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Published in: BMC Medicine 1/2011

Open Access 01-12-2011 | Review

Clinical trials for stem cell therapies

Authors: Alan Trounson, Rahul G Thakar, Geoff Lomax, Don Gibbons

Published in: BMC Medicine | Issue 1/2011

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Abstract

In recent years, clinical trials with stem cells have taken the emerging field in many new directions. While numerous teams continue to refine and expand the role of bone marrow and cord blood stem cells for their vanguard uses in blood and immune disorders, many others are looking to expand the uses of the various types of stem cells found in bone marrow and cord blood, in particular mesenchymal stem cells, to uses beyond those that could be corrected by replacing cells in their own lineage. Early results from these trials have produced mixed results often showing minor or transitory improvements that may be attributed to extracellular factors. More research teams are accelerating the use of other types of adult stem cells, in particular neural stem cells for diseases where beneficial outcome could result from either in-lineage cell replacement or extracellular factors. At the same time, the first three trials using cells derived from pluripotent cells have begun.
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Literature
2.
go back to reference Yang WZ, Zhang Y, Wu F, Min WP, Minev B, Zhang M, Luo XL, Ramos F, Ichim TE, Riordan NH, et al: Safety evaluation of allogeneic umbilical cord blood mononuclear cell therapy for degenerative conditions. J Transl Med. 2010, 8: 75-10.1186/1479-5876-8-75.CrossRefPubMedPubMedCentral Yang WZ, Zhang Y, Wu F, Min WP, Minev B, Zhang M, Luo XL, Ramos F, Ichim TE, Riordan NH, et al: Safety evaluation of allogeneic umbilical cord blood mononuclear cell therapy for degenerative conditions. J Transl Med. 2010, 8: 75-10.1186/1479-5876-8-75.CrossRefPubMedPubMedCentral
3.
go back to reference Prasad VK, Kurtzberg J: Umbilical cord blood transplantation for non-malignant diseases. Bone Marrow Transplant. 2009, 44 (10): 643-651. 10.1038/bmt.2009.290.CrossRefPubMed Prasad VK, Kurtzberg J: Umbilical cord blood transplantation for non-malignant diseases. Bone Marrow Transplant. 2009, 44 (10): 643-651. 10.1038/bmt.2009.290.CrossRefPubMed
4.
go back to reference Dominici M, Le Blanc K, Mueller I, Slaper-Cortenbach I, Marini F, Krause D, Deans R, Keating A, Prockop D, Horwitz E: Minimal criteria for defining multipotent mesenchymal stromal cells. The International Society for Cellular Therapy position statement. Cytotherapy. 2006, 8 (4): 315-317. 10.1080/14653240600855905.CrossRefPubMed Dominici M, Le Blanc K, Mueller I, Slaper-Cortenbach I, Marini F, Krause D, Deans R, Keating A, Prockop D, Horwitz E: Minimal criteria for defining multipotent mesenchymal stromal cells. The International Society for Cellular Therapy position statement. Cytotherapy. 2006, 8 (4): 315-317. 10.1080/14653240600855905.CrossRefPubMed
5.
go back to reference Buja LM, Vela D: Immunologic and inflammatory reactions to exogenous stem cells implications for experimental studies and clinical trials for myocardial repair. J Am Coll Cardiol. 2010, 56 (21): 1693-1700. 10.1016/j.jacc.2010.06.041.CrossRefPubMed Buja LM, Vela D: Immunologic and inflammatory reactions to exogenous stem cells implications for experimental studies and clinical trials for myocardial repair. J Am Coll Cardiol. 2010, 56 (21): 1693-1700. 10.1016/j.jacc.2010.06.041.CrossRefPubMed
6.
go back to reference Copeland N, Harris D, Gaballa MA: Human umbilical cord blood stem cells, myocardial infarction and stroke. Clin Med. 2009, 9 (4): 342-345.CrossRef Copeland N, Harris D, Gaballa MA: Human umbilical cord blood stem cells, myocardial infarction and stroke. Clin Med. 2009, 9 (4): 342-345.CrossRef
7.
go back to reference Rangappa S, Makkar R, Forrester J: Review article: current status of myocardial regeneration: new cell sources and new strategies. J Cardiovasc Pharmacol Ther. 2010, 15 (4): 338-343. 10.1177/1074248410376382.CrossRefPubMed Rangappa S, Makkar R, Forrester J: Review article: current status of myocardial regeneration: new cell sources and new strategies. J Cardiovasc Pharmacol Ther. 2010, 15 (4): 338-343. 10.1177/1074248410376382.CrossRefPubMed
8.
go back to reference Kearns-Jonker M, Dai W, Kloner RA: Stem cells for the treatment of heart failure. Curr Opin Mol Ther. 2010, 12 (4): 432-441.PubMed Kearns-Jonker M, Dai W, Kloner RA: Stem cells for the treatment of heart failure. Curr Opin Mol Ther. 2010, 12 (4): 432-441.PubMed
9.
go back to reference Sun L, Zhang T, Lan X, Du G: Effects of stem cell therapy on left ventricular remodeling after acute myocardial infarction: a meta-analysis. Clin Cardiol. 2010, 33 (5): 296-302.PubMed Sun L, Zhang T, Lan X, Du G: Effects of stem cell therapy on left ventricular remodeling after acute myocardial infarction: a meta-analysis. Clin Cardiol. 2010, 33 (5): 296-302.PubMed
10.
go back to reference Koninckx R, Daniels A, Windmolders S, Carlotti F, Mees U, Steels P, Rummens JL, Hendrikx M, Hensen K: Mesenchymal stem cells or cardiac progenitors for cardiac repair? A comparative study. Cell Mol Life Sci. 2010 Koninckx R, Daniels A, Windmolders S, Carlotti F, Mees U, Steels P, Rummens JL, Hendrikx M, Hensen K: Mesenchymal stem cells or cardiac progenitors for cardiac repair? A comparative study. Cell Mol Life Sci. 2010
11.
go back to reference Wollert KC, Drexler H: Cell therapy for the treatment of coronary heart disease: a critical appraisal. Nat Rev Cardiol. 2010, 7 (4): 204-215. 10.1038/nrcardio.2010.1.CrossRefPubMed Wollert KC, Drexler H: Cell therapy for the treatment of coronary heart disease: a critical appraisal. Nat Rev Cardiol. 2010, 7 (4): 204-215. 10.1038/nrcardio.2010.1.CrossRefPubMed
12.
go back to reference Loffredo FS, Steinhauser ML, Gannon J, Lee RT: Bone marrow-derived cell therapy stimulates endogenous cardiomyocyte progenitors and promotes cardiac repair. Cell Stem Cell. 2011, 8 (4): 389-398. 10.1016/j.stem.2011.02.002.CrossRefPubMedPubMedCentral Loffredo FS, Steinhauser ML, Gannon J, Lee RT: Bone marrow-derived cell therapy stimulates endogenous cardiomyocyte progenitors and promotes cardiac repair. Cell Stem Cell. 2011, 8 (4): 389-398. 10.1016/j.stem.2011.02.002.CrossRefPubMedPubMedCentral
13.
go back to reference Ali H, Bahbahani H: Umbilical cord blood stem cells - potential therapeutic tool for neural injuries and disorders. Acta Neurobiol Exp (Wars). 2010, 70 (3): 316-324. Ali H, Bahbahani H: Umbilical cord blood stem cells - potential therapeutic tool for neural injuries and disorders. Acta Neurobiol Exp (Wars). 2010, 70 (3): 316-324.
14.
go back to reference Cristante AF, Barros-Filho TE, Tatsui N, Mendrone A, Caldas JG, Camargo A, Alexandre A, Teixeira WG, Oliveira RP, Marcon RM: Stem cells in the treatment of chronic spinal cord injury: evaluation of somatosensitive evoked potentials in 39 patients. Spinal Cord. 2009, 47 (10): 733-738. 10.1038/sc.2009.24.CrossRefPubMed Cristante AF, Barros-Filho TE, Tatsui N, Mendrone A, Caldas JG, Camargo A, Alexandre A, Teixeira WG, Oliveira RP, Marcon RM: Stem cells in the treatment of chronic spinal cord injury: evaluation of somatosensitive evoked potentials in 39 patients. Spinal Cord. 2009, 47 (10): 733-738. 10.1038/sc.2009.24.CrossRefPubMed
15.
go back to reference Karussis D, Karageorgiou C, Vaknin-Dembinsky A, Gowda-Kurkalli B, Gomori JM, Kassis I, Bulte JW, Petrou P, Ben-Hur T, Abramsky O, et al: Safety and immunological effects of mesenchymal stem cell transplantation in patients with multiple sclerosis and amyotrophic lateral sclerosis. Arch Neurol. 2010, 67 (10): 1187-1194. 10.1001/archneurol.2010.248.CrossRefPubMedPubMedCentral Karussis D, Karageorgiou C, Vaknin-Dembinsky A, Gowda-Kurkalli B, Gomori JM, Kassis I, Bulte JW, Petrou P, Ben-Hur T, Abramsky O, et al: Safety and immunological effects of mesenchymal stem cell transplantation in patients with multiple sclerosis and amyotrophic lateral sclerosis. Arch Neurol. 2010, 67 (10): 1187-1194. 10.1001/archneurol.2010.248.CrossRefPubMedPubMedCentral
16.
go back to reference Capello E, Vuolo L, Gualandi F, Van Lint MT, Roccatagliata L, Bonzano L, Pardini M, Uccelli A, Mancardi G: Autologous haematopoietic stem-cell transplantation in multiple sclerosis: benefits and risks. Neurol Sci. 2009, 30 (Suppl 2): S175-177.CrossRefPubMed Capello E, Vuolo L, Gualandi F, Van Lint MT, Roccatagliata L, Bonzano L, Pardini M, Uccelli A, Mancardi G: Autologous haematopoietic stem-cell transplantation in multiple sclerosis: benefits and risks. Neurol Sci. 2009, 30 (Suppl 2): S175-177.CrossRefPubMed
17.
go back to reference Pasquini MC, Griffith LM, Arnold DL, Atkins HL, Bowen JD, Chen JT, Freedman MS, Kraft GH, Mancardi GL, Martin R, et al: Hematopoietic stem cell transplantation for multiple sclerosis: collaboration of the CIBMTR and EBMT to facilitate international clinical studies. Biol Blood Marrow Transplant. 2010, 16 (8): 1076-1083. 10.1016/j.bbmt.2010.03.012.CrossRefPubMedPubMedCentral Pasquini MC, Griffith LM, Arnold DL, Atkins HL, Bowen JD, Chen JT, Freedman MS, Kraft GH, Mancardi GL, Martin R, et al: Hematopoietic stem cell transplantation for multiple sclerosis: collaboration of the CIBMTR and EBMT to facilitate international clinical studies. Biol Blood Marrow Transplant. 2010, 16 (8): 1076-1083. 10.1016/j.bbmt.2010.03.012.CrossRefPubMedPubMedCentral
18.
go back to reference Sullivan KM, Muraro P, Tyndall A: Hematopoietic cell transplantation for autoimmune disease: updates from Europe and the United States. Biol Blood Marrow Transplant. 2010, 16 (1 Suppl): S48-56.CrossRefPubMed Sullivan KM, Muraro P, Tyndall A: Hematopoietic cell transplantation for autoimmune disease: updates from Europe and the United States. Biol Blood Marrow Transplant. 2010, 16 (1 Suppl): S48-56.CrossRefPubMed
19.
go back to reference Szodoray P, Varoczy L, Szegedi G, Zeher M: Autologous stem cell transplantation in autoimmune and rheumatic diseases: from the molecular background to clinical applications. Scand J Rheumatol. 2010, 39 (1): 1-11. 10.3109/03009740903030324.CrossRefPubMed Szodoray P, Varoczy L, Szegedi G, Zeher M: Autologous stem cell transplantation in autoimmune and rheumatic diseases: from the molecular background to clinical applications. Scand J Rheumatol. 2010, 39 (1): 1-11. 10.3109/03009740903030324.CrossRefPubMed
20.
go back to reference Grauer O, Wolff D, Bertz H, Greinix H, Kuhl JS, Lawitschka A, Lee SJ, Pavletic SZ, Holler E, Kleiter I: Neurological manifestations of chronic graft-versus-host disease after allogeneic haematopoietic stem cell transplantation: report from the Consensus Conference on Clinical Practice in chronic graft-versus-host disease. Brain. 2010, 133 (10): 2852-2865. 10.1093/brain/awq245.CrossRefPubMed Grauer O, Wolff D, Bertz H, Greinix H, Kuhl JS, Lawitschka A, Lee SJ, Pavletic SZ, Holler E, Kleiter I: Neurological manifestations of chronic graft-versus-host disease after allogeneic haematopoietic stem cell transplantation: report from the Consensus Conference on Clinical Practice in chronic graft-versus-host disease. Brain. 2010, 133 (10): 2852-2865. 10.1093/brain/awq245.CrossRefPubMed
21.
go back to reference Kebriaei P, Robinson S: Treatment of graft-versus-host-disease with mesenchymal stromal cells. Cytotherapy. 2011, 13 (3): 262-268. 10.3109/14653249.2010.549688.CrossRefPubMed Kebriaei P, Robinson S: Treatment of graft-versus-host-disease with mesenchymal stromal cells. Cytotherapy. 2011, 13 (3): 262-268. 10.3109/14653249.2010.549688.CrossRefPubMed
22.
go back to reference Hsieh MM, Kang EM, Fitzhugh CD, Link MB, Bolan CD, Kurlander R, Childs RW, Rodgers GP, Powell JD, Tisdale JF: Allogeneic hematopoietic stem-cell transplantation for sickle cell disease. N Engl J Med. 2009, 361 (24): 2309-2317. 10.1056/NEJMoa0904971.CrossRefPubMedPubMedCentral Hsieh MM, Kang EM, Fitzhugh CD, Link MB, Bolan CD, Kurlander R, Childs RW, Rodgers GP, Powell JD, Tisdale JF: Allogeneic hematopoietic stem-cell transplantation for sickle cell disease. N Engl J Med. 2009, 361 (24): 2309-2317. 10.1056/NEJMoa0904971.CrossRefPubMedPubMedCentral
24.
go back to reference Persons DA: The challenge of obtaining therapeutic levels of genetically modified hematopoietic stem cells in beta-thalassemia patients. Ann N Y Acad Sci. 2010, 1202: 69-74. 10.1111/j.1749-6632.2010.05581.x.CrossRefPubMed Persons DA: The challenge of obtaining therapeutic levels of genetically modified hematopoietic stem cells in beta-thalassemia patients. Ann N Y Acad Sci. 2010, 1202: 69-74. 10.1111/j.1749-6632.2010.05581.x.CrossRefPubMed
25.
go back to reference Yannaki E, Stamatoyannopoulos G: Hematopoietic stem cell mobilization strategies for gene therapy of beta thalassemia and sickle cell disease. Ann N Y Acad Sci. 2010, 1202: 59-63. 10.1111/j.1749-6632.2010.05576.x.CrossRefPubMed Yannaki E, Stamatoyannopoulos G: Hematopoietic stem cell mobilization strategies for gene therapy of beta thalassemia and sickle cell disease. Ann N Y Acad Sci. 2010, 1202: 59-63. 10.1111/j.1749-6632.2010.05576.x.CrossRefPubMed
26.
go back to reference Boztug K, Schmidt M, Schwarzer A, Banerjee PP, Diez IA, Dewey RA, Bohm M, Nowrouzi A, Ball CR, Glimm H, et al: Stem-cell gene therapy for the Wiskott-Aldrich syndrome. N Engl J Med. 2010, 363 (20): 1918-1927. 10.1056/NEJMoa1003548.CrossRefPubMedPubMedCentral Boztug K, Schmidt M, Schwarzer A, Banerjee PP, Diez IA, Dewey RA, Bohm M, Nowrouzi A, Ball CR, Glimm H, et al: Stem-cell gene therapy for the Wiskott-Aldrich syndrome. N Engl J Med. 2010, 363 (20): 1918-1927. 10.1056/NEJMoa1003548.CrossRefPubMedPubMedCentral
28.
go back to reference Brayfield CA, Marra KG, Rubin JP: Adipose tissue regeneration. Curr Stem Cell Res Ther. 2010, 5 (2): 116-121. 10.2174/157488810791268582.CrossRefPubMed Brayfield CA, Marra KG, Rubin JP: Adipose tissue regeneration. Curr Stem Cell Res Ther. 2010, 5 (2): 116-121. 10.2174/157488810791268582.CrossRefPubMed
29.
go back to reference Mizuno H: Adipose-derived stem and stromal cells for cell-based therapy: current status of preclinical studies and clinical trials. Curr Opin Mol Ther. 2010, 12 (4): 442-449.PubMed Mizuno H: Adipose-derived stem and stromal cells for cell-based therapy: current status of preclinical studies and clinical trials. Curr Opin Mol Ther. 2010, 12 (4): 442-449.PubMed
30.
go back to reference Yang Z, Di Santo S, Kalka C: Current developments in the use of stem cell for therapeutic neovascularisation: is the future therapy "cell-free"?. Swiss Med Wkly. 2010, 140: w13130.PubMed Yang Z, Di Santo S, Kalka C: Current developments in the use of stem cell for therapeutic neovascularisation: is the future therapy "cell-free"?. Swiss Med Wkly. 2010, 140: w13130.PubMed
31.
go back to reference Toshner M, Morrell NW: Endothelial progenitor cells in pulmonary hypertension - dawn of cell-based therapy?. Int J Clin Pract Suppl. 2010, 165: 7-12.CrossRefPubMed Toshner M, Morrell NW: Endothelial progenitor cells in pulmonary hypertension - dawn of cell-based therapy?. Int J Clin Pract Suppl. 2010, 165: 7-12.CrossRefPubMed
32.
go back to reference Matsumoto S: Islet cell transplantation for Type 1 diabetes. J Diabetes. 2010, 2 (1): 16-22. 10.1111/j.1753-0407.2009.00048.x.CrossRefPubMed Matsumoto S: Islet cell transplantation for Type 1 diabetes. J Diabetes. 2010, 2 (1): 16-22. 10.1111/j.1753-0407.2009.00048.x.CrossRefPubMed
34.
go back to reference Shihabuddin LS, Aubert I: Stem cell transplantation for neurometabolic and neurodegenerative diseases. Neuropharmacology. 2010, 58 (6): 845-854. 10.1016/j.neuropharm.2009.12.015.CrossRefPubMed Shihabuddin LS, Aubert I: Stem cell transplantation for neurometabolic and neurodegenerative diseases. Neuropharmacology. 2010, 58 (6): 845-854. 10.1016/j.neuropharm.2009.12.015.CrossRefPubMed
35.
go back to reference Lévesque MF, Toomas N, Rezak M: Therapeutic Microinjection of Autologous Adult Human Neural Stem Cells and Differentiated Neurons for Parkinson's Disease: Five-Year Post-Operative Outcome. The Open Stem Cell Journal. 2009, 1: 20-29. 10.2174/1876893800901010020.CrossRef Lévesque MF, Toomas N, Rezak M: Therapeutic Microinjection of Autologous Adult Human Neural Stem Cells and Differentiated Neurons for Parkinson's Disease: Five-Year Post-Operative Outcome. The Open Stem Cell Journal. 2009, 1: 20-29. 10.2174/1876893800901010020.CrossRef
36.
go back to reference Kolli S, Ahmad S, Lako M, Figueiredo F: Successful clinical implementation of corneal epithelial stem cell therapy for treatment of unilateral limbal stem cell deficiency. Stem Cells. 2010, 28 (3): 597-610.PubMed Kolli S, Ahmad S, Lako M, Figueiredo F: Successful clinical implementation of corneal epithelial stem cell therapy for treatment of unilateral limbal stem cell deficiency. Stem Cells. 2010, 28 (3): 597-610.PubMed
37.
go back to reference Tedesco FS, Dellavalle A, Diaz-Manera J, Messina G, Cossu G: Repairing skeletal muscle: regenerative potential of skeletal muscle stem cells. J Clin Invest. 2010, 120 (1): 11-19. 10.1172/JCI40373.CrossRefPubMedPubMedCentral Tedesco FS, Dellavalle A, Diaz-Manera J, Messina G, Cossu G: Repairing skeletal muscle: regenerative potential of skeletal muscle stem cells. J Clin Invest. 2010, 120 (1): 11-19. 10.1172/JCI40373.CrossRefPubMedPubMedCentral
38.
go back to reference Palmieri B, Tremblay JP, Daniele L: Past, present and future of myoblast transplantation in the treatment of Duchenne muscular dystrophy. Pediatr Transplant. 2010, 14 (7): 813-819. 10.1111/j.1399-3046.2010.01377.x.CrossRefPubMed Palmieri B, Tremblay JP, Daniele L: Past, present and future of myoblast transplantation in the treatment of Duchenne muscular dystrophy. Pediatr Transplant. 2010, 14 (7): 813-819. 10.1111/j.1399-3046.2010.01377.x.CrossRefPubMed
39.
go back to reference Dhawan A, Strom SC, Sokal E, Fox IJ: Human hepatocyte transplantation. Methods Mol Biol. 2010, 640: 525-534. 10.1007/978-1-60761-688-7_29.CrossRefPubMed Dhawan A, Strom SC, Sokal E, Fox IJ: Human hepatocyte transplantation. Methods Mol Biol. 2010, 640: 525-534. 10.1007/978-1-60761-688-7_29.CrossRefPubMed
40.
go back to reference Kung JW, Forbes SJ: Stem cells and liver repair. Curr Opin Biotechnol. 2009, 20 (5): 568-574. 10.1016/j.copbio.2009.09.004.CrossRefPubMed Kung JW, Forbes SJ: Stem cells and liver repair. Curr Opin Biotechnol. 2009, 20 (5): 568-574. 10.1016/j.copbio.2009.09.004.CrossRefPubMed
41.
42.
go back to reference Pera MF: Stem cells: The dark side of induced pluripotency. Nature. 2011, 471 (7336): 46-47. 10.1038/471046a.CrossRefPubMed Pera MF: Stem cells: The dark side of induced pluripotency. Nature. 2011, 471 (7336): 46-47. 10.1038/471046a.CrossRefPubMed
43.
go back to reference McKernan R, McNeish J, Smith D: Pharma's developing interest in stem cells. Cell Stem Cell. 2010, 6 (6): 517-520. 10.1016/j.stem.2010.05.012.CrossRefPubMed McKernan R, McNeish J, Smith D: Pharma's developing interest in stem cells. Cell Stem Cell. 2010, 6 (6): 517-520. 10.1016/j.stem.2010.05.012.CrossRefPubMed
Metadata
Title
Clinical trials for stem cell therapies
Authors
Alan Trounson
Rahul G Thakar
Geoff Lomax
Don Gibbons
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Medicine / Issue 1/2011
Electronic ISSN: 1741-7015
DOI
https://doi.org/10.1186/1741-7015-9-52

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