Evidence map›Paper›PMID 22415942›Full record

ArticleStem cells (Dayton, Ohio)2012

Lumbar intraspinal injection of neural stem cells in patients with amyotrophic lateral sclerosis: results of a phase I trial in 12 patients.

Jonathan D Glass, Nicholas M Boulis, Karl Johe, Seward B Rutkove, Thais Federici, Meraida Polak, Crystal Kelly, Eva L Feldman

3 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in Stem cells (Dayton, Ohio), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 132 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed, 3 pooled it
22.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01348451 phase1unknown statusnot on this map

A Phase l, Open-label, First in Human, Feasibility and Safety Study of Human Spinal Cord Derived Neural Stem Cell Transplantation for the Treatment of Amyotrophic Lateral Sclerosis

TypeinterventionalSponsorNeuralstem Inc.Ran2009 to 2016Enrolled18ConditionsAmyotrophic Lateral SclerosisArmssurgical implantation
NCT01730716 phase2unknown statusnot on this mapstarted 2013, after this paper: background citation

A Phase II, Open-label, Dose Escalation and Safety Study of Human Spinal Cord Derived Neural Stem Cell Transplantation for the Treatment of Amyotrophic Lateral Sclerosis

TypeinterventionalSponsorNeuralstem Inc.Ran2013 to 2016Enrolled18ConditionsAmyotrophic Lateral SclerosisArmsHuman spinal cord stem cell implantation
NCT03296618 phase1unknown statusnot on this map

Phase I Clinical Study of Intracerebral Transplantation of Neural Stem Cells for the Treatment of Ischemic Stroke

TypeinterventionalSponsorSuzhou Neuralstem BiopharmaceuticalsRan2012 to 2018Enrolled18ConditionsIschemic Motor Stroke, ChronicArmsNSI-566
3 · Its place in the literature

Who cites it

132 citing papers in PubMed, 3 syntheses or guidelines pooled it, 285 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Cell-based therapies for amyotrophic lateral sclerosis/motor neuron disease.The Cochrane database of systematic reviews · 2016
    Pooled it
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  19. Therapeutic role of neural stem cells in neurological diseases.Frontiers in bioengineering and biotechnology · 2024
    Review
  20. Therapeutic targeting of ALS pathways: Refocusing an incomplete picture.Annals of clinical and translational neurology · 2023
    Review

72 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Jonathan D GlassDepartment of Neurology, Emory University School of Medicine, Atlanta, Georgia, USA. jglas03@emory.edu
Nicholas M Boulis
Karl Johe
Seward B Rutkove
Thais Federici
Meraida Polak
Crystal Kelly
Eva L Feldman
Emory University · USHarvard University · USUniversity of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advances in stem cell biology have generated intense interest in the prospect of transplanting stem cells into the nervous system for the treatment of neurodegenerative diseases. Here, we report the results of an ongoing phase I trial of intraspinal injections of fetal-derived neural stems cells in patients with amyotrophic lateral sclerosis (ALS). This is a first-in-human clinical trial with the goal of assessing the safety and tolerability of the surgical procedure, the introduction of stem cells into the spinal cord, and the use of immunosuppressant drugs in this patient population. Twelve patients received either five unilateral or five bilateral (10 total) injections into the lumbar spinal cord at a dose of 100,000 cells per injection. All patients tolerated the treatment without any long-term complications related to either the surgical procedure or the implantation of stem cells. Clinical assessments ranging from 6 to 18 months after transplantation demonstrated no evidence of acceleration of disease progression due to the intervention. One patient has shown improvement in his clinical status, although these data must be interpreted with caution since this trial was neither designed nor powered to measure treatment efficacy. These results allow us to report success in achieving the phase I goal of demonstrating safety of this therapeutic approach. Based on these positive results, we can now advance this trial by testing intraspinal injections into the cervical spinal cord, with the goal of protecting motor neuron pools affecting respiratory function, which may prolong life for patients with ALS.

Indexed as

AdultAgedAmyotrophic Lateral SclerosisDisease ProgressionHumansInjections, SpinalLumbosacral RegionMaleMiddle AgedNeural Stem CellsSpinal CordStem Cell TransplantationTreatment Outcome

Identifiers

PMID22415942
OpenAlexW2080474239

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.