A Phase 3, Randomized Double-Blind, Placebo-Controlled Multicenter Study to Evaluate Efficacy and Safety of Repeated Administration of NurOwn® (Autologous Mesenchymal Stem Cells Secreting Neurotrophic Factors) in Participants With ALS
This study will evaluate the safety and efficacy of repeated administration of NurOwn® (MSC-NTF cells) therapy, which is based on transplantation of autologous bone marrow derived mesenchymal stromal cells (MSC), which are enriched from the patient's own bone marrow, propagated ex vivo and induced to secrete Neurotrophic factors (NTFs).
The autologous NurOwn® (MSC-NTF cells) are back-transplanted into the patient intrathecally by standard lumbar puncture where neurons and glial cells are expected to take up the neurotrophic factors secreted by the transplanted cells
Disease:Amyotrophic Lateral Sclerosis (ALS), Familial ALS, Sporadic ALS
Study Type:Interventional Trial
Study Category:Stem Cell
Study Chair(s)/Principal Investigator(s):
Merit E. Cudkowicz, MD Massachusetts General Hospital
Robert H. Brown, MD, PhD UMass Medical School
Anthony J. Windebank, MD Mayo Clinic
Namita A. Goyal, MD UC Irvine
Robert G. Miller, MD California Pacific Medical Center (CPM) Research Institute
Clinicaltrials.gov ID (11 digit #):NCT03280056
Coordinating Center Contact Information
Full Study Summary:
Neurotrophic factors (NTFs) are potent survival factors for embryonic, neonatal, and adult neurons and are considered potential therapeutic candidates for ALS. Delivery of multiple NTFs to the immediate environment of afflicted neurons in ALS patients is expected to improve their survival and thus slow down disease progression and alleviate symptoms. NTF-secreting mesenchymal stromal cells (MSC-NTF cells) are a novel cell-therapeutic approach aimed at effectively delivering NTFs directly to the site of damage in ALS patients.
Participants meeting the inclusion and exclusion criteria will be randomized and will undergo bone-marrow aspiration. MSC of the participants randomized to the treatment group will be induced into MSC-NTF cells. Participants will undergo a total of three intrathecal (IT) transplantations with NurOwn® (MSC-NTF cells) or matching placebo at three bi-monthly intervals.
Study Sponsor:Brainstorm-Cell Therapeutics
Estimated Study Start Date:08/28/2017
Estimated Study Completion Date:07/30/2019
Posting Last Modified Date:03/21/2018
Date Study Added to alsconsortium.org:09/18/2017
Time since Symptom Onset:<24 months
Time since Diagnosis:N/A
Can participants use Riluzole?Yes
ALS diagnosed as possible, laboratory-supported probable, probable, or definite as defined by revised El Escorial criteria.
Having onset of ALS disease symptoms, including limb weakness within 24 months at the Screening Visit.
ALSFRS-R ≥ 25 at the screening Visit.
Upright slow vital capacity (SVC) measure ≥ 65% of predicted for gender, height, and age at the screening Visit.
Participants taking a stable dose of Riluzole are permitted in the study
Prior stem cell therapy of any kind
History of autoimmune or other serious disease (including malignancy and immune deficiency)
Current use of immunosuppressant medication or anticoagulants (per Investigator discretion)
Exposure to any other experimental agent or participation in an ALS clinical trial within 30 days prior to Screening Visit
Use of RADICAVA (edaravone injection) within 30 days of screening or intent to use edaravone at any time during the course of the study including the follow up period
Use of non-invasive ventilation (BIPAP), diaphragm pacing system or invasive ventilation (tracheostomy)
Pregnant women or women currently breastfeeding
Site Contact Information
University of California Irvine Alpha Stem Cell Clinic
Irvine, California 92697
Cedars-Sinai Medical Center
Los Angeles, California 90048
California Pacific Medical Center
San Francisco, California 94115
Massachusetts General Hospital
Boston, Massachusetts 02115
University of Massachusetts Medical School
Worcester, Massachusetts 01655
Rochester, Minnesota 55905