In this study, we will retrospectively evaluate the safety and efficacy of administering SHED-CM for the treatment of ALS.
Amyotrophic Lateral Sclerosis (ALS) is a progressive and irreversible neurodegenerative disease with limited treatment options. Advances in regenerative medicine have opened new avenues for therapeutic interventions. This retrospective cohort study evaluated the safety and efficacy of stem cells from human exfoliated deciduous teeth-conditioned media (SHED-CM) in 24 patients with ALS treated at a single facility between January 1, 2022, and November 30, 2023. Safety assessments included adverse events, vital signs, and laboratory test changes before and after administration, whereas efficacy was measured using the ALS Functional Rating Scale-Revised (ALSFRS-R), grip strength, and forced vital capacity. while ALSFRS-R scores typically decline over time, the progression rate in this cohort was slower, suggesting a potential delay in disease progression. Alternatively, improvements in muscle strength and mobility were observed in some patients. Although adverse events were reported in only 3% of cases (no serious allergic reactions), the treatment-induced changes in vital signs and laboratory results were not clinically significant. The SHED-CM treatment appears to be a safe and potentially effective therapeutic option for patients with ALS. Further research is needed to optimize the SHED-CM treatment; however, this study lays the groundwork for future exploration of regenerative therapies for ALS.
Study Type
OBSERVATIONAL
Enrollment
24
Patients diagnosed with ALS were administered SHED-CM
Hitonowa Medical
Chiyoda City, Tokyo, Japan
All Adverse Events
This measure will check the total number of adverse events (AEs) reported during the study, categorized by CTCAE Ver 5.0 .
Time frame: after the treatment
Number of Clinically Significant Changes in Laboratory Test Results
This measure will track the number of events where clinically significant abnormalities are detected in laboratory test parameters, including blood count, biochemistry, and coagulation function tests. Changes from baseline to after the 4th treatment session will be evaluated based on predefined clinical thresholds.
Time frame: Baseline (pre-treatment) and after 4th treatment
Number of Clinically Significant Changes in Vital Signs
This measure will evaluate the number of events where clinically significant changes in vital signs occur. Parameters include systolic blood pressure, diastolic blood pressure, pulse rate, body temperature, and SpO2. Each event will be assessed at two time points: immediately after treatment and after the 4th treatment session, comparing values to baseline.
Time frame: Baseline (pre-treatment), post-treatment, and after 4th treatment
Safety assessment during the study period: Adverse events - Self- and other findings
Medical examination, subjective findings, Other findings
Time frame: after the treatment
Efficacy assessment: Changes in Amyotrophic Lateral Sclerosis Functional Rating Scale Revised version
The revised ALS Functional Rating Scale in ALS Patients. This scale is scored from 0 to 48, the higher the score the better.
Time frame: Change from baseline at 16 weeks
Efficacy assessment: Changes in %FVC
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% forced vital capacity in percent
Time frame: Change from baseline at 16 weeks
Efficacy assessment: Changes in grip strength
grip strength in kilograms
Time frame: Change from baseline at 16 weeks