Summary of Study ST002857

This data is available at the NIH Common Fund's National Metabolomics Data Repository (NMDR) website, the Metabolomics Workbench, https://www.metabolomicsworkbench.org, where it has been assigned Project ID PR001789. The data can be accessed directly via it's Project DOI: 10.21228/M8G43R This work is supported by NIH grant, U2C- DK119886.

See: https://www.metabolomicsworkbench.org/about/howtocite.php

This study contains a large results data set and is not available in the mwTab file. It is only available for download via FTP as data file(s) here.

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Study IDST002857
Study TitleIntracerebroventricular Transplantation of Foetal Allogeneic Neural Stem Cells in Patients with Secondary Progressive Multiple Sclerosis (hNSC-SPMS): a phase I dose-escalation clinical trial - Metabolomics Analysis of Human CSF
Study SummaryThis is an open-label, first-in-human, dose-escalation phase I study (NCT03282760, EudraCT2015‐004855‐37) to determine the feasibility, safety, and tolerability of the transplantation of allogeneic human neural stem/progenitor cells (hNSCs) for the treatment of progressive multiple sclerosis. We report the analysis of 1 year of data from the first cohort of 15 patients from two trial sites that received increasing numbers of allogeneic hNSCs delivered via intracerebroventricular injection in combination with an immunosuppressive regimen. No treatment-related deaths nor serious adverse events (AEs) were observed over the 12-month follow-up. Participants displayed stability of clinical and laboratory parameters, as well as lesion load and activity at the brain MRIs, compared to study entry. Longitudinal metabolomics and lipidomics analyses of cerebrospinal fluid and serum from these patients identified time and dose-dependent responses, with increased levels of free fatty acids and acylcarnitines in the CSF, especially at the highest dose of injected hNSCs at the one-year follow-up time point. Finally, a significant inverse correlation was found between the highest dose of injected hNSCs and the smaller parenchymal brain volume change (PBVC; Spearman’s rho= -0.7, p= 0.03), clinical covariates that correlated with CSF levels of free fatty acids, acyl-carnitines, oxylipins, conjugated bile acids and purine breakdown and deamination products, such as hypoxanthine. The absence of AEs and the stability of functional and structural outcomes is reassuring in terms of risks and represent a main milestone to rigorously address the challenges for the safe translation of key principles of stem cell biology into effective regenerative medicines.
Institute
University of Colorado Denver
DepartmentDepartment of Biochemistry and Molecular Genetics
LaboratoryAngelo D’Alessandro
Last NameStephenson
First NameDaniel
AddressResearch 1 South L18-1303 12801 E. 17th Ave., Aurora, Colorado, 80045, USA
Emaildaniel.stephenson@cuanschutz.edu
Phone303-724-3339
Submit Date2023-09-08
Raw Data AvailableYes
Raw Data File Type(s)mzXML
Analysis Type DetailLC-MS
Release Date2023-09-27
Release Version1
Daniel Stephenson Daniel Stephenson
https://dx.doi.org/10.21228/M8G43R
ftp://www.metabolomicsworkbench.org/Studies/ application/zip

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Factors:

Subject type: Human; Subject species: Homo sapiens (Factor headings shown in green)

mb_sample_id local_sample_id TimeGroup
SA308802DS1-123-072FU1
SA308803DS1-123-035FU1
SA308804DS1-123-032FU1
SA308805DS1-123-070FU1
SA308806DS1-123-125FU1
SA308807DS1-123-057FU1
SA308808DS1-123-046FU1
SA308809DS1-123-139FU1
SA308810DS1-123-134FU1
SA308811DS1-123-103FU1
SA308812DS1-123-005FU1
SA308813DS1-123-100FU1
SA308814DS1-123-146FU1
SA308815DS1-123-094FU1
SA308816DS1-123-124FU12
SA308817DS1-123-136FU12
SA308818DS1-123-058FU12
SA308819DS1-123-111FU12
SA308820DS1-123-093FU12
SA308821DS1-123-073FU12
SA308822DS1-123-063FU12
SA308823DS1-123-031FU12
SA308824DS1-123-027FU12
SA308825DS1-123-148FU12
SA308826DS1-123-083FU6
SA308827DS1-123-127FU6
SA308828DS1-123-105FU6
SA308829DS1-123-018FU6
SA308830DS1-123-011FU6
SA308831DS1-123-080FU6
SA308832DS1-123-037FU6
SA308833DS1-123-043FU6
SA308834DS1-123-007REND
SA308835DS1-123-123REND
SA308836DS1-123-117REND
SA308837DS1-123-116REND
SA308838DS1-123-102REND
SA308839DS1-123-106REND
SA308840DS1-123-145REND
SA308841DS1-123-028REND
SA308842DS1-123-071REND
SA308843DS1-123-042REND
SA308844DS1-123-133REND
SA308845DS1-123-087REND
SA308846DS1-123-021REND
SA308847DS1-123-131REND
SA308848DS1-123-050REND
SA308849DS1-123-130START
SA308850DS1-123-142START
SA308851DS1-123-081START
SA308852DS1-123-025START
SA308853DS1-123-039START
SA308854DS1-123-015START
SA308855DS1-123-014START
SA308856DS1-123-003START
SA308857DS1-123-051START
SA308858DS1-123-076START
SA308859DS1-123-109START
SA308860DS1-123-099START
SA308861DS1-123-085START
SA308862DS1-123-001START
SA308863DS1-123-114START
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