Evidence map›Paper›PMID 32462427›Full record

Trial reportTranslational stroke research2020

Autologous Mesenchymal Stem Cells Improve Motor Recovery in Subacute Ischemic Stroke: a Randomized Clinical Trial.

Assia Jaillard, Marc Hommel, Anaick Moisan, Thomas A Zeffiro, Isabelle M Favre-Wiki, Marianne Barbieux-Guillot, Wilfried Vadot, Sebastien Marcel, Laurent Lamalle, Sylvie Grand and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Translational stroke research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00875654 (Cell Therapy by Intravenous Injection of Mesenchymal Stem Cells After Stroke), which is not on this map. Cited by 127 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 12 pooled it
14.4field-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.

NCT00875654 phase2completednot on this map

Cell Therapy by Intravenous Injection of Mesenchymal Stem Cells After Stroke

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2010 to 2017Enrolled31ConditionsIschemia, StrokeArmsAutologous mesenchymal stem cells
3 · Its place in the literature

Who cites it

127 citing papers in PubMed, 12 syntheses or guidelines pooled it, 200 citations in OpenAlex.

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  14. Randomized placebo-controlled trial of CL2020, an allogenic muse cell-based product, in subacute ischemic stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
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67 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Assia JaillardIRMaGe, Inserm US17 CNRS UMS 3552-UGA, CHU Grenoble Alpes (CHUGA), Grenoble, France. Jaillard@univ-grenoble-alpes.fr.ORCID https://orcid.org/0000-0002-1045-671X
Marc HommelAGEIS EA 7407, Université Grenoble Alpes (UGA), Grenoble, France.
Anaick MoisanCell Therapy and Engineering Unit, EFS Rhône Alpes Auvergne, Saint Ismier, France.
Thomas A ZeffiroUniversity of Maryland Medical Center, Baltimore, MD, USA.
Isabelle M Favre-WikiStroke Unit, CHUGA, La Tronche, France.
Marianne Barbieux-GuillotStroke Unit, CHUGA, La Tronche, France.
Wilfried VadotStroke Unit, CH Annecy-Genevois, Epagny Metz-Tessy, France.
Sebastien MarcelStroke Unit, CH Métropole Savoie, Chambéry, France.
Laurent LamalleIRMaGe, Inserm US17 CNRS UMS 3552-UGA, CHU Grenoble Alpes (CHUGA), Grenoble, France.
Sylvie GrandIRMaGe, Inserm US17 CNRS UMS 3552-UGA, CHU Grenoble Alpes (CHUGA), Grenoble, France.
Olivier DetanteStroke Unit, CHUGA, La Tronche, France.
(for the ISIS-HERMES Study Group)
Centre National de la Recherche Scientifique · FRUniversity of Maryland, Baltimore · USCentre Hospitalier Annecy Genevois · FRCentre Hospitalier Métropole Savoie · FRInserm · FRLaboratoire de Radiopharmaceutiques Biocliniques · FR

Funding

Direction de l'hospitalisation et de l'offre de Soins HERMES-2007-A00853-50Direction de l'hospitalisation et de l'offre de Soins ISIS-2007PHR04EIT Health Grant Number 681044
6 · The paper itself

Abstract

While preclinical stroke studies have shown that mesenchymal stem cells (MSCs) promote recovery, few randomized controlled trials (RCT) have assessed cell therapy in humans. In this RCT, we assessed the safety, feasibility, and efficacy of intravenous autologous bone marrow-derived MSCs in subacute stroke. ISIS-HERMES was a single-center, open-label RCT, with a 2-year follow-up. We enrolled patients aged 18-70 years less than 2 weeks following moderate-severe ischemic carotid stroke. Patients were randomized 2:1 to receive intravenous MSCs or not. Primary outcomes assessed feasibility and safety. Secondary outcomes assessed global and motor recovery. Passive wrist movement functional MRI (fMRI) activity in primary motor cortex (MI) was employed as a motor recovery biomarker. We compared "treated" and "control" groups using as-treated analyses. Of 31 enrolled patients, 16 patients received MSCs. Treatment feasibility was 80%, and there were 10 and 16 adverse events in treated patients, and 12 and 24 in controls at 6-month and 2-year follow-up, respectively. Using mixed modeling analyses, we observed no treatment effects on the Barthel Index, NIHSS, and modified-Rankin scores, but significant improvements in motor-NIHSS (p = 0.004), motor-Fugl-Meyer scores (p = 0.028), and task-related fMRI activity in MI-4a (p = 0.031) and MI-4p (p = 0.002). Intravenous autologous MSC treatment following stroke was safe and feasible. Motor performance and task-related MI activity results suggest that MSCs improve motor recovery through sensorimotor neuroplasticity. ClinicalTrials.gov Identifier NCT00875654.

Indexed as

AutograftsRecovery of FunctionAdolescentAdultAgedBrain IschemiaFemaleHumansIschemic StrokeMaleMesenchymal Stem CellsMesenchymal Stem Cell TransplantationMiddle AgedTreatment OutcomeYoung AdultBiomarkerCell therapyfMRIMesenchymal stem cellMotorMotor activationMotor recoveryNeuroimagingRecoveryStroke

Identifiers

PMID32462427
OpenAlexW3032073814

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.