Clinical Trial Based on the Use of Mesenchymal Stem Cells From Autologous Bone Marrow in Patients With Lumbar Intervertebral Degenerative Disc Disease
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Purpose
The purpose of this trial is to test the effectiveness of the use of a new therapeutic strategy in treating patients with degenerative disc disease lumbar intervertebral fusion with instrumented posterolateral autologous mesenchymal stem cells and arranged in a calcium phosphate ceramic (Conduit TM).
| Condition | Intervention | Phase |
|---|---|---|
|
Intervertebral Disc Disease |
Procedure: Instrumented posterolateral arthrodesis |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Clinical Trial Phase I / II Prospective, Open, Non-randomized for Treatment of Lumbar Intervertebral Degenerative Disc Disease With Posterolateral Instrumented and Autologous Mesenchymal Stem Cells. |
| Estimated Enrollment: | 15 |
| Study Start Date: | January 2010 |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: MSC seeded onto a phosphate ceramic
Instrumented posterolateral fusion and autologous mesenchymal stem cells arranged in a phosphate ceramic.
|
Procedure: Instrumented posterolateral arthrodesis
Cell suspension of mesenchymal stem cells (MSCs) obtained from bone marrow aspirate from the patient and expanded in vitro in a specific medium enriched with platelet lysate without addition of animal products. They used a minimum dose of 0.5 x106 CSM / kg and a maximum of 1, 5x106 CSM / kg of patient weight. Dosage Form: Suspension cell support hydroxyapatite and calcium phosphate Route of administration: placement in the fusion bed during surgery. |
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Clinical
- Box symptomatic (back pain and / or root) of lumbar degenerative disc disease monosegmental.
- Discopathy refractory to conservative treatment (drugs, physical therapy.)
- Evolution greater than or equal to 6 months. Radiological
- Discopathy radiation. Disc space narrowing, osteophytes, abnormal mobility, etc
- NMR: grades IV and V of Pfirman.
Exclusion Criteria:
- Rejection of surgical treatment.
- Systemic inflammatory disease (spondylitis, rheumatoid arthritis etc), tumor or infection.
- Immunosuppressive treatment.
- Congenital or acquired anatomical abnormality that prevents the surgical procedure.
- Neuropsychiatric pathology, drug addiction, psychosis, severe personality disorder.
- High surgical risk (ASA> IV), or contraindication to anesthesia.
Contacts and Locations| Spain | |
| Trauma Service. Hospital Universitario de Salamanca | |
| Salamanca, Castilla-León, Spain, 37007 | |
More Information
Additional Information:
No publications provided
| Responsible Party: | Red de Terapia Celular |
| ClinicalTrials.gov Identifier: | NCT01513694 History of Changes |
| Other Study ID Numbers: | CSM/Fusión/2009 |
| Study First Received: | January 16, 2012 |
| Last Updated: | October 19, 2012 |
| Health Authority: | Spain: Spanish Agency of Medicines Spain: Ministry of Health |
Keywords provided by Red de Terapia Celular:
|
Mesenchymal Stem Cells Stem Cells Intervertebral disc disease |
Additional relevant MeSH terms:
|
Spinal Diseases Intervertebral Disk Displacement Intervertebral Disk Degeneration Bone Diseases |
Musculoskeletal Diseases Hernia Pathological Conditions, Anatomical |
ClinicalTrials.gov processed this record on May 23, 2013