Ischemic Stroke Clinical Trial
Official title:
A Phase I/II, Multi-Center, Open-Label Study to Assess the Safety, Tolerability, and Preliminary Efficacy of a Single Intravenous Dose of Allogeneic Mesenchymal Bone Marrow Cells to Subjects With Ischemic Stroke
The purpose of this study is to assess the safety and tolerability of allogeneic adult mesenchymal bone marrow cells administered intravenously to patients with ischemic stroke.
Stroke remains a major global healthcare problem. Recent data compiled by the American Heart
Association (AHA) for 2008 show that the annual incidence of new or recurrent stroke in the
United States is about 780,000, with approximately 600,000 of these strokes being first
attacks. Among adults age 20 and older, the estimated prevalence of stroke in 2005 was 5.8
million in the United States, resulting in >150,000 deaths annually, with 4.8 million stroke
survivors alive today. Stroke ranks as the country's third leading cause of death, behind
only cancer and heart disease. The only approved treatments of acute ischemic stroke involve
restoring blood flow to the affected region by using thrombolytics or mechanical devices that
physically remove clots. However, the use of thrombolytics is limited due to the therapeutic
window of < 3-6 hours post onset of stroke symptoms such that only a small fraction of stroke
patients receive this therapy. Following the completion of a stroke, there is little therapy
to offer patients to promote recovery other than physical, occupational, and speech therapy.
Allogeneic mesenchymal stem cells have been used in a number of clinical trials for different
indications demonstrated the safety of allogeneic mesenchymal stem cell treatment. In
addition to their ability to differentiate into multiple different cell types that would be
contributory to the recovery and repair of the brain by replacing destroyed cells,
mesenchymal stem cells also secrete angiogenins, cytokines and trophic factors that can
support and stimulate multiple other cell types. The cascade of cellular events following the
release of these cytokines and trophic factors would also potentially lead to beneficial
effects by restoring blood supply, by rescuing cells at risk, and by stimulating the
remaining cell populations to repair and propagate new cells and synaptic connections.
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