ClinicalTrials.gg
CompletedNCT03799718Updated Dec 4, 2023Results posted

Safety and Efficacy of Repeated Administration of NurOwn (MSC-NTF Cells) in Participants With Progressive MS

A Phase 2 interventional study of NurOwn (MSC-NTF cells) in Multiple Sclerosis, Chronic Progressive, sponsored by Brainstorm-Cell Therapeutics. Completed at 4 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2023-12-04.

Sponsored by Brainstorm-Cell Therapeutics · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
23
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

A multidose open-label study with autologous Mesenchymal Stromal Stem Cells Secreting Neurotrophic Factors (MSC-NTF cells) involving 20 participants with progressive MS at multiple investigational study sites.

Read the detailed description

An open-label study with a single treatment arm involving 20 participants with progressive MS at multiple investigational study sites. After providing informed consent, participants meeting the inclusion and exclusion criteria will be randomized and approximately 4 weeks later will undergo a bone-marrow aspiration (BMA). Each participants will receive three Intrathecal cell transplantations within 16 weeks and will be followed for 12 weeks for safety and efficacy.

02

Conditions studied

  • Multiple Sclerosis, Chronic Progressive
03

In context

Multiple Sclerosis, Chronic Progressive

244 studies on the registry are indexed under Multiple Sclerosis, Chronic Progressive; 53 are open to participants now.

This study's enrollment of 23 is below the median of 54 across 189 interventional studies indexed under Multiple Sclerosis, Chronic Progressive.

Browse Multiple Sclerosis, Chronic Progressive studies →

Lead sponsor

Brainstorm-Cell Therapeutics is the lead sponsor of 7 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 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

  1. Males and females ages 18 to 65 years old, inclusive, at the Screening Visit.
  2. Clinical diagnosis of Progressive MS (Primary and Secondary) based on the 2017 revised MacDonald Criteria and confirmation by the Investigator that the disease has entered the progressive stage for at least 6 months prior to enrollment.
  3. No evidence of clinical MS relapse or high dose pulse treatment within 6 months prior to screening
  4. Disability status at screening with an Expanded Disability Status Scale (EDSS) 3.0-6.5, inclusive.
  5. Able to walk 25 feet in 60 seconds or less.
  6. Stable dose of non-excluded MS Disease Modifying Therapy for at least 6 months prior to Screening Visit (Visit 1).
  7. Women of shall either be surgically sterile, or must agree not to become pregnant for the duration of the study. Women must be willing to undergo a serum pregnancy test at screening, and at the conclusion of the study. Participants of childbearing potential must agree to use a medically approved form of (abstinence, intrauterine device (IUD), oral contraception, barrier and spermicide or hormonal implant) throughout the duration of the study and for at least 3 months following the last transplantation. For those women who are sexually active and using oral contraceptives, a second form of barrier contraception is required. Men must be willing to consistently use two forms of contraceptive if their partners are of childbearing age.
  8. Capable of providing and willing and able to follow study procedures, including willingness to undergo multiple/repeated lumbar puncture.

Exclusion criteria

Exclusion Criteria:

  1. Prior stem cell therapy of any kind.
  2. Active participation in any other MS interventional study or use of unapproved MS therapy within 90 days prior to the Screening Visit (Visit 1).
  3. Inability to lie flat for the duration of intrathecal cell transplantation and/or bone marrow , or inability to tolerate study procedures for any other reason.
  4. History of disease (excluding thyroid disease) that may confound study results, in the opinion of the Investigator and the medical monitor, myelodysplastic or myeloproliferative disorder, leukemia or lymphoma, whole body irradiation, hip fracture, or severe scoliosis.
  5. Any unstable clinically significant medical condition other than multiple sclerosis (e.g., within six months of Screening Visit (Visit 1), had myocardial infarction, angina pectoris, and/or congestive heart failure), treatment with anticoagulants that, in the opinion of the investigator, would compromise the safety of participants.
  6. Any history of within the previous 5 years, except for non-melanoma localized skin cancers (with no evidence of , significant invasion, or reoccurrence within three years of Screening Visit (Visit 1)).
  7. Serum (AST) or alanine aminotransferase (ALT) value >3.0 times the upper normal limit.
  8. Serum creatinine value >2.0 times the upper normal limit.
  9. Positive test for (HBV; surface antigen (HBsAg) and antibodies to core antigen (IgG and IgM anti-HBc)), (HCV), or (HIV) 1 and 2.
  10. Current use of medication or use of such medication within 6 months of study enrollment (aside from Rituximab or other approved B-cell immunotherapy). Alemtuzumab (Lemtrada), Cladribine (NDA submitted), Natalizumab (Tysabri), S1P modulators (Gilenya) are excluded for safety reasons due to the known risk of systemic autoimmune disease, malignancy, opportunistic infections, and cardiovascular toxicity associated with these therapies, as well as theoretical effects on MSC-NTF cell homing and migration, that may be associated with Natalizumab and/or S1P modulators (Gilenya).
  11. Any history of acquired or inherited immune deficiency syndrome.
  12. Any history of either substance abuse within the past year, or unstable psychiatric disease according to the Investigator's judgment.
  13. Pregnant women or women currently breastfeeding.
  14. Subjects for whom MRI is (i.e., have a pacemaker or other metallic implanted device, or are unable to remain in the machine for period of time needed to acquire a scan.
Terms in these criteria, in plain language(16)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
23 participants (actual)

Study arms

  • Experimental
    NurOwn (MSC-NTF cells)

    Autologous Mesenchymal Stem Cells Secreting Neurotrophic Factors

    Biological: NurOwn (MSC-NTF cells)

Interventions

06

What researchers measure

Primary outcomes

  1. Number of Participants With Treatment-emergent Adverse Events

    Combined safety of all 3 intrathecal doses of NurOwn® (MSC-NTF cells) Number of participants who experienced Treatment-emergent Adverse Events during the study. Treatment-emergent Adverse Event is an adverse event that occurs for the first time after initiation of first treatment or if it had occurred prior to initiation first treatment, it worsens in severity after initiation of first treatment.

    Time frame: Up to 28 weeks post-first treatment

Secondary outcomes

  1. Number of Participants With 25% or Greater Improvement From Baseline in Time 25 Foot Walk (T25FW) Speed or Nine-Hole Peg Test (9-HPT)

    25% or greater improvement at 28 weeks from Baseline in Time 25 Foot Walk (T25FW) speed or 9 Hole Peg Test (9-HPT). The T25FW is a quantitative mobility and leg function performance test based on a timed 25-feet walk. The patient is directed to one end of a clearly marked 25-foot course and is instructed to walk 25 feet as quickly as possible, but safely. T25FW is the average of the two successive trials. Higher values represent better outcomes. The 9HPT is used to measure upper extremity function in patients with various neurological diagnoses. The participant is asked to pick up the nine pegs, puts them in the nine holes, and, once completed, removes them again as quickly as possible, replacing them into the container. The total time to complete the task is recorded. Higher values represent worse outcomes.

    Time frame: From Baseline (pre-first treatment) to 28 weeks post-first treatment

  2. Number of Participants With 25% or Greater Improvement From Baseline to Week 28 in Timed 25 Foot Walk (T25FW) Speed

    ≥25% improvement in T25FW speed over 28 weeks The T25FW is a quantitative mobility and leg function performance test based on a timed 25-feet walk. The patient is directed to one end of a clearly marked 25-foot course and is instructed to walk 25 feet as quickly as possible, but safely. The task is immediately administered again by having the patient walk back the same distance Baseline T25FW is the average of the two successive trials. Higher values represent better outcomes

    Time frame: From Baseline (pre-first treatment) to 28 weeks post-first treatment

  3. Number of Participants With 25% or Greater Improvement From Baseline to Week 28 in 9-HPT

    The Nine-Hole Peg Test (9HPT) is used to measure upper extremity function in patients with various neurological diagnoses. The participant is seated at a table with a small, shallow container holding nine pegs and a wood or plastic block containing nine empty holes. On a start command when a stopwatch is started, the participant picks up the nine pegs one at a time as quickly as possible, puts them in the nine holes, and, once they are in the holes, removes them again as quickly as possible one at a time, replacing them into the shallow container. The total time to complete the task is recorded. Two consecutive trials with the dominant hand are immediately followed by two consecutive trials with the non-dominant hand. Baseline 9HPT is the average of 2 trials of dominant hand and nondominant hand. The higher values represent a worse outcome.

    Time frame: From Baseline (pre-first treatment) to 28 weeks post-first treatment

  4. Number of Participants Who Had >5.5 in Expanded Disability Status Scale (EDSS) at Baseline, With ≥0.5 Points Improvement From Baseline to Week 28

    Expanded Disability Status Scale (EDSS) provides a total score on a scale that ranges from 0 (no disability) through 1 to 10 (death due to MS), in 0.5-point steps. The first levels 1.0 to 4.5 refer to people with a high degree of ambulatory ability and the sequent levels 5.0 to 9.5 refer to the loss of ambulatory ability. The higher score represents the worse outcome.

    Time frame: From Baseline (pre-first treatment) to 28 weeks post-first treatment

  5. Number of Participants With ≥10 Points Improvement From Baseline to Week 28 in Multiple Sclerosis Walking Scale (MSWS-12)

    The Multiple Sclerosis Walking Scale (MSWS)-12 is a patient-reported outcome measure of the walking limitations due to MS during the past 2 weeks. It contains 12 questions that assess the impact of MS on different aspects of walking function and quality. Total administration time should be approximately 5 minutes. Activities are rated by participant from min. 1 (not at all) to max. 5 (extremely) and summed to calculate a total score using a scale from 0 to 60 (ranging from low to high impact on walking). This score is then divided by 60 and multiplied by 100 to get a score between 0 and 100 A higher score represents a worse outcome.

    Time frame: From Baseline (pre-first treatment) to 28 weeks post-first treatment

  6. Number of Participants With ≥8 Letter Improvement From Baseline to Week 28 in LCLA Binocular 2.5% Contrast Level

    The Low contrast letter acuity (LCLA) is a leading outcome measure to assess visual disability in multiple sclerosis (MS) research Total administration time, for a typical MS patient, is approximately 10-15 minutes to complete, when testing each eye individually and binocular vision for two different contrast levels. The score for each chart is quantified as the number of letters identified correctly with a minimum scrore of 0 letter and a maximum score of 70 letters. The higher score represents the better outcome.

    Time frame: From Baseline (pre-first treatment) to 28 weeks post-first treatment

  7. Number of Participants With ≥ 3 Points Improvement From Baseline to Week 28 in Symbol Digit Modalities Test (SDMT) Score

    Symbol Digit Modalities test (SDMT) is a commonly used test to assess psychomotor speed, which measures processing speed as well as motor speed. It is a paper-pencil measure which requires an individual to substitute digits for abstract symbols using a reference key Scoring involves summing the number of correct substitutions within the 90 second interval (max = 110) Minimum score is 0 and maximum score 110. The higher score represents the better outcome.

    Time frame: From Baseline (pre-first treatment) to 28 weeks post-first treatment

  8. Change in Concentration of Vascular Endothelial Growth Factor (VEGF) Neuroprotective Biomarker From Baseline in the Cerebrospinal Fluid (CSF) 16 Weeks Following First NurOwn® Treatment

    Change from baseline (pre-first treatment) in the concentration of Vascular endothelial growth factor (VEGF) neuroprotective biomarker in the Cerebrospinal fluid (CSF) at 16 weeks following first NurOwn® treatment The concentration of the biomarker is measured as Picogram per milliliter (pg/ml). A higher concentration of neuroprotective biomarkers suggests a better outcome

    Time frame: From Baseline (pre-first treatment) to 16 weeks post first treatment

  9. Change in Concentration of Hepatocyte Growth Factor (HGF) Neuroprotective Biomarker From Baseline in the Cerebrospinal Fluid (CSF) 16 Weeks Following NurOwn® Treatment

    Change from baseline in the concentration of Hepatocyte growth factor (HGF) neuroprotective biomarker in the Cerebrospinal Fluid (CSF) at 16 weeks following the first NurOwn® treatment The concentration of the biomarker is measured as Picogram per milliliter (pg/ml). A higher concentration of neuroprotective biomarkers suggests a better outcome

    Time frame: From Baseline (pre-first treatment) to 16 weeks post first treatment

07

Results

Posted Nov 14, 2022

Participant flow

Participant flow — Overall Study
MilestoneNurOwn (MSC-NTF Cells)
Started20
Completed18
Not completed2
Withdrew: Adverse event2

Outcome measures

PrimaryNumber of Participants With Treatment-emergent Adverse Events

Combined safety of all 3 intrathecal doses of NurOwn® (MSC-NTF cells) Number of participants who experienced Treatment-emergent Adverse Events during the study. Treatment-emergent Adverse Event is an adverse event that occurs for the first time after initiation of first treatment or if it had occurred prior to initiation first treatment, it worsens in severity after initiation of first treatment.

Time frame:
Up to 28 weeks post-first treatment
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent Adverse Events
ParticipantsNurOwn (MSC-NTF Cells)
Number of Participants With Treatment-emergent Adverse Events18
SecondaryNumber of Participants With 25% or Greater Improvement From Baseline in Time 25 Foot Walk (T25FW) Speed or Nine-Hole Peg Test (9-HPT)

25% or greater improvement at 28 weeks from Baseline in Time 25 Foot Walk (T25FW) speed or 9 Hole Peg Test (9-HPT). The T25FW is a quantitative mobility and leg function performance test based on a timed 25-feet walk. The patient is directed to one end of a clearly marked 25-foot course and is instructed to walk 25 feet as quickly as possible, but safely. T25FW is the average of the two successive trials. Higher values represent better outcomes. The 9HPT is used to measure upper extremity function in patients with various neurological diagnoses. The participant is asked to pick up the nine pegs, puts them in the nine holes, and, once completed, removes them again as quickly as possible, replacing them into the container. The total time to complete the task is recorded. Higher values represent worse outcomes.

Time frame:
From Baseline (pre-first treatment) to 28 weeks post-first treatment
Reported as:
Count of participants · Participants
Number of Participants With 25% or Greater Improvement From Baseline in Time 25 Foot Walk (T25FW) Speed or Nine-Hole Peg Test (9-HPT)
ParticipantsNurOwn (MSC-NTF Cells)
Number of Participants with 25% or greater improvement from Baseline inT25FW speed or 9-HPT3
Number of Participants with <25% improvement from Baseline inT25FW speed or 9-HPT13
Number of Participants with missing data at week 282
SecondaryNumber of Participants With 25% or Greater Improvement From Baseline to Week 28 in Timed 25 Foot Walk (T25FW) Speed

≥25% improvement in T25FW speed over 28 weeks The T25FW is a quantitative mobility and leg function performance test based on a timed 25-feet walk. The patient is directed to one end of a clearly marked 25-foot course and is instructed to walk 25 feet as quickly as possible, but safely. The task is immediately administered again by having the patient walk back the same distance Baseline T25FW is the average of the two successive trials. Higher values represent better outcomes

Time frame:
From Baseline (pre-first treatment) to 28 weeks post-first treatment
Reported as:
Count of participants · Participants
Number of Participants With 25% or Greater Improvement From Baseline to Week 28 in Timed 25 Foot Walk (T25FW) Speed
ParticipantsNurOwn (MSC-NTF Cells)
Number of participants with 25% or more improvement2
Number of participants without 25% or more improvement12
Number of participants with missing values at week 284
SecondaryNumber of Participants With 25% or Greater Improvement From Baseline to Week 28 in 9-HPT

The Nine-Hole Peg Test (9HPT) is used to measure upper extremity function in patients with various neurological diagnoses. The participant is seated at a table with a small, shallow container holding nine pegs and a wood or plastic block containing nine empty holes. On a start command when a stopwatch is started, the participant picks up the nine pegs one at a time as quickly as possible, puts them in the nine holes, and, once they are in the holes, removes them again as quickly as possible one at a time, replacing them into the shallow container. The total time to complete the task is recorded. Two consecutive trials with the dominant hand are immediately followed by two consecutive trials with the non-dominant hand. Baseline 9HPT is the average of 2 trials of dominant hand and nondominant hand. The higher values represent a worse outcome.

Time frame:
From Baseline (pre-first treatment) to 28 weeks post-first treatment
Reported as:
Count of participants · Participants
Number of Participants With 25% or Greater Improvement From Baseline to Week 28 in 9-HPT
ParticipantsNurOwn (MSC-NTF Cells)
Number of Participants with 25% or greater improvement from Baseline to Week 28 in 9-HPT2
Number of Participants with less than 25% improvement from Baseline to Week 28 in 9-HPT13
Number of participants with missing values at week 283
SecondaryNumber of Participants Who Had >5.5 in Expanded Disability Status Scale (EDSS) at Baseline, With ≥0.5 Points Improvement From Baseline to Week 28

Expanded Disability Status Scale (EDSS) provides a total score on a scale that ranges from 0 (no disability) through 1 to 10 (death due to MS), in 0.5-point steps. The first levels 1.0 to 4.5 refer to people with a high degree of ambulatory ability and the sequent levels 5.0 to 9.5 refer to the loss of ambulatory ability. The higher score represents the worse outcome.

Time frame:
From Baseline (pre-first treatment) to 28 weeks post-first treatment
Reported as:
Count of participants · Participants
Number of Participants Who Had >5.5 in Expanded Disability Status Scale (EDSS) at Baseline, With ≥0.5 Points Improvement From Baseline to Week 28
ParticipantsNurOwn (MSC-NTF Cells)
No of Participants with >5.5 in EDSS at Baseline with ≥0.5 Points Improvement from Baseline to Wk 283
No of Participants with >5.5 in EDSS at Baseline with <0.5 Points Improvement from Baseline to Wk 287
SecondaryNumber of Participants With ≥10 Points Improvement From Baseline to Week 28 in Multiple Sclerosis Walking Scale (MSWS-12)

The Multiple Sclerosis Walking Scale (MSWS)-12 is a patient-reported outcome measure of the walking limitations due to MS during the past 2 weeks. It contains 12 questions that assess the impact of MS on different aspects of walking function and quality. Total administration time should be approximately 5 minutes. Activities are rated by participant from min. 1 (not at all) to max. 5 (extremely) and summed to calculate a total score using a scale from 0 to 60 (ranging from low to high impact on walking). This score is then divided by 60 and multiplied by 100 to get a score between 0 and 100 A higher score represents a worse outcome.

Time frame:
From Baseline (pre-first treatment) to 28 weeks post-first treatment
Reported as:
Count of participants · Participants
Number of Participants With ≥10 Points Improvement From Baseline to Week 28 in Multiple Sclerosis Walking Scale (MSWS-12)
ParticipantsNurOwn (MSC-NTF Cells)
Number of Participants with ≥10 Points Improvement from Baseline to Week 28 in MSWS-126
Number of Participants with <10 Points Improvement from Baseline to Week 28 in MSWS-1210
Number of Participants with missing data at week 282
SecondaryNumber of Participants With ≥8 Letter Improvement From Baseline to Week 28 in LCLA Binocular 2.5% Contrast Level

The Low contrast letter acuity (LCLA) is a leading outcome measure to assess visual disability in multiple sclerosis (MS) research Total administration time, for a typical MS patient, is approximately 10-15 minutes to complete, when testing each eye individually and binocular vision for two different contrast levels. The score for each chart is quantified as the number of letters identified correctly with a minimum scrore of 0 letter and a maximum score of 70 letters. The higher score represents the better outcome.

Time frame:
From Baseline (pre-first treatment) to 28 weeks post-first treatment
Reported as:
Count of participants · Participants
Number of Participants With ≥8 Letter Improvement From Baseline to Week 28 in LCLA Binocular 2.5% Contrast Level
ParticipantsNurOwn (MSC-NTF Cells)
No. of participants with ≥8 Letter improvement at Week 28 in LCLA Binocular 2.5% Contrast Level4
No. of Participants with <8 Letter Improvement at week 28 in LCLA Binocular 2.5% Contrast Level11
Number of Participants with missing data at week 283
SecondaryNumber of Participants With ≥ 3 Points Improvement From Baseline to Week 28 in Symbol Digit Modalities Test (SDMT) Score

Symbol Digit Modalities test (SDMT) is a commonly used test to assess psychomotor speed, which measures processing speed as well as motor speed. It is a paper-pencil measure which requires an individual to substitute digits for abstract symbols using a reference key Scoring involves summing the number of correct substitutions within the 90 second interval (max = 110) Minimum score is 0 and maximum score 110. The higher score represents the better outcome.

Time frame:
From Baseline (pre-first treatment) to 28 weeks post-first treatment
Reported as:
Count of participants · Participants
Number of Participants With ≥ 3 Points Improvement From Baseline to Week 28 in Symbol Digit Modalities Test (SDMT) Score
ParticipantsNurOwn (MSC-NTF Cells)
Number of Participants with ≥ 3 points Improvement from Baseline to Week 28 in SDMT Score10
Number of Participants with < 3 points Improvement from Baseline to Week 28 in SDMT Score5
Number of Participants with missing data at week 283
SecondaryChange in Concentration of Vascular Endothelial Growth Factor (VEGF) Neuroprotective Biomarker From Baseline in the Cerebrospinal Fluid (CSF) 16 Weeks Following First NurOwn® Treatment

Change from baseline (pre-first treatment) in the concentration of Vascular endothelial growth factor (VEGF) neuroprotective biomarker in the Cerebrospinal fluid (CSF) at 16 weeks following first NurOwn® treatment The concentration of the biomarker is measured as Picogram per milliliter (pg/ml). A higher concentration of neuroprotective biomarkers suggests a better outcome

Time frame:
From Baseline (pre-first treatment) to 16 weeks post first treatment
Reported as:
Geometric mean · Picograms per milliliter
Change in Concentration of Vascular Endothelial Growth Factor (VEGF) Neuroprotective Biomarker From Baseline in the Cerebrospinal Fluid (CSF) 16 Weeks Following First NurOwn® Treatment
Picograms per milliliterNurOwn (MSC-NTF Cells)
Change in Concentration of Vascular Endothelial Growth Factor (VEGF) Neuroprotective Biomarker From Baseline in the Cerebrospinal Fluid (CSF) 16 Weeks Following First NurOwn® Treatment90.17 (-9.16 to 124.80)
SecondaryChange in Concentration of Hepatocyte Growth Factor (HGF) Neuroprotective Biomarker From Baseline in the Cerebrospinal Fluid (CSF) 16 Weeks Following NurOwn® Treatment

Change from baseline in the concentration of Hepatocyte growth factor (HGF) neuroprotective biomarker in the Cerebrospinal Fluid (CSF) at 16 weeks following the first NurOwn® treatment The concentration of the biomarker is measured as Picogram per milliliter (pg/ml). A higher concentration of neuroprotective biomarkers suggests a better outcome

Time frame:
From Baseline (pre-first treatment) to 16 weeks post first treatment
Reported as:
Geometric mean · picograms per milliliter
Change in Concentration of Hepatocyte Growth Factor (HGF) Neuroprotective Biomarker From Baseline in the Cerebrospinal Fluid (CSF) 16 Weeks Following NurOwn® Treatment
picograms per milliliterNurOwn (MSC-NTF Cells)
Change in Concentration of Hepatocyte Growth Factor (HGF) Neuroprotective Biomarker From Baseline in the Cerebrospinal Fluid (CSF) 16 Weeks Following NurOwn® Treatment15.16 (0.2 to 19.44)

Adverse events

Collected over 28 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
NurOwn (MSC-NTF Cells)0/18 (0%)2/18 (11.1%)18/18 (100%)
Most frequent serious events
Most frequent serious events
EventNurOwn (MSC-NTF Cells)
ArachnoiditisNervous system disorders2/18
Most frequent other events
Showing 10 of 12
Most frequent other events
EventNurOwn (MSC-NTF Cells)
HeadacheNervous system disorders16/18
Back painMusculoskeletal and connective tissue disorders15/18
Urinary tract infectionInfections and infestations6/18
Musculoskeletal painMusculoskeletal and connective tissue disorders5/18
Injection site painGeneral disorders4/18
PyrexiaGeneral disorders4/18
ArthralgiaMusculoskeletal and connective tissue disorders3/18
FallInjury, poisoning and procedural complications3/18
FatigueGeneral disorders3/18
Muscular weaknessMusculoskeletal and connective tissue disorders3/18

Baseline characteristics

Baseline characteristics are for participants with a clinical diagnosis of primary or secondary progressive MS (PPMS or SPMS) based on the 2017 revised McDonald Criteria and confirmation by the Investigator that the disease has entered the progressive stage at least 6 months prior to enrollment

Age, Continuous
Age, Continuous(years)NurOwn (MSC-NTF Cells)
Mean47.4 ± 9.6
Sex: Female, Male
Sex: Female, Male(Participants)NurOwn (MSC-NTF Cells)
Female10
Male8
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)NurOwn (MSC-NTF Cells)
Hispanic or Latino0
Not Hispanic or Latino18
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)NurOwn (MSC-NTF Cells)
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American2
White15
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)NurOwn (MSC-NTF Cells)
United States18
Timed 25-foot walk speed
Timed 25-foot walk speed(Feet/seconds)NurOwn (MSC-NTF Cells)
Mean2.4 ± 1.6
Nine-Hole Peg Test (9HPT)
Nine-Hole Peg Test (9HPT)(Seconds)NurOwn (MSC-NTF Cells)
Mean35.2 ± 15.7
08

Study locations

4 sites
  • University of Southern California
    Los Angeles, California 90033, United States
  • Stanford University School of Medicine
    Redwood City, California 94305, United States
  • The Mount Sinai Hospital
    New York, New York 10029, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2019 to primary completion in Mar 2021, 23 months.

Results were first posted in Nov 2022, 1 year 8 months after primary completion.

Of 25 phase 2 interventional studies under Multiple Sclerosis, Chronic Progressive, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 55. This study's 23 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 7, 2019
First posted
Jan 10, 2019
StartActual
Mar 13, 2019
Primary completionActual
Mar 11, 2021
CompletionActual
Mar 30, 2021
Results first posted
Nov 14, 2022
Last update
Dec 4, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 4, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03799718
Lead sponsor
Brainstorm-Cell Therapeutics
Responsible party
Sponsor
First posted
Jan 10, 2019
Start date
Mar 13, 2019
Primary completion
Mar 11, 2021
Completion
Mar 30, 2021
Results posted
Nov 14, 2022
Last update
Dec 4, 2023

Study contacts

Jeffrey Cohen, MD
principal investigator · The Cleveland Clinic

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Debamestrocel

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