Tracking Inflammatory Cells Using Superparamagnetic Particles of Iron Oxide (SPIO) and Magnetic Resonance Imaging (MRI)
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Purpose
Treatment of a wide range of diseases using stem cells and other types of cell appears promising. Following administration of cells it is often not clear where exactly the cells have gone and how many of them have reached the target site. This has been one of the challenges of developing these treatment options further. We have developed a method of labelling human cells with a magnetic resonance imaging (MRI) "contrast agent" which contains tiny iron filings. Following intravenous administration it is possible to see where the iron-labelled cells have gone using MRI scanning. We would like to do is to demonstrate that these cells behave normally and migrate to a site of inflammation. We plan to induce an area of inflammation in the forearm of healthy volunteers using the Mantoux test (a test of immunity against tuberculosis) before giving the labelled cells intravenously. After the Mantoux test we will give these volunteers iron-labelled cells and do MRI scans of their forearm to determine whether these cells can be seen accumulating in the target site.
| Condition | Intervention |
|---|---|
|
Healthy |
Drug: Administration of intra-dermal Endorem Biological: Mantoux test Biological: Autologous Endorem-labelled mononuclear cells Drug: Administration of Endorem |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Diagnostic |
| Official Title: | In Vivo Tracking of Magnetically-labelled Human Mononuclear Cells Using MRI Scanning |
- Change in signal intensity in the region of interest on MRI scanning [ Time Frame: 0 hours, 24 hours, 48 hours, 3 - 5 days ] [ Designated as safety issue: No ]
| Enrollment: | 12 |
| Study Start Date: | July 2010 |
| Primary Completion Date: | April 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Administration of Intra-dermal SPIO
MRI scanning before and after intra-dermal injection of SPIO.
|
Drug: Administration of intra-dermal Endorem
single dose, intradermal
|
|
Experimental: Mantoux, Venesection, Labelled cells
Mantoux test then MRI scanning before and after administration of iron-labelled cells obtained by venesection.
|
Biological: Mantoux test
single dose, intradermal
Biological: Autologous Endorem-labelled mononuclear cells
single dose, intravenous
|
|
Experimental: Mantoux, Apheresis, Labelled cells
Mantoux test then MRI scanning before and after administration of iron-labelled cells obtained by apheresis.
|
Biological: Mantoux test
single dose, intradermal
Biological: Autologous Endorem-labelled mononuclear cells
single dose, intravenous
|
|
Experimental: Mantoux, Administration of Endorem
Mantoux test then MRI scanning before and after administration of Endorem.
|
Biological: Mantoux test
single dose, intradermal
Drug: Administration of Endorem
single dose, intravenous
|
|
Experimental: Mantoux only
Mantoux test then serial MRI scanning.
|
Biological: Mantoux test
single dose, intradermal
|
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Healthy male or female volunteers age 18 to 65 years
- Previous vaccine for tuberculosis more than 5 years ago
Exclusion Criteria:
- pregnancy / breast feeding
- Contra-indication to MRI scanning
- Inability or refusal to give informed consent
- Renal failure (eGFR <25mL/min) or hepatic dysfunction (Child's B or C)
- HIV/hepatitis B/hepatitis C/HTLV/syphilis
- Active malignant disease
- Anaemia
- Blood dyscrasia
- High risk of allergy to protamine sulphate (fish allergy, infertile men, vasectomy)
- Known history of tuberculosis infection.
- History of prolonged residence (> 6 months) in a region or country with a high prevalence of tuberculosis.
- Previous Mantoux reaction of 15mm of greater.
Contacts and Locations| United Kingdom | |
| University of Edinburgh / Royal Infirmary of Edinburgh | |
| Edinburgh, Scotland, United Kingdom, EH16SU4 | |
| Principal Investigator: | Jenny M Richards, MBChB MRCS | University of Edinburgh |
More Information
No publications provided
| Responsible Party: | University of Edinburgh |
| ClinicalTrials.gov Identifier: | NCT01169935 History of Changes |
| Other Study ID Numbers: | 10/S1102/31 |
| Study First Received: | July 23, 2010 |
| Last Updated: | February 4, 2013 |
| Health Authority: | United Kingdom: Research Ethics Committee |
Keywords provided by University of Edinburgh:
|
MRI SPIO Healthy Volunteer |
ClinicalTrials.gov processed this record on May 16, 2013