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| Name | Class |
|---|---|
| Iniciativa Andaluza en Terapias Avanzadas | OTHER |
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A multicenter phase I/II Clinical trial,randomized, controlled with placebo, triple blind to evaluate the safety of the intravenous administration of 3 doses of autologous mesenchymal stem cells cells from adipose tissue in patients with Amyotrophic Lateral Sclerosis (ALS).
A multicenter phase I/II Clinical trial,randomized, controlled with placebo, triple blind to evaluate the safety of the intravenous administration of 3 doses of autologous mesenchymal stem cells cells from adipose tissue in patients with Amyotrophic Lateral Sclerosis (ALS).
40 patients will be enrolled and will be randomized into one of the following 4 arms:
The follow-up phase of each patient from the cell infusion/placebo will be 6 months.
At the time that each patient completed the follow-up period (i.e., 6 months after the infusion of the cellular product or placebo), the blind will be open, and patients who have been assigned to the control group, will receive the cell product as secondary treatment. These patients will be randomized to receive each of the doses used in the first phase. From this point, they begin a second period of follow up of 6 months.
In addition, after 6 months of MSC infusion, every patient will continue in an open extension study for 36 months to assess the safety of MSC.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Intravenous administration of placebo |
|
| 1 million of MSC | Experimental | Intravenous administration of 1 million of MSC/ kg |
|
| 2 million of MSC | Experimental | Intravenous administration of 2 million of MSC/ kg |
|
| 4 million of MSC | Experimental | Intravenous administration of 4 million of MSC/ kg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intravenous administration of placebo | Other |
| ||
| Intravenous administration of 1 million of MSC |
| Measure | Description | Time Frame |
|---|---|---|
| Number of adverse serious unexpected reactions or not, attributable to the treatment (SUSSARs or SAE) | To evaluate the safety of the intravenous administration of 3 doses of autologous mesenchymal stem cells (MSC) from adipose tissue in patients with Amyotrophic lateral Sclerosis (ALS) ABSENCE of: complications in the place of the infusion, appearance of a new neurological effect not attributable to the natural progression of this pathology and adverse serious unexpected reactions or not, attributable to the treatment (SUSSARs or SAE) | 6 months |
| Complications in the place of the infusion | To evaluate the safety of the intravenous administration of 3 doses of autologous | 6 months |
| Appearance of a new neurological effect not attributable to the natural progression of this pathology | To evaluate the safety of the intravenous administration of 3 doses of autologous | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in the progression of the disease (modifications in the scale of functionality of the ALS) | 6 months | |
| Changes in the degree of muscular force | 6 months | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Óscar Fernández, MD | Hospital Regional U. de Málaga | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Regional Universitario Reina Sofía | Córdoba | 14004 | Spain | |||
| Hospital Regional Universitario de Málaga |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28674982 | Derived | Ilieva H, Maragakis NJ. Motoneuron Disease: Clinical. Adv Neurobiol. 2017;15:191-210. doi: 10.1007/978-3-319-57193-5_7. |
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| Drug |
|
| Intravenous administration of 2 million of MSC | Drug |
|
| Intravenous administration of 4 million of MSC | Drug |
|
| Changes in the vital forced capacity |
| 6 months |
| Changes of the muscular mass estimated by Nuclear Magnetic Resonance (NMR) of the upper and low extremities | 6 months |
| Changes in neurophysiological parameters and of quality of life | 6 months |
| Need and time to tracheotomy or permanent assisted ventilation | 6 months |
| Málaga |
| 29010 |
| Spain |
| Hospital Universitario Virgen Macarena, Servicio de Neurología | Seville | 41009 | Spain |
| Hospital Universitario Virgen del Rocío | Seville | 41013 | Spain |
| ID | Term |
|---|---|
| D000690 | Amyotrophic Lateral Sclerosis |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D016472 | Motor Neuron Disease |
| D019636 | Neurodegenerative Diseases |
| D057177 | TDP-43 Proteinopathies |
| D009468 | Neuromuscular Diseases |
| D057165 | Proteostasis Deficiencies |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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