Status:
COMPLETED
A Randomized Study of Autologous Umbilical Cord Blood Reinfusion in Children With Cerebral Palsy
Lead Sponsor:
Joanne Kurtzberg, MD
Collaborating Sponsors:
The Robertson Foundation
Conditions:
Cerebral Palsy
CP
Eligibility:
All Genders
12-6 years
Phase:
PHASE2
Brief Summary
The purpose of this study is to determine the efficacy of a single intravenous infusion of autologous umbilical cord blood (UCB) for the treatment of pediatric patients with spastic cerebral palsy.
Detailed Description
Cerebral palsy results from in utero or perinatal injury to the developing brain, often through stroke, hypoxic insult or hemorrhage. Currently available treatments for patients with cerebral palsy ar...
Eligibility Criteria
Inclusion
- Age ≥ 12 months and ≤ 6 years
- Diagnosis: Spastic cerebral palsy with diplegia, hemiplegia, or quadraplegia.
- Performance status:
- Gross Motor Function (GMF) Classification Score levels II - IV or GMF Score leve I, age \>/= 2 years Spastic hemiplegia: GMF Score II-IV or minimal functional capabilities in the affected upper extremity. A subject classified as GMFCS level I with significant upper extremity impairment will be eligible if the affected upper extremity is used as an assist only. An eligibility committee will meet to review the child's records and determine eligibility.
- Bilateral hypotonic CP (diplegia or quadriplegia): GMF Score II-IV and an abnormal brain MRI suggestive of an acquired etiology (versus a genetic etiology or brain malformation).
- Autologous umbilical cord blood available at a private or public cord blood bank with a minimum total nucleated cell dose of ≥ 1 x 107 cells/kilogram.
- Parental consent.
Exclusion
- Athetoid cerebral palsy.
- Autism and autistic spectrum disorders without motor disability.
- Hypsarrhythmia.
- Intractable seizures causing epileptic encephalopathy.
- Evidence of a progressive neurologic disease.
- Known HIV or uncontrolled bacterial, fungal, or viral infections.
- Impaired renal or liver function as determined by serum creatinine \>1.5mg/dL and/or total bilirubin \>1.3mg/dL.
- Head circumference \>3 standard deviations below the mean for age.
- Known genetic disease or phenotypic evidence of a genetic disease on physical examination.
- Concurrent genetic or acquired disease or comorbidity(ies) that could require a future allogeneic stem cell transplant.
- Requires ventilatory support, including home ventilator, CPAP, BiPAP, or supplemental oxygen.
- Patient's medical condition does not permit safe travel.
- Previously received any form of cellular therapy.
- Autologous umbilical cord blood unit has any of the following:
- Total nuclear cell dose \< 1 x 107 cells/kilogram
- Positive maternal infectious disease markers (except CMV)
- Evidence of infectious contamination of the cord blood unit
- Lack of a test sample to confirm identity
- Evidence of a genetic disease
- Unable to obtain parental consent.
Key Trial Info
Start Date :
June 1 2010
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 1 2016
Estimated Enrollment :
63 Patients enrolled
Trial Details
Trial ID
NCT01147653
Start Date
June 1 2010
End Date
March 1 2016
Last Update
January 4 2023
Active Locations (1)
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1
Duke University Medical Center
Durham, North Carolina, United States, 27705