Evaluate the Safety and Feasibility of Allogeneic Mesenchymal Stem Cel
An Open-label, Non-randomized, Phase I Study of Allogeneic Placenta Derived Mesenchymal Stem Cells in Patients With Secondary-Progressive Multiple Sclerosis (SPMS),
What it found
A paper reports the results; we have not read it yet. See Papers below.
What was tested
Treatment tested
- Allogenic placenta derived mesenchymal stem cells
What it measured
Main measures
Number of participants with Treatment-Emergent Adverse Events [Safety and Tolerability].
Up to 6 months
Safety
Other measures (19)
Number of participants with a change in disability as measured by Expanded Disability Status Scale .
Up to 6 months
Disability progressionNumber of participants with a change in cognitive function as measured by the Paced Auditory Serial Addition Test .
Up to 6 months
Thinking and memoryNumber of participants with a change in cognitive performance as measured by Persian version of minimal assessment of cognitive function in MS battery.
Up to 6 months
Thinking and memoryNumber of participants with a change in brain connectivity as measured by Functional magnetic resonance imaging .
Up to 6 months
MRI lesionsNerve conduction testsNumber of participants with a change in white matter integrity as measured by quantitative diffusion tensor imaging .
Up to 6 months
MRI lesionsNumber of participants with a change in processing and motor speed as assessed by the Symbol Digit Modalities Test .
Up to 6 months
Thinking and memoryNumber of participants with evaluation of verbal learning and memory deficits as measured by the California Verbal Learning Test second edition .
Up to 6 months
Thinking and memoryProportion of patients with change in CD20 / CD19 B cells surface markers
Up to 3 months
Immune responseBiological Assessments including IL-10, IL-6, IL-17, and TNFα levels of cytokines.
Up to 3 months
Immune responseProportion of patients with change in T2 lesion volume on brain MRI.
Up to 6 months
MRI lesions
Who could take part
Progressive MS · 17 to 45
Show the full criteria
Inclusion criteria
Criteria: Inclusion Criteria: * Age between 17-45 years Patients with SPMS . * Must be able to Sign informed consent . * Currently taking Rituximab. * Disease duration of more than 2 and less than 16 years.
Exclusion criteria
* Pregnancy or breastfeeding. * hepatitis B and C, human immunodeficiency virus (HIV), and human T-cell lymphotropic virus (HTLV) disease. * Using cytotoxic agents within 3 months prior to the study. * Severe anemia (hemoglobin\< 8 mg/dl), coagulation disorders. * history of malignancy . * liver disorders . * significant cardiac, renal or hepatic failure . * Active or chronic infection. * Life-threatening organ dysfunction. * Unable to give written informed consent . * Current treatment with an investigational therapy.
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
To assess the safety and of a single dose of IV infusion of placenta derived Mesenchymal Stem Cells (PLMSCs) in patients with secondary progressive Multiple Sclerosis (SPMS) disease. Monitoring will be encompassed baseline assessments and follow-ups over subsequent months, evaluating clinical signs, Expanded Disability Status Scale (EDSS), cytokines, diffusion tensor imaging (DTI), functional MRI (fMRI), cognitive \& psychological evaluations, and flow cytometry for B cell markers.
Papers
Results
Cell therapy with placenta-derived mesenchymal stem cells for secondary progressive multiple sclerosis patients in a phase 1 clinical trial.Sci Rep · 2025
Background
Shokati A, Naser Moghadasi A, Nikbakht M, Sahraian MA, Mousavi SA, Ai J. A focus on allogeneic mesenchymal stromal cells as a versatile therapeutic tool for treating multiple sclerosis. Stem Cell Res Ther. 2021 Jul 13;12(1):400. doi: 10.1186/s13287-021-02477-5.Background
Ebrahimi-Barough S, Ai J, Payab M, Alavi-Moghadam S, Shokati A, Aghayan HR, Larijani B, Arjmand B. Standard Operating Procedure for the Good Manufacturing Practice-Compliant Production of Human Endometrial Stem Cells for Multiple Sclerosis. Methods Mol Biol. 2021;2286:199-212. doi: 10.1007/7651_2020_281.
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History
Started
Jul 2019
Main results due
Mar 2024
Finished
Mar 2024