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Cerebral PalsyPhase 2ACT for CPNCT01988584

Safety and Effectiveness of Banked Cord Blood or Bone Marrow Stem Cells in Children With Cerebral Palsy (CP).

A Phase 2 study testing umbilical cord blood (hUCB) cells and bone marrow derived mononuclear cells (BMMNCs) in people with Cerebral Palsy, run by The University of Texas Health Science Center, Houston at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to compare the safety and effectiveness of two types of stem cells,(either banked cord blood or bone marrow), in children between the ages of 2 to 10 years with CP. 15 children with banked cord blood at CBR and 15 children without banked cord blood will be enrolled into the study. Read more about this study

Who is it for?
Ages 2 to 10 years
Conditions the study is for
Cerebral Palsy
What is being tested?
umbilical cord blood (hUCB) cells and bone marrow derived mononuclear cells (BMMNCs)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
20 participants
Where
1 siteUnited States
Study dates
Nov 2013to 21 Feb 2018
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 to 10 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Children with diagnosis of Cerebral Palsy (spastic CP due to periventricular white matter damage or neonatal brain injury from perinatal stroke or intra-ventricular hemorrhage)
  • Gross Motor Function Classification Score level II-V
  • Ages 24 months to 10 years
  • English speaking, if verbal
  • Ability to travel to Houston for treatment and follow-up -

Who cannot join

  • Known history of:
  • Intractable seizures
  • Traumatic brain injury
  • Genetic disorder (as demonstrated by newborn screening or genetic diagnostic testing)
  • Recently treated or current infection
  • Renal insufficiency or altered renal function (as defined by serum creatinine > 1.5 mg/dl at screening)
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  • Hepatic disease or altered liver function (as defined by SGPT > 150 U/L [non-contusion related], and/or T. Bilirubin >1.3 mg/dL at screening)
  • HIV+ (as demonstrated by positive blood test)
  • Immunosuppression (as defined by WBC <3,000 cells/ml at screening)
  • Infectious related neurological injury
  • Sensitivity to Ethylene Oxide (EtO) [found in fumigants and disinfectants]
  • If Athetoid CP diagnosis, other etiologies such as degenerative, mitochondrial, and metabolic disorders must be excluded, and the outcome assessments must be able to be conducted to assess for potential treatment effects
  • Normal brain MRI
  • Evidence of acute illness at the time of infusion, such as, but not limited to, fever (temperature > 37.5 C), vomiting, diarrhea, wheezing or crackles
  • Progressing neurological disease (as defined by Batten Disease, Leukodystrophies, Metabolic disorders, Mitochondrial disorders, Neurotransmitter disorders)
  • Microcephaly, macrocephaly, cortical malformations, genetic disorders of dysgenesis brain malformations due to infection or metabolic disorders
  • Pulmonary disease requiring ventilator support
  • If hUCB candidate, banked cord cells totaling <10 million/kg
  • If hUCB candidate, any positive maternal infectious disease test (Hepatitis A, Hepatitis B, HIV 1, HIV 2, HTLV 1, HTLV 2, and Syphilis)
  • If hUCB candidate, cord blood sample contamination
  • Participation in a concurrent intervention study
  • Unwillingness to return for follow-up visits
  • Contraindications to MRI
  • Any patient that the investigators feel in their opinion the study intervention is unlikely to benefit the patient will be a screen failure.
  • Any patients who are currently or has previously been enrolled in a clinical stem cell study.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • UTHealth, Medical School, Dept. of Pediatric Surgery

    Houston, Texas, 77030

Other trials in United States

About this study

Official title: Autologous Cell Therapies for Cerebral Palsy-Chronic (ACT for CP)

The purpose of this study is to compare the safety and effectiveness of two types of stem cells,(either banked cord blood or bone marrow), in children between the ages of 2 to 10 years with CP. 15 children with banked cord blood at CBR and 15 children without banked cord blood will be enrolled into the study. The study involves one baseline/treatment visit and 3 follow-up visits at 6 months, 12 months, and 2 years. Five children in each group will be randomized to a placebo control group at the baseline/treatment visit. Parents will not be told if their child received stem cells or a placebo until the 12 month follow-up visit. At that time parents may elect to have their child receive the stem cell treatment; either bone marrow harvest or umbilical cord blood if banked with CBR. All study visits will be conducted at the UTHealth Medical School and Children's Memorial Hermann Hospital in Houston, Texas.

As of 1/21/2014 we have met our enrollment limit for children without banked cord blood undergoing bone marrow harvest for stem cells.

Conditions
Cerebral Palsy
Being tested
umbilical cord blood (hUCB) cells, Saline Infusion (Placebo), bone marrow derived mononuclear cells (BMMNCs)
Keywords
Cerebral Palsy, Brain Injury, Stem Cells, Mononuclear Cells, Bone Marrow, Umbilical Cord Blood
Medical subject headings
Cerebral Palsy, Brain Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • umbilical cord blood (hUCB) cellsBiological

    Also called Autolgous Stem Cells

    Autologous umbilical cord blood banked with the Cord Blood Registry.

  • Saline Infusion (Placebo)Drug

    A total of 10 children (5 from each cohort) will be randomized to a placebo infusion at the baseline visit and then have the opportunity to cross-over to stem cell treatment at the 1yr. visit.

  • bone marrow derived mononuclear cells (BMMNCs)Biological

    Also called Autologous Stem Cells

    Autologous stem cells from bone marrow harvest.

Study groups in NCT01988584
Study groupRoleWhat they receive
umbilical cord blood (UCB) cellsExperimentalChildren who have banked UCB with CBR will receive an umbilical cord blood stem cell infusion at the baseline/treatment visit.
Receives: Biological: umbilical cord blood (hUCB) cells
bone marrow-derived mononuclear cells (BMMNCs)ExperimentalChildren in the BMMNC group will undergo bone marrow harvest and stem cell infusion at the baseline/treatment visit.
Receives: Biological: bone marrow derived mononuclear cells (BMMNCs)
saline infusion (placebo), then umbilical cord blood (UCB) cellsExperimentalFive children in each group will be randomly assigned to receive an inactive substance (placebo) at the baseline/treatment visit. Parents will be given the opportunity to cross-over to either the umbilical cord blood or bone marrow harvest group at the one year visit.
Receives: Biological: umbilical cord blood (hUCB) cells; Drug: Saline Infusion (Placebo)
saline infusion (placebo), then bone marrow-derived mononuclear cells (BMMNCs)ExperimentalNot described
Receives: Drug: Saline Infusion (Placebo); Biological: bone marrow derived mononuclear cells (BMMNCs)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety as Assessed by Number of Participants With In-hospital Infusion Toxicity

    In-hospital infusion toxicity includes hemodynamic, pulmonary, hepatic, renal, or neurologic complications.

    Measured: 24 hours after infusion

  2. Long-term Safety

    Long-term safety as assessed by number of participants who developed new mass lesions or other pathological structural changes or had worsening neurological status

    Measured: from the time of infusion to 1 year after infusion

Secondary outcomes (41)
  1. Number of Participants With an Improvement in White Matter Integrity.

    Number of participants with an improvement in white matter integrity as measured by diffusion tensor imaging (DTI) magnetic resonance imaging (MRI) reconstruction of corticospinal tract (CST) radial diffusivity (RD).

    Improvement is defined as radial diffusivity (RD) decreased in at least one corticospinal tract (CST) reconstruction.

    Measured: from baseline to 1 year after infusion

  2. Gross Motor Function Classification Score (GMFM-66)

    Interval age adjusted scaled scores from 0 to 100 with 0 reflecting a child with low motor ability and 100 indicating high motor ability.

    Measured: baseline before infusion

  3. Gross Motor Function Classification Score (GMFM-66)

    Interval age adjusted scaled scores from 0 to 100 with 0 reflecting a child with low motor ability and 100 indicating high motor ability.

    Measured: 1 year after infusion

  4. Gross Motor Function Classification Score (GMFM-88)

    Ordinal age adjusted scaled raw and percent scores from 0 to 100 with 0 reflecting a child with low motor ability and 100 indicating high motor ability.

    Measured: baseline before infusion

  5. Gross Motor Function Classification Score (GMFM-88)

    Ordinal age adjusted scaled raw and percent scores from 0 to 100 with 0 reflecting a child with low motor ability and 100 indicating high motor ability.

    Measured: 1 year after infusion

  6. Score on Vineland Adaptive Behavior Scales (VABS-2) - Communication

    Standard score ranging from 20 to 140 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  7. Score on Vineland Adaptive Behavior Scales (VABS-2) - Communication

    Standard score ranging from 20 to 140 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  8. Score on Vineland Adaptive Behavior Scales (VABS-2) - Daily Living

    Standard score ranging from 20 to 140 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  9. Score on Vineland Adaptive Behavior Scales (VABS-2) - Daily Living

    Standard score ranging from 20 to 140 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  10. Score on Vineland Adaptive Behavior Scales (VABS-2) - Social

    Standard score ranging from 20 to 140 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  11. Score on Vineland Adaptive Behavior Scales (VABS-2) - Social

    Standard score ranging from 20 to 140 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  12. Score on Vineland Adaptive Behavior Scales (VABS-2) - Motor

    Standard score ranging from 20 to 140 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  13. Score on Vineland Adaptive Behavior Scales (VABS-2) - Motor

    Standard score ranging from 20 to 140 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  14. Score on Pediatric Evaluation of Disability Inventory - Self-Care

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  15. Score on Pediatric Evaluation of Disability Inventory - Self-Care

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  16. Score on Pediatric Evaluation of Disability Inventory - Mobility

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  17. Score on Pediatric Evaluation of Disability Inventory - Mobility

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  18. Score on Pediatric Evaluation of Disability Inventory - Social

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  19. Score on Pediatric Evaluation of Disability Inventory - Social

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  20. Score on A Developmental NEuroPSYchological Assessment (NEPSY-II) - Learning and Memory Memory Subtest - Recall

    Scales scores from 1 to 19 with higher scores indicate better outcomes and lower scores indicate poorer outcomes.

    Measured: baseline before infusion

  21. Score on A Developmental NEuroPSYchological Assessment (NEPSY-II) - Learning and Memory Memory Subtest - Recall

    Scales scores from 1 to 19 with higher scores indicate better outcomes and lower scores indicate poorer outcomes.

    Measured: 1 year after infusion

  22. Score on A Developmental NEuroPSYchological Assessment (NEPSY-II) - Learning and Memory Memory Subtest - Free/Cued

    Scales scores from 1 to 19 with higher scores indicate better outcomes and lower scores indicate poorer outcomes.

    Measured: baseline before infusion

  23. Score on A Developmental NEuroPSYchological Assessment (NEPSY-II) - Learning and Memory Memory Subtest - Free/Cued

    Scales scores from 1 to 19 with higher scores indicate better outcomes and lower scores indicate poorer outcomes.

    Measured: 1 year after infusion

  24. Expressive and Receptive Vocabulary as Assessed by Score on the Peabody Picture Vocabulary Test (PPVT-4)

    Standard score ranging from 20 to 160. Higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  25. Expressive and Receptive Vocabulary as Assessed by Score on the Peabody Picture Vocabulary Test (PPVT-4)

    Standard score ranging from 20 to 160. Higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  26. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Family

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  27. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Family

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  28. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Social

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  29. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Social

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  30. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Feelings

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  31. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Feelings

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  32. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Participation

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  33. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Participation

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  34. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Emotional

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  35. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Emotional

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  36. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Access

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  37. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Access

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  38. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Pain

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: baseline before infusion

  39. Score on Cerebral Palsy Quality of Life Questionnaire (CPQOL) - Pain

    Standard scores ranging from 0 to 100 with higher scores indicate a child with a higher level of functioning and lower scores indicate a lower level of functioning.

    Measured: 1 year after infusion

  40. Visual-Spatial Processing as Assessed by Score on the Motor-Free Visual Perception Test (MVPT-3)

    Standard scores ranging from 55 to 145 with higher scores indicating better outcomes and lower scores poorer outcomes.

    Measured: baseline before infusion

  41. Visual-Spatial Processing as Assessed by Score on the Motor-Free Visual Perception Test (MVPT-3)

    Standard scores ranging from 55 to 145 with higher scores indicating better outcomes and lower scores poorer outcomes.

    Measured: 1 year after infusion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Nov 2013 (estimated)
  2. Study startNov 2013
  3. Primary completion21 Feb 2018
  4. Study completion21 Feb 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01988584
Sponsor's protocol ID
HSC-MS-12-0876
Acronym
ACT for CP
Status last verified
Oct 2022
First submitted
4 Nov 2013
Last updated
21 Nov 2022
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing umbilical cord blood (hUCB) cells and bone marrow derived mononuclear cells (BMMNCs) in people with Cerebral Palsy, run by The University of Texas Health Science Center, Houston at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 25 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Nov 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety as Assessed by Number of Participants With In-hospital Infusion Toxicity (time frame: 24 hours after infusion). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Nov 2022.

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ACT for CP Clinical Trial NCT01988584 | AzTrials