Study to Assess the Safety and Efficacy of an IT Administration of ADSC in SPMS

Sponsor:

Collaborators:

Information provided by (Responsible Party):

，

Tracking Information

First Submitted Date ^ICMJE

September 30, 2018

First Posted Date ^ICMJE

October 4, 2018

Last Update Posted Date

October 4, 2018

Actual Study Start Date ^ICMJE

February 1, 2019

Estimated Primary Completion Date

February 1, 2021 (Final data collection date for primary outcome measure)

Current Primary Outcome Measures ^ICMJE

Adverse Events (AEs) reported during the trial[ Time Frame: 48 weeks ]

Safety data will be collected following the one IT administration of MSC at baseline visit

Original Primary Outcome Measures ^ICMJE

Same as current

Current Secondary Outcome Measures ^ICMJE

Change in MRI scans from baseline[ Time Frame: 24 weeks ]
Changes in lesions from baseline MRI scan.
Change from baseline in EDSS score[ Time Frame: 24 weeks ]
The Expanded Disability Status Scale (EDSS) will be measured during the study. range of the scale 0-10
Time to Confirmed Disease Progression (CDP)[ Time Frame: 24 weeks ]
CDP for an individual subject is defined as at least 3-months confirmed EDSS increase from baseline. The Expanded Disability Status Scale (EDSS) will be measured during the study. range of the scale 0-10

Descriptive Information

Brief Title ^ICMJE

Study to Assess the Safety and Efficacy of an IT Administration of ADSC in SPMS

Official Title ^ICMJE

A Prospective, Single Center, Open Label, Dose Escalation Phase I/IIa Study to Assess the Safety and Efficacy of an Intrathecal Administration of SCM-010 in Subjects With Secondary Progressive Multiple Sclerosis (SPMS)

Brief Summary

Prospective, single center, open label, phase I/IIa escalating dose study. To evaluate the safety and efficacy of escalating doses of SCM-010 in subjects with SPMS.

Detailed Description

Twelve (12) SPMS subjects will be enrolled in this study in two dose cohorts. Each subject will receive SCM- 010 by intrathecal (IT) administration at baseline and will be followed up for 24 weeks for efficacy and 48 weeks for safety.

Study Type ^ICMJE

Interventional

Study Phase

Phase 1/Phase 2

Study Design ^ICMJE

Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Intervention Model Description:
Masking: Interventional
Masking Description:
Primary Purpose: Treatment

Condition ^ICMJE

Intervention ^ICMJE

Biological: SCM-010
SCM-010 is comprised of adipose derived expanded mesenchymal cells (ADSC), suspended in Plasma-Lyte and intended for intrathecal (IT) administration.

Study Arms

Experimental: group 1: low dose
One intrathecal (IT) administration of SCM-010 at baseline visit
Experimental: group 2: high dose
One intrathecal (IT) administration of SCM-010 at baseline visit

Recruitment Information

Recruitment Status ^ICMJE

Not yet recruiting

Estimated Enrollment ^ICMJE

Original Estimated Enrollment ^ICMJE

Same as current

Estimated Study Completion Date

February 1, 2021

Estimated Primary Completion Date

February 1, 2021 (Final data collection date for primary outcome measure)

Eligibility Criteria ^ICMJE

Inclusion Criteria: 1. Male or female subjects (18-60 years of age) diagnosed with SPMS. 2. SPMS defined as relapsing-remitting disease followed by progression of disability independent of or not explained by multiple sclerosis (MS) relapses for at least 2 years. 3. Subjects should be ambulatory with an EDSS score of 3-6.5 (inclusive) at screening and baseline visits. 4. Subjects should be able to go through a lipoaspiration procedure, evaluated by the study's plastic surgeon. 5. Women capable of child bearing must have a negative urine pregnancy test at screening and baseline visits. 6. Subjects must use an adequate contraceptive method throughout the study. 7. Coagulation tests including INR, PTT and prothrombin time (PT) within normal range. 8. Subjects must be willing and able to comply with the protocol requirements for the duration of the study. 9. Ability to provide written informed consent. Exclusion Criteria: 1. Relapsing remitting multiple sclerosis (RRMS) or primary progressive multiple sclerosis (PPMS) as defined by the revised McDonald criteria. 2. Any chronic central nervous system (CNS) disease other than SPMS. 3. Clinical relapse within 3 months prior to study entry. 4. Subjects diagnosed with any systemic autoimmune disease. 5. Contraindications or inability to undergo lumbar puncture (LP) procedure and or intrathecal administration. 6. Severe anemia (hemoglobin < 10 g/dL). 7. Abnormal renal function (serum creatinine more than 1.5xULN or creatinine clearance <30 ml/min). 8. Tested positive for HIV, hepatitis (HBV and HCV). 9. Known as positive for VDRL and/or tuberculosis. 10. Active malignant disease of any kind. However, a patient, who has had a malignant disease in the past, was treated and is currently disease - free for at least 7 years, may be considered eligible. In this case the sponsor medical expert approval is required. 11. Previous cell therapy treatment. 12. Previous total body irradiation or total lymphoid irradiation. 13. Previous use of natalizumab or any anti-B cell agent within 6 months prior to screening. 14. Previous use of immunosuppressant including Mitoxantrone, Alemtuzumab, Cladribine or any other cytotoxic agent. 15. Previous use of Fingolimod or Dimethyl Fumarate within 2 months prior to screening. Subjects who were treated with any of these medications will be excluded if they do not have a lymphocyte count of above 1,000/mm3 at screening. 16. Previous use of Teriflunomide within 12 months if no accelerated elimination procedure was used. 17. Previous treatment with immunomodulators (including IFNβ 1a and 1b, and IV Immunoglobulin (IVIG) or Glatiramer Acetate (GA) within 2 months prior to screening. 18. A known history of sensitivity to aminoglycosides and or to Vancomycin. 20. A known history of sensitivity to Gadolinium. 21. Inability to successfully undergo MRI scanning. 22. Treatment with any kind of steroids or ACTH during the last 30 days prior to screening. 23. Subjects with clotting disorders or receiving treatment with anticoagulants. 24. Any relevant medical, surgical, or psychiatric condition, laboratory value, or concomitant medication which, in the opinion of the Principle Investigator, makes the subject unsuitable for study entry or potentially unable to complete all aspects of the study. 25. Subjects with BMI < 20. 26. Pregnant or breast-feeding women. 27. Known or suspected drug or alcohol abuse. 28. Participation in any investigational drug study within 6 months prior to screening.

Sex/Gender

Sexes Eligible for Study:

All

Ages

18 Years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Listed Location Countries ^ICMJE

Israel

Removed Location Countries

Administrative Information

Has Data Monitoring Committee

Yes

U.S. FDA-regulated Product

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

IPD Sharing Statement

Plan to Share IPD:

Responsible Party

，

Study Sponsor ^ICMJE

Stem Cell Medicine Ltd.

Collaborators ^ICMJE

Investigators ^ICMJE

Principal Investigator: Arnon Karni, Dr. Tel Aviv Medical Center

PRS Account

Verification Date

September 2018

^ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP

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