Study of HuCNS-SC Cells in Patients With Infantile or Late Infantile Neuronal Ceroid Lipofuscinosis (NCL)
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Purpose
Patients with infantile or late infantile NCL have either a reduced amount of, or are missing, the palmitoyl protein thioesterase 1 (PPT1) enzyme or the tripeptidyl peptidase 1 (TPP-I) enzyme. Human central nervous system stem cells (HuCNS-SC) are an investigational product derived from human brain cells. HuCNS-SC have been shown to survive and migrate within the brains of mice. When grown in the laboratory, HuCNS-SC have been shown to produce the PPT1 and TPP-I enzymes. In mice missing the PPT1 enzyme, HuCNS-SC have been shown to increase the amount of this enzyme in the brain, to reduce the amount of abnormal storage material in the brain, and to prevent the death of some neurons (a type of cell) in the brain.
Participation in this study will involve screening assessments, surgery to implant HuCNS-SC, medication to suppress the immune system, and a series of follow-up assessments. The length of time from the start of screening through to the last follow-up visit will be approximately 13 months, with frequent visits to the study center during this time. After completion of this study, patients will be monitored for an additional 4 years under a separate long term follow-up protocol.
| Condition | Intervention | Phase |
|---|---|---|
|
Neuronal Ceroid Lipofuscinosis |
Procedure: Surgery to implant human CNS stem cells (HuCNS-SC) Drug: Medication to suppress the immune system |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase I Study of the Safety and Preliminary Effectiveness of Human CNS Stem Cells (HuCNS-SC) in Patients With Neuronal Ceroid Lipofuscinosis Caused by Palmitoyl Protein Thioesterase 1 (PPT1) or Tripeptidyl Peptidase 1 (TPP-I) Deficiency |
- Safety [ Time Frame: one year post transpant ] [ Designated as safety issue: Yes ]
- Preliminary efficacy [ Time Frame: one year post transplant ] [ Designated as safety issue: No ]
| Enrollment: | 6 |
| Study Start Date: | May 2006 |
| Study Completion Date: | September 2009 |
| Primary Completion Date: | February 2009 (Final data collection date for primary outcome measure) |
-
Procedure: Surgery to implant human CNS stem cells (HuCNS-SC)
Eligibility| Ages Eligible for Study: | 18 Months to 12 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Patients MAY be eligible to participate in this research study if they:
- Are age 18 months to 12 years old
- Have a clinical diagnosis of infantile neuronal ceroid lipofuscinosis (INCL) or late infantile neuronal ceroid lipofuscinosis (LINCL)
- Have a mutation of the CLN1 or CLN2 gene
- Have severe cognitive, communication, behavior and language impairment
Exclusion Criteria:
Patients may not be eligible to participate in this research study if they:
- Have cognitive, communication, behavior and language function less than that of a 1 year old
- Have previously received an organ, tissue or bone marrow transplantation
- Have previously participated in any gene or cell therapy study
- Have infection with hepatitis virus, Cytomegalovirus, Epstein Barr Virus, or Human Immunodeficiency Virus (HIV)
- Have a current or prior cancer
- Have a bleeding disorder
- Are unable to have an MRI scan
Contacts and Locations| United States, Oregon | |
| Oregon Health and Science University | |
| Portland, Oregon, United States, 97239 | |
| Principal Investigator: | Robert Steiner, MD | Oregon Health and Science University |
More Information
Additional Information:
No publications provided
| Responsible Party: | Stephen Huhn, MD, StemCells, Inc. |
| ClinicalTrials.gov Identifier: | NCT00337636 History of Changes |
| Other Study ID Numbers: | CL-N001-05 |
| Study First Received: | June 13, 2006 |
| Last Updated: | November 5, 2010 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by StemCells, Inc.:
|
NCL INCL LINCL |
Batten disease Infantile Neuronal Ceroid Lipofuscinosis (INCL) Late Infantile Neuronal Ceroid Lipofuscinosis (LINCL) |
Additional relevant MeSH terms:
|
Neuronal Ceroid-Lipofuscinoses Heredodegenerative Disorders, Nervous System Neurodegenerative Diseases Nervous System Diseases Genetic Diseases, Inborn |
Lipidoses Lipid Metabolism, Inborn Errors Metabolism, Inborn Errors Lipid Metabolism Disorders Metabolic Diseases |
ClinicalTrials.gov processed this record on May 23, 2013