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Allogeneic human umbilical cord tissue-derived stem cells injected intravenously (IV) once per day for 7 days is a safe and will induce a therapeutic effect in multiple sclerosis (MS) patients.
The proposed study will assess primarily safety and secondary efficacy endpoints of allogeneic umbilical cord mesenchymal stem cells (UC-MSC) administered to 20 patients with MS.
The primary objective of the trial is freedom from treatment associated adverse events at 4,12 and 52 weeks post treatment. Secondary objective will be efficacy as assessed at baseline, week 12 and 52 and will be quantified based on the following: Neurological assessment of the MS functional composite assessment which comprises of Expanded Disability Status Scale (EDSS), the expanded EDSS (Rating Neurologic Impairment in Multiple Sclerosis, the Scripps neurological rating scale (NRS), paced auditory serial addition test (PASAT), the nine-hole peg test, and 25-foot walking time. Short-form 36 (SF-36) quality of life questionnaire and gadolinium enhanced MRI scans of the brain and cervical spinal cord will also be performed at the indicated time points.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Umbilical cord mesenchymal stem cells | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Umbilical cord mesenchymal stem cells | Biological |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with adverse events | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with a change in disability as measured by Expanded Disability Status Scale (EDSS) | 12 months | |
| Number of participants with a change in neurological impairment as measured by Scripps Neurological Rating Scale | 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jorge Paz-Rodriguez, MD | Translational Biosciences / Stem Cell Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stem Cell Institute | Panama City | Panama |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29523171 | Derived | Riordan NH, Morales I, Fernandez G, Allen N, Fearnot NE, Leckrone ME, Markovich DJ, Mansfield D, Avila D, Patel AN, Kesari S, Paz Rodriguez J. Clinical feasibility of umbilical cord tissue-derived mesenchymal stem cells in the treatment of multiple sclerosis. J Transl Med. 2018 Mar 9;16(1):57. doi: 10.1186/s12967-018-1433-7. |
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| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
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| Number of participants with a change in cognitive function as measured by the • Paced Auditory Serial Addition Test (PASAT) | 12 months |
| Number of participants with a change in upper extremity function as measured by the Nine Hole Peg Test | 12 months |
| Number of participants with a change in mobility and leg function as measured by the 25 foot walking test | 12 months |
| Number of participants with a change in quality of life as measured by the Short form 36 (SF-36) quality of life questionnaire | 12 months |
| Number of participants experiencing pulmonary edema as measured by 12-lead electrocardiogram (ECG) | 1 month, 3 months |
| Number of participants with a change in brain or spinal cord lesions as measured by gadolinium-enhanced magnetic resonance imaging (MRI) | 12 months |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |