Evidence map›Paper›PMID 36351721›Full record

ArticleBMJ open2022

Efficacy and safety of human-derived neural stem cell in patients with ischaemic stroke: study protocol for a randomised controlled trial.

Chong Xie, Kan Wang, Jing Peng, Xianguo Jiang, Shuting Pan, Liping Wang, Yifan Wu, Yangtai Guan

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
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

8 authors at 1 institution in 2 countries.

Chong Xie *Neurology, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China.ORCID 0000-0001-9604-5921
Kan Wang *Neurology, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China.
Jing PengNeurology, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China.
Xianguo JiangNeurology, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China.
Shuting PanClinical Research Center, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China.
Liping WangNeurology, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China.
Yifan WuNeurology, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China.
Yangtai GuanNeurology, Shanghai Jiao Tong University School of Medicine Affiliated Renji Hospital, Shanghai, China yangtaiguan@sina.com.
Shanghai Jiao Tong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStroke is the most common cause of neurological disability in adults worldwide. Neural stem cell (NSC) transplantation has shown promising results as a treatment for stroke in animal experiments. The pilot investigation of stem cells in stroke phase 1 and phase 2 trials showed that transplantation of the highest dose (20 million cells) was well tolerated. Preliminary clinical benefits have also been observed. However, the trials were open-label and had a small sample size. Furthermore, human NSCs (hNSCs) were intracerebrally implanted, and some serious adverse events were considered to be related to the surgical procedure. Therefore, we plan to conduct a double-blinded, randomised controlled trial to test the safety and efficacy of intranasal injection of hNSCs. METHODS AND ANALYSIS: This single-centre, randomised, double-blinded, parallel-controlled trial will be conducted in China. Sixty patients with ischaemic stroke who met the qualification criteria will be randomly divided into two groups: the NSCs and control groups. All participants will receive intranasal administration of hNSCs or placebo for 4 consecutive weeks. Patients will be followed up at baseline and at 4, 12, 24 and 48 weeks after intervention. The primary outcome is the National Institutes of Health Stroke Scale score (4, 12, 24 weeks after intervention). Secondary outcomes include the modified Rankin scale, Barthel index, Mini-Mental State Examination score (4, 12, 24 weeks after intervention) and cranial MRI changes (24 and 48 weeks after intervention). All adverse events will be recorded during the study period. ETHICS AND DISSEMINATION: The study protocol was approved by the Ethics Committee of Ren Ji Hospital (2018-009). All subjects will provide informed consent. The results will be accessible in peer-reviewed publications and will be presented at academic conferences.

trial registrationChiCTR1900022741; Chinese Clinical Trial Registry.

Indexed as

Brain IschemiaCOVID-19Ischemic StrokeNeural Stem CellsStrokeAdultHumansRandomized Controlled Trials as TopicSARS-CoV-2Treatment OutcomeClinical trialsNeurologyStroke

Identifiers

PMID36351721
PMCPMC9644315
OpenAlexW4308651033

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.