FDA Gives Green Light to Phase 2 Trial of NurOwn Stem Cell Therapy in Progressive MS Patients

Written by Alberto Molano, PhD |

NurOwn trial request

The U.S. Food and Drug Administration (FDA) has approved BrainStorm Cell Therapeutics‘ request to open a Phase 2 clinical trial testing the safety and effectiveness of its proprietary NurOwn mesenchymal stem cell (MSC) treatment in progressive multiple sclerosis (MS) patients.

The request was in the form of Investigational New Drug (IND) application, and BrainStorm plans to launch the study in early 2019.

“We are excited about the launch of early testing of this cell-based approach to treating progressive MS, for which there are few treatment options,” Bruce Bebo, executive vice president of research at the National MS Society, said in a press release. “We look forward to better understanding the potential benefits and safety of this and other cell-based therapies for MS.”

Stem cells have the ability to develop into different cell types, and to replace damaged or dying cells in the body. There are different types of stem cells, and therapies based on these cells are being investigated for several diseases, including MS.

NurOwn cells are MSCs obtained from a patient’s bone marrow — the spongy tissue inside bones — and grown in the lab under patented conditions in order to induce the cells to secrete high levels of neurotrophic factors (NTF), molecules that support the growth, survival, and differentiation of neurons. These MSC-NTF cells are then injected back into the patient intravenously or into the spinal canal.

Experiments with mice suggest that injected NurOwn stem cells do not themselves replace damaged cells. Instead, the lab treatment customizes MSCs, converting them into biological factories that secrete high levels of NTFs, which in turn encourage neural stem cells to replace damaged cells.

NTFs may also exert a therapeutic effect in progressive MS by other mechanisms. They can improve neuronal survival following injury, protecting cells from oxidative stress (an imbalance between the body’s production of potentially harmful reactive oxygen species and its ability to contain them), and they can modulate the immune response, shifting it from proinflammatory to anti-inflammatory, dampening the autoimmune damage done to myelin (the protective cover of neurons that is destroyed in MS).

Currently, no autologous cell therapies are FDA-approved to treat MS or other neurological diseases.

“We are excited to participate in this Phase 2 clinical trial and hope that this innovative cell therapy approach leads to a new treatment option for patients with progressive MS,” said Fred Lublin, MD, director of the Corinne Goldsmith Dickinson Center for Multiple Sclerosis at Mount Sinai Medical Center. “We are particularly pleased to see a scientifically rigorous approach to advance the science of stem cell therapeutics.”

NurOwn cell therapy is currently being evaluated for safety and efficacy in a Phase 3 clinical trial (NCT03280056) in up to 200 people with amyotrophic lateral sclerosis (ALS) at sites in the U.S. This double-blinded and placebo-controlled study, which is recruiting eligible adults, administers the therapy three times bi-monthly via lumbar puncture (intrathecal injection) and is expected finish in July 2019.

The NurOwn technology was developed in the laboratories of  researchers at Tel Aviv University.

Jason avatar

Jason

Way to go America! You're in last yet again. Places throughout the World are all ready doing it. Better late than never, I suppose.

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MS HotMess avatar

MS HotMess

All while we suffer in the meantime ?

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Jason avatar

Jason

Well, not me fortunately. When I was diagnosed I did HSCT. I feel bad that so many don't what it is.

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sharon castiel avatar

sharon castiel

where did you do it?

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Perle avatar

Perle

Yeah...USA USA USA makes me want to immigrate right on outta here. I’m so sad and ashamed what’s happens to my country.

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Michael Cavallo avatar

Michael Cavallo

Hoping it will help me!

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Beatrice avatar

Beatrice

Here we started to use crystal cell as therapy. For sure the innovations will rescue our lives.

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Perle avatar

Perle

I read up on that. It does not make sense to orally consume stem cells. They will just be digested. Save your money.

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Patrick E. Bailey avatar

Patrick E. Bailey

I would like to be involved with a Stem Cell trial.

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Davood avatar

Davood

Thanks God, it’s the best news for starting 2019. I can’t wait.

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Seth avatar

Seth

So sad to learn i have ms then to learn almost NONE OF THE TREATMENTS are covered by insurance. If only i lived in Canada or France...

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Rodger Ashton-Smith avatar

Rodger Ashton-Smith

I hope it will do the job, I am sick of the negative form of treating PPMS saying there is nothing for us. What are we supposed to do?

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Perle avatar

Perle

I’m so sick of toxic meds for RRMS. I totally feel your pain here. Are you on Ocrevus? I am, for 2 yrs. I’m always sick w infections. I so want stem cell therapy.

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Rodger Ashton-Smith avatar

Rodger Ashton-Smith

I hope they find something for us. I'm getting sick of the negative of the profession people telling me there is nothing for me. What am I supportive to do?

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margaret Hope avatar

margaret Hope

Wondering when this could be available in Australia.

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David avatar

David

It’s still in the trial phase and when that’s finished they will look at the results to see if it can be safely implemented. They have just done their own trial in Sydney Around last Christmas and have been happy that there were no negative results or fatalities in the first round of treatment. I haven’t seen anything since though.

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Greg avatar

Greg

Agree with Rodger,here from doctor there nothing but Ocrevus for me. Coming up on 4th infusion,lost my job,walk with cane, worse than I ever had been!It was medicine overkill! Why USA is so behind on stem cells is pathetic.Always here"tryig to find a cure"." HELLO McFLY IS THERE ANYBODY HOME".

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Perle avatar

Perle

Ummm....idiot politicians and anti-abortion wackos won’t let anyone do government funded research with human stem cells. Just send us the red hooded capes. The idiocy of it all.

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Marilyn Healey avatar

Marilyn Healey

I have a 47 year old daughter who has suffered 30 years with this debilitating disease! Any new advance would be a god send and hope there will be a short time before we see this being offered in Canada. A concerned mother

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Yvonne Taylor avatar

Yvonne Taylor

I want to participate in the Stem Cell Research. November 3, 2003, I was diagnosed with MS

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john lang avatar

john lang

I have had secondary progressive 4 3 years and mine is no longer active. I WANT IN. What do I do????/

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Alberto Molano, PhD avatar

Alberto Molano, PhD

The national clinical trial identifier is NCT03799718. Go to that link. Read the inclusion and exclusion criteria carefully to know if you are eligible. Then click where it says "Contacts and Locations".

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Marjorie Meurn avatar

Marjorie Meurn

I hope this study is successful! We who have ppms need this badly. Ocrevus has severe side effects like cancer,

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john lang avatar

john lang

I have had secondary progressive for 3 years and mine is no longer active. I WANT IN. What do I do????/

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Deborah Houston avatar

Deborah Houston

I am begging for help for my daughter. She is allergic to all meds and is declining rapidly. Her neurologist Dr. Richman in Pinehurst NC is at a loss for treatment. I am not a wealthy woman and want to give my daughter every breath and moment on this earth that I can. I would give my own to help her. She is a 47 year old mom with a husband and children, and one of the loves of my life. I will do anything to get her help. Please can someone help me give her some quality of life.

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Sharon Castiel avatar

Sharon Castiel

I am sadly part of the PPMS population and walking is getting harder and harder. I now use a walker and I am only 53. I would be interested in being involved in any clinical trial available to PPMS patients.

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Marianne Colella avatar

Marianne Colella

I would love to be part of trial. 61yr old female diagnosed in 2004 progressive now. On Ocrevus use power chair and walker.

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