Evaluate the Safety and Feasibility of Allogeneic Mesenchymal Stem Cells in Patients With Multiple Sclerosis

NCT ID: NCT06360861

Last Updated: 2024-04-11

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

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-23

Study Completion Date

2024-03-06

Brief Summary

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To assess the safety and of a single dose of IV infusion of placenta derived Mesenchymal Stem Cells (PLMSCs) in patients with secondary progressive Multiple Sclerosis (SPMS) disease.

Monitoring will be encompassed baseline assessments and follow-ups over subsequent months, evaluating clinical signs, Expanded Disability Status Scale (EDSS), cytokines, diffusion tensor imaging (DTI), functional MRI (fMRI), cognitive \& psychological evaluations, and flow cytometry for B cell markers.

Detailed Description

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This open-label phase I study will be conducted in MS Clinic of Sina and Shariati Hospital of Tehran province .

In this study, diagnosis and management of MS patients will be performed based on McDonald's criteria and Iran's diagnostic and treatment protocols.

The patients will be received a single injection of PLMSCs through the intravenous cannula.

The proposed study will assess safety and short efficacy endpoints of PLMSCs administered to 5 patients with SPMS.

The primary objective of the trial is freedom from treatment associated adverse events at 1,3 and 6 months' post treatment. Secondary objective will be efficacy as assessed at baseline, at 1,3 and 6 months and will be based on the following: EDSS, cytokines, DTI, fMRI, cognitive \& psychological evaluations, and flow cytometry for B cell markers.

Conditions

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Multiple Sclerosis Secondary-Progressive Multiple Sclerosis Mesenchymal Stem Cells

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Open-label phase 1, single-center, pre-post comparison study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Placenta derived mesenchymal cells

Allogenic placenta derived mesenchymal stem cells, 3 million cells/kg body weight via intravenous injection

Group Type EXPERIMENTAL

Allogenic placenta derived mesenchymal stem cells

Intervention Type BIOLOGICAL

Allogenic placenta derived mesenchymal stem cells, 3 million cells/kg body weight via intravenous injection.

Interventions

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Allogenic placenta derived mesenchymal stem cells

Allogenic placenta derived mesenchymal stem cells, 3 million cells/kg body weight via intravenous injection.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Age between 17-45 years Patients with SPMS .
* Must be able to Sign informed consent .
* Currently taking Rituximab.
* Disease duration of more than 2 and less than 16 years.

Exclusion Criteria

* Pregnancy or breastfeeding.
* hepatitis B and C, human immunodeficiency virus (HIV), and human T-cell lymphotropic virus (HTLV) disease.
* Using cytotoxic agents within 3 months prior to the study.
* Severe anemia (hemoglobin\< 8 mg/dl), coagulation disorders.
* history of malignancy .
* liver disorders .
* significant cardiac, renal or hepatic failure .
* Active or chronic infection.
* Life-threatening organ dysfunction.
* Unable to give written informed consent .
* Current treatment with an investigational therapy.
Minimum Eligible Age

17 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tehran University of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Abdorreza Naser Moghadasi, MD

Role: STUDY_DIRECTOR

Multiple Sclerosis Research Center,Neuroscience Institute,Sina Hospital,Tehran, Iran.

Mohsen Nikbakht, PhD

Role: STUDY_DIRECTOR

Research Institute for Oncology, Hematology& Cell Therapy Facility, Shariati Hospital ,Tehran, Iran.

Ameneh Shokati, PhD

Role: PRINCIPAL_INVESTIGATOR

Applied Cell Sciences,Tehran University of Medical Sciences,Tehran, Iran.

Locations

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Tehran University of Medical Sciences,Tehran, Iran

Tehran, , Iran

Site Status

Countries

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Iran

References

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Shokati A, Naser Moghadasi A, Nikbakht M, Sahraian MA, Mousavi SA, Ai J. A focus on allogeneic mesenchymal stromal cells as a versatile therapeutic tool for treating multiple sclerosis. Stem Cell Res Ther. 2021 Jul 13;12(1):400. doi: 10.1186/s13287-021-02477-5.

Reference Type BACKGROUND
PMID: 34256857 (View on PubMed)

Ebrahimi-Barough S, Ai J, Payab M, Alavi-Moghadam S, Shokati A, Aghayan HR, Larijani B, Arjmand B. Standard Operating Procedure for the Good Manufacturing Practice-Compliant Production of Human Endometrial Stem Cells for Multiple Sclerosis. Methods Mol Biol. 2021;2286:199-212. doi: 10.1007/7651_2020_281.

Reference Type BACKGROUND
PMID: 32504294 (View on PubMed)

Other Identifiers

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IR.TUMS.MEDICINE.REC.1400.197

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

1400-1-233-51589

Identifier Type: -

Identifier Source: org_study_id

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