Evidence map›Paper›PMID 41542240›Full record

ArticleFrontiers in stroke2024

Regenerative stem cell therapy for stroke in Europe (RESSTORE): a multicenter randomized controlled efficacy clinical trial.

Loïc Legris, Anaick Moisan, Assia Jaillard, Louise Bonnet, Thierry Moulin, Igor Sibon, Emmanuel Touzé, Isabelle Favre-Wiki, Charlotte Cordonnier, Lucie Dellaschiava and 23 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in stroke, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03570450 (Regenerative Stem Cell Therapy for Stroke in Europe 1), which is not on this 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
–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.

NCT03570450 phase1recruitingnot on this map

Regenerative Stem Cell Therapy for Stroke in Europe 1

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2018 to 2027Enrolled95ConditionsStrokeArmsAdipose derived Stem Cell, placebo
3 · Its place in the literature

Who cites it

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

  1. Stem cell transplantation for ischemic stroke.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. 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

33 authors.

Loïc LegrisUniv. Grenoble Alpes, Inserm, U1216, Stroke Unit, Department of Neurology, CHU Grenoble Alpes, Grenoble Institut Neurosciences, Grenoble, France.
Anaick MoisanCell Therapy and Engineering Unit, EFS Rhône Alpes, Saint Ismier, France.
Assia JaillardUniv. Grenoble Alpes, AGEIS EA 7407, Research 3T-MRI, IRMaGe, CHU Grenoble Alpes, Grenoble, France.
Louise BonnetUniversity of Franche-Comté, UFR Santé, Department of Neurology, CHU Besançon, Besançon, France.
Thierry MoulinUniversity of Franche-Comté, UFR Santé, Department of Neurology, CHU Besançon, Besançon, France.
Igor SibonDepartment of Neurology, Stroke Unit, CHU Bordeaux, Bordeaux, France.
Emmanuel TouzéDepartment of Neurology, Stroke Unit, CHU Caen, Medical University of Caen, Caen, France.
Isabelle Favre-WikiUniv. Grenoble Alpes, Department of Neurology, Stroke Unit, CHU Grenoble Alpes, Grenoble, France.
Charlotte CordonnierInserm, CHU Lille, U1172 Lille Neuroscience and Cognition (LiINCog), University of Lille, Lille, France.
Lucie DellaschiavaInserm, CHU Lille, U1172 Lille Neuroscience and Cognition (LiINCog), University of Lille, Lille, France.
Mikael MazighiDepartment of Neurology, Stroke Unit, CHU Lariboisière, APHP Nord, Interventional Neuroradiology Department and Biological Resources Center, Rothschild Foundation Hospital, FHU Neurovasc, INSERM 1144, University of Paris City, Paris, France.
Charlotte RossoInserm U 1127, CNRS UMR 7225, Sorbonne Université, UPMC Univ Paris 06 UMR S 1127, Institut du Cerveau et de la Moelle épinière, ICM, APHP Stroke Unit, Pitié Salpêtrière Hospital, Paris, France.
Sonia AlamowitchAP-HP, Urgences Cérébro-Vasculaires, Hôpital Pitié-Salpêtrière, Sorbonne Université, Paris, France.
David CalvetDepartment of Neurology, Stroke Unit, GHU-Paris Psychiatry and Neurosciences, Sainte Anne Hospital, Institute of Psychiatry and Neuroscience of Paris (IPNP), INSERM, U1266, University of Paris City, Paris, France.
Marianne Barbieux-GuillotDepartment of Neurology, Stroke Unit, CHU Toulouse, Toulouse, France.
Stephan RouxCell Therapy and Engineering Unit, EFS Bourgogne Franche Comté, Besançon, France.
Alain-Ali MojallalDepartment of Plastic Surgery, Croix Rousse Hospital, HCL, Lyon, France.
Fabien BoucherDepartment of Plastic Surgery, Croix Rousse Hospital, HCL, Lyon, France.
Antoine ThuriotUniv. Grenoble Alpes, Department of Neurology, Stroke Unit, CHU Grenoble Alpes, Grenoble, France.
Julie SoulardUniv. Grenoble Alpes, Department of Neurology, Stroke Unit, CHU Grenoble Alpes, Grenoble, France.
Bernadette NaegeleUniv. Grenoble Alpes, Department of Neurology, Stroke Unit, CHU Grenoble Alpes, Grenoble, France.
Dominic PerennouUniv. Grenoble Alpes, Department of Neurorehabilitation, CHU Grenoble Alpes, LPNC, Grenoble, France.
Matthieu RoustitUniv. Grenoble Alpes, Inserm, Clinical Investigation Center (CIC), CHU Grenoble Alpes, Grenoble, France.
Zaza PutkaradzeUniv. Grenoble Alpes, Inserm, Clinical Investigation Center (CIC), CHU Grenoble Alpes, Grenoble, France.
Marc HommelUniv. Grenoble Alpes, AGEIS EA 7407, Grenoble, France.
Audrey LehmannUniv. Grenoble Alpes, Department of Pharmacy, CHU Grenoble Alpes, Grenoble, France.
Julien ColombatDepartment of Research and Innovation, CHU Grenoble Alpes, Grenoble, France.
Fatima ChorfaHospices Civils de Lyon, Pôle Santé Publique, Service de Biostatistique et Bioinformatique, Lyon, France.
Delphine Maucort-BoulchHospices Civils de Lyon, Pôle Santé Publique, Service de Biostatistique et Bioinformatique, Lyon, France.
Laurent LamalleUniv. Grenoble Alpes, Inserm, CHU Grenoble Alpes, CNRS, IRMaGe, 38000, Grenoble, France.
Sylvie GrandUniv. Grenoble Alpes, INSERM, U1216, Department of Neuroradiology, CHU Grenoble Alpes, Grenoble Institut Neurosciences, Grenoble, France.
Alexandre KrainikUniv. Grenoble Alpes, INSERM, U1216, Research 3T-MRI, IRMaGe, Department of Neuroradiology, CHU Grenoble Alpes, Grenoble Institut Neurosciences, Grenoble, France.
Olivier DetanteUniv. Grenoble Alpes, Inserm, U1216, Stroke Unit, Department of Neurology, CHU Grenoble Alpes, Grenoble Institut Neurosciences, Grenoble, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Encouraging the activation of brain repair mechanisms and fostering spontaneous functional recovery in stroke patients hold great promise for alleviating the global burden of this condition and allowing an extended therapeutic time window. Cell-based regenerative therapy (with mesenchymal stem/stromal cells, such as adipose-derived stem cells [ADSCs]) is particularly attractive considering its excellent safety profile, low immunogenicity after allogeneic application, and well-established functional benefits on stroke recovery in animal models. This study aims to assess the efficacy and safety effects of intravenous (IV) infusion of freshly cultured allogeneic ADSCs on recovery after ischemic stroke. Population and methods: RESSTORE is a multicentric, randomized 1:1 controlled double-blind clinical trial. Eighty patients will be enrolled in nine French stroke centers. The main inclusion criteria are ≥18 years of age, acute hemispheric ischemic stroke, and a National Institutes of Health Stroke Scale (NIHSS) score of ≥7, including a motor subscore of ≥3. According to the previous dose-escalation safety trial data, the maximum tolerated dose of 3 million ADSCs/kg was selected. IV infusion was performed within 10 days following stroke onset, with a follow-up over 2 years. Outcomes: The primary endpoint is the motor NIHSS subscore, computed as the sum of the upper limb, lower limb, and hand scores, measured 6 months after stroke onset to assess motor recovery. The secondary outcomes are the occurrence of death/serious adverse events, clinical scores (the detailed NIHSS scores, Montreal Cognitive Assessment scores, modified Rankin Scale scores, Aphasia Handicap Scores, Depression Intensity Scale Circles scores, Fatigue Scale scores, etc.), immune monitoring (for the first 30 patients), and multimodal biomarkers derived from diffusion and functional magnetic resonance imaging. Discussion: This study may provide some evidence for the effects of freshly cultured allogenic ADSCs IV infusion in subacute stroke that may help design a larger international randomized controlled trial. Clinical trial registration: https://clinicaltrials.gov/, identifier: NCT03570450.

Indexed as

ADSCcell therapyRCTrecoveryregenerationstem cellsstroke

Identifiers

PMID41542240
PMCPMC12802603

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Registered trials

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