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History of Changes for Study: NCT03935724
Clinical Study of an Autologous Stem Cell Product in Patients With a (Sub)Acute Spinal Cord Injury (SCI2)
Latest version (submitted September 28, 2023) on ClinicalTrials.gov
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Study Record Versions
Version A B Submitted Date Changes
1 May 1, 2019 None (earliest Version on record)
2 May 6, 2019 Study Status and Contacts/Locations
3 October 14, 2019 Study Status
4 February 24, 2020 Study Status
5 April 1, 2020 Study Status
6 September 2, 2020 Study Status and Oversight
7 December 22, 2020 Study Status
8 August 31, 2021 Study Status
9 November 10, 2021 Recruitment Status, Study Status and Contacts/Locations
10 February 3, 2022 Study Status
11 March 1, 2022 Contacts/Locations and Study Status
12 July 8, 2022 Study Status, Study Identification, Eligibility, Outcome Measures and Arms and Interventions
13 March 27, 2023 Study Status
14 September 28, 2023 Recruitment Status, Study Status, Contacts/Locations and Study Design
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Study NCT03935724
Submitted Date:  May 1, 2019 (v1)

Open or close this module Study Identification
Unique Protocol ID: A2017SCI03
Brief Title: Clinical Study of an Autologous Stem Cell Product in Patients With a (Sub)Acute Spinal Cord Injury (SCI2)
Official Title: A Multi-center, Double-blind, Randomized, Placebo-controlled, Delayedstart Phase II/III Study to Assess the Efficacy and Safety of Neuro-Cells in (Sub)Acute Spinal Cord Injury Patients
Secondary IDs:
Open or close this module Study Status
Record Verification: May 2019
Overall Status: Not yet recruiting
Study Start: July 1, 2019
Primary Completion: February 1, 2020 [Anticipated]
Study Completion: June 1, 2020 [Anticipated]
First Submitted: April 23, 2019
First Submitted that
Met QC Criteria:
May 1, 2019
First Posted: May 2, 2019 [Actual]
Last Update Submitted that
Met QC Criteria:
May 1, 2019
Last Update Posted: May 2, 2019 [Actual]
Open or close this module Sponsor/Collaborators
Sponsor: Neuroplast
Responsible Party: Sponsor
Collaborators:
Open or close this module Oversight
U.S. FDA-regulated Drug: No
U.S. FDA-regulated Device: No
Data Monitoring: Yes
Open or close this module Study Description
Brief Summary: This is a multicenter, randomized, double-blind, placebo-controlled and delayed-start phase II/III clinical study.
Detailed Description:

Phase II of the study focuses on establishing the safety and efficacy of the fist-in-human administration of Neuro-Cells. In phase III efficacy and safety will be further investigated. Enrollment in phase III of the study will automatically start once all patients have been enrolled and treated in phase II. The recruitment period is estimated at respectively 6 months for both the Phase II and Phase III.

Phase II starts with the enrollment of 16 evaluable patients, randomly divided in two groups of 8 evaluable patients each. After an interim intervention analysis, the phase II study expands into a phase III study, requiring the recruitment of 54 additional evaluable patients. Patients recruited for the phase III part will be randomly divided in two groups of 27 evaluable patients each. Details on the planned analyses can be found in section 8 'Statistical Analysis'.

Both the phase II and phase III part of the trial have a similar setup which includes a screening period (1 - 2 days), a randomization, a treatment period of 1 or 2 days and a total follow-up period of 1 year.

All patients undergo a BM harvesting at the start of their participation in the study and will undergo three LPs, performed to administer Neuro-Cells or placebo and/or to collect CSF for research purposes. Neuro-Cells and placebo are both administered as a single dose by an 'unblinded physician'. This physician is different from the 'blinded Investigators and study nurses' responsible for patient selection and follow-up. This study set-up allows to maintain a double-blind status of the patients and the Investigators responsible for the patients' evaluation throughout the first six months of both studies. This is because, approximately six months after the time of inclusion, the patients assigned to the placebo group will undergo a second BM harvesting and will also receive Neuro-Cells. All patients are followed up until approximately one year after the time of inclusion. All patients will have been treated with Neuro-Cells and will have completed follow-up for at least 6 months post-treatment. Patient recruitment, randomization and blinding, and the primary and secondary objectives are identical in the phase II and the phase III part of the study. The study is completed when the last patient finishes his/her last visit, approximately one year after the time of inclusion.

Open or close this module Conditions
Conditions: Spinal Cord Injuries
Acute Spinal Cord Injury
Paraplegia, Spinal
Paraplegia; Traumatic
Keywords:
Open or close this module Study Design
Study Type: Interventional
Primary Purpose: Treatment
Study Phase: Phase 2/Phase 3
Interventional Study Model: Parallel Assignment
Patients are randomized into two groups. First groups receives Neuro-cells, second group receives placebo. After six months second group also receives Neuro-cells. This happens in phase 2 and is repeated in phase 3. Therefore there are 4 groups.
Number of Arms: 4
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Allocation: Randomized
Enrollment: 70 [Anticipated]
Open or close this module Arms and Interventions
Arms Assigned Interventions
Experimental: 1A Intervention group 8 patients
Neuro-Cells treatment at day 1-2 (= 6-8 weeks after TSCI incident). N=8
Biological: Neuro-Cells
Neuro-Cells is an autologous fresh stem cells containing product which modulates the secondary inflammation following a TSCI, reduces apoptosis (cell death) in the injured spinal cord, reduces scar tissue formation in the damaged spinal cord and creates a cell regenerative environment in the injured spinal cord.
Placebo Comparator: 1B Placebo group 8 patients
Placebo treatment at day 1-2 (= 6-8 weeks after TSCI incident) Neuro-Cells treatment at day 181-182 (= 32-34 weeks after TSCI incident) N=8
Biological: Neuro-Cells
Neuro-Cells is an autologous fresh stem cells containing product which modulates the secondary inflammation following a TSCI, reduces apoptosis (cell death) in the injured spinal cord, reduces scar tissue formation in the damaged spinal cord and creates a cell regenerative environment in the injured spinal cord.
Experimental: 2A Intervention group 27 patients
Neuro-Cells treatment at day 1-2 (= 6-8 weeks after TSCI incident) N=27
Biological: Neuro-Cells
Neuro-Cells is an autologous fresh stem cells containing product which modulates the secondary inflammation following a TSCI, reduces apoptosis (cell death) in the injured spinal cord, reduces scar tissue formation in the damaged spinal cord and creates a cell regenerative environment in the injured spinal cord.
Placebo Comparator: 2B Placebo group 27 patients
Placebo treatment at day 1-2 (= 6-8 weeks after TSCI incident) Neuro-Cells treatment at day 181-182 (= 32-34 weeks after TSCI incident) N=27
Biological: Neuro-Cells
Neuro-Cells is an autologous fresh stem cells containing product which modulates the secondary inflammation following a TSCI, reduces apoptosis (cell death) in the injured spinal cord, reduces scar tissue formation in the damaged spinal cord and creates a cell regenerative environment in the injured spinal cord.
Open or close this module Outcome Measures
Primary Outcome Measures:
1. Physical changes after intrathecal intervention with Neuro-Cells
[ Time Frame: 9 months ]

At approx. 3 months after intrathecal intervention with Neuro-Cells (day 90 for the patients treated 6-8 weeks after the TSCI incident and day 270 for the patients treated at 32-34 weeks after the TSCI incident) a physical examination (checklist) will be done
2. Increase of motor scores after intrathecal invervention with Neuro-Cells
[ Time Frame: 6 months ]

Increase in the ISNCSCI motor scores with additional 5 points from baseline (visit 2) at 6 months after the intrathecal intervention (day 180) in patients treated with Neuro-Cells
Secondary Outcome Measures:
1. Increase of motor scores after late administration of Neuro-Cells
[ Time Frame: 12 months ]

Increase in the ISNCSCI motor scores with additional 5 points from baseline (visit 5) at 6 months after the intrathecal intervention (day 360) in patients treated with Neuro-Cells 32 to 34 weeks after the TSCI incident as compared to placebo treated patients
2. Change in autonomic and sensoric neurological dysfunctionafter intrathecal invervention with Neuro-Cells
[ Time Frame: 12 months ]

The American Spinal Injury Association (ASIA) Impairment Scale involves both a Motor and Sensory examination for each side of the body (left/right).

The Sensory examination involves 'light touch' and 'pinprick' for each dermatome (28) on both sides of the body (total 56). A score of 0, 1 or 2 can be given to each dermatome resulting in a total max. of 112 points.

The Motor level is determined by examining the muscle function within each of the 10 myotomes on each side of the body (20 myotomes in total). A score ranging from 1 to 5 can be given resulting in a maximum score of 100.

The higher the value, the better the outcome.

Open or close this module Eligibility
Minimum Age: 18 Years
Maximum Age: 65 Years
Sex: All
Gender Based:
Accepts Healthy Volunteers: No
Criteria:

Inclusion Criteria:

  • Age range: 18 - 65 years
  • Complete (AIS grade A) or incomplete (AIS grade B or C) TSCI (ISNCSCI-assessed) at time of randomization
  • Randomization can be done within 6-8 weeks after the TSCI incident
  • Level of injury between C6 to T12
  • Voluntary signed informed consent by patients and Investigator before any trial-related procedures are performed

Exclusion Criteria:

  • SCI AIS grade D or E at the start of enrolment
  • Level of SCI above C6 or below T12
  • Positive HIV, hepatitis B or C serology
  • Positive Lues test
  • Total Nuclear Cell (TNC) count < 1x109 TNC
  • Cancer, brain injury, disturbed consciousness, signs/symptoms of neurodegenerative disorder (e.g. stroke, amyotrophic lateral sclerosis, multiple sclerosis etc), diabetes mellitus type 1, renal or cardiac insufficiency based on anamnesis history and at the investigator's discretion
  • Any concomitant treatment or medication that interferes with the conduct of the trial, such as immune-suppressive medication or other medication (especially methotrexate, cyclosporine, and corticosteroids have to be avoided) known to interact with the anti- inflammatory and immune-modulative actions of stem cells (non-steroid anti- inflammatory drugs (NSAIDs) are allowed)
  • Abuse of alcohol (daily consumption of more than 2 units of alcohol containing drinks) or illicit drugs (e.g. heroin, cocaine, XTC)
  • Individuals that belong to vulnerable population groups
  • Females with childbearing potential without using adequate birth control methods, and/or being pregnant or in the lactation period
  • Participation in any clinical trial (with exemption of descriptive studies with questionnaires and no active intervention) within the previous 30 days before enrolment, or simultaneous participation in such trial
  • Patients with extreme comorbidity before or after the TSCI are excluded at discretion of the PI
  • Patients who are unable to comply with the requirements of this clinical trial
Open or close this module Contacts/Locations
Central Contact Person: Kimberly de Hoo, MSc
Telephone: +3143 388 5617
Email: k.dehoo@neuroplast.com
Central Contact Backup: Hans de Munter, MD
Telephone: +3143 388 5617
Email: h.demunter@neuroplast.com
Study Officials: Jörg Mey
Principal Investigator
Hospital Nacional de Parapléjicos de Toledo
Fin Biering-Soerensen, MD
Principal Investigator
Righospitalet
Locations:
Open or close this module IPDSharing
Plan to Share IPD: No
Open or close this module References
Citations:
Links: Description: Website Neuroplast
Available IPD/Information:

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