Infarction, Middle Cerebral Artery Clinical Trial
Official title:
Phase I Study of Autologous Bone Marrow Cell Transplantation in Patient With Ischemic Stroke
This is a open label study to assess the safety of autologous bone marrow transplantation in patients with a ischemic stroke in the middle cerebral artery territory within 90 days from symptoms onset.
Objective: The purpose of this study is to evaluate the safety and feasibility of
intra-arterial and intravenous injection of autologous bone marrow mononuclear cells in
patients in the acute and sub-acute phase (> 3 and < 90 days after symptoms onset) of
ischemic cerebral infarct in the middle cerebral artery territory.
Methods: 15 patients with cerebral infarct within the middle cerebral artery territory will
be enrolled in this prospective, nonrandomized, open-labeled study. Up to 10 patients will
receive up to 500x 10 6 autologous bone marrow cells injected intra-arterially into the
middle cerebral artery through percutaneous approach. The procedure is monitored by
Transcranial Doppler (TCD) and electroencephalogram (EEG). Other 5 patients will receive up
to 500x 10 6 autologous bone marrow cells injected intravenously. Changes in neurological
deficits and improvements in functions will be evaluated at baseline and at regular
intervals during follow-up ( 4 months). EEG and neuroimaging exams will be performed at
baseline and at regular intervals during the follow-up period.
;
Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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