Autologous Bone Marrow Stem Cells in Pressure Ulcer Treatment

Study Description

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Brief Summary:

The aim of the study is to determine the safety and feasibility of an autologous mononuclear stem cells infusion in pressure ulcers of paraplegic patients; and moreover, to evaluate the efficacy of the treatment.

Condition or disease	Intervention/treatment	Phase
Type IV Pressure Ulcers; Chronic Wounds; Spinal Cord Injury	Procedure: Infusion of autologous bone marrow stem cells after wound debridement.	Phase 1; Phase 2

Detailed Description:

Taking into account the encouraging results obtained in the treatment of non-healing chronic wounds using bone marrow cells Given that treatment strategies for pressure ulcers can be both costly and complex, in this study we examine the possibility of improving pressure ulcer healing using stem cell therapy.

Study Design

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Study Type :	Interventional (Clinical Trial)
Actual Enrollment :	30 participants
Allocation:	Non-Randomized
Intervention Model:	Single Group Assignment
Masking:	Single (Outcomes Assessor)
Primary Purpose:	Treatment
Official Title:	Treatment of Pressure Ulcers With Autologous Bone Marrow Stem Cells in Spinal Cord Injury Patients.Phase I/II Study.
Study Start Date :	November 2007
Actual Primary Completion Date :	December 2008
Actual Study Completion Date :	December 2010

Arms and Interventions

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Arm	Intervention/treatment
Experimental: Bone marrow stem cells; Bone marrow was obtained by posterosuperior iliac crest aspiration under topical anesthesia. Mononuclear cells were isolated by Ficoll density gradient and will be resuspended in heparinized isotonic saline for infusion into the wound.	Procedure: Infusion of autologous bone marrow stem cells after wound debridement.; Cleaning of the wound with heparinized saline, cell infusion and closing with suture.

Outcome Measures

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Primary Outcome Measures :

1. Absence of adverse effects during timeframe as infections or complications related with the intervention. [ Time Frame: Six months ]
   The proposed trial will involve the recruitment of a total of 30 patients. The cells will be collected via bone marrow sampling. The aspirate will centrifuged on a Ficoll density gradient to isolate mononuclear cells, wich will be resuspended in heparinized isotonic saline for infusion into the area of the wound. Assessment of adverse events will be by wound examination and laboratory (microbiological)parameters

Secondary Outcome Measures :

1. Improvement and closure of the pressure ulcer [ Time Frame: One year ]
   The closure of the ulcer will be assessed by NMR and physical examination

Eligibility Criteria

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Ages Eligible for Study:	18 Years to 75 Years (Adult, Senior)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

• Type IV ulcer pressures of more than 4 months topical treatment without response
• No option for conventional surgery
• Age range of 18-75 years old

Exclusion Criteria:

• Patients out of inclusion age range
• Patients with evidences of mental illness
• Patients with evidences of previous alcohol or drugs dependencies
• Pregnant women
• Patients with present or previous malignant disease during the last 5 years, except for basal cell carcinoma

Contacts and Locations

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Locations

Spain
Hospital Universitario Central de Asturias
Oviedo, Asturias, Spain, 33006

Sponsors and Collaborators

Hospital Universitario Central de Asturias

More Information

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Publications:

Sarasúa JG, López SP, Viejo MA, Basterrechea MP, Rodríguez AF, Gutiérrez AF, Gala JG, Menéndez YM, Augusto DE, Arias AP, Hernández JO. Treatment of pressure ulcers with autologous bone marrow nuclear cells in patients with spinal cord injury. J Spinal Cord Med. 2011;34(3):301-7. doi: 10.1179/2045772311Y.0000000010.

Responsible Party:	Hospital Universitario Central de Asturias
ClinicalTrials.gov Identifier:	NCT01572376 History of Changes
Other Study ID Numbers:	HUCentralAsturias
First Posted:	April 6, 2012
Last Update Posted:	August 25, 2015
Last Verified:	August 2015

Keywords provided by Hospital Universitario Central de Asturias:

Pressure ulcers; Chronic wounds; Spinal cord injury patients	Bone marrow; Mononuclear; Debridement

Additional relevant MeSH terms:

Ulcer; Spinal Cord Injuries; Pressure Ulcer; Pathologic Processes; Spinal Cord Diseases; Central Nervous System Diseases	Nervous System Diseases; Trauma, Nervous System; Wounds and Injuries; Skin Ulcer; Skin Diseases