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Lumbar Disc DegenerationNCT04414592

Human Umbilical Cord Mesenchymal Stem Cells For the Treatment of Lumbar Disc Degeneration Disease

A study testing human umbilical cord mesenchymal stem cells in people with Lumbar Disc Degeneration and Lumbar Disc Herniation, run by Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine at 2 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study aims to investigate the safety and efficiency of Human Umbilical Cord Mesenchymal Stem Cells (hUCMSC) for treating lumbar disc degeneration diseases. We hypothesize grafting hUCMSC into the degenerative disc leads to symptoms relief and slow down the progression of disc degeneration. Read more about this study

Who is it for?
Ages 18 to 60 years
What is being tested?
human umbilical cord mesenchymal stem cells
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
2 sitesChina
Study dates
Aug 2020to Mar 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Age: 18-60 years old;
  • Symptoms with lower back pain and unilateral radicular pain;
  • Failure of conservative treatments including physical therapy, manipulation therapy and non-morphine drug therapy;
  • CT/MRI clearly showing unilateral nucleus pulposus herniation to compress the nerve root;
  • Symptoms and imaging showing unilateral lumbar disc herniation;
  • Imaging showed single-segment lumbar disc herniation;
Show all 11Show fewer
  • Pfirrmann disc degeneration classification from lumbar MRI: grade I-IV;
  • Segments of lumbar disc herniation: L3-4, L4-5, L5-S1;
  • Unilateral full endoscopic lumbar discectomy;
  • Signing the informed consent;
  • No previous history of spinal surgery.

Who cannot join

  • Previous history of tumor or spinal infection;
  • Severe coagulation disorders or are taking oral anticoagulants
  • coma or incapacity;
  • MRI contraindications (cardiovascular and cerebrovascular stent implantation history, cardiac pacemaker, biological stimulator, etc.);
  • pregnant;
  • pregnancy or breastfeeding;
Show all 22Show fewer
  • participated in other clinical trials in the past 30 days;
  • History of stem cell therapy;
  • poor compliance, or inability to properly understand the coordination;
  • received intervertebral disc interventional therapy, such as radiofrequency, laser ablation, protease injection and ozone injection in the past 3 months;
  • Highly allergic constitution or severe allergic history;
  • Severe autoimmune diseases or receiving immunosuppressive therapy;
  • Severe infection or high fever;
  • Shock, failure of vital organs or unstable vital signs;
  • X-ray showing that the stenosis percentage of the degenerative segment was larger than 30% compared to that of the adjacent normal segment.
  • Lumbar disc herniation with calcification;
  • Lumbar disc herniation with Modic Change;
  • Lumbar disc herniation with severe spinal stenosis;
  • Lumbar disc herniation with lumbar spondylolisthesis;
  • Lumbar disc herniation with spinal deformity;
  • psychosocial abnormalities, cognitive impairment, or other physical diseases affecting the research results;
  • Other reasons.

Trial locations and contacts

2 sites in 1 country.

Song Guo, M.D. contact

15901836457

guosongtj@163.com

Jigang Zhang, M.D. contact

18621155781

2293259778@qq.com

China2 sites, 2 recruiting
  • Shanghai General Hospital

    Shanghai, Shanghai Municipality, 200080

    Qiang Fu, M.D., 13636636288, johson.f@163.com

    Song Guo, M.D., 15901836457, guosongtj@163.com

    Recruiting
  • Shanghai General Hospital

    Shanghai

    Qiang Fu, M.D., 13636636288

    Qiang Fu, M.D.

    Recruiting

Other trials in China

About this study

Official title: Safety and Effectiveness of Human Umbilical Cord Mesenchymal Stem Cells For the Treatment of Lumbar Disc Degeneration Disease

This study aims to investigate the safety and efficiency of Human Umbilical Cord Mesenchymal Stem Cells (hUCMSC) for treating lumbar disc degeneration diseases. We hypothesize grafting hUCMSC into the degenerative disc leads to symptoms relief and slow down the progression of disc degeneration.

Read the detailed description

Lumbar disc herniation causes patients severe lower back pain and radicular pain to decrease the quality of life and lead to great economic burden to patients and society. In recent years, full endoscopic discectomy has been widely used in the treatment of lumbar disc herniation due to its advantages of reduced trauma, enhanced recovery and less cost. However, the reherniation of the residual nucleus pulposus still exist after nerve root decompression. It is urgent to use stem cell and tissue engineering to replace the resection tissue and repair the residual nucleus pulposus for disc resealing. To observe the safety and efficacy of human umbilical cord mesenchymal stem cells (hUCMSCs) in the treatment of lumbar disc degeneration. This clinical trial is aimed to include a single group of 20 patients with lumbar disc herniation. Twenty million hUCMSCs will be injected into the lumbar disc of the enrolled patients in this non-random, self-controlled and single-dose open study design. The patients will be followed up for 3 months, 6 months and 12 months after the injection to evaluate the safety of the patients after grafting hUCMSCs. Additionally, improvement of patients' quality of life will be evaluated using the ODI score, VAS score and SF-36 score. Lumbar disc signals will be also quantified using MRI to demonstrate hUCMSCs transplantation could slow down lumbar disc degeneration.

Being tested
human umbilical cord mesenchymal stem cells
Keywords
Lumbar Disc Degeneration, Human Umbilical Cord Mesenchymal Stem Cells, Lumbar Disc Herniation
Medical subject headings
Intervertebral Disc Degeneration, Intervertebral Disc Displacement

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • human umbilical cord mesenchymal stem cellsOther

    Twenty million human umbilical cord mesenchymal stem cells will be immediately injected into the degenerative discs of such patients who are diagnosed with lumbar disc herniation and operated with full endoscopy lumbar discectomy.

Study groups in NCT04414592
Study groupRoleWhat they receive
Human Umbilical Cord Mesenchymal Stem CellsExperimentalInjection of twenty million human umbilical cord mesenchymal stem cells into the degenerative disc
Receives: Other: human umbilical cord mesenchymal stem cells

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Lumbar disc signaling values from magnetic resonance imaging

    Changes from baseline in Lumbar disc signaling values from magnetic resonance imaging

    Measured: Baseline, post-op 3months, post-op 6months, post-op 12months

Secondary outcomes (6)
  1. Visual Analogue Scale (VAS) (0-10 scores, the higher scores mean a worse outcome)

    Changes from baseline in Visual Analogue Scale of Lower back pain and leg pain

    Measured: Baseline, post-op 3months, post-op 6months, post-op 12months

  2. Oswestry Disability Index(ODI) (0-50 scores, the higher scores mean a worse outcome)

    Changes from baseline in Oswestry Disability Index

    Measured: Baseline, post-op 3months, post-op 6months, post-op 12months

  3. The Short Form (36) Health survey (SF36) (0-100 scores, the higher scores mean a better outcome)

    Changes from baseline in The Short Form (36) Health survey (SF36)

    Measured: Baseline, post-op 3months, post-op 6months, post-op 12months

  4. Disc Height Index (DHI) from X ray

    Changes from baseline in Disc Height Index

    Measured: Baseline, post-op 3months, post-op 6months, post-op 12months

  5. Size of herniated nucleus pulposus from magnetic resonance imaging

    Changes from baseline in size of nucleus pulposus from magnetic resonance imaging

    Measured: Baseline, post-op 3months, post-op 6months, post-op 12months

  6. Number of participants with treatment-related adverse events by CTCAE v4.0

    Assessing for worsening of patients' baseline symptoms or functions (will be considered an AE); (also general AE events), particular AE events related to the procedures/treatment. All AEs will be assessed by common terminology criteria for adverse events.

    Measured: From baseline until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Jun 2020
  2. Study startAug 2020 (estimated)
  3. Primary completionMar 2022 (estimated)
  4. Study completionMar 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04414592
Sponsor's protocol ID
QFu
Status last verified
May 2020
First submitted
6 May 2020
Last updated
4 Jun 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: All the relative individual participant data (IPD) collected during the trial after deidentification

Publications

  • Walker BF. The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. J Spinal Disord. 2000 Jun;13(3):205-17. doi: 10.1097/00002517-200006000-00003.

    PubMed 10872758
  • Ghiselli G, Wang JC, Bhatia NN, Hsu WK, Dawson EG. Adjacent segment degeneration in the lumbar spine. J Bone Joint Surg Am. 2004 Jul;86(7):1497-503. doi: 10.2106/00004623-200407000-00020.

    PubMed 15252099
  • Chen Z, Zhang L, Dong J, Xie P, Liu B, Wang Q, Chen R, Shu T, Li S, Feng F, Yang B, He L, Yang Y, Liu Z, Pang M, Rong L. Percutaneous Transforaminal Endoscopic Discectomy Versus Microendoscopic Discectomy for Lumbar Disc Herniation: Two-Year Results of a Randomized Controlled Trial. Spine (Phila Pa 1976). 2020 Apr 15;45(8):493-503. doi: 10.1097/BRS.0000000000003314.

    PubMed 31703056
  • Li Z, Lang G, Chen X, Sacks H, Mantzur C, Tropp U, Mader KT, Smallwood TC, Sammon C, Richards RG, Alini M, Grad S. Polyurethane scaffold with in situ swelling capacity for nucleus pulposus replacement. Biomaterials. 2016 Apr;84:196-209. doi: 10.1016/j.biomaterials.2016.01.040. Epub 2016 Jan 21.

    PubMed 26828684
  • Moriguchi Y, Mojica-Santiago J, Grunert P, Pennicooke B, Berlin C, Khair T, Navarro-Ramirez R, Ricart Arbona RJ, Nguyen J, Hartl R, Bonassar LJ. Total disc replacement using tissue-engineered intervertebral discs in the canine cervical spine. PLoS One. 2017 Oct 20;12(10):e0185716. doi: 10.1371/journal.pone.0185716. eCollection 2017.

    PubMed 29053719
  • Benneker LM, Andersson G, Iatridis JC, Sakai D, Hartl R, Ito K, Grad S. Cell therapy for intervertebral disc repair: advancing cell therapy from bench to clinics. Eur Cell Mater. 2014 May 6;27:5-11. doi: 10.22203/ecm.v027sa02.

    PubMed 24802611
  • Sobajima S, Vadala G, Shimer A, Kim JS, Gilbertson LG, Kang JD. Feasibility of a stem cell therapy for intervertebral disc degeneration. Spine J. 2008 Nov-Dec;8(6):888-96. doi: 10.1016/j.spinee.2007.09.011. Epub 2007 Dec 21.

    PubMed 18082460
  • Sakai D, Mochida J, Yamamoto Y, Nomura T, Okuma M, Nishimura K, Nakai T, Ando K, Hotta T. Transplantation of mesenchymal stem cells embedded in Atelocollagen gel to the intervertebral disc: a potential therapeutic model for disc degeneration. Biomaterials. 2003 Sep;24(20):3531-41. doi: 10.1016/s0142-9612(03)00222-9.

    PubMed 12809782
  • Sakai D, Mochida J, Iwashina T, Hiyama A, Omi H, Imai M, Nakai T, Ando K, Hotta T. Regenerative effects of transplanting mesenchymal stem cells embedded in atelocollagen to the degenerated intervertebral disc. Biomaterials. 2006 Jan;27(3):335-45. doi: 10.1016/j.biomaterials.2005.06.038. Epub 2005 Aug 19.

    PubMed 16112726
  • Sakai D, Mochida J, Iwashina T, Watanabe T, Nakai T, Ando K, Hotta T. Differentiation of mesenchymal stem cells transplanted to a rabbit degenerative disc model: potential and limitations for stem cell therapy in disc regeneration. Spine (Phila Pa 1976). 2005 Nov 1;30(21):2379-87. doi: 10.1097/01.brs.0000184365.28481.e3.

    PubMed 16261113
  • Crevensten G, Walsh AJ, Ananthakrishnan D, Page P, Wahba GM, Lotz JC, Berven S. Intervertebral disc cell therapy for regeneration: mesenchymal stem cell implantation in rat intervertebral discs. Ann Biomed Eng. 2004 Mar;32(3):430-4. doi: 10.1023/b:abme.0000017545.84833.7c.

    PubMed 15095817
  • Zhang YG, Guo X, Xu P, Kang LL, Li J. Bone mesenchymal stem cells transplanted into rabbit intervertebral discs can increase proteoglycans. Clin Orthop Relat Res. 2005 Jan;(430):219-26. doi: 10.1097/01.blo.0000146534.31120.cf.

    PubMed 15662327
  • Ho G, Leung VY, Cheung KM, Chan D. Effect of severity of intervertebral disc injury on mesenchymal stem cell-based regeneration. Connect Tissue Res. 2008;49(1):15-21. doi: 10.1080/03008200701818595.

    PubMed 18293174
  • Yi Z, Guanjun T, Lin C, Zifeng P. Effects of Transplantation of hTIMP-1-Expressing Bone Marrow Mesenchymal Stem Cells on the Extracellular Matrix of Degenerative Intervertebral Discs in an In Vivo Rabbit Model. Spine (Phila Pa 1976). 2014 May 15;39(11):E669-E675. doi: 10.1097/BRS.0000000000000316.

    PubMed 24718065
  • Wei A, Tao H, Chung SA, Brisby H, Ma DD, Diwan AD. The fate of transplanted xenogeneic bone marrow-derived stem cells in rat intervertebral discs. J Orthop Res. 2009 Mar;27(3):374-9. doi: 10.1002/jor.20567.

    PubMed 18853431

Questions about this trial

What is this clinical trial studying?

A study testing human umbilical cord mesenchymal stem cells in people with Lumbar Disc Degeneration and Lumbar Disc Herniation, run by Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine at 2 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 4 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Song Guo, M.D. (15901836457, guosongtj@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Lumbar disc signaling values from magnetic resonance imaging (time frame: Baseline, post-op 3months, post-op 6months, post-op 12months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04414592, which also lists 27 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Jun 2020.

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