在老年帕金森病患者中,脂肪衍生中细胞干细胞治疗的安全性和有效性:一个中等规模的扩展访问计划
Ridhima Vij1, Hosu Kim2, Hyeonggeun Park2
1Hope Biosciences Research Foundation, Sugar Land, Texas, USA.
Cytotherapy
|October 19, 2024
概括
自主希望生物科学公司的脂肪衍生介质干细胞 (HB-adMSC) 疗法在老年帕金森病患者中显示出良好的安全性.
科学领域:
- 神经学 神经学
- 再生医学是一种再生医学.
- 老年病的医生 老年病的医生
背景情况:
- 帕金森病 (PD) 是一种进展性神经退行性疾病,影响运动和非运动功能.
- 患有PD的老年患者经常经历显著的症状负担和生活质量的降低.
- 脂质衍生性介质干细胞 (adMSCs) 正在研究它们在神经退行性疾病中的治疗潜力.
研究的目的:
- 评估多次静脉注射自主Hope Biosciences脂肪衍生介质干细胞 (HB-adMSCs) 的安全性和临床疗效,用于患有帕金森病 (PD) 的老年患者.
主要方法:
- 十名患有PD的老年参与者 (76-95岁) 在18周内接受了6次IV输注2000万个自身HB-adMSC.
- 通过不良事件 (AE) 和严重不良事件 (SAE) 监测安全性.
- 使用MDS-UPDRS,PDQ-39,PFS-16,PHQ-9和VAS进行有效性评估,并使用对联t测试和MCID值进行分析.
主要成果:
- 治疗HB-adMSC是安全的,耐受性良好,大多数AEs是轻微的,没有与药物相关的SAE或死亡.
- 虽然对初级疗效终点没有达到统计学意义,但在研究结束时,在二级终点 (MDS-UPDRS部分I和III,PDQ-39,PHQ-9) 观察到适度的临床意义上的改善 (效果大小>0.3).
- 这些改善接近或超过最小临床重要差异 (MCID) 值.
结论:
- 自体HB-adMSC输液在患有PD的老年患者中是安全的,并且耐受性良好.
- 该研究在关键次要结果中显示出适度的临床益处,突出显示了临床相关性的重要性超出了统计学意义.
- 建议进行进一步的大规模,随机,安慰剂对照试验,以证实这些发现,并验证HB-adMSCs在PD中的治疗潜力.
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