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CompletedNCT05054803Updated Jan 24, 2024

Cell Therapy for Chronic Traumatic Cervical Incomplete Spinal Cord Injury

A Phase 1/2 interventional study of WJ-MSC (XCEL-UMC-BETA) and Placebo in Spinal Cord Injury Cervical, sponsored by Banc de Sang i Teixits. Completed at 2 sites in Spain. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-01-24.

Sponsored by Banc de Sang i Teixits · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This is a double-blind, randomized, placebo-controlled, multicenter clinical trial in which 18 patients affected with chronic traumatic incomplete cervical spinal cord injury will be randomized to either the active treatment (2 doses of intrathecal WJ-MSC 3 months apart) or to placebo (2 intrathecal infusions, 3 months apart). Thereafter, patients will be followed-up for 12 months for safety and efficacy assessment.

Read the detailed description

Double-blind, randomized, placebo-controlled, multicenter clinical trial that will include 18 patients affected with chronic traumatic incomplete cervical spinal cord injury who will be randomized 1:1, stratified by center, to one of the 2 treatment arms of the study: WJ-MSC / WJ-MSC (at a dose of 1E6 ± 30% live cells / Kg of weight) or Placebo / placebo. Medication will be administered intrathecally at day 1 and at 3 months. The main objective of the trial is to assess safety at a 12-month follow-up. Secondary objectives include the evaluation of efficacy through clinical response, electrophysiological changes, questionnaires of functionality and quality of life, as well as the presence of anti-HLA antibodies and donor cellularity in the cerebrospinal fluid.

02

Conditions studied

  • Spinal Cord Injury Cervical

Keywords

  • spinal cord injury
  • Mesenchymal stromal cells
  • Wharton jelly
  • Cell therapy
03

In context

Spinal Cord Injuries

1,948 studies on the registry are indexed under Spinal Cord Injuries; 505 are open to participants now.

This study's enrollment of 18 is below the median of 24 across 1,566 interventional studies indexed under Spinal Cord Injuries.

Browse Spinal Cord Injuries studies →

Lead sponsor

Banc de Sang i Teixits is the lead sponsor of 14 studies on the registry; none 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

Inclusion criteria

  1. Single spinal cord injury lesion caused by trauma
  2. Affected cord segments between C1 and T1, confirmed by magnetic resonance
  3. Incomplete lesion (ASIA B, C or D)
  4. Chronic disease state (between 1 and 5 years after the injury)
  5. Patients from 18 to 70 years of age, both sexes
  6. Life expectancy > 2 years
  7. Residence near the center during study participation and confidence that the patient will attend the follow-up visits
  8. Given informed consent in writing
  9. Patient is able to understand the study and its procedures

Exclusion criteria

Exclusion Criteria:

  1. Mechanic ventilation
  2. Penetrating trauma affecting the spinal cord
  3. Pregnant woman or without proper anticonceptive measures according to the investigator, or breath feeding
  4. Planned spinal surgery within subsequent 12 month after entering the trial
  5. Neurodegenerative diseases
  6. Significant abnormal laboratory tests that contraindicates patient's participation in the study
  7. Neoplasia within the previous 5 years, or without complete remission
  8. Patient with communication difficulties
  9. Simultaneous participation in another clinical trial or treated with an investigational medicinal product the previous 30 days, that could interfere in the results of the study
  10. Previous treatment with and advanced Therapy Medicinal Product (cell therapy)
  11. Contraindication for lumbar punction
  12. Contraindication or inability to follow a rehabilitation program
  13. Other pathologic conditions or circumstances that difficult participation in the study according to medical criteria
  14. The patient does not accept to be followed-up for a period that could exceed the clinical trial length
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
18 participants (actual)

Study arms

  • Experimental
    WJ-MSC (XCEL-UMC-BETA)

    Pre-filled syringe with 4 ± 1 mL containing WJ-MSC in a balanced saline solution supplemented with human albumin.

    Drug: WJ-MSC (XCEL-UMC-BETA)

  • Placebo comparator
    Placebo

    Pre-filled syringe with 4 ± 1 mL containing a balanced saline solution supplemented with human albumin

    Drug: Placebo

Interventions

  • DrugWJ-MSC (XCEL-UMC-BETA)

    Administration of 2 Intrathecal infusions of WJ-MSC at day 1 and at 3 months

    Also known as: Tested product

  • DrugPlacebo

    Administration of 2 Intrathecal infusions of placebo at day 1 and at 3 months

06

What researchers measure

Primary outcomes

  1. Incidence of adverse events

    Adverse events

    Time frame: At 12 month follow-up

Secondary outcomes

  1. American Spinal Injury Association (ASIA) impairment scale

    Changes in ASIA score with respect to baseline value as detailed at https://asia-spinalinjury.org/international-standards-neurological-classification-sci-isncsci-worksheet/

    Time frame: At 1, 3, 4, 6 and 12 month follow-up

  2. Motor evoked potentials

    Changes in motor evoked potentials score with respect to baseline value. Higher scores mean a better outcome

    Time frame: At 6 and 12 month follow-up

  3. Somatosensory evoked potentials

    Changes in somatosensory evoked potentials score with respect to baseline value. Higher scores mean a better outcome

    Time frame: At 6 and 12 month follow-up

  4. Electrical pain threshold perception

    Changes in electrical pain threshold perception score with respect to baseline. Lower scores mean a better outcome

    Time frame: At 6 and 12 month follow-up

  5. Handgrip Strength

    Will be assessed using a dynamometer. Changes in the score with respect to baseline values. Higher scores mean a better outcome

    Time frame: At 6 and 12 month follow-up

  6. Walking index for spinal cord injury (WISCI II)

    Changes in the walk test WISCIII score with respect to baseline value. The score ranges from 0 (most severe impairment) to 20 (least severe impairment)

    Time frame: At 6 and 12 month follow-up

  7. Numerical scale for neuropathic pain assessment

    Changes in the numerical scale for neuropathic pain score with respect to baseline value. Score ranges from 0 (no pain) to 10 (unbearable pain)

    Time frame: At 6 and 12 month follow-up

  8. Modified Ashworth scale for spasticity

    Changes in the modified Ashworth scale score with respect to baseline value. It is a 5 point numerical scale that graded spasticity from 0 to 4, with 0 being no resistance and 4 being a limb rigid in flexion or extension, and includes a 1+ value.

    Time frame: At 6 and 12 month follow-up

  9. Spinal Cord Independence Measure III (SCIM III)

    Changes in the SCIM III scale score with respect to baseline value. Score ranges from 0 to 20 with higher scores meaning better outcome.

    Time frame: At 6 and 12 month follow-up

  10. World Health Organization Quality of life questionnaire (WHOQOL-BREF)

    Changes in the WHOQOL-BREF score with respect to baseline value. It contains contains 26 questions each punctuated from 1 to 5 and assesses the individual's overall perception of quality of life (1 to 5), overall perception of their health (1 to 5) and 4 domains of physical health, psychological, social relationships, environment (0-100 each domain). higher scores denote higher quality of life.

    Time frame: At 6 and 12 month follow-up

  11. Psychological general well-being index (PGWBI)

    Changes in the PGWBI score with respect to baseline value. Score ranges from 0 to 132, with higher scores meaning a better outcome.

    Time frame: At 12 month follow-up

  12. Hospital Anxiety and Depression Scale (HADS)

    Changes in the HADS score with respect to baseline value. This is a 14-item self-administered questionnaire containing 2 subscales (one for anxiety and one for depression), with a score range of each subscale from 0-21. Higher score indicates higher anxiety and depression.

    Time frame: At 12 month follow-up

  13. Community Integration Questionaire (CIQ-IG)

    Changes in the CIQ-IG score with respect to baseline value. Score ranges from 0 to 25, with higher scores meaning a better outcome.

    Time frame: At 12 month follow-up

  14. AntiHLA antibodies in cerebrospinal fluid (CSF)

    Presence or absence of antiHLA antibodies in the CSF after two WJ-MSC infusions

    Time frame: At 7 days and at 1 month follow-up after each infusion

  15. Detection of donor cells in CSF

    Short tandem repeat (STR) analysis to detect permanence of donor cellularity (WJ-MsC) in the CSF

    Time frame: At 7 days after each infusion

07

Study locations

2 sites
  • Hospital de Neurorehabilitació Institut Guttmann
    Badalona, Barcelona 08916, Spain
  • Complexo Hospitalario Universitario A Coruña (CHUAC)
    A Coruña, 15006, Spain
08

References and documents

Publications

  • Albu S, Kumru H, Coll R, Vives J, Valles M, Benito-Penalva J, Rodriguez L, Codinach M, Hernandez J, Navarro X, Vidal J. Clinical effects of intrathecal administration of expanded Wharton jelly mesenchymal stromal cells in patients with chronic complete spinal cord injury: a randomized controlled study. Cytotherapy. 2021 Feb;23(2):146-156. doi: 10.1016/j.jcyt.2020.08.008. Epub 2020 Sep 25. PubMed 32981857 ↗

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 Jan 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05054803
Lead sponsor
Banc de Sang i Teixits
Collaborators
Institut Guttmann, Academic Research Organization (ARO) - VHIR, Complexo Hospitalario Universitario de A Coruña
Responsible party
Sponsor
First posted
Sep 23, 2021
Start date
Oct 13, 2021
Primary completion
Jan 20, 2024
Completion
Jan 20, 2024
Last update
Jan 24, 2024

Study contacts

Joan VIDAL, MD, PhD
principal investigator · Institut Guttmann

Oversight

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

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This study is completed, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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