Multiple Sclerosis Clinical Trial
Official title:
MEsenchymal StEm Cells for Multiple Sclerosis (MESEMS) Phase I-II Clinical Trial With Autologous Mesenchymal Stem Cells (MSCs) for the Therapy of Multiple Sclerosis
A double-blind, randomized, cross-over phase I/II study to evaluate the safety and the efficacy of the intravenous administration of autologous Mesenchymal Stem Cells (MSC) to patients with active multiple sclerosis (MS) resistant to currently available therapies.
The mechanism of action of MSC relies on their ability to modulate pathogenic immune
responses and provide neuroprotection through the release of anti-apoptotic, anti-oxidant
and trophic factors as demonstrated by in vitro and in vivo preclinical studies.
Patients will be randomized to receive immediate vs. delayed treatment with either a dose
equal to 1-2 millions/kg of body weight of autologous MSC, or equivalent volume of
suspension media at baseline. At 6 months treatments will be reversed.
The primary outcome of this study is to evaluate
- treatment's safety within one year from MSC administration by measuring the the number,
time-frame and severity of adverse event and
- treatment's activity in terms of reduction in the total number of contrast-gadolinium
enhancing lesions (GEL) by magnetic resonance imaging (MRI) scans.
Secondary outcomes are to gain preliminary information on the efficacy of the experimental
treatment in terms of combined MRI activity and clinical efficacy (incidence of relapses and
disability progression).
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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