhang, M.D.

Role: CONTACT

8618301783716

Facility Contacts

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Xiaoguang Li, M.D.

Role: primary

86-21-81885045

Other Identifiers

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202082201

Identifier Type: -

Identifier Source: org_study_id

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