MSFibroblast
What it 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
SafetySafety: Complete Blood Count to monitor inflammation markers
Day before infusion to establish a baseline, week 8, and week 16 after infusion
Immune responseSafetySafety: Serum chemistry to monitor impact on serum chemistry
Day before infusion to establish a baseline, week 8, and week 16 after infusion
SafetySafety: 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 progressionEfficacy: 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 memoryEfficacy: 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 functionEfficacy: 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 mobilityEfficacy: 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
Background
Connick P, Kolappan M, Crawley C, Webber DJ, Patani R, Michell AW, Du MQ, Luan SL, Altmann DR, Thompson AJ, Compston A, Scott MA, Miller DH, Chandran S. Autologous mesenchymal stem cells for the treatment of secondary progressive multiple sclerosis: an open-label phase 2a proof-of-concept study. Lancet Neurol. 2012 Feb;11(2):150-6. doi: 10.1016/S1474-4422(11)70305-2. Epub 2012 Jan 10.Background
Kantarci O, Wingerchuk D. Epidemiology and natural history of multiple sclerosis: new insights. Curr Opin Neurol. 2006 Jun;19(3):248-54. doi: 10.1097/01.wco.0000227033.47458.82.Background
Evans C, Beland SG, Kulaga S, Wolfson C, Kingwell E, Marriott J, Koch M, Makhani N, Morrow S, Fisk J, Dykeman J, Jette N, Pringsheim T, Marrie RA. Incidence and prevalence of multiple sclerosis in the Americas: a systematic review. Neuroepidemiology. 2013;40(3):195-210. doi: 10.1159/000342779. Epub 2013 Jan 24.Background
Ghasemi N, Razavi S, Nikzad E. Multiple Sclerosis: Pathogenesis, Symptoms, Diagnoses and Cell-Based Therapy. Cell J. 2017 Apr-Jun;19(1):1-10. doi: 10.22074/cellj.2016.4867. Epub 2016 Dec 21.Background
Navikas V, Link H. Review: cytokines and the pathogenesis of multiple sclerosis. J Neurosci Res. 1996 Aug 15;45(4):322-33. doi: 10.1002/(SICI)1097-4547(19960815)45:43.0.CO;2-B.Background
Marrie RA, Elliott L, Marriott J, Cossoy M, Blanchard J, Leung S, Yu N. Effect of comorbidity on mortality in multiple sclerosis. Neurology. 2015 Jul 21;85(3):240-7. doi: 10.1212/WNL.0000000000001718. Epub 2015 May 27.Background
Goldman MD, Motl RW, Rudick RA. Possible clinical outcome measures for clinical trials in patients with multiple sclerosis. Ther Adv Neurol Disord. 2010 Jul;3(4):229-39. doi: 10.1177/1756285610374117.Background
SCHUMACHER GA, BEEBE G, KIBLER RF, KURLAND LT, KURTZKE JF, MCDOWELL F, NAGLER B, SIBLEY WA, TOURTELLOTTE WW, WILLMON TL. PROBLEMS OF EXPERIMENTAL TRIALS OF THERAPY IN MULTIPLE SCLEROSIS: REPORT BY THE PANEL ON THE EVALUATION OF EXPERIMENTAL TRIALS OF THERAPY IN MULTIPLE SCLEROSIS. Ann N Y Acad Sci. 1965 Mar 31;122:552-68. doi: 10.1111/j.1749-6632.1965.tb20235.x. No abstract available.Background
Polman CH, Rudick RA. The multiple sclerosis functional composite: a clinically meaningful measure of disability. Neurology. 2010 Apr 27;74 Suppl 3:S8-15. doi: 10.1212/WNL.0b013e3181dbb571.Background
Rodgers JM, Robinson AP, Miller SD. Strategies for protecting oligodendrocytes and enhancing remyelination in multiple sclerosis. Discov Med. 2013 Aug;16(86):53-63.
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History
Started
Sept 2020
Main results due
Jun 2021
Finished
Jun 2021
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