Can a Patient's own stem cells rewire the damage of progressive MS?
NCT ID NCT03822858
First seen Sep 25, 2026 · Last updated Sep 25, 2026
Summary
Researchers are providing an experimental treatment to people with progressive multiple sclerosis who cannot join a separate Phase II stem cell trial. The treatment uses the patient's own bone marrow cells, which are grown in the lab into neural progenitor cells and then injected into the spinal fluid. Participants receive three to five doses, each containing up to 10 million cells, spaced three months apart. The goal is to see whether this approach is safe and whether it can help with disability.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- autologous bone marrow-derived mesenchymal stem cell-derived neural progenitor cells
- What this could lead to
- If it works, this approach could offer a way to slow or repair damage in progressive MS, a form that current treatments struggle to control.
- What could go wrong
- This is an early access program, not a randomized trial, so it cannot prove the treatment works. The cells come from each patient, which makes the process complex, and injecting into the spinal fluid carries risks like infection or headache.
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Study facts
What this study's own registry entry says, in plain language.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 70 years
- Sex
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Anyone
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosis of MS as defined by the McDonald criteria * Diagnosis of primary progressive or secondary progressive MS * Patients will be 18 years or older * Significant disability shown by an Expanded Disability Status Score (EDSS, \[5\]) ≥4.5 that was not acquired within the last 12 months \*(Patients with moderate to severe cerebellar dysfunction who have an EDSS of \<6.5 who are not eligible for our Ph II Version Date: 11/21/18 Version #4 9 study will be included. This is because EDSS scores are heavily related to muscle strength and not balance or coordination and most accurately reflect paraparesis. Also there are patients with MS who have disabling upper limb coordination dysfunction but EDSS scores of better than 6.5 who are not suitable for the Phase II study but may benefit from this therapy). * Stable disease state as evidenced by a lack of gadolinium-enhancing lesions on an MRI and by a stable MRI disease burden (number of T2 lesions and size of lesions) in the last six months and no significant change in EDSS (1 point or more) in the last 12 months * Does not qualify for the inclusion/exclusion criteria of our Phase II stem cell trial. For example, patients with EDSS \>6.5 or MS symptom onset and/or duration of disease \>15 years Exclusion Criteria: * All patients who have had any prior stem cell treatments, including HSCT * Pregnant or nursing mothers or any woman intending to become pregnant in the next three years * Use of systemic chemotherapeutic or anti-mitotic medications within three months of study start date due to the possibility of interference with bone marrow procedure * History of central nervous system infection or immunodeficiency syndromes due to increased risk of CNS infection * Patients who are anticipated to have difficultly accessing the intrathecal space related to scoliosis, obesity, or any other relevant factors determined by the PI. * Patients who have not tried available therapies for their progressive MS
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Tisch MS Research Center of New York
New York, New York, 10019, United States
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