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Intracerebral transplantation of autologous adipose‐derived stem cells for chronic ischemic stroke: A phase I study

Tsung‐Lang Chiu, Rathinasamy Baskaran, Sheng‐Tzung Tsai, Chih‐Yang Huang, Ming‐Hsi Chuang, Wan‐Sin Syu, Horng‐Jyh Harn, Yi‐Chun Lin, Chun‐Hung Chen, Pi‐Chun Huang, Yi‐Fen Wang, Chi‐Hsuan Chuang, Po‐Cheng Lin, Shinn‐Zong Lin

2021Journal of Tissue Engineering and Regenerative Medicine38 citationsDOI

Abstract

cells). The primary endpoints of safety evaluation included adverse events, over a 6 months post-implantation period. The secondary endpoints included improvements in neurological functions. Evolutional change of brain parenchyma was also followed with magnetic resonance imaging (MRI). All three participants improved significantly at 6 months follow-up. The extent of improvement from pre-treatment was: National Institutes of Health Stroke Scale improved 5-15 points, Barthel Index: 25-50 points, Berg balance scale 0-21 points and Fugl-Meyer modified sensation 3-28 points. All three patients had signal change along the implantation tract on MRI one month after surgery. There is no related safety issue through 6 months observation. Clinical measures of neurological symptoms of these patients with chronic stroke improved at 6 months without adverse effects after implantation of autologous adipose-derived stem cells (GXNPC1), which might be correlated with post-implantation changes on brain MRI. Clinical Trial Registration-URL: https://clinicaltrials.gov/ct2/show/NCT02813512?term=ADSC&cond=Stroke&cntry=TW&draw=2&rank=1 Unique identifier: NCT02813512.

Topics & Concepts

MedicineStroke (engine)Adipose tissueTransplantationMagnetic resonance imagingAdverse effectClinical trialStem cellClinical endpointChronic strokeInternal medicineStroke recoverySurgeryPhysical therapyRadiologyRehabilitationGeneticsEngineeringMechanical engineeringBiologyMesenchymal stem cell researchProsthetics and Rehabilitation RoboticsBiomedical Ethics and Regulation