Intrathecal Transplantation of Mesenchymal Stem Cell in Patients With ALS
Study Details
Study Description
Brief Summary
ALS is a debilitating disease with varied etiology characterized by rapidly progressive weakness, muscle atrophy and fasciculations, muscle spasticity, difficulty speaking (dysarthria), difficulty swallowing (dysphagia), and difficulty breathing (dyspnea). ALS is the most common of the five motor neuron diseases.Riluzole (Rilutek) is the only treatment that has been found to improve survival but only to a modest extent. It lengthens survival by several months, and may have a greater survival benefit for those with a bulbar onset. It also extends the time before a person needs ventilation support.Stem cell transplantation is a new hopeful way to improve the patients conditions and reduce the period of disabilities.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1 |
Detailed Description
In this study our purpose is to evaluate the safety of intraventricular injection of bone marrow derived mesenchymal stem cell.the patients who are eligible,underwent bone marrow aspiration.after cell separation and preparation,the patients underwent mesenchymal stem cell intraventricular injection by stereotaxis.after injection he will be under observed in ICU to monitor the adverse events(allergic and neurological side effects).patients are followed 1th,3th ,6th and 12 months after injection and each time these parameters are checked:ALS-FRS,EMG-NCV,FVC,side effect check list.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: stem cell reciepient The patients with ALS that underwent mesenchymal stem cell transplantation |
Biological: intrathecal injection
Intrathecal injection of mesenchymal stem cells in patients with ALS
|
Outcome Measures
Primary Outcome Measures
- Fever [48hours]
Evaluation the rate of fever during 48hour after transplantation
- Unconscious [48hours]
Evaluation the rate of unconsciousness during 48hour after transplantation
- Vomiting [48hours]
Evaluation the nausea and vomiting 48hours after transplantation.
Secondary Outcome Measures
- ALS-FRS [6months]
Evaluation the improvement of ALS-FRS during 6months after transplantation.
- FVC [6months]
Evaluation the improvement of FVC by spirometry during 6months after transplantation
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age:18-65
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both gender
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duration of disease<2 years
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FVC>40% ALS-FRS>26
Exclusion Criteria:
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neurological and psychiatric concomitant disease
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concomitant systemic disease
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treatment with corticosteroid,Ig,immunosuppressive during 12 months.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Royan Institute | Tehran | Iran, Islamic Republic of |
Sponsors and Collaborators
- Royan Institute
Investigators
- Study Chair: Hamid Gourabi, PhD, Head of Royan Institute
- Study Director: Nasser Aghdami, MD,PhD, Head of Royan department of degenerative medicine,Head of Royan celltherapy center
- Study Director: Seyed Masoud Nabavi, MD, Proffessor assistant of Shahed University
- Principal Investigator: leila Arab, MD, Department of regenerative medicine,Royan Institute
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- Royan-Nerve-006