Table 4 Clinical trials using mesenchymal stem cells in MS patients

From: Paving the way towards an effective treatment for multiple sclerosis: advances in cell therapy

Source of cells

Years

Country

Phase

NCT number

Type of study

MS type

n

EDSS

Route of administ

Dose of MSCss

Number of administrations

Immunological findings

Ref

aMSCs

2013

Italy

I/II

NCT01854957

Randomized, double-blind, placebo-compared

Active PPMS, SPMS, RRMS

185

2.5–6.5

i.v.

A dose of 1–2 × 106 MSCs/kg body weight

Single

Unreported

142

aMSCs

2013–2016

UK

I/II

NCT01606215

aMSCs

2014–2018

Canada

II

NCT02239393

aBM-MSCs

2015–2018

France

I/II

NCT02403947

aBM-MSCs

2013–2016

Spain

I/II

NCT02035514

aADMSCs

2012–2015

Sweden

I/II

NCT01730547

aMSCs

2011–2018

Iran

I/II

NCT01377870

Randomized, double-blind, placebo-compared

RRMS, SPMS, RRMS

22

3–6.5

i.v.

Unreported

Single

Unreported

Unpublished

aMSCs

2010–2014

Spain

II

NCT01228266

Randomized, double-blind, placebo-controlled, crossover

RRMS

9

3–6.5

i.v

A dose of 1–2 × 106 MSCs/kg body weight

Single

Non significative decrease of Th1 and Th17 cells; increase of Breg

143

aMSCs

2011–2016

USA

I

NCT00813969

Open-label

RRMS, SPMS

24

3–6.5

i.v.

A dose of 2 × 106 MSCs/kg body weight

Single

Unreported

144

aBM-MSCs

2014–2016

Israel

II

NCT02166021

Randomized, double-blind, placebo-compared

PPMS, SPMS

48

3.5–6.5

i.t. and i.v.

10 × 106/mL to 15 × 106/mL

Double

Unreported

Unpublished

aBM-MSCs

2006–2011

UK

I/II

NCT00395200

Open-label

SPMS

10

2–6.5

i.v.

A dose of 2 × 106 MSCs/kg body weight

Single

Unreported

145,146

aBM-MSCs

2013–2017

Jordan

II

NCT01895439

Open-label

MS

13

≤6

i.t.

Unreported

Unreported

Unreported

Unpublished

aBM-MSCs

2006–2009

Israel

I/II

NCT00781872

Open-safety clinical trial

Active MS and ALS

15 MS and 19 ALS

4–8

i.t. and i.v.

60 × 106 i.t. (n = 34) and 25 × 106 i.v. (n = 14)

Single

Increase of Treg (CD4+ CD25+) and decrease of CD83+ and CD86+ on DC and activated CD40+ cells. Decrease of in vitro lymphocytes proliferation to PHA

147

aBM-MSCs

2017

Jordan

I

NCT03069170

Open-label

RRMS

50

3–6.5

i.t. and i.v.

Unreported

Single

Recruiting IgG, IgA, and IgM levels and complement factors C3 and C4 will be analysed

Unpublished

aBM-MSCs

2015–2017

India

I/II

NCT02418351

Open-label

RRMS

69

3.5–6.5

i.t. and i.v.

50 × 106 BM-MNC (i.v.) and 100 × 106 BM-MNCs i.t. (when associated with CCSVI)

Single

Unreported

Unpublished

alloUCMSCs

2015–2017

Trinidad and Tobago

I/II

NCT02418325

Open-label

RRMS

69

3.5–6.5

i.t. and i.v.

50 × 106 UC-MSCs (i.v.) and 100 × 106 UC-MSCs i.t. (when associated with CCSVI)

Single

Unreported

Unpublished

aBM-MSCs

2015–2018

Spain

I/II

NCT02495766

Quadruple-blind, placebo-controlled study

RRMS and SPMS

8

<6.5

i.v.

Unreported

Single

Unreported

Unpublished

aBM-MSCs

2014–2018

UK

II

NCT01815632

Double-blind, placebo-controlled study

SPMS and PPMS

80

4–6

i.v.

500–600 mL bone marrow

single

Unreported

148

aBM-MSCs

2013–2018

UK

II

NCT01932593

Double-blind, placebo-controlled study

SPMS and PPMS

6

4–6

i.v.

500–600 mL bone marrow

Reinfusion (extension of NCT01815632)

Unreported

149

aADMSCs

2010–2015

Spain

I/II

NCT01056471

Triple-blind, placebo-controlled study

SPMS

30 [11 placebo, 10 low-dose and 9 high-dose]

5.5–9

i.v.

Low-dose (1 × 106 cells/kg) or high-dose (4 × 106 cells/kg)

Single

Unreported

150

aADMSCs

2014–2018

German

I

NCT02326935

Open-label

MS patients

2

Unreported

i.v.

150 × 106 cells

Single

Unreported

Unpublished

aASVF

2014–2018

USA

II

NCT02157064

Open-label

MS patients

221

Unreported

Unreported

Unreported

Unreported

Unreported

Unpublished

alloUCMSCs

2014–2017

Panama

I/II

NCT02034188

Open-label

MS patients

20

2–5.5

i.v.

Infusions of 20 × 106 UCMSCs over 7 days

7 doses

Unreported

151

alloUCMSCs

2010–2014

China

I/II

NCT01364246

Open-label

Progressive MS and NMO

20

Unreported

Unreported

Unreported

Unreported

Unreported

Unpublished

alloUCMSCs

2017

Jordan

I/II

NCT03326505

Randomized, single-blind

MS patients

60

≤7

i.t.

Unreported

Single

Unreported

Unpublished

  1. aADMSCs autologous adipose-derived MSCs, aASVF autologous adipose stromal vascular fraction, aBM-MSCs autologous bone marrow-derived MSCs, alloUCMSCs allogenic umbilical cord-derived MSCs, ALS amyotrophic lateral sclerosis, aMSCs autologous MSCs, i.v. intravenous, i.t. intrathecal, MS multiple sclerosis, MSCs mesenchymal stem cells, PPMS primary-progressive MS, RRMS relapsing-remitting MS, SPMS secondary-progressive MS