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  4. Clinical Trial of Human Fetal Brain-Derived Neural Stem/Progenitor Cell Transplantation in Patients with Traumatic Cervical Spinal Cord Injury

Clinical Trial of Human Fetal Brain-Derived Neural Stem/Progenitor Cell Transplantation in Patients with Traumatic Cervical Spinal Cord Injury

Neural Plasticity, 2015 · DOI: http://dx.doi.org/10.1155/2015/630932 · Published: July 1, 2015

Spinal Cord InjuryRegenerative MedicineNeurology

Simple Explanation

This study evaluated the safety and potential benefits of transplanting human neural stem/progenitor cells (hNSPCs) into the injured spinal cords of patients with traumatic cervical spinal cord injury (SCI). The goal was to see if this could help improve neurological function. Nineteen patients with sensorimotor or motor complete cervical SCI received hNSPC transplants. A control group of fifteen patients received standard treatment without cell transplants. The researchers then monitored both groups for one year to observe any changes. The study found that transplanting hNSPCs into the injured cervical cord was safe and well-tolerated by patients and appeared to provide modest neurological benefits up to one year after transplantation. No serious side effects such as tumor formation or neurological deterioration were observed.

Study Duration
1 year
Participants
19 patients with traumatic cervical SCI in the transplantation group, 15 in the control group
Evidence Level
Level I/IIa, open-label, non-randomized controlled clinical trial

Key Findings

  • 1
    hNSPC transplantation was safe and well-tolerated; no serious adverse events like tumor formation or neurological deterioration were observed.
  • 2
    Five of nineteen transplanted patients showed improvement in the American Spinal Injury Association Impairment Scale (AIS) grade.
  • 3
    Electrophysiological studies (SSEPs and MEPs) showed positive responses in some transplanted patients, suggesting potential repair of injured spinal tracts.

Research Summary

This clinical trial investigated the safety and efficacy of human neural stem/progenitor cell (hNSPC) transplantation in patients with traumatic cervical spinal cord injury (SCI). Nineteen patients received hNSPC transplants, while a control group of fifteen patients received standard care. The study found that hNSPC transplantation was safe and well-tolerated, with no serious adverse events observed during the one-year follow-up period. Neurological improvements were observed in some transplanted patients, as indicated by AIS grade improvements and positive responses in electrophysiological studies, suggesting a modest neurological benefit from hNSPC transplantation.

Practical Implications

Safety and Tolerability

The study supports the safety and tolerability of hNSPC transplantation, paving the way for larger, controlled clinical trials.

Potential Therapeutic Benefit

Observed neurological improvements suggest hNSPC transplantation may offer a modest therapeutic benefit for cervical SCI patients.

Further Research

Further research is warranted to optimize transplantation techniques, determine optimal timing, and monitor long-term safety.

Study Limitations

  • 1
    Non-randomized controlled trial design
  • 2
    Limited sample size
  • 3
    One-year follow-up period may be insufficient to assess long-term outcomes

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