Trial Outcomes & Findings for Stem Cell Therapy for Patients With Multiple Sclerosis Failing Alternate Approved Therapy- A Randomized Study (NCT NCT00273364)

NCT ID: NCT00273364

Last Updated: 2020-08-12

Results Overview

The EDSS scale ranges from 0 to 10 in 0.5 increments that represent higher levels of disability. Improvement in EDSS is defined by both a 0.5 or 1.0 points sustained for more than 6 months.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

110 participants

Primary outcome timeframe

Pre Treatment, 6 and 12 months Post Treatment

Results posted on

2020-08-12

Participant Flow

Participant milestones

Participant milestones
Measure
Hematopoietic Stem Cell Transplantation
Hematopoietic Stem Cell Therapy will be performed as follows: Autologous stem cells will be infused after conditioning with Cyclophosphamide and rATG Hematopoietic Stem Cell Therapy: After mobilization and harvest of stem cells, stem cells will be infused following conditioning regimen
Standard Therapy for MS
Standard treatment with a conventional drug is the treatment with one of the following drugs: Avonex (interferon beta 1a), Betaseron (interferon beta 1b), Copaxone (glatiramer acetate), Aubagio (teriflunomide), Tysabri (natalizumab), Gilenya (fingolimod) or Dimethyl fumarate (Tecfidera or BG-12) Standard treatment with a conventional drug: Standard treatment with a conventional drug is the treatment with one of the following drugs: Avonex (interferon beta 1a), Betaseron (interferon beta 1b), Copaxone (glatiramer acetate), Aubagio (teriflunomide), Tysabri (natalizumab), or Gilenya (fingolimod)
Overall Study
STARTED
55
55
Overall Study
COMPLETED
55
55
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The number analyzed in rows differs from the overall enrolled because EDSS were not analyzed on patients who did not receive intervention or who were lost to follow up.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hematopoietic Stem Cell Transplantation
n=55 Participants
Hematopoietic Stem Cell Therapy will be performed as follows: Autologous stem cells will be infused after conditioning with Cyclophosphamide and rATG Hematopoietic Stem Cell Therapy: After mobilization and harvest of stem cells, stem cells will be infused following conditioning regimen
Standard Therapy for MS
n=55 Participants
Standard treatment with a conventional drug is the treatment with one of the following drugs: Avonex (interferon beta 1a), Betaseron (interferon beta 1b), Copaxone (glatiramer acetate), Aubagio (teriflunomide), Tysabri (natalizumab), Gilenya (fingolimod) or Dimethyl fumarate (Tecfidera or BG-12) Standard treatment with a conventional drug: Standard treatment with a conventional drug is the treatment with one of the following drugs: Avonex (interferon beta 1a), Betaseron (interferon beta 1b), Copaxone (glatiramer acetate), Aubagio (teriflunomide), Tysabri (natalizumab), or Gilenya (fingolimod)
Total
n=110 Participants
Total of all reporting groups
Age, Continuous
35.6 years
n=55 Participants
35.6 years
n=55 Participants
35.6 years
n=110 Participants
Sex: Female, Male
Female
34 Participants
n=55 Participants
39 Participants
n=55 Participants
73 Participants
n=110 Participants
Sex: Female, Male
Male
21 Participants
n=55 Participants
16 Participants
n=55 Participants
37 Participants
n=110 Participants
Expanded Disability Status Scale (EDSS)
3.4 units on a scale
STANDARD_DEVIATION 1.2 • n=52 Participants • The number analyzed in rows differs from the overall enrolled because EDSS were not analyzed on patients who did not receive intervention or who were lost to follow up.
3.3 units on a scale
STANDARD_DEVIATION 1.0 • n=54 Participants • The number analyzed in rows differs from the overall enrolled because EDSS were not analyzed on patients who did not receive intervention or who were lost to follow up.
3.35 units on a scale
STANDARD_DEVIATION .05 • n=106 Participants • The number analyzed in rows differs from the overall enrolled because EDSS were not analyzed on patients who did not receive intervention or who were lost to follow up.

PRIMARY outcome

Timeframe: Pre Treatment, 6 and 12 months Post Treatment

Population: The number analyzed in one or more rows differs from the overall number analyzed because not all patients had their EDSS evaluated and some patients were lost to followed up.

The EDSS scale ranges from 0 to 10 in 0.5 increments that represent higher levels of disability. Improvement in EDSS is defined by both a 0.5 or 1.0 points sustained for more than 6 months.

Outcome measures

Outcome measures
Measure
Hematopoietic Stem Cell Transplantation
n=52 Participants
Hematopoietic Stem Cell Therapy will be performed as follows: Autologous stem cells will be infused after conditioning with Cyclophosphamide and rATG Hematopoietic Stem Cell Therapy: After mobilization and harvest of stem cells, stem cells will be infused following conditioning regimen
Standard Therapy for MS
n=54 Participants
Standard treatment with a conventional drug is the treatment with one of the following drugs: Avonex (interferon beta 1a), Betaseron (interferon beta 1b), Copaxone (glatiramer acetate), Aubagio (teriflunomide), Tysabri (natalizumab), Gilenya (fingolimod) or Dimethyl fumarate (Tecfidera or BG-12) Standard treatment with a conventional drug: Standard treatment with a conventional drug is the treatment with one of the following drugs: Avonex (interferon beta 1a), Betaseron (interferon beta 1b), Copaxone (glatiramer acetate), Aubagio (teriflunomide), Tysabri (natalizumab), or Gilenya (fingolimod)
Expanded Disability Status Scale (EDSS) Improvement
Pre Treatment
3.4 units on a scale
Standard Deviation 1.2
3.3 units on a scale
Standard Deviation 1.0
Expanded Disability Status Scale (EDSS) Improvement
6 Months Post Treatment
2.5 units on a scale
Standard Deviation 1.4
3.7 units on a scale
Standard Deviation 1.5
Expanded Disability Status Scale (EDSS) Improvement
12 Months Post Treatment
2.4 units on a scale
Standard Deviation 1.4
4 units on a scale
Standard Deviation 1.7

Adverse Events

Hematopoietic Stem Cell Transplantation

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

Standard Therapy for MS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Hematopoietic Stem Cell Transplantation
n=52 participants at risk
Hematopoietic Stem Cell Therapy will be performed as follows: Autologous stem cells will be infused after conditioning with Cyclophosphamide and rATG Hematopoietic Stem Cell Therapy: After mobilization and harvest of stem cells, stem cells will be infused following conditioning regimen
Standard Therapy for MS
n=55 participants at risk
Standard treatment with a conventional drug is the treatment with one of the following drugs: Avonex (interferon beta 1a), Betaseron (interferon beta 1b), Copaxone (glatiramer acetate), Aubagio (teriflunomide), Tysabri (natalizumab), Gilenya (fingolimod) or Dimethyl fumarate (Tecfidera or BG-12) Standard treatment with a conventional drug: Standard treatment with a conventional drug is the treatment with one of the following drugs: Avonex (interferon beta 1a), Betaseron (interferon beta 1b), Copaxone (glatiramer acetate), Aubagio (teriflunomide), Tysabri (natalizumab), or Gilenya (fingolimod)
General disorders
Febrile Neutropenia (culture negative)
25.0%
13/52 • Number of events 13 • Adverse events were collected during transplant and at 1 year post Treatment
0.00%
0/55 • Adverse events were collected during transplant and at 1 year post Treatment
Metabolism and nutrition disorders
Hypophosphatemia
32.7%
17/52 • Number of events 17 • Adverse events were collected during transplant and at 1 year post Treatment
0.00%
0/55 • Adverse events were collected during transplant and at 1 year post Treatment
Metabolism and nutrition disorders
Hypokalemia
25.0%
13/52 • Number of events 13 • Adverse events were collected during transplant and at 1 year post Treatment
0.00%
0/55 • Adverse events were collected during transplant and at 1 year post Treatment
Metabolism and nutrition disorders
Hypergylcemia
9.6%
5/52 • Number of events 5 • Adverse events were collected during transplant and at 1 year post Treatment
0.00%
0/55 • Adverse events were collected during transplant and at 1 year post Treatment

Additional Information

Kathleen Quigley

Northwestern University

Phone: 312-695-8192

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place