The main objective of the study is the evaluation of the safety and tolerability of FAB117-HC (a medicinal product containing human allogeneic adipose derived adult mesenchymal stem cells expanded and pulsed with H2O2, HC016 cells) administered at a single-time point to patients with acute thoracic traumatic spinal cord injury (SCI). The study will also include initial exploration of potential clinical efficacy. Dose levels of 20 million and 40 million cells will be administered.
FAB117-HC is an investigational medicinal product whose active substance is HC016, allogeneic adipose-derived adult mesenchymal stem cells expanded and pulsed with H2O2. The main purpose of this study is to evaluate the safety and tolerability of a single administration of FAB117-HC using: a) two sequential escalating doses administered between 72 and 120 hours post-injury, to patients with acute traumatic SCI with ASIA Impairment Scale (AIS) grade A; and b) the determined maximum tolerated dose administered up to 96 h post-injury to patients with AIS grading of A or B. The study includes also initial exploration of efficacy. Treatment is administered by intramedullary injection into the injured spinal cord, during the decompression and stabilization surgery (DSS) of the fracture. DSS is routinely performed on almost all SCI patients. The study has been divided into two phases: Phase 1 (open label): 8 AIS A patients with lesion located between D1 and D12 will be included in 2 sequential cohorts. Phase 2 (randomized, controlled, double-blind): Up to 40 AIS A or B patients with lesion located between D1 and D12, will be randomly divided into two groups (control and treated) that will be balanced in AIS grade.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
48
(Ph 1) Intramedullary administration. Open label dose escalation, 3 patients in cohort 1 (20 million cells) and 5 patients in cohort 2 (40 million cells)
(Ph 2) No treatment will be administered
(Ph 2) Intramedullary administration of the maximum tolerated dose (20 or 40 million cells)
Complexo Hospitalario Universitario A Coruña
A Coruña, Spain
RECRUITINGHospital Universitari Vall d'Hebron
Barcelona, Spain
RECRUITINGHospital Universitario Virgen de las Nieves
Number of adverse events as a measure of safety and tolerability of a single dose of FAB117-HC when administered by intramedullary injection into the injured spinal cord
Time frame: One year
Changes in neurological function using the International Standards for Neurological Classification of SCI (ISNCSCI) scale, examinations at 24h, 72h, 7d, 14d, 28d, 90d and 360 days after injection of FAB117-HC
Time frame: One year
Changes in the functional assessment of Spinal Cord Independence Measure (SCIM III)
Time frame: Day 28 and Day 90
Changes in Somatosensory-Evoked Potentials (SSEP) electrophysiological assessment test.
Time frame: Day 28 and Day 90
Changes in Motor-Evoked Potentials (MEP) electrophysiological assessment test
Time frame: Day 28 and Day 90
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Granada, Spain
Hospital Universitario 12 de Octubre
Madrid, Spain
RECRUITINGHospital Universitario Virgen del Rocío
Seville, Spain
RECRUITINGComplejo Hospitalario de Toledo (HNP y VS)
Toledo, Spain
RECRUITINGHospital Universitari La Fe
Valencia, Spain
RECRUITINGHospital Clínico Universitario Lozano Blesa
Zaragoza, Spain
RECRUITINGHospital Universitario Miguel Servet
Zaragoza, Spain
RECRUITING