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Table 3 Current clinical trials transplanting stem cells into the spinal cord

From: Stem cell therapy for the spinal cord

Year

Location/sponsor

Cells

Indication

Delivery

Inclusion criteria

Status

References

2009

Palo Alto, CA; Atlanta, GA; Chicago, IL; Philadelphia, PA, USA (Geron Corp.)

Allogenic human ESC-derived oligodendrocytes (GRNOPC1®)

SCI

Direct single injection to the spinal cord lesion using a table-mounted syringe positioning

device (2 million cells)

Adult subacute complete thoracic SCI (ASIA grade A)

FDA phase 1. Terminated

ID# NCT01217008 [9, 11]

2010

Atlanta, GA, USA (Neuralstem Inc.)

Allogenic human fetal spinal cord-derived spinal stem cells (NSI-566RSC)

ALS

Direct multiple injections to the ventral horn of the lumbar or cervical enlargement using a spine-mounted microinjection platform (0.5 to 1 million cells)

Adult probable or definite ALS defined according to El Escorial criteria

FDA phase 1. Recruiting

ID# NCT01348451 [11, 12]

2011

Irvine, CA, USA (California Stem Cell, Inc.)

Allogenic human ESC-derived motor neuron progenitor cells (MotorGraftâ„¢)

SMA

Direct multiple injections to the ventral horn of the thoracic spinal cord

Infant (age 2 to 6 months) SMA type 1

FDA clinical hold. Reviewing IND

[15]

2001

Italy

Autologous human bone marrow-derived mesenchymal stem cells

ALS

Direct multiple injections to the central gray matter of the lumbar enlargement using a table-mounted injector (7 to 152 million cells)

Adult definite ALS defined according to El Escorial criteria

Phase 1. Completed

Mazzini and colleagues [19–21]

2011

Zurich, Switzerland (Stem Cells Inc.)

Allogenic fetal brain-derived human central nervous system stem cells (HuCNS-SC®)

SCI

Direct multiple injections to the inferior and superior border of spinal cord lesion (20 million cells)

Adult thoracic chronic SCI (ASIA grade A, B, or C)

Swiss medic phase 1/2. Recruiting

ID# NCT01321333 [11, 22]

2011

Jerusalem, Israel (BrainStorm Cell Therapeutics, Ltd)

Autologous human mesenchymal bone marrow stromal cells secreting neutrotrophic factors

ALS

Early stage: multiple intramuscular injections to triceps and biceps muscles (24 million cells). Late stage: single intrathecal injection (60 million cells)

ALS disease duration <2 years; and ALS-FRS-R scale >30 (early stage) or ALS-FRS-R scale 15 to 30 (late stage)

Israel Ministry of Health phase 1/2. Recruiting

ID# NCT01051882 [11, 13]

2011

Houston, TX, USA (Memorial Hermann Healthcare System)

Autologous human bone marrow-derived progenitor cells

SCI

Single intravenous infusion

Children age 1 to 15 years with chronic SCI

FDA phase 1. Recruiting

ID# NCT01328860 [10, 11]

2010

Covington, LA, USA (TCA Cellular Therapy, LLC)

Autologous human bone marrow-derived mesenchymal stem cells

ALS

Single intrathecal infusion

Moderate to severe ALS with El Escorial criteria

FDA phase 1. Ongoing

ID# NCT01082653 [11, 14]

2010

Covington, LA, USA (TCA Cellular Therapy, LLC)

Autologous human bone marrow-derived mesenchymal stem cells

SCI

Single intrathecal infusion

Subacute complete SCI below C-5 (ASIA grade A)

FDA phase 1. Ongoing

ID# NCT01162915 [11, 14]

2010

Rochester, MN, USA (Mayo Clinic)

Autologous human adipose tissue-derived mesenchymal stem cells

ALS

Single intrathecal infusion (1 million cells)

Adult with chronic onset of a progressive motor weakness

FDA phase 1. Ongoing

ID# NCT01142856 [11]

2000

Israel and Belgium (Proneuron Biotech)

Autologous human macrophages

SCI

Direct multiple hand-held injections at the caudal border of the spinal cord lesion (4 million cells)

Adult acute

complete SCI

between C5 and

T11 (ASIA grade A)

Phase 1.

Suspended

ID# NCT00073853 [11]

2006

Jerusalem, Israel (Hadassah Medical Organization)

Autologous human bone marrow-derived mesenchymal stem cells

MS

Intrathecal infusion of 60 million cells and intravenous infusion of 20 million cells

Definite MS

Israel Ministry of Health phase 1/2. Status unknown

ID# NCT00781872 [11]

  1. ALS, amyotrophic lateral sclerosis; ALS-FRS-R, Amyotrophic lateral sclerosis functional rating scale-revised; ASIA, American Spinal Injury Association; ESC, embryonic stem cell; FDA, US Food and Drug Administration; IND, investigational new drug; MS, multiple sclerosis; SCI, spinal cord injury; SMA, spinal muscular atrophy.