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OpenTrials
Completed

NCT Number: NCT02807142

Efficacy Assessment of the Cell Therapy Medicine NC1 in Patients With Post-traumatic Syringomyelia

The objective of the study is to determine if the cell therapy NC1 administered in the spinal cord is effective for the treatment of a post-traumatic syringomyelia. The post-traumatic syringomyelia is the development and progression of cyst filled with cerebrospinal fluid (CSF) within the spinal cord. The cell therapy NC1 consist on cells obtained from the bone marrow of the patient, that are cultured in vitro and administered in the spinal cord of the same patient.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

About this study

Phase II, Open, prospective, not controlled, not randomized clinical trial in patients affected by post-traumatic syringomyelia. The trial evaluates the efficacy of the cell therapy NC1 administered via intrathecal in the location of the injury. After the administration of the cell therapy, patients will undergo physiotherapy during the follow-up period (6 months). Patients will be evaluated at month 3 and month 6 after the NC1 administration.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients with traumatic medullar injury (levels A, B, C or D of the ASIA scale) and associated syringomyelia in at least three spinal segments, and with neurological deficit clinically stable at least 6 months prior to treatment.
  • Previous studies in Neurophysiology, MR, Urology (if data on neurogenic bowel exists), defecatory function (if data on neurogenic intestine exists)
  • Age between 18 and 70 years old.
  • Presence of syringomyelia based on a neuro-image (MR)
  • Patients will compromise to use anticonceptive measures from the cell extraction until 6 months after the administration of the treatment.
  • Patients will compromise to a clinical follow-up and to perform physical therapy, one hour daily five days per week during the treatment period.
  • Patients should sign an written informed consent.
  • Haematological and creatinin parameters, SGOT and SGPT into the normal ranges.

Exclusion criteria

  • Patients under 18 or above 70 years old
  • Pregnancy or breastfeeding
  • Neoplasia in the last 5 years
  • Patients with systemic diseases that increase the risk of the surgical intervention
  • Genetics alterations that could conduct to cellular transformation during the cellular expansion phase.
  • Patients not really sure of their cooperation to follow the physical therapy or clinical controls during the study.
  • Additional neurodegenerative diseases
  • Drug consuming, psychiatric disease or allergy to proteins used during cellular expansion
  • HIV or syphilis positive serologies
  • Active Hepatitis B or c, based on serologies
  • Any other reasons according to the investigator criteria.

Treatment and study plan

NC 1 cell therapy

Biological

All patients will be treated with NC1

Primary outcomes

  1. Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia using the ASIA scale (American Spinal Injury Association

    Time frame: Pretreatment, month 3 post treatment, month 6 post treatment

    Neurological evaluation is done using ASIA scale (American Spinal Injury Association)

Secondary outcomes

  1. Safety, by the assessment of the adverse events of the study

    Time frame: 1 year

    Adverse events

  2. Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia assessed with the IANR-SCIFRS scale (Injury Functional Rating Scale)

    Time frame: Pretreatment, month 3 post treatment, month 6 post treatment

    Neurological evaluation is done using IANR-SCIFRS scale (Injury Functional Rating Scale)

  3. Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia in terms of spams frequency

    Time frame: Pretreatment, month 3 post treatment, month 6 post treatment

    Neurological evaluation is done using PENN scale (spams frequency score)

  4. Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia in term of spasticity

    Time frame: Pretreatment, month 3 post treatment, month 6 post treatment

    Neurological evaluation is done using Ashworth scale (spasticity)

  5. Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia using the Visual Analog Scale

    Time frame: Pretreatment, month 3 post treatment, month 6 post treatment

    Neurological evaluation is done using EVA scale (Visual Analog Scale)

  6. Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia in terms of bladder functionality

    Time frame: Pretreatment, month 3 post treatment, month 6 post treatment

    Neurological evaluation is done using GEFFNER scale (bladder functionality)

  7. Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia using the Behavior Dimensions Scale

    Time frame: Pretreatment, month 3 post treatment, month 6 post treatment

    Neurological evaluation is done using BDS scales (Behavior Dimensions Scale)

  8. Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia in terms of somatosensory or motor evoked potentials

    Time frame: Pretreatment, month 3 post treatment, month 6 post treatment

    Present of somatosensory or motor evoked potentials

  9. Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia by electromyography

    Time frame: Pretreatment, month 3 post treatment, month 6 post treatment

    EMG (Electromyography)

  10. Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia studying the spinal cord morphology

    Time frame: Pretreatment, month 3 post treatment, month 6 post treatment

    Spinal cord morphology (by Magnetic Resonance)

  11. Efficacy of the treatment with NC1 in terms of improvement of neurological sequelae in patients with post traumatic syringomyelia in terms of defecatory function

    Time frame: Pretreatment, month 3 post treatment, month 6 post treatment

    Neurological evaluation is done assessing the defecatory function

Sponsors and collaborators

Lead sponsor

Puerta de Hierro University Hospital

Other

Registry information

Acronym: CME-LEM4

Important dates

Study start
2016
Primary completion
2018
Study completion
2018
First posted
Jun 21, 2016
Registry last updated
Apr 5, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.