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CompletedNCT00875654ISISUpdated Nov 1, 2017

Intravenous Stem Cells After Ischemic Stroke

A Phase 2 interventional study of Autologous mesenchymal stem cells in Ischemia and Stroke, sponsored by University Hospital, Grenoble. Completed at 3 sites in France. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2017-11-01.

Sponsored by University Hospital, Grenoble · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
31
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The main objective of the study is to evaluate feasibility and tolerance of the intravenous injection of autologous mesenchymal stem cells for patients presenting an ischemic stroke (less than 6 weeks).

Read the detailed description

Stroke is the leading cause of acquired adult disability. Except the hospitalization in stroke units, only thrombolysis has been shown to be efficient to treat acute ischemic stroke in the first three hours after the onset. Increasing brain plasticity after stroke represents an important alternative strategy. Cell therapy provides a functional improvement after cerebral ischemia in rodent models. This "restorative" therapy aims to replace destroyed cerebral tissue with a stem cells graft. Despite these encouraging experiments, we do not know yet the best way of administration of the stem cells, the best dose and the optimal delay of the graft. The pioneer clinical studies failed to reproduce this benefit for patients probably because of the limited number of studied patients. Therefore, more translational studies are needed to improve our knowledge in this promising field. Among different cell sources, mesenchymal (or stromal) stem cells (MSC) derived from bone marrow offer the advantage of arising from a non tumoral and no modified source and are not sources of immunological or ethical problems.

Our research project involves a development of cell therapy in a phase IIa clinical trial of feasibility and safety in patients (randomised, controlled, open, with 3 parallel groups).

02

Conditions studied

  • Ischemia
  • Stroke

Keywords

  • Cell therapy
  • Stroke
  • Neuronal Plasticity
  • Recovery
  • Mesenchymal Stem Cells
  • Transplantation
03

In context

Ischemia

2,062 studies on the registry are indexed under Ischemia; 345 are open to participants now.

This study's enrollment of 31 is below the median of 80 across 1,361 interventional studies indexed under Ischemia.

Browse Ischemia studies →

Lead sponsor

University Hospital, Grenoble is the lead sponsor of 835 studies on the registry; 207 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • right or left carotid ischemic stroke in the 14 previous days, confirmed by MRI.
  • Persistent neurological deficit (NIHSS >=7).
  • Optimal medical treatment(antithrombotics, antihypertensive, statins).
  • General state compatible with a program of functional rehabilitation.

Exclusion criteria

Exclusion Criteria:

  • Severe extensive stroke implying vital prognosis.
  • Severe persistent neurological deficit (NIHSS > 24).
  • Medical history of neurological pathology with a deficit as consequence (Rankin \< 3 before stroke).
  • Serious psychiatric disease.
  • Myocardial infarction less than 3 month old.
  • Recurring thromboembolic disease or less than 6 month old.
  • Patient with organ transplantation.
  • Medical history of infection (HIV,HTLV, HBV, HCV).
  • Current immunosuppressive/immunomodulating treatment.
  • Medical history of cancer.
  • Medical history of chemotherapy.
  • Known chronic kidney failure(clearance of creatinin \< 90 ml/min/1,73m2).
  • Known hepatic failure(diminution of prothrombin level (TP) not corrigiable with vitamin K).
  • Obesity hinding the bone-marrow sampling in the iliac crest.
  • Pathology implying vital prognosis in the 3 month following stroke.
  • Refusal to participate.
  • Patient unable to give personally his/her consent.
  • Pregnant, parturient and feeding women.
  • Woman in age to procreate who could not receive an effective method of contraception during the study.
  • Participation to another therapeutic clinical trial or in period of exclusion of a therapeutic clinical study.
  • Privation of liberty with a decision of justice or administration, legal protection.
  • Non affiliation to social security.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
31 participants (actual)

Study arms

  • No intervention
    1

    Control group without intervention nor placebo

  • Experimental
    2

    First dose of stem cells

    Genetic: Autologous mesenchymal stem cells

  • Experimental
    3

    Second dose of stem cells

    Genetic: Autologous mesenchymal stem cells

Interventions

  • GeneticAutologous mesenchymal stem cells

    Intravenous injection of Mesenchymal Stem Cells in a mixing of physiological salt solution/albumin 4% (volume\<100ml) less than 6 weeks after stroke

06

What researchers measure

Primary outcomes

  1. feasibility and tolerance of the intravenous injection of autologous mesenchymal stem cells in patients with carotid ischemic stroke

    Time frame: 2 weeks, 1, 2, 4, 6 months and 1, 2 years

Secondary outcomes

  1. Clinical and functional effects of the intravenous injection of autologous mesenchymal stem cells in patients with carotid ischemic stroke

    Time frame: 2 weeks, 1, 2, 4, 6 months and 1, 2 years

  2. Determination of the most effective dose of stem cells

    Time frame: 2 weeks, 1, 2, 4, 6 months and 1, 2 years

  3. To define the best criteria for a future trial (phase III)

    Time frame: 2 weeks, 1, 2, 4, 6 months and 1, 2 years

  4. To define the best target population for a future study

    Time frame: 2 weeks, 1, 2, 4, 6 months and 1, 2 years

07

Study locations

3 sites
  • Neuroradiology/MRI, University Hospital of Grenoble
    Grenoble, 38000, France
  • Stroke Unit, University Hospital of Grenoble
    Grenoble, 38000, France
  • Tissular and cell therapy unit, UniversityHospitalof Grenoble
    Grenoble, 38000, France
08

References and documents

Publications

  • Jaillard A, Hommel M, Moisan A, Zeffiro TA, Favre-Wiki IM, Barbieux-Guillot M, Vadot W, Marcel S, Lamalle L, Grand S, Detante O; (for the ISIS-HERMES Study Group). Autologous Mesenchymal Stem Cells Improve Motor Recovery in Subacute Ischemic Stroke: a Randomized Clinical Trial. Transl Stroke Res. 2020 Oct;11(5):910-923. doi: 10.1007/s12975-020-00787-z. Epub 2020 May 27. PubMed 32462427 ↗
  • Hannanu FF, Goundous I, Detante O, Naegele B, Jaillard A. Spatiotemporal patterns of sensorimotor fMRI activity influence hand motor recovery in subacute stroke: A longitudinal task-related fMRI study. Cortex. 2020 Aug;129:80-98. doi: 10.1016/j.cortex.2020.03.024. Epub 2020 Apr 17. PubMed 32438012 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 1, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00875654
Collaborators
Commissariat A L'energie Atomique, Institut National de la Santé Et de la Recherche Médicale, France
Responsible party
AdministrateurCIC (Dr Olivier DETANTE, University Hospital, Grenoble) — Principal investigator
First posted
Apr 3, 2009
Start date
Aug 2010
Primary completion
Oct 20, 2017
Completion
Oct 20, 2017
Last update
Nov 1, 2017

Study contacts

Olivier Detante, MD
principal investigator · University Hospital, Grenoble

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2017. You cannot join it, but the record below documents what was studied.

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