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The objective of the study is to determine if the cell therapy NC1 administered in the spinal cord is effective for the treatment of a post-traumatic syringomyelia. The post-traumatic syringomyelia is the development and progression of cyst filled with cerebrospinal fluid (CSF) within the spinal cord. The cell therapy NC1 consist on cells obtained from the bone marrow of the patient, that are cultured in vitro and administered in the spinal cord of the same patient.
Phase II, Open, prospective, not controlled, not randomized clinical trial in patients affected by post-traumatic syringomyelia. The trial evaluates the efficacy of the cell therapy NC1 administered via intrathecal in the location of the injury. After the administration of the cell therapy, patients will undergo physiotherapy during the follow-up period (6 months). Patients will be evaluated at month 3 and month 6 after the NC1 administration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NC 1 cell therapy | Experimental | All patients will be treated with the same treatment: NC1 cell therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NC 1 cell therapy | Biological | All patients will be treated with NC1 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia using the ASIA scale (American Spinal Injury Association | Neurological evaluation is done using ASIA scale (American Spinal Injury Association) | Pretreatment, month 3 post treatment, month 6 post treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Safety, by the assessment of the adverse events of the study | Adverse events | 1 year |
| Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia assessed with the IANR-SCIFRS scale (Injury Functional Rating Scale) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jesús Vaquero Crespo, M.D. | Hospital Universitario Puerta de Hierro Majadahonda | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19012250 | Background | Vaquero J, Zurita M. Bone marrow stromal cells for spinal cord repair: a challenge for contemporary neurobiology. Histol Histopathol. 2009 Jan;24(1):107-16. doi: 10.14670/HH-24.107. | |
| 21163325 | Background | Vaquero J, Zurita M. Functional recovery after severe CNS trauma: current perspectives for cell therapy with bone marrow stromal cells. Prog Neurobiol. 2011 Mar;93(3):341-9. doi: 10.1016/j.pneurobio.2010.12.002. Epub 2010 Dec 14. |
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Anonymized individual data of participants will be shared with Authorities at the end of the Clinical Development Plan by the CTD (Common Technical Document). Results will be published in a scientific publication.
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Starting at CTD submission to authorities.
Spanish competent authority.
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Apr 9, 2019 | |
| Reset | Apr 29, 2019 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Apr 9, 2019 | Apr 29, 2019 |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
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Neurological evaluation is done using IANR-SCIFRS scale (Injury Functional Rating Scale) |
| Pretreatment, month 3 post treatment, month 6 post treatment |
| Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia in terms of spams frequency | Neurological evaluation is done using PENN scale (spams frequency score) | Pretreatment, month 3 post treatment, month 6 post treatment |
| Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia in term of spasticity | Neurological evaluation is done using Ashworth scale (spasticity) | Pretreatment, month 3 post treatment, month 6 post treatment |
| Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia using the Visual Analog Scale | Neurological evaluation is done using EVA scale (Visual Analog Scale) | Pretreatment, month 3 post treatment, month 6 post treatment |
| Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia in terms of bladder functionality | Neurological evaluation is done using GEFFNER scale (bladder functionality) | Pretreatment, month 3 post treatment, month 6 post treatment |
| Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia using the Behavior Dimensions Scale | Neurological evaluation is done using BDS scales (Behavior Dimensions Scale) | Pretreatment, month 3 post treatment, month 6 post treatment |
| Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia in terms of somatosensory or motor evoked potentials | Present of somatosensory or motor evoked potentials | Pretreatment, month 3 post treatment, month 6 post treatment |
| Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia by electromyography | EMG (Electromyography) | Pretreatment, month 3 post treatment, month 6 post treatment |
| Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia studying the spinal cord morphology | Spinal cord morphology (by Magnetic Resonance) | Pretreatment, month 3 post treatment, month 6 post treatment |
| Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia in terms of defecatory function | Neurological evaluation is done assessing the defecatory function | Pretreatment, month 3 post treatment, month 6 post treatment |
| 21942842 | Background | Otero L, Zurita M, Bonilla C, Aguayo C, Rico MA, Rodriguez A, Vaquero J. Allogeneic bone marrow stromal cell transplantation after cerebral hemorrhage achieves cell transdifferentiation and modulates endogenous neurogenesis. Cytotherapy. 2012 Jan;14(1):34-44. doi: 10.3109/14653249.2011.608349. Epub 2011 Sep 23. |
| 21208021 | Background | Otero L, Zurita M, Bonilla C, Aguayo C, Vela A, Rico MA, Vaquero J. Late transplantation of allogeneic bone marrow stromal cells improves neurologic deficits subsequent to intracerebral hemorrhage. Cytotherapy. 2011 May;13(5):562-71. doi: 10.3109/14653249.2010.544720. Epub 2011 Jan 5. |
| 22507677 | Background | Huang H, Xi H, Chen L, Zhang F, Liu Y. Long-term outcome of olfactory ensheathing cell therapy for patients with complete chronic spinal cord injury. Cell Transplant. 2012;21 Suppl 1:S23-31. doi: 10.3727/096368912X633734. |