Safety and Efficacy of Repeated Administration of NurOwn (MSC-NTF Cells) in Participants With Progressive MS

NCT03799718 | Completed Phase 2 Results DMC FDA Drug

• 1 other identifier: BCT-101-US
• Study Type: interventional
• Target: 23
• Locations: 1 country
• Sites: 4

Brief Summary

A multidose open-label study with autologous Mesenchymal Stromal Stem Cells Secreting Neurotrophic Factors (MSC-NTF cells) involving 20 participants with progressive MS at multiple investigational study sites.

Conditions

Multiple Sclerosis, Chronic Progressive

Outcome Measures

Primary Outcomes (1)

• Number of Participants With Treatment-emergent Adverse Events

  Combined safety of all 3 intrathecal doses of NurOwn® (MSC-NTF cells) Number of participants who experienced Treatment-emergent Adverse Events during the study. Treatment-emergent Adverse Event is an adverse event that occurs for the first time after initiation of first treatment or if it had occurred prior to initiation first treatment, it worsens in severity after initiation of first treatment.

  Up to 28 weeks post-first treatment

Secondary Outcomes (9)

• Number of Participants With 25% or Greater Improvement From Baseline in Time 25 Foot Walk (T25FW) Speed or Nine-Hole Peg Test (9-HPT)

  From Baseline (pre-first treatment) to 28 weeks post-first treatment

• Number of Participants With 25% or Greater Improvement From Baseline to Week 28 in Timed 25 Foot Walk (T25FW) Speed

  From Baseline (pre-first treatment) to 28 weeks post-first treatment

• Number of Participants With 25% or Greater Improvement From Baseline to Week 28 in 9-HPT

  From Baseline (pre-first treatment) to 28 weeks post-first treatment

• Number of Participants Who Had >5.5 in Expanded Disability Status Scale (EDSS) at Baseline, With ≥0.5 Points Improvement From Baseline to Week 28

  From Baseline (pre-first treatment) to 28 weeks post-first treatment

• Number of Participants With ≥10 Points Improvement From Baseline to Week 28 in Multiple Sclerosis Walking Scale (MSWS-12)

  From Baseline (pre-first treatment) to 28 weeks post-first treatment

Study Arms (1)

NurOwn (MSC-NTF cells)

EXPERIMENTAL

Autologous Mesenchymal Stem Cells Secreting Neurotrophic Factors

Biological: NurOwn (MSC-NTF cells)

Interventions

NurOwn (MSC-NTF cells) BIOLOGICAL

Autologous Mesenchymal Stem Cells Secreting Neurotrophic Factors

NurOwn (MSC-NTF cells)

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Males and females ages 18 to 65 years old, inclusive, at the Screening Visit.
• Clinical diagnosis of Progressive MS (Primary and Secondary) based on the 2017 revised MacDonald Criteria and confirmation by the Investigator that the disease has entered the progressive stage for at least 6 months prior to enrollment.
• No evidence of clinical MS relapse or high dose pulse corticosteroid treatment within 6 months prior to screening
• Disability status at screening with an Expanded Disability Status Scale (EDSS) 3.0-6.5, inclusive.
• Able to walk 25 feet in 60 seconds or less.
• Stable dose of non-excluded MS Disease Modifying Therapy for at least 6 months prior to Screening Visit (Visit 1).
• Women of childbearing potential shall either be surgically sterile, or must agree not to become pregnant for the duration of the study. Women must be willing to undergo a serum pregnancy test at screening, and at the conclusion of the study. Participants of childbearing potential must agree to use a medically approved form of birth control (abstinence, intrauterine device (IUD), oral contraception, barrier and spermicide or hormonal implant) throughout the duration of the study and for at least 3 months following the last transplantation. For those women who are sexually active and using oral contraceptives, a second form of barrier contraception is required. Men must be willing to consistently use two forms of contraceptive if their partners are of childbearing age.
• Capable of providing informed consent and willing and able to follow study procedures, including willingness to undergo multiple/repeated lumbar puncture.

You may not qualify if:

• Prior stem cell therapy of any kind.
• Active participation in any other MS interventional study or use of unapproved MS investigational therapy within 90 days prior to the Screening Visit (Visit 1).
• Inability to lie flat for the duration of intrathecal cell transplantation and/or bone marrow biopsy, or inability to tolerate study procedures for any other reason.
• History of clinically significant autoimmune disease (excluding thyroid disease) that may confound study results, in the opinion of the Investigator and the medical monitor, myelodysplastic or myeloproliferative disorder, leukemia or lymphoma, whole body irradiation, hip fracture, or severe scoliosis.
• Any unstable clinically significant medical condition other than multiple sclerosis (e.g., within six months of Screening Visit (Visit 1), had myocardial infarction, angina pectoris, and/or congestive heart failure), treatment with anticoagulants that, in the opinion of the investigator, would compromise the safety of participants.
• Any history of malignancy within the previous 5 years, except for non-melanoma localized skin cancers (with no evidence of metastasis, significant invasion, or reoccurrence within three years of Screening Visit (Visit 1)).
• Serum aspartate aminotransferase (AST) or alanine aminotransferase (ALT) value \>3.0 times the upper normal limit.
• Serum creatinine value \>2.0 times the upper normal limit.
• Positive test for Hepatitis B (HBV; surface antigen (HBsAg) and antibodies to core antigen (IgG and IgM anti-HBc)), Hepatitis C (HCV), or human immunodeficiency virus (HIV) 1 and 2.
• Current use of immunosuppressant medication or use of such medication within 6 months of study enrollment (aside from Rituximab or other approved B-cell immunotherapy). Alemtuzumab (Lemtrada), Cladribine (NDA submitted), Natalizumab (Tysabri), S1P modulators (Gilenya) are excluded for safety reasons due to the known risk of systemic autoimmune disease, malignancy, opportunistic infections, and cardiovascular toxicity associated with these therapies, as well as theoretical effects on MSC-NTF cell homing and migration, that may be associated with Natalizumab and/or S1P modulators (Gilenya).
• Any history of acquired or inherited immune deficiency syndrome.
• Any history of either substance abuse within the past year, or unstable psychiatric disease according to the Investigator's judgment.
• Pregnant women or women currently breastfeeding.
• Subjects for whom MRI is contraindicated (i.e., have a pacemaker or other metallic implanted device, or are unable to remain in the machine for period of time needed to acquire a scan.

Sponsors & Collaborators

• Brainstorm-Cell Therapeutics: lead

Study Sites (4)

University of Southern California

Los Angeles, California, 90033, United States

Location

Stanford University School of Medicine

Redwood City, California, 94305, United States

Location

The Mount Sinai Hospital

New York, New York, 10029, United States

Location

Cleveland Clinic

Cleveland, Ohio, 44195, United States

Location

MeSH Terms

Conditions

Multiple Sclerosis, Chronic Progressive

Condition Hierarchy (Ancestors)

Multiple Sclerosis; Demyelinating Autoimmune Diseases, CNS; Autoimmune Diseases of the Nervous System; Nervous System Diseases; Demyelinating Diseases; Autoimmune Diseases; Immune System Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Results Point of Contact

• Title: Chief Medical Officer
• Organization: Brainstorm Cell therapeutics

Clinical.Trial@brainstorm-cell.com

201-488-0460

Study Officials

• Jeffrey Cohen, MD

  The Cleveland Clinic

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restriction Type: GT60
• Restrictive Agreement: Yes

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Model Details: Open label

Study Record Dates

• First Submitted: January 7, 2019
• First Posted: January 10, 2019
• Study Start: March 13, 2019
• Primary Completion: March 11, 2021
• Study Completion: March 30, 2021
• Last Updated: December 4, 2023
• Results First Posted: November 14, 2022

Record last verified: 2023-11

Locations

US (4)