Clinical trial • Phase I • Neurology
ALLOGENEIC VIABLE WHARTON'S JELLY-DERIVED MESENCHYMAL STEM CELLS, EX-VIVO EXPANDED for Traumatic spinal cord injury
Phase I trial of ALLOGENEIC VIABLE WHARTON'S JELLY-DERIVED MESENCHYMAL STEM CELLS, EX-VIVO EXPANDED for Traumatic spinal cord injury.
Overview
- Trial Therapeutic Area
- Neurology
- Trial Disease
- Traumatic spinal cord injury
- Trial Stage
- Phase I
- Drug Modality
- Cell therapy
Key dates
- Initial CTIS Submission Date
- 10-11-2025
- First CTIS Authorization Date
- 28-01-2026
Trial design
None/Not specified-controlled Phase I trial across 1 site in Spain.
- Comparator
- None/Not specified
- Target Sample Size
- 10
- Trial Duration For Participant
- 546
Eligibility
Recruits 10 Vulnerable populations: Not selected (isVulnerablePopulationSelected: false). Written informed consent is required; adequate cognitive capacities are required to understand the study and provide consent. Subject information and informed consent forms for adults are provided; documents in the dossier include ICFs titled for adults, minors, parents and pregnant partner (document titles indicate Spanish-language materials)..
- Pregnancy Exclusion
- •Pregnant or breastfeeding women.
- Vulnerable Population
- Vulnerable populations: Not selected (isVulnerablePopulationSelected: false). Written informed consent is required; adequate cognitive capacities are required to understand the study and provide consent. Subject information and informed consent forms for adults are provided; documents in the dossier include ICFs titled for adults, minors, parents and pregnant partner (document titles indicate Spanish-language materials).
Inclusion criteria
- {"criterion_text":"-•Single spinal cord injury of traumatic aetiology, AIS grade A-C.\n-•Confirmed diagnosis of spinal cord injury at cervical or thoracic levels (C1–T12), based on clinical evaluation and previous medical imaging records.\n-•Duration of spinal cord injury greater than 1 year post-injury.\n-•Age range: 18-70 years.\n-•Life expectancy greater than 2 years.\n-•Ability to attend follow-up visits and participate in study procedures.\n-•Written informed consent.\n-•Adequate cognitive capacities in order to understand the nature of the study and provide consent.\n-•Willingness to comply with all therapeutic protocols and study procedures."}
Exclusion criteria
- {"criterion_text":"-•Severe comorbidities that, based on the criteria of the investigator, prevent the participant from participating in the study.\n-•Difficulties in communicating with the evaluators (language barriers, aphasia).\n-•Simultaneous participation in other clinical trials or treatment with other investigational products within 30 days prior to inclusion in the study, which may interfere with the study results.\n-•Intrathecal medication or immunosuppressive drugs in the last 60 days.\n-•Spinal cord injury with injury affecting multiple levels.\n-•Contraindications for lumbar puncture.\n-•Planned spinal surgery within 24 months after enrolment in the trial.\n-•Injury length exceeding 3 spinal cord segments, as determined by magnetic resonance imaging.\n-•Contraindications or inability to follow a rehabilitation programme.\n-•Other pathologies or circumstances which might compromise the individual's participation in the study based on medical criteria.\n-•Known allergic reactions to components present in stem cell preparations.\n-•Individuals receiving mechanical ventilation\n-•Contraindications for tSCS ( for instance, implanted devices that may interfere).\n-•Pregnant or breastfeeding women.\n-•Women with the potential to become pregnant who are not using a highly effective method of contraception, being considered ‘highly effective’ those that can achieve a failure rate of less than 1% per year when used consistently and correctly (*).(*)\tThe effective contraceptive methods considered in the protocol are hormonal methods, intrauterine devices (IUDs), barrier methods, voluntary sterilisation, or the participant having been in menopause for more than one year.\n-•Neurodegenerative diseases.\n-•Significant haematological and biochemical abnormalities that contraindicate participation in the study.\n-•Neoplastic disease detected in the last five years or without complete remission.\n-•Positive serology for HIV, HBV, HCV and/or syphilis."}
Endpoints
Primary endpoints
- {"endpoint_text":"-The safety assessment will take into account adverse events (AEs), physical examination, vital signs, and laboratory data. AEs of special interest will be specifically identified. AEs will be coded using MedDRA™. All AEs will be summarized with the number and percentage of patients with an AE, as well as the number and incidence of AEs by MedDRA™. Serious AEs (SSAs) will be highlighted and listed. Safety will be assessed using descriptive statistics in the safety population.","definition_or_measurement_approach":"Safety assessment based on adverse events monitoring, physical examination, vital signs and laboratory data; AEs coded using MedDRA™; summaries with number and percentage of patients with AEs and incidence by MedDRA™; serious AEs listed; safety analysed using descriptive statistics in the safety population."}
Secondary endpoints
- {"endpoint_text":"-Continuous variables assessed repeatedly over time will be analysed using mixed models for repeated measurements (longitudinal Mixed Model for Repeated Measurements (MMRM)), which will include time as a random factor, treatment as a fixed factor, and the interaction between time and treatment. The presence or absence of anti-HLA antibodies in CSF after the first and third infusions of WJ-MSC ( weeks 1 and 9) will be estimated using a logistic regression model.","definition_or_measurement_approach":"Statistical analysis: repeated continuous variables analysed using MMRM including time (random), treatment (fixed) and time*treatment interaction; presence/absence of anti-HLA antibodies in CSF after first and third infusions (weeks 1 and 9) estimated with logistic regression."}
Recruitment
- Planned Sample Size
- 10
- Recruitment Window Months
- 18
- Consent Approach
- Written informed consent is required from all participants. Adequate cognitive capacity is required to understand the study and provide consent. Subject information and informed consent form documents in the dossier include ICFs for adults, ICFs titled for minors, ICFs for parents of minor participants, and materials referencing pregnant partner information; document titles indicate Spanish-language materials and translated protocol sections exist.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 10
Spain
- Earliest CTIS Part Ii Submission Date
- 09-01-2026
- Latest Decision Or Authorization Date
- 28-01-2026
- Processing Time Days
- 19
- Number Of Sites
- 1
- Number Of Participants
- 10
Sites
- Site Name
- Fundacio Institut Guttmann
- Department Name
- Physical Medicine and Rehabilitation
- Principal Investigator Name
- Joan Vidal
- Principal Investigator Email
- jvidal@guttmann.com
- Contact Person Name
- Joan Vidal
- Contact Person Email
- jvidal@guttmann.com
- Number Of Participants
- 10
Sponsor
Primary sponsor
- Full Name
- Fundacio Institut Guttmann
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Spain
Third parties
- {"country":"Spain","full_name":"Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca","duties_or_roles":"1,12,5,8","organisation_type":"Laboratory/Research/Testing facility"}
Investigational products
- Investigational Product Name
- Wharton's jelly-derived mesenchymal stem cells (GNR-WJ-MSC)
- Active Substance
- ALLOGENEIC VIABLE WHARTON'S JELLY-DERIVED MESENCHYMAL STEM CELLS, EX-VIVO EXPANDED
- Modality
- Cell therapy
- Routes Of Administration
- Intrathecal
- Route
- Intrathecal
- First In Human
- Yes
- Frequency
- Infusions (first and third infusions referenced at weeks 1 and 9)
- Combination Treatment
- Yes
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