Evidence map›Paper›PMID 41132886›Full record

ArticleFrontiers in neurology2025

Adipose-derived mesenchymal stem cells for the treatment of Amyotrophic Lateral Sclerosis. A phase I/II safety and efficacy clinical trial.

Eduardo Agüera-Morales, Victoria Eugenia Fernández-Sánchez, Guillermo Navarro-Mascarell, Juan Antonio Cabezas-Rodríguez, María Ángeles Peña-Toledo, Virginia Reyes-Rodríguez, María José Postigo-Pozo, Giorgio Patrignani-Ochoa, María Ángeles Geniz-Clavijo, Celedonio Márquez-Infante and 17 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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

27 authors.

Eduardo Agüera-Morales *Neurology Unit, Reina Sofía University Hospital, Córdoba, Spain.
Victoria Eugenia Fernández-Sánchez *Clinical Neurophysiology Service, Málaga Regional University Hospital, Málaga, Spain.
Guillermo Navarro-MascarellNeurology Unit, Virgen Macarena University Hospital, Seville, Spain.
Juan Antonio Cabezas-RodríguezNeuromuscular Unit, Virgen del Rocío University Hospital, Seville, Spain.
María Ángeles Peña-ToledoNeurology Unit, Reina Sofía University Hospital, Córdoba, Spain.
Virginia Reyes-RodríguezNeurology Service, Málaga Regional University Hospital, Málaga, Spain.
María José Postigo-PozoClinical Neurophysiology Service, Málaga Regional University Hospital, Málaga, Spain.
Giorgio Patrignani-OchoaNeurology Unit, Virgen Macarena University Hospital, Seville, Spain.
María Ángeles Geniz-ClavijoNeurology Unit, Virgen Macarena University Hospital, Seville, Spain.
Celedonio Márquez-InfanteNeuromuscular Unit, Virgen del Rocío University Hospital, Seville, Spain.
Luis Tallon-AguilarGeneral and Gastroenterology Surgery Service, Virgen del Rocío University Hospital, Seville, Spain.
José Tinoco-GonzálezGeneral and Gastroenterology Surgery Service, Virgen del Rocío University Hospital, Seville, Spain.
Javier Padillo-RuizGeneral and Gastroenterology Surgery Service, Virgen del Rocío University Hospital, Seville, Spain.
Amador Valladares-SánchezNeuromuscular Unit, Virgen del Rocío University Hospital, Seville, Spain.
Candela Caballero-ErasoPneumology and Thorax Surgery Unit, Virgen del Rocío University Hospital, Seville, Spain.
Cecilia López-RamírezPneumology and Thorax Surgery Unit, Virgen del Rocío University Hospital, Seville, Spain.
Rosario Mata Alcázar-CaballeroAndalusian Network for the Design and Translation of Advanced Therapies, Andalusian Progress and Health Public Foundation, Seville, Spain.
Laura Leyva-FernándezDepartment of Pharmacology and Pediatrics, Medical School, Málaga University, Málaga, Spain.
Antonio Rodríguez-AcostaCell Production Unit, Málaga Regional University Hospital, Málaga, Spain.
Rafael Maldonado-SánchezCell Production Unit, Málaga Regional University Hospital, Málaga, Spain.
María Luisa García-MartínNuclear Magnetic Resonance Service, Biomedical Research Institute of Málaga and Nanomedicine Platform, Málaga, Spain.
MªLuisa Somoza-RamírezNuclear Magnetic Resonance Service, Biomedical Research Institute of Málaga and Nanomedicine Platform, Málaga, Spain.
Blanca Quijano-RuizAndalusian Network for the Design and Translation of Advanced Therapies, Andalusian Progress and Health Public Foundation, Seville, Spain.
María Del Mar Macías-SánchezAndalusian Network for the Design and Translation of Advanced Therapies, Andalusian Progress and Health Public Foundation, Seville, Spain.
Gloria Carmona-SánchezAndalusian Network for the Design and Translation of Advanced Therapies, Andalusian Progress and Health Public Foundation, Seville, Spain.
Olga Fernández-LópezAndalusian Network for the Design and Translation of Advanced Therapies, Andalusian Progress and Health Public Foundation, Seville, Spain.
Óscar Fernández-FernándezNeurology Service, Málaga Regional University Hospital, Málaga, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Amyotrophic lateral sclerosis (ALS) is a progressive and fatal neurodegenerative disease with few treatments available. Mesenchymal stem cells have arisen as a potential treatment option for ALS due to their immune system modulation and their neuroprotective effects. This clinical trial aimed to evaluate the safety, efficacy and feasibility of three intravenous doses of autologous adipose-derived mesenchymal stem cells (AdMSC) in ALS patients. Methods: A multicentre, randomized, parallel group, placebo-controlled, double-blinded clinical trial (EudraCT: 2011-006254-85) was conducted in 40 patients with ALS in treatment with riluzole. Patients were randomized 1:1:1:1 into the following treatment groups: 1 × 10 Results: Safety of AdMSC was observed through all follow-up periods, with similar percentages of adverse events between groups and no significant differences between groups in the rate of adverse events related to treatment. The administration procedure was feasible for all patients. Across all analyzed measures, we observed the expected progressive decline characteristic of ALS, with no statistically significant between-group differences in the rate of change. Discussion: The results obtained in this study are consistent with the ones obtained in other clinical trials using similar doses of MSC, where safety was demonstrated and efficacy results were inconclusive, due to not reaching statistical significance. Larger studies with an increased sample size, different doses and route of administration or combination of routes, repeated dosing or larger duration and comprehensive assessment of immunological effect would be needed to analyze the efficacy of AdMSC in the treatment of ALS. Clinical trial registration: https://www.clinicaltrialsregister.eu/ctr-search/search?query=2011-006254-85.

Indexed as

adipose-derived mesenchymal stem cellsamyotrophic lateral sclerosiscell therapyclinical trialmesenchymal stem cellsneurodegeneration

Identifiers

PMID41132886
PMCPMC12540107

What OpenQuestion holds

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Registered trials

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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.