Clinical Trial Based on the Use of Mesenchymal Stem Cells From Autologous Bone Marrow in Patients With Lumbar Intervertebral Degenerative Disc Disease
Study Details
Study Description
Brief Summary
The purpose of this trial is to test the effectiveness of the use of a new therapeutic strategy in treating patients with degenerative disc disease lumbar intervertebral fusion with instrumented posterolateral autologous mesenchymal stem cells and arranged in a calcium phosphate ceramic (Conduit TM).
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1/Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: MSC seeded onto a phosphate ceramic Instrumented posterolateral fusion and autologous mesenchymal stem cells arranged in a phosphate ceramic. |
Procedure: Instrumented posterolateral arthrodesis
Cell suspension of mesenchymal stem cells (MSCs) obtained from bone marrow aspirate from the patient and expanded in vitro in a specific medium enriched with platelet lysate without addition of animal products.
They used a minimum dose of 0.5 x106 CSM / kg and a maximum of 1, 5x106 CSM / kg of patient weight.
Dosage Form: Suspension cell support hydroxyapatite and calcium phosphate Route of administration: placement in the fusion bed during surgery.
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Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
Inclusion Criteria:
Clinical
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Box symptomatic (back pain and / or root) of lumbar degenerative disc disease monosegmental.
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Discopathy refractory to conservative treatment (drugs, physical therapy.)
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Evolution greater than or equal to 6 months. Radiological
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Discopathy radiation. Disc space narrowing, osteophytes, abnormal mobility, etc
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NMR: grades IV and V of Pfirman.
Exclusion Criteria:
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Rejection of surgical treatment.
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Systemic inflammatory disease (spondylitis, rheumatoid arthritis etc), tumor or infection.
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Immunosuppressive treatment.
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Congenital or acquired anatomical abnormality that prevents the surgical procedure.
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Neuropsychiatric pathology, drug addiction, psychosis, severe personality disorder.
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High surgical risk (ASA> IV), or contraindication to anesthesia.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Trauma Service. Hospital Universitario de Salamanca | Salamanca | Castilla-León | Spain | 37007 |
Sponsors and Collaborators
- Red de Terapia Celular
- Haematology Service,University Hospital of Salamanca, MªConsuelo del Cañizo Fernández-Roldán
- Spanish National Health System
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Additional Information:
- Spanish cell therapy network (TerCel)
- Salamanca University Foundation
- Spanish Health Institute Carlos III
Publications
None provided.- CSM/Fusión/2009