CompletedEarly phase 1Relapsing MSNCT05080270

What it found

No result found

We found no results in the registry or in papers.

This trial finished 5 years ago. We found no results in the registry or in any paper that cites it.

What was tested

Treatment tested

  • Tolerogenic Fibroblasts

What it measured

Main measures

  • Safety: Adverse even monitoring of subjects for 4 hours after infusion

    Monitoring during the Intravenous infusion of allogeneic tolerogenic fibroblasts, and continued for 4 hours after infusion

    Safety
  • Safety: Complete Blood Count to monitor inflammation markers

    Day before infusion to establish a baseline, week 8, and week 16 after infusion

    Immune responseSafety
  • Safety: Serum chemistry to monitor impact on serum chemistry

    Day before infusion to establish a baseline, week 8, and week 16 after infusion

    Safety
  • Safety: 12-lead Electrocardiogram (ECG) to monitor cardiovascular health

    Day before infusion to establish a baseline, week 8, and week 16 after infusion

    Safety

Other measures (5)

  • Efficacy: Expanded Disability Status Scale (EDSS) to quantify disability scale and monitors changes

    Day before infusion to establish a baseline, week 8, and week 16 after infusion

    Disability progression
  • Efficacy: Paced Auditory Serial Addition Test (PASAT) to measure cognitive function and processing speed

    Day before infusion to establish a baseline, week 8, and week 16 after infusion

    Thinking and memory
  • Efficacy: Nine-Hole Peg Test to measure and quantify upper extermity function

    Day before infusion to establish a baseline, week 8, and week 16 after infusion

    Arm and hand function
  • Efficacy: Timed 25-Foot Walk Test to quantify mobility and leg function

    Day before infusion to establish a baseline, week 8, and week 16 after infusion

    Disability progressionWalking and mobility
  • Efficacy: Gadolinium Enhanced MRI to detect demyelinated areas of the nerves

    Day before infusion to establish a baseline, and week 16 after infusion

    MRI lesions

Who could take part

Relapsing MS · 18 to 55

Inclusion Criteria: 1. Patients willing to sign an informed consent and capable of understanding the features of this clinical trial. 2. Willing to keep a weekly diary and undergo observation for four months 3. Non-pregnant patients 18-55 years of age with MS according to the revised McDonald criteria and meeting the Possner criteria for clinically defined MS. 4. EDSS scores of 2·0 to 5·5 points assessed at least three months after the last acute attack of MS. Exclusion Criteria: 1. Patients with evidence of active proliferative retinopathy. 2. Patients with poorly controlled diabetes mellitus (HbA1C > 8.5%). 3. Patients with renal insufficiency (Creatinine > 2.5) or failure. 4. Infection as evidenced by WBC count of >15,000 k/cumm and/or temperature >38C. 5. History of organ transplant. 6. History of previous or active malignancy, except for localized cutaneous basal or squamous cell carcinoma or carcinoma in situ of the cervix 7. History of sickle cell anemia 8. Cardiovascular conditions: 1. Exercise limiting angina ( Canadian Cardiovascular Society Class greater or equal to 3 2. Congestive heart failure (New York Heart Association class greater or equal to 3 3. Unstable angina 4. Acute ST elevation myocardial infarction (MI) within one month 5. Transient ischemic attack or stroke within one month 6. Severe valvular disease

As registered. Criteria can change, so ask the trial team or your neurologist.

About this trial

In the sponsor's words

Fibroblasts have demonstrated potent immune modulatory and therapeutic activity in the experimental autoimmune encephalomyelitis (EAE) model of multiple sclerosis, as well as in other models of autoimmune and inflammatory diseases. This study will assess primary safety and secondary efficacy endpoints of intravenous administration of 100 million tolerogenic fibroblasts to 5 patients with relapsing remitting MS resistant to interferon. While the safety of fibroblasts administered clinically is established, it is unknown whether these cells are effective in the treatment of multiple sclerosis (MS). Our hypothesis is that the tolerogenic fibroblasts will be well-tolerated and meet our primary objective. In addition, The investigators are optimistic that they will see signs of efficacy based on the following: Neurological assessment of the MS functional composite assessment which comprises of 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.

Papers

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History

    1. Started

      Sept 2020

    2. Main results due

      Jun 2021

    3. Finished

      Jun 2021

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