Autologous Bone Marrow Mesenchymal Stem Cell Transplantation for Chronic Stroke
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Purpose
Stroke is one of the leading causes of disability in the world, and stem cell - transplantation provides a promising approach for rehabilitation. The main objective of this study is to evaluate the efficacy of the intracerebral injection of autologous bone marrow mesenchymal stem cells in patients with chronic stroke.
| Condition | Intervention | Phase |
|---|---|---|
|
Stroke |
Genetic: intracerebral stem cell transplantation |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Autologous Bone Marrow Mesenchymal Stem Cell Transplantation for Treatment of Chronic Stroke |
- Change from baseline in NIH Stroke Scale at 12 months [ Time Frame: 1, 6 and 12 months ] [ Designated as safety issue: Yes ]
- Improvement of infarct size measured by brain MRI [ Time Frame: 1,6 and 12 months after transplantation ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 30 |
| Study Start Date: | June 2012 |
| Estimated Study Completion Date: | December 2015 |
| Estimated Primary Completion Date: | December 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: intracerebral stem cell transplantation
Intracerebral transplantation of autologous bone marrow mesenchymal stem cell, 2-4 million stem cells per patient plus conventional treatment include rehabilitation
|
Genetic: intracerebral stem cell transplantation
Intracerebral transplantation of autologous bone marrow mesenchymal stem cell, 2-4 million stem cells per patient
|
|
No Intervention: conventional treatment
Control group receive conventional stroke treatment that include rehabilitation
|
Detailed Description:
For many stroke survivors, the best hope is a lengthy program of rehabilitation, followed by a life-long process of clinical support. However, even with rehabilitation therapy, 50% to 95% of stroke survivors remain impaired. There is thus a great need for new therapeutic developments for patients with disability after stroke, which is largely unexplored. Regenerative cell-based therapies offer long-term hope for many patients with stroke, as stem cells might be possible for dead or injured neural cells to be replaced after acute stroke. In this study, the investigators will assess the safety and feasibility of intracerebral transplantation of autologous bone marrow mesenchymal stem cells in patients with chronic stroke. The neurological outcome will be determined after transplantation.
Eligibility| Ages Eligible for Study: | 40 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Aged 40-70 ischemia stroke or intracerebral hemorrhage patient
- With stroke history of more than 3 months, less than 60 months
- With stable hemiplegia condition
- NIHSS (NIH stroke scale) score of 7 or more points
- Patient is stable (normal respiration, afebrile, BP less than mean arterial pressure of 125 mm of Hg, fasting blood sugar <7 mg, and normal urea/electrolytes for at least 48 hours.)
Exclusion Criteria:
- Patients aged less than 40 or more than 70
- Lacunar infarction
- History of neurological disease, head injury or psychiatric disorder with disablity
- Pregnant women
- Impaired liver function, abnormal blood coagulation, AIDS, HIV, combine other tumor or special condition
- Inaccessibility for follow up
- Unwillingness to provide written informed consent
Contacts and Locations| Contact: Qichuan Zhuge, M.D. | zhugeqichuan@vip.163.com |
| China, Zhejiang | |
| The First Affiliated Hospital of Wenzhou Medical College | Recruiting |
| Wenzhou, Zhejiang, China, 32500 | |
| Study Director: | Kunlin Jin, M.D., Ph.D. | University of North Texas Health Science Center |
| Study Chair: | Qichuan Zhuge, M.D. | Wenzhou Medical College |
More Information
No publications provided
| Responsible Party: | Qichuan Zhuge, Department of Neurosurgery, Wenzhou Medical College |
| ClinicalTrials.gov Identifier: | NCT01714167 History of Changes |
| Other Study ID Numbers: | WZMC-2011-8 |
| Study First Received: | October 19, 2012 |
| Last Updated: | October 22, 2012 |
| Health Authority: | China: Ethics Committee |
Keywords provided by Wenzhou Medical College:
|
Chronic Ischemic Stroke Intracerebral Hemorrhage Bone Marrow Mesenchymal Stem Cell |
Additional relevant MeSH terms:
|
Stroke Cerebral Infarction Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases |
Nervous System Diseases Vascular Diseases Cardiovascular Diseases Brain Infarction Brain Ischemia |
ClinicalTrials.gov processed this record on May 21, 2013